Payment Information
MDHB's contracts with providers states which payment system is to be used. There are three payment systems. Payments are processed through HealthPAC.
Group of young adults at "Youth One Stop Shop" - a service funded under contract by MidCentral DHB.
The three payment systems are:
Contract Management System (CMS) Payments
CMS payments are fixed payments rather than payments that itemise each client receiving services. CMS payments apply to those services where clients do not generally require a needs assessment to receive the service.
This payment method requires the provider to forward a tax invoice and an invoice header to HealthPac.
The tax invoice must provide the required information (as stated in the agreement) and must include the agreement number (as stated on the top right hand corner of the agreement in the format: xxxxxx/00).
The inovice header (cover sheet) is generated by HealthPac once a contract is signed. The invoice header contains pertinent information to accompany your tax invoice.
The CCPS processes all payments for providers claiming funding for individual clients with an assessed need and who have disability or mental health needs.
There are two parts to processing CCPS payments/ reimbursements:
i. Proposed Payment Schedule (PPS)
This is an invoice issued to the service provider by HealthPAC on behalf of MidCentral.
The PPS states what MidCentral intends to pay for each client who has received services, and lists these clients. The client details are based on the assessment and eligibility details that are provided to HealthPAC by Supportlinks (Needs Assessment and Service Coordination) and Work and Income (WINZ).
When a PPS is received by a provider, the provider must:
- check to ensure that the amount is correct
- write any amendments on the PPS
- sign the PPS
- returned the PPS to HealthPAC within the time period specified, in order to receive payment.
HealthPAC will make any amendments that are required, and then pay you by direct credit.
ii. Buyer Created Tax Invoice (BCTI)
Following payment, HealthPAC will send the provider a buyer created tax invoice (BCTI) for the provider’s records. A BCTI is similar to a PPS but records what HealthPAC actually paid the provider, rather than what HealthPAC intended to pay.
The process for sending invoices and receiving payment for service/demand driven expenditure is similar to that outlined above for the CMS payments and is outlined in your agreement.
The contact details for HealthPAC are:
When sending tax invoices for ProClaim Payments:
HealthPAC
Health Benefits
PO Box 1043
Wellington
Ph: (04) 498 3550
Fax: (04) 498 3597
When sending tax invoices for CMS Payments:
HealthPAC
Ministry of Health
Private Bag 1942
Dunedin
Fax (03) 474 8584
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Last Updated 29/10/2007