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DA54 Payment rules: Postnatal care
(ii) one consultation at the woman’s home before the end of the day after discharge from the maternity facility; and (iii) at least seven postnatal consultations in total, including a minimum of five consultations conducted in the woman’s home; and (iv) if there is an exceptional circumstance that results in a postnatal consultation not being conducted in the woman’s home, this reason must be clearly documented by the LMC; and (b) as part of the consultations in clause (a): (i) examinations of the baby consistent with the requirements of the Well Child Tamariki Ora Schedule, and (ii) examinations of the woman at clinically appropriate times and before referral to the woman’s primary care provider; and (c) as a part of the consultations in clause (a), the provision of care and advice to the woman, including: (i) assistance with and advice about breastfeeding and the nutritional needs of the woman and baby; and (ii) assessing for risk of postnatal distress, depression and family violence, with appropriate advice and referral (where services are available); and (iii) providing appropriate information and education about screening; and (iv) offering to provide or refer the baby for the appropriate screening tests specified by the Ministry of Health and receive and follow up the results of these tests as necessary; and (v) providing Ministry of Health information on immunisation and the National Immunisation Register and provision of any appropriate or scheduled immunisations consented to; and (vi) providing access to services as outlined in the Well Child Tamariki Ora Schedule; and (vii) providing advice regarding contraception; and (viii) providing parenting advice and education; and (d) review and update the care plan and document progress, care given and outcomes, and ensuring that the maternity facility has a copy of the care plan if the woman is receiving in-patient postnatal care.
Defined in this notice: care plan, in-patient postnatal care, LMC, maternity facility, National Immunisation Register, postnatal care, primary health services, Well Child provider
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DA54 Payment rules: Postnatal care
(1) This module cannot be claimed for services provided to a woman on the same date as care provided in the First assessment, registration and care planning module.
(2) The count of consultations must not include the First assessment, registration and care planning consultation if this service has also been provided in the postnatal period.
