✨ Dental Benefits Exclusions and Quality Requirements
4244 NEW ZEALAND GAZETTE No. 151
Eligibility for General Dental Benefits ceases on an Eligible Person’s 18th Birthday.
F7 EXCLUSIONS
The following treatments or services are not available under this Notice as General Dental Benefits:
a. dental services for children (age 0 to Year 8 schooling); or
b. adolescents requiring treatment beyond the scope of practice of the Oral Health Provider. These Patients will be referred to an appropriate provider, who will have a contract with the relevant funder, and can undertake the necessary treatment (e.g. hospital dental department); or
c. orthodontic treatment; or
d. Patients who are eligible for treatment funded by Accident Compensation Corporation (ACC). If a Patient’s required treatment is due to an accident, which is covered by ACC, then the Patient must register the accident with the ACC.
F8 SERVICE SPECIFIC QUALITY REQUIREMENTS
The following service specific quality requirements will apply to General Dental Benefits:
a. Oral Health Providers will keep clinical records containing sufficient documentation to clearly demonstrate all Services provided to individual Patients. This will include:
i. records relating to informed consent, medical history, referral and follow-up processes;
ii. health education provided for individual Patients;
iii. Patient recalls including appointments not attended;
iv. results of special tests, including biopsy and laser diagnostic aids;
v. as required by individual Patients, radiographs of satisfactory quality to:
- demonstrate sufficient definition in the radiograph to distinguish and identify any disease process;
- show radiographic detail as would be expected in a radiograph;
b. Oral Health Providers will provide to all Patients the Services to which the Patients are reasonably entitled under this Schedule F. Oral Health Providers will not provide an unduly large number of Services to a Patient. Services provided should be based on Patient need and aligned to recognised good practice within dentistry.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2003, No 151
Gazette.govt.nz —
NZ Gazette 2003, No 151
✨ LLM interpretation of page content
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General Dental Benefits Service Specification
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🏥 Health & Social WelfareDental services, Oral health, Exclusions, Quality requirements, Patient records, Informed consent, Medical history, Radiographs, Good practice