Since 2000 NSW Health has introduced an alternative to deliver priority dental treatment to eligible patients in NSW. The OHFFSS engages private dental practitioners to provide priority dental treatment to public patients. The Scheme seeks to improve access to acute dental care for concession card holders and their dependents.
It has been developed in consultation with the Australian Dental Association (NSW Branch) and it is reviewed on an annual basis.
This Scheme offers an alternative way for those who are eligible for public oral health care to receive dental treatment by a private practitioner who is registered with this Scheme.
The vouchers that can be issued under the Scheme cover emergency care, general dental care and dentures. The type of voucher issued is dependant on the dental needs of the client as assessed by a public dental clinician. It is the responsibility of the public dental clinician who is providing the initial assessment to determine who will be issued with a voucher as well as the type of voucher.
Eligible patients who receive a Voucher will receive the same range of treatment services that are provided in a public oral health clinic.
For more information on the OHFFSS please see the Oral Health Fee For Service Scheme Brochure.
Where can I take my OHFFSS voucher?
Clients who have issued with an OHFFSS voucher can use it with any private practitioner who is registered with this Scheme. A list of these private practitioners will be given to clients when they are issued with a OHFFSS voucher.
After receiving a Voucher for treatment from a public oral health clinic a Client should:
- contact the participating private dentist of their choice to arrange an appointment as soon as possible or within 10 days of the date on the Oral Health Treatment Voucher.
- inform the participating dentist that they have been referred from a public dental clinic and require treatment under the NSW Oral Health Fee for Service Scheme.
- provide proof of identity and eligibility.
- give the practitioner the Oral Health Treatment Authority Voucher.
- on receipt of the required oral health care certify satisfactory completion of treatment on the Oral Health Treatment Voucher.
Please note: Any additional treatment offered by the private dentist outside what has been authorised on the Voucher should be discussed and clearly understood as this may incur fees payable by the Client.
Registering with the Scheme
Private practitioners must be registered with the Scheme. Each Local Health District has an OHFFSS Coordinator. Practitioners wishing to register with the Scheme are encouraged to contact these Coordinators.
The policy directive that provides the framework for the Oral Health Fee for Service Scheme (OHFFSS) has recently been revised.
The Policy Directive for the OHFFSS describes the provision of treatment and dentures vouchers to patients of NSW public dental services, for this care to be provided through private dental practitioners. The private dental practitioners and associated businesses are required to be approved by their Local Health District.
Schedule of Fees
The Oral Health Fee for Service Scheme Schedule of Fees Information Bulletin identifies the type of oral health care and full pricing provided under this scheme. These schedule of fees are reviewed annually by the Centre for Oral Health Strategy, Local Health Districts and associated professional associations.
For more information on the Oral Health Fee for Service Schedule of Fees for 2016 please refer to Information Bulletin IB2016_014. This bulletin should be read in conjunction with the Policy Directive PD2016_018 Oral Health Fee for Service Scheme. The OHFFSS Schedule of Fees for 2016 is benchmarked to Department of Veterans' Affairs November 2013 for episodic and general treatment (dentist rate) and dentures (dental prosthetist rate). The Bulletin also includes amendments to the Schedule of Fees and Section 16 ‘Maximum Entitlements’.