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Summary of Amendments to Regulations to Strengthen Home Care Services in Ontario

A.  Community Care Access Corporations Act, 2001 (CCAC Act)

The amendments to Ontario Regulation 554/06 under the CCAC Act expand the case management role of Community Care Access Centres (CCACs). The list of charitable corporate objects in section 5 of the CCAC Act has been expanded to allow CCACs to manage the placement of persons into adult day programs provided under the Long-Term Care Act, 1994, supportive housing programs funded by the Ministry or a Local Health Integration Network (LHIN), and chronic care and rehabilitation beds in public hospitals.

CCACs are currently authorized to place clients into long-term care homes.  This change enables CCACs to expand their role as a systems navigator, leveraging their expertise in case management to improve both client service and health system efficiency.  The  regulatory amendments will enable innovation at the local level by LHINs, CCACs and health service providers.

B. Long-Term Care Act, 1994 (LTCA)

The regulations relating to the provision of home care services have been consolidated under the LTCA and updated. New provisions have been added to allow CCACs to provide additional services and service choices to their clients. The amendments to O. Reg. 386/99 will allow home care clients to access:

The amendments to O. Reg. 386/99 also enable CCACs to provide:

To update and modernize the regulatory framework for this sector, a number of additional changes have been made to O. Reg. 386/99 under the LTCA.  The amendments:

C.  Health Insurance Act (HIA)

Section 13 of Regulation 552 under the HIA has been revoked. This section included the eligibility criteria for professional services. The provisions relating to professional services have been updated and incorporated into O. Reg. 386/99 under the LTCA. As a result, all of the regulatory provisions relating to professional home care services have been consolidated in O. Reg. 386/99 under the LTCA.

An additional amendment was made to clause 15(6)(h) of Regulation 552 under the HIA to ensure that persons receiving professional services provided by or arranged by a CCAC continue to be exempt from the requirement to pay a co-payment fee for insured ambulance services.

D.  Ontario Drug Benefit Act (ODBA)

An amendment was made to paragraph 1 of subsection 2(1) of Regulation 201/96 under the ODBA to ensure that persons receiving professional services provided by or arranged by a CCAC continue to be eligible for drug benefits.

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