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New Zealand Gazette – 2011 – No. 79

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✨ Healthcare Regulations

8 JUNE 2011

NEW ZEALAND GAZETTE, No. 79

1845

Subpart BF—Genuine and exceptional circumstances

BF1 Genuine and exceptional circumstances

(1) This clause applies if the services manager has declined—

(a) a claim for a hearing aid subsidy; or

(b) an application for hearing aid funding; or

(c) an application or claim for hearing aid repairs; or

(d) a claim for reimbursement of costs associated with a replacement hearing aid that are partially met by insurance.

(2) If this clause applies, the services manager, may, on the written application of an audiology provider, request, in writing, the Ministry of Health (through its EMS Review Panel) to consider whether to approve the claim or application (as applicable) referred to in subclause (1).

(3) The EMS Review Panel may approve the claim or application if it is satisfied that the following criteria have been established:

(a) the departure from the procedural requirements set out in this notice will result in improved outcomes for the eligible person to whom the claim or application relates:

(b) the audiology provider’s request has been made within 3 months of the claim or application being declined:

(c) there are genuine and exceptional circumstances that justify the approval of the claim or application.

Defined in this notice: application, audiology provider, claim, eligible person, hearing aid funding, hearing aid subsidy, EMS Review Panel, services manager

Part C

General requirements

Subpart CA—Authorisations and approvals

Authorised audiology providers

CA1 Granting authorisation

(1) The Ministry of Health may grant an authorisation to an audiology provider under the hearing aid subsidy scheme or under the hearing aid funding scheme (or both).

(2) Before the Ministry of Health may grant an authorisation under subclause (1), the Ministry of Health must be satisfied that—

(a) the audiology provider has properly completed the application form; and

Gazette.govt.nz — NZ Gazette 2011, No 79

The General Assembly Library (on the right) was completed in 1899 and survived the 1907 fire. Now the oldest remaining original Parliament building, still used as the Parliamentary Library.

✨ LLM interpretation of page content

🏥 Hearing Aid Services Notice 2011 (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsHearing aid services, Eligibility criteria, Information requirements, Funding approval, Assessment, Hearing needs, Trial process

🏥 General requirements for audiology providers

Domain🏥 Health & Social Welfare
KeywordsAudiology providers, Authorization, Hearing aid subsidy scheme, Hearing aid funding scheme

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