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

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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

-----Original Message-----
From: David Lawson [mailto:[FYI request #6200 email]]
Sent: Thursday, 13 July 2017 5:09 a.m.
To: Information Website Mail
Subject: Official Information request - 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

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

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From: Government Services
Accident Compensation Corporation


Attachment ACC response 28 July 2017.pdf
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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

Disclaimer:

"This message and any attachments may contain confidential and privileged
information. If you believe you have received this email in error, please
advise us immediately by return email or telephone and then delete this
email together with all attachments. If you are not the intended
recipient, you are not authorised to use or copy this message or any
attachments or disclose the contents to any other person."

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