Ontario Health Insurance Plan

OHIP Bulletins

Primary Health Care Services

Search Index – 2020
January 13	Bulletin 11225	Northern Physician Retention Initiative (NPRI)
January 9	Bulletin 11224	Elimination of Red and White Health Cards
January 3	Bulletin 11223	Kaplan Board of Arbitration Award – Appropriateness Working Group (AWG): Arthroscopy Knee Surgery Changes to the Schedule of Benefits for Physician Services (Schedule) effective October 1, 2019 – November 1, 2019 Implementations
Search Index – 2019
December 17	Bulletin 11222	Kaplan Board of Arbitration Award – Appropriateness Working Group (AWG): Additional Specialist Consultations Changes to the Schedule of Benefits Effective October 1, 2019
December 13	Bulletin 11221	Kaplan Board of Arbitration Award - Appropriateness Working Group (AWG): Laryngoscopy in association with Gastroscopy
December 13	Bulletin 11220	Kaplan Board of Arbitration Award – Appropriateness Working Group (AWG): Laryngoscopy in association with Gastroscopy Changes to the Schedule of Benefits (Schedule) Effective October 1, 2019
December 12	Bulletin 11219	INFOBulletins sent via Medical Claims Electronic Data Transfer
December 4	Bulletin 11218	Kaplan Board of Arbitration Award – Year 1 (2017-2018) Physician Compensation Increases
October 30	Bulletin 11217	After Hours Premium Over Payment
October 7	Bulletin 11216	Kaplan Board of Arbitration Award - Appropriateness Working Group (AWG): Changes to the Schedule of Benefits for Physician Services (Schedule) effective October 1, 2019 - UPDATE
September 4	Bulletin 11215	Preventative Care Bonus Payment Issue - Resolved
August 22	Bulletin 11214	Kaplan Board of Arbitration Award - Appropriateness Working Group (AWG): Changes to the Schedule of Benefits for Physician Services (Schedule) effective October 1, 2019
August 2	Bulletin 11213	Preventive Care Bonus Projected Reports – September 2019
August 2	Bulletin 11212	Preventive Care Bonus Payments Recovered in Error
July 4	Bulletin 11211	Claim Adjustments – New Explanatory Code
May 13	Bulletin 11210	ColonCancerCheck (CCC) Program-Fecal Immunochemical Test (FIT)
April 1	Bulletin 11209	2018-2019 Cumulative Preventative Care Bonus Information
March 28	Bulletin 11208	2017 Physician Services Agreement – Phase One Award
March 22	Bulletin 11207	Updated Remittance Advice Inquiry (RAI) Process
March 21	Bulletin 11206	Request to Change Designated Physician – Group Enrolment
March 11	Bulletin 11205	Health Services Branch Address Change
March 6	Bulletin 11204	Reminder: Preventative Care Bonus letters will be discontinued
Search Index – 2018
November 9	Bulletin 11203	SHC - Automation of Base Sessional, After-Hours Sessional and After-Hours Incentive Payments
November 9	Bulletin 11202	SHN - Automation of Base Sessional and Administrative Payments
November 9	Bulletin 11201	ICHA - Automation of Base Sessional and Administrative Payments
October 31	Bulletin 11200	Preventive Care Bonus letters will be discontinued
October 31	Bulletin 11199	Permissible Fee-for-Service (FFS) Cap
October 31	Bulletin 11198	Ontario Telemedicine Network (OTN) Claims
October 24	Bulletin 11197	Canada Post Mail Delivery Disruption
September 28	Bulletin 11196	Target Population PDF reports via MCEDT
September 10	Bulletin 11195	New 'Service Unavailable' Page for eSubmit
August 21	Bulletin 11194	Preventive Care Bonus Projected Reports – September 2018 Information and Procedures for Claiming the Cumulative Preventive Care Bonus
August 22	Bulletin 11193	Low Back Pain Imaging Studies (X-ray, Computer Tomography (CT), and/or Magnetic Resonance Imaging (MRI)) Posted Electronically Only
August 9	Bulletin 11192	Adding Target Population Service Report (TPSR) to Medical Claims Electronic Data Transfer (MCEDT)
April 5	Bulletin 11191	Electronic Submission of Supporting Documentation and Remittance Advice Inquiries – Detailed Instructions and Tip Sheets
April 4	Bulletin 11190	2017-18 Cumulative Preventive Care Bonus Information   – Information and Procedures for Claiming the Cumulative Preventive Care Bonus [PDF]
March 8	Bulletin 11189	CSB Connects Implemented – Improved Telephone Enquiry System
February 23	Bulletin 11188	Automation of Base Rate, Administrative and After-Hours On-Call Payments
February 23	Bulletin 11187	Automation of Base Rate Payment
February 20	Bulletin 11186	Adding Detailed Categorization of Claims Report to Medical Claims Electronic Data Transfer (MCEDT)
February 9	Bulletin 11185	CSB Connects - Improved Telephone Enquiry System
January 4	Bulletin 11184	CSB Connects Improved Enquiry System

Search Index – 2017
October 26	Bulletin 11183	2017-2018 Provincial Universal Influenza Immunization Programs (UIIP)
October 25	Bulletin 11182	Consent Status Reporting
October 20	Bulletin 11181	Presenting Health Cards for Health Services and Health Card Validation
September 26	Bulletin 11180	OHIP+ and Medications for Children and Youth
August 31	Bulletin 11179	Preventative Care Bonus Projected Reports
July 10	Bulletin 11178	Mandatory MCEDT and HCV Web Service Security Upgrades
July 1	Bulletin 11177	Release of the Ontario Perinatal Record
May 30	Bulletin 11176	Per Patient De-Rostering Codes - EH2 Error Update
April 28	Bulletin 11175	Changes to Medical Claims Electronic Data Transfer (MCEDT) and eSubmit Web Pages
April 27	Bulletin 11174	MCEDT and eSubmit Services Unavailable Apr 29th-30th 2017
April 10	Bulletin 11173	2016-17 Cumulative Preventive Care Bonus Information
March 9	Bulletin 11171	Supporting Areas of High Physician Need
March 7	Bulletin 11170	New Patient De-Rostering Process
January 21	Bulletin 11169	Email Communications Provider Email Initiative
January 19	Bulletin 11168	Electronic Submission of Supporting Documentation and Remittance Advice Inquiries
January 17	Bulletin 11167	Mandatory MCEDT and HCV Web Service Security Upgrades
January 12	Bulletin 11166	Home Visits: House Call Assessment Premium 85% Complex House Call Assessment 20% Payment
January 12	Bulletin 11165	Home Visits: Complex House Call Assessment 20% Payment
January 12	Bulletin 11164	Payment of 2016 Seasonal Premium – RNPGA
January 12	Bulletin 11163	This Bulletin has been relocated to the 4000 Series as #4689 (Payment of 2016 Seasonal Premium – EDAFA)

Search Index – 2016
November 8	Bulletin 11162	OHIP Claims for Fertility Services and the Ontario Fertility Program
October 31	Bulletin 11161	Reduction Error – VSP/RFMLP/OPOP/CNIB/NSLP/SLRPSI/RNPGA
October 25	Bulletin 11160	Reminder – Streamlined Enrolment and Consent Process
October 25	Bulletin 11159	Reminder – Streamlined Enrolment and Consent Process
October 25	Bulletin 11158	Reminder – Streamlined Enrolment and Consent Process
September 26	Bulletin 11157	Preventive Care Bonus Projected Reports – September 2016
August 11	Bulletin 11156	COE Agreement Automation (Model 2 – Phase 2 Implementation)
August 11	Bulletin 11155	COE Agreement Automation (Model 1 – Phase 2 Implementation)
July 25	Bulletin 11154	Nurse Practitioners: Referrals and Delegated Procedures
June 17	Bulletin 11152	Updates to Healthcare Professionals Website and Manuals [PDF]
June 13	Bulletin 11151	Changes to the Ontario Health Card [PDF]
June 6	Bulletin 11150	Medical Assistance in Dying [PDF]
May 30	Bulletin 11149	Second On-Call Emergency Services [PDF]
May 12	Bulletin 11148	New INFOBulletin Category [PDF]
May 2	Bulletin 11147	New Graduate Entry Program (NGEP) – Updated [PDF]
April 28	Bulletin 11146	Home Visits: House Call Assessment Premium 85% Complex House Call Assessment 20%Payment ome Visits: Complex House Call Assessment 20%< Payment
April 28	Bulletin 11145	Home Visits: Complex House Call Assessment 20% Payment
April 25	Bulletin 11144	Continuing Medical Education (CME) Extension for Submission of Stale dated Claims [PDF]
April 20	Bulletin 11143	Cumulative Preventive Care Bonus Information [PDF]
March 31	Bulletin 11142	Supporting Areas of High Physician Need [PDF]
March 16	Bulletin 11141	RNPGA Continuing Medical Education Locum Days [PDF]
March 16	Bulletin 11140	Payment for Continuing Medical Education [PDF]

Search Index – 2015
December 15	Bulletin 11139	Emergency Department Premiums [PDF]
October 23	Bulletin 11138	New Graduate Entry Program Description [PDF]
October 23	Bulletin 11137	New Graduate Entry Program [PDF]
October 13	Bulletin 11136	Physician Payment for Administration of Intranasal Influenza Vaccine [PDF]
September 22	Bulletin 11135	Preventive Care Bonus Projected Reports, September 2015 [PDF]
August 4	Bulletin 11134	Physicians Submitting Claims to OHIP for Medical Services [PDF]
May 14	Bulletin 11132	Roster and Capitation Payment Reconciliation Report and the OHIP Payment Summary Report [PDF]
May 11	Bulletin 11131	Supporting Areas of High Physician Need – Changes to Entry into FHO and FHNs [PDF] Table - Supporting Areas of High Physician Need- Changes to Entry into FHO and FHNs [PDF] Q&A – Supporting Areas of High Physician Need – Changes to Entry into FHO and FHNs [PDF]
April 15	Bulletin 11130	Income Stabilization Automation Complete [PDF]
April 2	Bulletin 11129	New Primary Care OHIP Payment and Roster Reports [PDF]
March 26	Bulletin 11128	Automation of Income Stabilization [PDF]
March 24	Bulletin 11127	Electronic Data Transfer Decommissioning [PDF]
February 18	Bulletin 11126	New Referral Process for Bariatric Programs [PDF]
February 12	Bulletin 11125	Changes to Primary Health Care Physician Payments [PDF]
January 30	Bulletin 11124	February 2015 Remittance Advice [PDF]
January 16	Bulletin 11123	Update: Medical Claims Electronic Data Transfer Technical Issues [PDF]
January 13	Bulletin 11122	Medical Claims Electronic Data Transfer Technical Issues [PDF]

Search Index – 2014
December 22	Bulletin 11121	Migration to Medical Claims Electronic Data Transfer [PDF]
December 11	Bulletin 11120	Reminder - Family Health Groups Governance Agreement Requirements [PDF]
December 8	Bulletin 11119	Home Visits – House Call Assessment Premium 85% and Complex House Call Assessment 20% Payment [PDF]
	Bulletin 11118	Home Visits – Complex House Call Assessment 20% Payment [PDF]
November 18	Bulletin 11117	Electronic Data Transfer Decommissioning- December 2014 [PDF]
October 31	Bulletin 11116	Automated Payment of Blended Fee for Service Premium [PDF]
October 9	Bulletin 11115	Influenza Vaccinations 2014-15 Reminder [PDF]
September 30	Bulletin 11114	Exemption Criteria for Enhanced After-Hours requirement [PDF]
September 16	Bulletin 11113	Preventative Care Bonus Projected Reports – September 2014 [PDF]
August 13	Bulletin 11112	Medical Claims Electronic Data Transfer & Health Card Validation Conformance Testing [PDF]
	Bulletin 11111	MC EDT Software requirements [PDF]
July 16	Bulletin 11109	GP Focused Practice Care of the Elderly Access Bonus Exemption [PDF]
July 1	Bulletin 11107	Governance Agreements for Family Health Groups (FHGs) – Update [PDF]
	Bulletin 11106	Governance Agreements for Family Health Groups (FHGs) [PDF]
April 28	Bulletin 11104	"Request to Remove a Patient" Forms [PDF]
April 17	Bulletin 11103	Retiring Modem-GO Net Electronic Data Transfer [PDF]
March 4	Bulletin 11102	New GO Secure Login Screen [PDF]
January 28	Bulletin 11101	Medical Claims Electronic Data Transfer Registration [PDF]
January 21	Bulletin 11100	MCEDT Internet Explorer Version 10 & 11 Problems [PDF]
January 20	Bulletin 11099	Exemption Criteria for Enhanced After-Hours Requirement [PDF]
January 14	Bulletin 11098	New Primary Care OHIP Payment and Roster Reports [PDF]

January 13 Bulletin 11097 2012 Physicians Services Agreement – Interim Acuity Modifier Payment – Summary [PDF] Bulletin 11096 2012 Physicians Services Agreement – Interim Acuity Modifier Payment [PDF]

Search Index – 2013
October 9	Bulletin 11095	Changes Regarding Preventive Care Target Population/Service Reports [PDF]
October 8	Bulletin 11094	Influenza Vaccinations 2013-14 Reminder [PDF]
September 16	Bulletin 11093	MCEDT Registration Best Practices [PDF]
August 27	Bulletin 11092	0.5% Discount on Salary, Benefits and Locum Payments [PDF] Appendix 1: FHT BSM 0.5% DISCOUNT Report – April, May, June and July 2013 [PDF]
August 15	Bulletin 11091	Base, Administration and After Hours On Call (AHOC) payments [PDF]
August 7	Bulletin 11090	Medical Claims Electronic Data Transfer (MCEDT) Migration [PDF]
August 7	Bulletin 11089	Home Visits Special Premium Payment and Reporting (CCM, FHG, FHN, FHO) [PDF]
August 7	Bulletin 11088	Home Visits Special Premium Payment and Reporting [PDF]
July 31	Bulletin 11087	2008 Physicians Services Agreement – PEM Group Bonus Payments [PDF]
July 11	Bulletin 11086	2012 Physician Services Agreement Initiatives [PDF]
June 25	Bulletin 11085	Medical Claims Electronic Data Transfer Web Service [PDF]
June 4	Bulletin 11084	2012 Physician Services Agreement Initiatives – Replacement [PDF]
May 8	Bulletin 11083	Base, Administration and After Hours On Call Payments [PDF]
May 7	Bulletin 11082	Comprehensive Care Capitation Reduction effective April 1, 2013 [PDF]
May 2	Bulletin 11081	Registration Requirements for Contracted/Locum Applications [PDF]
April 22	Bulletin 11080	Preventive Care Bonus Submissions [PDF]
April 8	Bulletin 11079	2012 Physician Services Agreement Initiatives (RNPGA, WAHA, BSM, SJHC, SEAMO) [PDF]
	Bulletin 11078	Physician Services Agreement Initiatives, Effective April 1, 2013 (FHG) [PDF]
	Bulletin 11077	2012 Physician Services Agreement Initiatives (TPCA, ICHA) [PDF]
April 4	Bulletin 11076	2012-13 Cumulative Preventive Care Bonus Information [PDF] Information and Procedures for Claiming the Cumulative Preventive Care Bonus [PDF]
	Bulletin 11075	0.5% Discount applied to Income Stabilization Payments [PDF]
April 3	Bulletin 11074	Physician Services Agreement Initiatives – Effective April 1, 2013 (FHO) [PDF]
	Bulletin 11073	2012 Physician Services Agreement Initiatives (GHC) [PDF]
	Bulletin 11072	Physician Services Agreement Initiatives – Effective April 1, 2013 (FHO, FHN) [PDF]
March 25	Bulletin 11071	Implementation of General Practitioner (GP) Focused HIV – Phase 2 [PDF]
March 20	Bulletin 11070	Physician Services Agreement – K130A – K132A After Hours Billings (CCM) [PDF]
March 20	Bulletin 11069	Physician Services Agreement – K130A – K132A After Hours Billings (FHO, FHN, FHG, RNPGA, WAHA, HIV, SEAMO, GHC) [PDF]
February 25	Bulletin 11068	2012 Physician Services Agreement – Primary Care Changes (RNPGA, WAHA & GHC) [PDF]
	Bulletin 11067	2012 Physician Services Agreement – Primary Care Changes (Comprehensive Care Model – CCM) [PDF]
	Bulletin 11066	2012 Physician Services Agreement – Primary Care Changes (South Eastern Ontario Academic Medical Association – SEAMO) [PDF]
	Bulletin 11065	2012 Physician Services Agreement – Primary Care Changes (GP Focus HIV) [PDF]
	Bulletin 11064	2012 Physician Services Agreement – Primary Care Changes (Family Health Network & Family Health Organization – FHN & FHO) [PDF]
	Bulletin 11063	2012 Physician Services Agreement – Primary Care Changes (Family Health Group – FHG) [PDF]
	Bulletin 11062	2012 Physician Services Agreement – Primary Care Changes (Blended Salary Model – BSM) [PDF]
January 29	Bulletin 11061	Term Amendment to Family Health Group (FHG) Letter of Agreement [PDF]
	Bulletin 11060	Term Amendment to Comprehensive Care Model (CCM) Agreement [PDF]
	Bulletin 11059	Enrolment and Consent Streamlining and Income Stabilization Program (Income Stabilization Physicians) [PDF]
	Bulletin 11058	Enrolment and Consent Streamlining and Income Stabilization Program (FHN, FHO, BSM, Administration Leads) [PDF]
January 11	Bulletin 11057	New Streamlined Enrolment and Consent Process (Patient Enrolment Model Physicians – PEM) [PDF]
	Bulletin 11056	New Streamlined Enrolment and Consent Process (Group Health Care Branch – GHC) [PDF]
	Bulletin 11055	New Streamlined Enrolment and Consent Process (Family Health Network – FHN, Family Health Organization – FHO) [PDF]

Search Index – 2012
December 14	Bulletin 11054	Holiday Coverage [PDF]
December 12	Bulletin 11053	2012 Physicians Services Agreement [PDF]
December 3	Bulletin 11052	Influenza Vaccinations in 2012/13 PLEASE SUBMIT CLAIMS [PDF]
October 5	Bulletin 11051	Influenza Vaccinations in 2012/13 PLEASE HOLD CLAIMS [PDF]
October 4	Bulletin 11050	Systems Implementation of GP Focused Palliative Care Model [PDF] Billing & Payment Guide for General Practitioner Focused Palliative Care (GPFPC) Physicians [PDF]
October 1	Bulletin 11049	Medical Claims Electronic Data Transfer (MCEDT) Web Page Launch [PDF]
August 28	Bulletin 11048	Provincial Strategy for X-Ray, Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI) for Low Back Pain [PDF]
August 22	Bulletin 11047	Medical Claims Electronic Data Transfer Web Page Launch [PDF]
June 7	Bulletin 11046	Addition of E082A and E083A to Hospital Special Premium  [PDF]
May 9	Bulletin 11044	Reorganization for Ministry's Registration and Claims Branch  [PDF]
May 3	Bulletin 11045	On Demand Preprinted Enrolment Consent Forms Now Available [PDF]
April 26	Bulletin 11043	Telephone Health Advisory Service (THAS) [PDF]
April 18	Bulletin 11042	2011/2012 Cumulative Preventive Care Bonus Information [PDF] Information and Procedures for Claiming the Cumulative Preventive Care Bonus [PDF]
April 1	Bulletin 11041	Patient Enrolment Print and Distribution Service  [PDF]
March 8	Bulletin 11040	Addition of B993A to Home Visits Special Premium [PDF]
March 1	Bulletin 11039	April 1, 2012 Change to Claims Processing Office for Northern Providers [PDF]
February 21	Bulletin 11038	Discontinuation of Printing and Distribution of Claim Card and Laboratory Requisition Forms [PDF]
February 14	Bulletin 11037	Addition of G590A to Regular Core Services  [PDF]
	Bulletin 11036	Addition of G590A to Long-Term Care Core Services  [PDF]
February 13	Bulletin 11035	Print and Distribution of Claim Card and Laboratory Requisition Forms [PDF]
February 6	Bulletin 11034	Print and Distribution of Claim Card and Laboratory Requisition Forms [PDF]
January 26	Bulletin 11033	Print and Distribution of Claim Card and Laboratory Requisition Forms [PDF]
January 20	Bulletin 11032	Seniors Over Age 80 Now Eligible for Mail-in Process to Renew their Health Cards [PDF]
January 5	Bulletin 11031	In Office Service Bonus Payment [PDF]

Search Index – 2011
December 22	Bulletin 11030	Reminder - Printing and Distribution of Claim Card and Laboratory Requisition Forms (Reference Infobulletin 11027) [PDF]
December 20	Bulletin 11029	Draft Technical Specifications [PDF]
November 16	Bulletin 11028	Addition of New Fee Schedule Codes to Comprehensive Care Premium [PDF]
	Bulletin 11027	Printing and Distribution of Claim Cards and Laboratory Requisitions [PDF]
October 23	Bulletin 11026	Increase to Sessional Compensation Plan for Specialists in Family Health Teams - Effective September 1, 2011 [PDF]
October 13	Bulletin 11025	Contribution Threshold Processing Problem [PDF]
October 7	Bulletin 11024	Physician Services Agreement Initiatives Effective September 1, 2011 for 11 Groups [PDF]
	Bulletin 11023	Physician Services Agreement Initiatives Effective September 1, 2011 for Group Health Centres (GHC) [PDF]
	Bulletin 11022	Physician Services Agreement Initiatives Effective September 1, 2011 for Family Health Networks (FHN) and Family Health Organizations (FHO) [PDF]
	Bulletin 11021	After Hours Premium Increase Effective September 1, 2011 for Comprehensive Care Models (CCM) [PDF]
	Bulletin 11020	After Hours Premium Increase Effective September 1, 2011 for Eligible Patient Enrolment Model (PEM) Physicians [PDF]
October 6	Bulletin 11019	Nurse Practitioner Access Reporting (NPAR) Service Encounter Processing Problem [PDF]
	Bulletin 11018	Communication to Nurse Practitioner Access Reporting (NPAR) Stakeholders  [PDF]
October 3	Bulletin 11017	Income Stabilization Program Changes  [PDF] Appendix K - Income Stabilization for Qualifying Physicians Joining Eligible Patient Enrolment Models  [PDF]
	Bulletin 11016	Increases to Blended Salary Model - September 1, 2011  [PDF]
June 10	Bulletin 11015	Access Bonus Adjustment Payment  [PDF]
May 27	Bulletin 11014	Updated "Contacts at a Glance" [PDF]
May 19	Bulletin 11013	New Health Care Connect Fees and Fee Enhancements  [PDF]
April 29	Bulletin 11012	Colorectal Cancer Screening - Exclusion Code Criteria Correction [PDF]
April 21	Bulletin 11011	Rurality Gradient Premium Eligibility Changes  [PDF]
April 21	Bulletin 11010	Hospital and Rurality Gradient Premium Eligibility Changes  [PDF]
March 29	Bulletin 11009	Increases to Blended FFS Premium and Blended FFS on Age Premium  [PDF]
March 14	Bulletin 11008	After Hours Service Reminder [PDF]
January 7	Bulletin 11007	After Hours Service Requirements (Revised) [PDF] Questions and Answers about After Hours Service Requirements  [PDF]

Search Index – 2010
December 7	Bulletin 11006	Increases to Blended Salary Model - October 1, 2010 [PDF]
November 30	Bulletin 11005	Family Physicians Special Visit to Emergency Department [PDF]
	Bulletin 11004	Physician Services Agreement Initiatives Effective October 1, 2010 (Comprehensive Care Capitation Rates)  [PDF]
	Bulletin 11003	Physician Services Agreement Initiatives Effective October 1, 2010 (FHN and FHO Increases)  [PDF]
	Bulletin 11002	Physician Services Agreement Initiatives Effective October 1, 2010 (GHC Increases)  [PDF]
July 30	Bulletin 11001	Capitation Payment Reconciliation  [PDF] - Questions and Answers [PDF]
July 21	Fact Sheet	Introducing the Infobulletin! [PDF]

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