This page provides links to the Forms Guide and describes how to complete each of the Manual Claim Forms for the Primary Maternity Services Notice 2007.
Summary
The Forms Guide describes how to complete each of the Manual Claim Forms for the Primary Maternity Services Notice 2007 (the 2007 Notice). This page contains screen copies of each of the Manual Claim Forms and defines all fields on each of the forms.
Primary Maternity Services Notice 2021
The newly amended Primary Maternity Services Notice goes live on 29 November 2021. Until that implementation date the 2007 Notice will continue to apply to services provided and claims paid. On 29 November 2021 the 2007 Notice will be revoked and replaced by the 2021 Notice. Services provided on or after 29 November 2021 should be provided in accordance with the new 2021 Notice.
In the Discussion Document distributed to support the public consultation last year on proposed changes to the Primary Maternity Services Notice 2007, the Ministry proposed ending the ability to claim manually (on paper) or through the Ministry’s dial-up Online Maternity Claiming (OMC) portal. The rationale for this administrative change was to improve claim processing time, improve health information security and reduce operational risk as OMC is no longer a supported platform.
When the Primary Maternity Services Notice 2021 goes live on 29 November 2021, the Ministry will not be able to accept claims for services provided under the 2021 Notice either manually or through the OMC portal.
Claims for services provided under the 2007 Notice will continue to be accepted for a grace period of up to 12 months from the date of service.
This Primary Maternity Services Notice 2007 Forms Guide and the associated Manual Claim Forms will be deleted on 28 November 2022.
Forms
- Registration with a Lead Maternity Carer (PDF, 217 KB)
- Claim form for Ultrasound Services (PDF, 60 KB)
- Claim form for Specialist Services (Paediatrician) (PDF, 57 KB)
- Claim form for Non-LMC Services (PDF, 56 KB)
- Claim form for Specialist Services (Obstetrician) (PDF, 58 KB)
- Primary Maternity Services Claim Summary Form (PDF, 52 KB)
- Claim form for Lead Maternity Carer, First and Second Trimester (PDF, 49 KB)
- Claim form for Lead Maternity Carer, Third Trimester (PDF, 48 KB)
- Claim form for Lead Maternity Carer, Labour and Birth (PDF, 51 KB)
- Claim form for Lead Maternity Carer, Services Following Birth (PDF, 53 KB)
- Claim form for Non-LMC First Trimester Services (PDF, 49 KB)