---
title: [CSC] Under 14 Fees and Community Services Card Release
slug: portal-sub/csc-under-14-fees-and-community-services-card-release
docTags: 
createdAt: 2026-03-04T12:03:14.517Z
---

On December 1, 2018 the Ministry of Health (MoH) introduced free visits for Under 14’s and a new service to the National Enrolment Services (NES) system, allowing clinics to get and maintain Patient Entitlement information (Community Service Cards (CSC) and in the future, potentially High User Cards (HUC)).

A new financial preference has been added to enable the Under 14 setting. This preference will need to be enabled upon updating your Profile version. If your practice has not signed up for this service, then the preference can remain unchecked.

No setup is required to use the new CSC service to retrieve or add entitlements, as they are already part of the NES Enrolment Service. The CSC card has been updated in Profile and now contains additional values. CSC status can still be determined in the Patient Information Panel, i.e., A1, C1, J1.

### Zero-fees for Under 14s

A financial preference has been added to support the change to provide free GP or nurse consultations to children under 14 years of age. When this preference is enabled i.e. checked, invoices and prescriptions will generate the correct GMS schedule coding for children under 14.

1. Go to **Organisation/Preferences/Financial/Agency** tab.
2. Check the **GMS Schedule Code: Set juvenile lower age as** checkbox. The default value for the field is 14, and this value will auto-populate the field once the preference checkbox is checked.

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### Synchronization of Community Services Card Details from National Enrolment Services

1. Go to **Alter Patient/Financial**.
2. In **Health Plans and Cards** panel, press **New\...**. This opens the New Payer/Plan/Card window.
3. From the **Payer/Card** dropdown field, select **CSC** and press OK.

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This opens the New Card window.

4. Press **Check...**

Profile will check NES for any entitlements. If only one entitlement is found, the card details will be populated automatically. If the person has multiple entitlements, a Card History window will be displayed, and the user can select the card to be added to the patient record.

:::hint{type="danger"}
**Note**

Only one CSC entitlement can be active for a patient.
:::

5. Select the line that contains the card to be added and press **Add card**.

The card **Number** and **Expiry** will synchronize to their respective fields. The **Dependent** checkbox will be checked and **CSC Dependent** fields will be enabled for **CSCDEP** type cards.

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:::hint{type="danger"}
**Note**

These fields are only for recording data in Profile and are not received by or sent to NES.
:::

6. Press **OK** to save the card and close the window. The CSC has been added to the patient record and will be visible in the **Health Plans and Cards** panel.

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### Manual Entry of Community Services Card

1. Go to **Alter Patient/Financial**.
2. In the **Health Plans and Cards** panel, press **New\...**. This opens the New Payer/Plan/Card window.
3. From the **Payer/Card** dropdown field, select **CSC** and press **OK**.

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This opens the New Card window.

4. Enter the card details in the appropriate fields:

- **Number**
- **Expiry**
- Check the **Dependent** checkbox if the entitlement to be added is for a **CSC Dependent** card

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:::hint{type="danger"}
**Note**

As the **CSC Dependent** fields are only for recording data in Profile and are not received by or sent to NES, the entry of data is optional.
:::

5. Press **OK**. The CSC has been added to the patient record and will be visible in the **Health Plan and Cards** panel.

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An ADD Entitlement request will be sent to NES with the card details that have been entered.

### Modification and Update of Community Services Card

1. Go to **Alter Patient/Financial**.
2. In the **Health Plans and Cards** panel, press **Edit...**. This opens the Edit Card window.

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3. Enter the new CSC information in the **Number** and **Expiry** fields. Check the **Dependent** checkbox if the entitlement is for a CSC Dependent.

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4. Press **OK** to save the information and close the window.

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The card details are updated in the Health Plans and Cards panel and an Update Entitlement request with the new CSC number and Expiry information has been sent to NES.

### Community Services Card Entitlement Discontinuation

In some rare cases, a CSC entitlement may need to be removed from a person’s record. For example, the card number entered was incorrect or the card has been added to the wrong person. Removing an entitlement can be done by using the **Discontinue** button in the **Health Plans and Cards** panel of **Alter**
**Patient/Financial** (starting with build 8.4.10) or alternatively, the **Discontinue** checkbox in the Edit card window.

1. Go to **Alter Patient/Financial**.
2. In the **Health Plans and Cards** panel, press **Discontinue**.

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A dialogue box will display.

3. Press **Yes** to discontinue the CSC entitlement.

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An Update Entitlement request will be sent to NES and the card will be disassociated from the patient.

:::hint{type="danger"}
**Note**

Once a CSC has been discontinued, it cannot be re-added to the same patient.
:::

### Modification of Community Services Card Charge Rate

A practice can specify a charge rate for CSC, where a patient has enrolled but is not yet capitated and the practice wishes to apply the CSC discounted rate for a consultation. It is up to each individual practice to decide how much they choose to charge patients with a CSC entitlement, however, the following rules apply:

- The maximum that can be charged for an Enrolled patient with a CSC entitlement is $18.50
- The maximum that can be charged for an Enrolled patient with a CSC dependent entitlement is $12.50

1. Go to **Maintain/Services**.
2. Enter A1, J1, C1 or Y1 in the **Search** field and press **Search**. This displays the service information in the table.

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3. Select the service in the table and click **Edit** in the Services window toolbar, which is now enabled.This opens the Edit Service window.

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4. Select the **Financial** tab in the Edit Service window for the service.

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5. Press **\[...]** at the end of the first field in the **Charge Rates** panel. This opens the Select Charge Rates window.

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6. Select **CSC** in the Select Charge Rates window and press **OK**. This saves the information and closes the Select Charge Rates window.
7. Enter the amount to be charged in the second field in the **Charge Rates** panel.

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8. Press **Add**. This adds CSC to the table in the **Charge Rates** panel.

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9. In the Edit Service window, press **OK** to save the changes to the service and close the window.

### Invoicing with a Community Services Card Charge Rate

1. Click **Invoice...** on the main toolbar. This opens the Invoice window for the patient.

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2. From the **Rate/Disc** dropdown field, select **CSC**.

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The CSC charge rate will be applied to the invoice in the Amount column.

***

## Attachments

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