Maternity Care Regulations




1062 NEW ZEALAND GAZETTE, No. 41 13 APRIL 2007

Exclusions

DA12 Exclusions

Lead maternity care does not include the following:

(a) maternity facility services:

(b) birthing unit services:

(c) secondary maternity services:

(d) any services provided by a DHB provider arm.

Defined in this notice: birthing unit, DHB provider arm, lead maternity care, maternity facility, secondary maternity

Claims

DA13 General requirements for making claims for lead maternity care

(1) Payments for lead maternity care may be claimed for services provided in accordance with this subpart.

(2) A maternity provider who claims a lead maternity care fee must be the maternity provider with whom the woman is registered through the woman’s LMC.

(3) No claims may be made for lead maternity care that has been provided before the date of registration.

(4) No claims for lead maternity care will be accepted before HealthPAC has received the registration form.

(5) A maternity provider may make only 1 claim for each lead maternity care fee per woman per pregnancy.

(6) Claims may be made only once either when—

(a) the module or item of service has been completed; or

(b) the woman has registered with another maternity provider.

(7) Trimester dates will be calculated based upon the EDD supplied by a maternity provider with the claim.

(8) There can be no claim for lead maternity care if a woman has transferred to secondary maternity or tertiary maternity for an entire module.

Defined in this notice: claim, EDD, HealthPAC, LMC, maternity provider, module, secondary maternity, tertiary maternity



Next Page →



Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 2007, No 41


Gazette.govt.nz PDF NZ Gazette 2007, No 41





✨ LLM interpretation of page content

🏥 Exclusions from Lead Maternity Care

🏥 Health & Social Welfare
Lead maternity care, Exclusions, Maternity facility services, Birthing unit services, Secondary maternity services, DHB provider arm

🏥 General Requirements for Making Claims for Lead Maternity Care

🏥 Health & Social Welfare
Lead maternity care, Claims, Maternity provider, Registration, HealthPAC, LMC, Trimester dates, EDD