Possible claims
- First and Second Trimester First Partial module
- First and Second Trimester Full module
- First and Second Trimester Last Partial module
Relevant clause is Section 88 - DA20
(2) A maternity provider may claim only the first partial fee if the woman was registered with the maternity provider, but changed maternity provider before the start of the 18th week of pregnancy.
(3) A maternity provider may claim only the last partial fee if the woman first registered with the maternity provider after the end of the 17th week of pregnancy.
(4) None of these fees may be claimed if the woman was registered with the maternity provider after the end of the 26th week of pregnancy.
(5) If subclauses (2) to (4) do not apply, the maternity provider may claim the full fee.
The Ministry of Health considers the first trimester to be from the LMP until the end of the 14th week of pregnancy, and the second trimester from the beginning of the 15th week until the end of the 28th week of pregnancy.
Under the Notice, the full fee, the first partial fee or the last partial fee may be claimed, as the case may require. The module is designed to compensate a maternity provider’s time and effort during the course of a woman’s first and/or second trimester period.
Example of a first partial payment:
- A woman registers with a maternity provider at 12 weeks but moves away to a different city at 17 weeks.
Example of a last partial payment:
- A woman registers with a maternity provider at 17.1 weeks and remains under her care for the rest of her pregnancy.
An example of a full payment:
- A woman registers with a maternity provider at 16.2 weeks and remains under the LMC’s care for the rest of her pregnancy.
It is important to note only one module can be claimed per woman per maternity provider. For example, if a woman registered with a provider at 5 weeks, moves to another city before 17 weeks, and then returns to the original provider at 19 weeks, two payments cannot be claimed. The first partial or last partial may only be claimed.