Regulation 20 Approval of payments

Changes not yet applied. Later legislation changes this provision in ways not yet written into the text below:

reg. 20(8) added by Health Services (Pilot Schemes: Miscellaneous Provisions and Consequential Amendments) 1999 reg. 5(5)
reg. 20(5) word inserted by General Dental Services 2001 reg. 5
reg. 20(5) words substituted by General Dental Services 2005 reg. 3
reg. 20(6A)(6B) inserted by General Dental Services 2014 reg. 2(3)
reg. 20(5) word inserted by Health and Social Care Act 2022 (General Dental and Ophthalmic Services Consequential and Miscellaneous Amendment) 2022 reg. 3(12)
reg. 20(6) words substituted by Health and Social Care Act 2022 (General Dental and Ophthalmic Services Consequential and Miscellaneous Amendment) 2022 reg. 3(4)

(1)

The Agency shall, where it is satisfied—

(a)

that a patient has been accepted by a dentist, other than a salaried dentist, under a continuing care arrangement or a capitation arrangement or for treatment on referral, make the payments which, in accordance with the Scale of Fees, fall to be made by it to the dentist in respect of such an arrangement or referral; or

(b)

that a continuing care arrangement or a capitation arrangement has terminated or treatment on referral has terminated or has been completed, cease such payments to the dentist.

(2)

The Agency shall, where it approves a claim for remuneration made by a dentist, other than a salaried dentist, in respect of—

(a)

care and treatment under a continuing care arrangement or a capitation arrangement; or

(b)

treatment on referral; or

(c)

occasional treatment;

completed by the dentist, pay, in accordance with the Scale of Fees, the remuneration due to the dentist in respect of such care and treatment, treatment on referral, or occasional treatment.

(3)

The Agency shall, where it approves a claim for remuneration made by a dentist, other than a salaried dentist, in any case falling within paragraph 14 or 17(4) of Schedule 2 (inability of dentist to complete treatment), pay, in accordance with the Scale of Fees, and without prejudice to the provisions of the Dental Charges Regulations, the remuneration due to that dentist, in respect of such care and treatment or occasional treatment as he has provided.

(4)

The Agency may, before deciding whether to approve a claim for fees payable to a dentist in respect of his provision of general dental services refer the claim to the Dental Committee for advice.

(5)

The remuneration which it is the function of the Agency to pay shall be paid in accordance with Determinations I, III, IV, VI, VII, VIII and IX of the Statement of Dental Remuneration.

(6)

The Board shall pay to a salaried dentist and a dentist providing emergency dental services remuneration in accordance with Determination II of the Statement of Dental Remuneration.

(7)

In the case of orthodontic care and treatment the Agency may make such payments on account as it considers appropriate pending completion of that care and treatment.