Maternity Services Payment Rules




24 APRIL

NEW ZEALAND GAZETTE

1127

(d) there has been no other Claim for Obstetrician – Effecting Delivery per woman per pregnancy;

(e) there has been no Claim for Consulting Obstetrician Services after the beginning of the second stage of this labour; and

(f) the Obstetrician is present at the Birth.

4.8.2 Where the Ministry of Health wishes to enter into a regional budgetholding or other funding arrangement for this service, the Ministry of Health will consult with all Authorised Practitioners in the applicable region. Following the consultation, the Ministry of Health will give Obstetricians in the applicable region at least one month’s written notice of any restriction on claiming this fee.

See clause C5.10 for the service specification to which these payment rules apply.

4.9 Anaesthetist Services

4.9.1 This payment may only be claimed where:

(a) there is a written referral from the Lead Maternity Carer or the Back-up to the Lead Maternity Carer (other than an Authorised Practitioner employed or subcontracted by the provider arm of a District Health Board);

(b) the Anaesthetist has met the requirements of clauses D2.3.3 and D2.4.2; and

(c) there is only one Claim per Anaesthetist Services per woman per pregnancy.

4.9.2 Where a Ministry of Health wishes to enter into a regional budgetholding or other funding arrangement for this service, the Ministry of Health will consult with all Authorised Practitioners in the applicable region. Following the consultation, the Ministry of Health will give Anaesthetists in the applicable region at least one month’s written notice of any restriction on claiming this fee.

See clause C5.11 for the service specification to which these payment rules apply.

4.10 Paediatrician Services

4.10.1 This payment may only be claimed where:

(a) there is a written referral in accordance with the Referral Guidelines from the Lead Maternity Carer (other than an Authorised Practitioner employed or subcontracted by the provider arm of a District Health Board);

(b) the Paediatrician has met the requirements of clauses D2.3.3 and D2.4.2;

(c) the Paediatrician attends in person; and

(d) there is only one Claim for Paediatrician Services (either First Consultation or Subsequent Consultation or Attendance at Delivery) per woman/baby per date of service.

4.10.2 Payment will be made according to whether it is a First Consultation or a Subsequent Consultation or Attendance at Delivery. A Claim for a Subsequent Consultation requires a new referral from the Lead Maternity Carer.

4.10.3 Where the Ministry of Health wishes to enter into a regional budgetholding or other funding arrangement for this service, the Ministry of Health will consult with all Authorised Practitioners in the applicable region. Following the consultation, the Ministry of Health will give Paediatricians in the applicable region at least one month’s written notice of any restriction on claiming this fee.

See clause C5.12 for the service specification to which these payment rules apply.



Next Page →



Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2002, No 40


Gazette.govt.nz PDF NZ Gazette 2002, No 40





✨ LLM interpretation of page content

🏥 Service Specifications and Quality Requirements for Maternity Services (continued from previous page)

🏥 Health & Social Welfare
Maternity Services, Payment Rules, Referrals, Ultrasound Scans, Consultations, Budgetholding Arrangements