Common use of Consultation Fee Clause in Contracts

Consultation Fee. 5.1 Te Whatu Ora will pay the Provider a MAS Consultation Fee of $25.00 (GST exclusive) for each Eligible Service User that is provided a MAS Consultation. 5.2 The Provider will claim each MAS Consultation Fee through the Nominated Portal by providing the required information set out in the Nominated Portal. Subject to clause 4.7, a claim can be made for a MAS Consultation to an Eligible Service User, regardless of the outcome (i.e., regardless of whether an Approved Medicine is dispensed, only advice is provided, or the Eligible Service User is referred to a GP). 5.3 For each MAS Consultation, the Provider may only claim one MAS Consultation Fee for an Eligible Service User, whether the Eligible Service User presents with one or more Approved Conditions, or the Provider provides routine follow-up with the Eligible Service User in accordance with their management plan. 5.4 Despite clause 5.3, the Provider may claim an additional MAS Consultation Fee for the same Eligible Service User in respect of the same Approved Condition in exceptional circumstances if the Provider: (a) has determined that a further full MAS Consultation is clinically necessary; (b) records the clinical reasons and the circumstances which make the subsequent MAS Consultation necessary; and (c) provides those records to Te Whatu Ora on request. 5.5 If an Eligible Service User presents to the Provider on a separate occasion with a different Approved Condition, including in the unlikely event that this occurs on the same day that an Eligible Service User has already received a MAS Consultation, the Provider may undertake a MAS Consultation in relation to that different Approved Condition and claim a MAS Consultation Fee for that separate MAS Consultation. 5.6 The Provider may claim a MAS Consultation Fee for each whānau member of a child under 14 years of age that has the same Approved Condition and requires management under MAS. 5.7 For the avoidance of doubt, the Provider cannot claim a MAS Consultation Fee for determining whether a Service User is an Eligible Service User.