ACC Prior Approval policy for neurology and neurosurgical services contracted to DHB's including the Waitemata District Health Board and the Auckland District Health Board
David Lawson made this Official Information request to Accident Compensation Corporation
Response to this request is long overdue. By law Accident Compensation Corporation should have responded by now (details and exceptions). The requester can complain to the Ombudsman.
From: David Lawson
Dear Accident Compensation Corporation,
I refer to your response to my original OIA FYI request dated 20 April 2017 which can be found at https://fyi.org.nz/request/5758-agreemen...
I appreciate your provision of an original copy of the AGREEMENT FOR SERVICES
BETWEEN ACCIDENT COMPENSATION CORPORATION AND [DHB NAME] For
Organisational Terms and Conditions (Part 1) Service Schedule(s) (Part 2) Contract Number: HWxxx (Version 2).
Under SCHEDULE 2 - GENERAL TERMS AND CONDITIONS of the contract it states;
2.2 ACC Prior Consent not Required to Certain Subcontracts The Vendor need not obtain the prior written consent of ACC to a subcontract for the provision of certain (but not all) of the Services by Registered Health Practitioners provided that the subcontract is in
writing and requires the Services for Claimants to be provided by or under the supervision of Registered Health Practitioners.
It would be appreciated if you could provide the following official information with respect to the Auckland District Health Board (ADHB) and the Waitemata District Health Board (WDHB);
1. Is ACC Prior Consent required for the ADHB and the WDHB under the subcontracts for services that relate specifically to;
(a) subcontracts, for the neurosurgical assessment, treatment and rehabilitation of an ACC claimant's injuries that involve accidental trauma.
(b) subcontracts for the neurological assessment, treatment and rehabilitation of an ACC claimant's injuries that involve accidental trauma.
(c) if the answer is yes to both (a) and (b) above, has this always been the case. If not when did ACC begin to request that DHB's, inclusive of ADHB and the WDHB, were required to seek Prior Consent for confirmation that ACC will fund the neurosurgical or neurological assessment, treatment and rehabilitation of an ACC claimant's injuries that involve accidental trauma.
(d) If prior approval is required for neurosurgical and or neurological services provided by ADHB and WDHB, or any other DHB, please supply me with a copy of the ACC / DHB policy that governs the time frame and process that the DHB is required to undertake, and the time limits that the ACC is contracted to to respond to the DHB.
I thank you for your time and assistance.
Yours faithfully,
David Lawson
From: Government Services
Accident Compensation Corporation
Good afternoon Mr Lawson
This email is to acknowledge your request below.
We are currently working on your request and will be in touch as soon as possible, and certainly by 10 August 2017.
Yours sincerely
OIA Services, Government Engagement and Support
show quoted sections
From: Government Services
Accident Compensation Corporation
Link: [1]File-List
Good afternoon Mr Lawson
Please find attached ACC’s response to your request of 13 July 2017.
Yours sincerely
OIA Services
Government Engagement and Support
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