Bulletin

   
Bulletin Number
        2034
Date
        April 1, 2001
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution
       Independent Health Facilities
Subject:
  1. Changes to the Schedule of Benefits Physician Services and Related Changes Effective April 1, 2001
    1.1.     Increase to Schedule of Benefits fees of 2%
    1.2.     Increase to Threshold Levels
    1.3.     Discontinue Combined Billing Submission for Diagnostic Professional and
                  
    Technical Fees
    1.4.     Increase to After-Hours and Special Visit Premiums
    1.5.     Updates to Schedule of Benefits

  2. Community Medicine Specialty Codes

Changes to the Schedule of Benefits Physician Services and Related Changes Effective April 1, 2001

Amended pages of the Schedule are not distributed with this Bulletin. A complete new edition of the official Schedule will be distributed following this Bulletin. For your convenience, a complete updated unofficial version of the Schedule will be available on the Ministry's web site www.health.gov.on.ca.

 1.1    Increase to Schedule of Benefits Fees of 2%

Effective April 1, 2001, under the current agreement between the Ministry of Health and Long-Term Care and the Ontario Medical Association, the Schedule of Benefits will be revised to provide a 2.0% increase to all fees except uninsured services that are listed in Appendix F and technical, hospital and facility fees for diagnostic services. As per the agreement, the Committee on Technical Fees will make recommendations regarding technical, hospital and facility fees.

The 2.0% increase will be applied automatically to all claim submissions for services provided on or after April 1, 2001.

 1.2    Increase to Threshold Levels

Effective April 1, 2001, for fiscal year 2001/2002, the threshold levels at which reductions are calculated will increase by $10,000. For General/Family Practitioners, the starting level will increase from $330,000 to $340,000 and for specialists from $410,000 to $420,000. The threshold reductions only take effect as these higher OHIP earnings amounts are reached. After-hours non-elective hospital services continue to be exempt from threshold reductions.

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