✨ Payment Rules for Maternity Services
1072 NEW ZEALAND GAZETTE, No. 41 13 APRIL 2007
In addition, the caregiver must be registered with the maternity
provider.
(9)
The fee for additional postnatal visits may be claimed only once per woman if
the LMC has provided 12 or more postnatal visits. This fee may not be
claimed by an LMC who has used hospital midwifery services.
Defined in this notice: additional postnatal visits, birth, claim, general practitioner, hospital
midwifery services, inpatient postnatal care, LMC, maternity provider, NHI, obstetrician,
services following birth
DA31 Payment rules: services following birth: rural travel
(1)
Payment for rural travel relates to the provision of services following birth and
may be claimed only after the services following birth module is completed.
(2)
A maternity provider may claim payment for rural travel if the woman’s usual
place of residence is in a domicile identified as semi rural, rural or remote
rural as listed in Schedule 2.
(3)
The semi-rural, rural, and remote rural fees are separate fees and not
cumulative. In addition, in accordance with this clause, the full fee, the first
partial fee or the last partial fee may be claimed, as the case requires.
(4)
A maternity provider may claim only the first partial fee if the woman
concerned was registered with the maternity provider, but changed maternity
provider during the first, second or third week following birth.
(5)
A maternity provider may claim only the last partial fee if the woman
concerned first registered with the maternity provider during the fourth, fifth or
sixth week following birth.
(6)
If subclauses (4) and (5) do not apply, a maternity provider may claim the full
fee.
(7)
Only 1 payment for rural travel will be paid per woman, per pregnancy except
where the mother and baby have different residential addresses. If separate
fees for rural travel are sought, details of the circumstances must be provided
with the claim. In particular:
(a) for the claim for rural travel for the birth mother, the birth mother’s NHI
and the baby(s) NHI must be provided on the claim;
(b) for the claim for rural travel for the baby(s) and its caregiver, the
caregiver’s NHI and the baby’s NHI must be provided on the claim. In
addition, the caregiver must be registered with the maternity provider.
(8)
A rural travel fee may not be claimed by a LMC who has used hospital
midwifery services.
Defined in this notice: birth, caregiver, claim, hospital midwifery services, LMC, maternity
provider, module, NHI, rural travel, services following birth, usual place of residence
Next Page →
Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2007, No 41
Gazette.govt.nz —
NZ Gazette 2007, No 41
✨ LLM interpretation of page content
🏥
DA30 Payment rules: services following birth
(continued from previous page)
🏥 Health & Social WelfarePayment rules, Maternity services, Post-birth services, Caregiver registration
🏥 DA31 Payment rules: services following birth: rural travel
🏥 Health & Social WelfarePayment rules, Maternity services, Rural travel, Post-birth services, Residential addresses