General Practice and Specialists

 Dental

Provision of Oral Health Services Agreements for Adolescents & Special Dental Services for Children and Adolescents

 Pharmacy

Questions and Answers

 General Practice and Specialists

 How do you apply for a S88 Notice?

As of the 25th June 2010 DHBs are no longer issuing Section 88 notices.
Radiologists - Final claim date is the 31st August 2010 with all claims submitted by the 30th September 2010.
Specialists - Final claim date is the 31st December 2010 with all claims submitted by the 31st January 2011.
Anaesthetists - Final claim date is the 31st December 2010 with all claims submitted by the 31st January 2011.

 Why have my claims been rejected?    

• You will need to ensure that the Agreement No. and Payee No for the GP is correct when submitting the claims electronically. 
• If the dates of service for the claims are within a 6-month period, you can check why the claims have been rejected with Sector Services Wellington on 0800 252 464.
• If the dates of service are OVER 6 months old, you will require DHB approval for the claims to be paid.  All ‘Late Claims’ (over six months old) will need to be forwarded to the NDSA with a cover letter explaining why claims are late.

 Can I still use my S88 notice under a PHO?

When you join a PHO, your GP S88 Notice is automatically placed on ‘Hold’. You do not lose your GP S88 Notice as it can be re-activated upon leaving the PHO (as long as you maintained your GP S88 Notice BEFORE you joined the PHO and are still actively practicing at the same place). Under the PHO, all claims will be submitted using the PHO Agreement No. and Payee No. You will no longer use your GP S88 Notice to make claims.

 Where do I get a payee no. from?

If you do not have a GP S88 Notice but are part of a PHO, you can apply for a new payee number to claim FFS only.  The application form to complete is on this website under Forms & Documents. 

 How do I join a PHO?

When you join a practice that is a member of a PHO, you will automatically be registered as a member of that specific PHO.  The PHO membership lists are updated quarterly so the DHB and NDSA will be notified of incoming and departing GPs to/from a PHO.

 Who are the PHOs in my area?

Please refer to the PHO practice list under  Forms & Documents.

 Dental

Provision of Oral Health Services Agreements for Adolescents & Special Dental Services for Children and Adolescents

 What is the difference between OHSA & SDB?

Provision of Oral Health Services (OHSA) for Adolescents - This service caters to the high school students in the 13yr - 18yr age group
Special Dental Services for Children and Adolescents (SDB) - This service caters to the preschoolers and primary school children in the 0yr - 13yr age group

 Where can I find a contracted dentist for my child?

A full list of dental providers catered to service adolescents can be found in Forms & Documents.

 How do I apply for an Oral Health Services Agreement?

Application forms can be found in Forms & Documents.
Complete the application form and attach a deposit slip and dental registration certificate and forward to the Northern DHB Support Agency Ltd, PO Box 112147, Penrose,  Auckland 1642.

 Complaints

If you have a complaint, please write a detailed letter and forward to Contracts Administration, Northern DHB Support Agency Ltd, PO Box 112147, Penrose,  Auckland 1642. or email to personalhealth@ndsa.co.nz. 

 Clinical queries

The first point of contact would be the Northern DHB Support Agency Ltd by phoning 09-589-3922.  Please note, if your query cannot be answered by the NDSA, we may need to refer you to Dr John Dalton, Clinical Advisor at the Auckland Regional Dental Service Centre.

Contact Details for Dr John Dalton: 
Phone:  09-838-1716

 Pharmacy

 How do I apply for a contract?

Application forms can be found  in Forms & Documents
Complete the application form and attach a deposit slip and medafe license and forward to the Northern DHB Support Agency Ltd, PO Box 112147, Penrose,  Auckland, 1642 to process.

 What do I do if I want to sell or buy a pharmacy?

If you are selling or buying a pharmacy, you will need to contact Medsafe and NDSA Contracts Administration to advise them of the changes to be made. 

Application forms  for a deed of assignment can be found  in Forms & Documents

 How do I apply for extra services (not currently in base agreement) to my contract?

Put your request in writing (or email) and send to the Northern DHB Support Agency Ltd (or email personalhealth@ndsa.co.nz).  NDSA will action the process to add the service to your base agreement once a start date for the new variation has been provided and approved by the DHB. A new variation to your agreement will then be sent to you for signing.  Click on this link to view the process and estimated timeframes – Generic Contract Process.

  What ‘extra services’ can a pharmacy apply for?

The extra services are listed below.  Click on the names to obtain details on what these services cover: 

• PH1003 – Specials Foods
• PH1006 – Extending Methadone
• PH1007 – Pharmaceutical Review Services
• PH1008 – Clozapine
• PH1010 – Syringe Driver (Aseptic Pharmacy Services)

 What do I do if I have missed the deadline for submitting my claims and don't get paid?

If you cannot wait for payment on the next due payment date and a one-off special payment is required on a non-scheduled payment date, you will need to contact the Northern DHB Support Agency Ltd to action approval through your respective District Health Board.
You will need to submit the error report and details as to why payment was not paid as further investigation may need to be actioned by the NDSA.

 Pharmacy Late Claims

• You will need to ensure that the Agreement No. and Claimant No for the Pharmacy is correct when submitting the claims electronically.
• If the dates of service for the claims are within a 6-month period, you can check why the claims have been rejected with Sector Services Wanganui on 0800 353 2425 
• If the dates of service are OVER 6 months old, you will require DHB approval for the claims to be paid. All ‘Late Claims’ (over six months old) will need to be forwarded to the NDSA with a cover letter explaining why claims are late.