✨ Health Service Specifications
7 NOVEMBER NEW ZEALAND GAZETTE 4275
c. Patients requiring treatment beyond the scope of practice of the of the Dental 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
d. orthodontic treatment; or
e. Patients who are eligible for treatment funded by the 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 Special 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 but is not limited to:
i. records relating to informed consent, medical history, referral and follow-up processes;
ii. results of special tests, including biopsy and laser diagnostic aids;
iii. as required for individual Patients, radiographs of satisfactory quality to demonstrate sufficient definition in the radiograph to distinguish and identify any disease process and 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. Services provided should be based on Patient need and aligned to recognised good practice within dentistry.
c. Oral Health Providers will comply with all quality guidelines and codes of practice developed by DCNZ and NZDA.
F9 INFORMATION AND REPORTING REQUIREMENTS
Oral Health Providers will provide Patient information and service delivery information by complying with and completing the claim forms issued by our Payment Agent.
F10 OPERATIONAL GUIDELINES
District Health Boards or their Payment Agent will provide Oral Health Providers with a copy of the Operational Guidelines. These Guidelines provide guidance to Oral Health Providers in setting out the standard definitions of treatments that will be used when interpreting the provision of Services and auditing a Dental Provider.
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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
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Provider Quality Specifications for Oral Health Services
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🏥 Health & Social WelfareSpecial Dental Benefits, Service Specification, Oral Health Services, Dental Treatments, Emergency Consultations, Radiographs, Restorations, District Health Board, Linkages, Māori Health, Eligibility Criteria, Exclusions