Claims, provider payments and entitlements

Dialysis for eligible patients within New Zealand while on holiday is available free of charge.

New agreements are created by Sector Operations on behalf of the funders and Te Whatu Ora. These agreements are based on standard templates.

Care Plus is a primary health care funding initiative to support people with high health needs.

The Carer Support Subsidy is available for older people and people with other health conditions who need support.

The Community Services Card (CSC) can help individuals and their families with the costs of health care.

This subsidy is available to optometrists and dispensing opticians if they have an agreement with Te Whatu Ora.

Te Whatu Ora provides funding for some child and adolescent oral and dental health services.

GMS are subsidies paid to general practitioners under the Section 88 notice to help reduce patient fees for children and subsidy card holders.

The High Use Health Card (HUHC) gives a general practice a higher government subsidy for patients with high health needs.

A subsidy for GPs who give vaccines to eligible patients and submit claims to Sector Operations.

Home and community support workers can be paid for travel between clients, known as 'in-between travel'.

Read about the proposed wage increase for care and support workers and what it means for providers.

Information on the National Enrolment Service, how it is being implemented, and what this means for PHOs and general practice.

The Ministry is working with the sector to introduce a change to the NHI number format to extend the range of NHI numbers available.

Everyone who is eligible for publicly-funded health and disability services should in most cases not have to pay to pick up subsidised medicines.

As part of the Primary Health Care Strategy a number of evaluations were carried out. The following information is based on historical initiatives.

Resources such as claim specifications and guidelines.

A key priority for Primary Health Care is to enable groups with the greatest need to access services to improve their health.

A laboratory can submit a claim when a medical practitioner, oral surgeon, cervical smear taker, approved nurse or midwife refers a patient to them.

Authorised doctors and midwives can claim for the maternity services they provide to New Zealanders.

The Mental Health Service Payment allows a GP to claim a fee if they are called to assess someone for treatment under the Mental Health Act.

Learn more about National Health Index entitlements

This is the standard national form for Needs Assessment Service Coordination agencies to record eligibility and service coordination information.

The NRT programme aims to reduce tobacco consumption and to improve the health and lifestyle of New Zealanders.