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Bulletin Number
        3051
Date
        November 10, 1997
Direct inquiries to
         Ministry of Health
         Processing Office

(address below)
Distribution
        Physiotherapists
Subject      1995/96 and 1996/97 PHYSIOTHERAPY UTILIZATION ADJUSTMENT
Payments to physiotherapists were under the Social Contract cap in 1995/96 but exceeded the cap amount set in 1996/97. The underpayment for 95/96 was $1.361 million and is owed to physiotherapists. A total of $1.449 million over the cap amount of $39.3 million was paid to physiotherapists in 96/97 and is now recoverable. The net amount owed to the Ministry by physiotherapists is $87.7 thousand, in respect of 95/96 and 96/97 combined.

Recovery of the total amount owing will be spread over a five month period starting with the November 1997 Remittance Advice (RA) through the March 1998 RA, if required. Recovery will be limited to a 16% reduction of each RA payment until amounts owing have been collected. On the fifth month of recovery (March 1998 RA) all remaining amounts owing will be applied to the RA for collection.

To summarize, the monthly recovery from November 1997 to March 1998 will be 16% per RA with the following exceptions:

  1. When an individual physiotherapist's full recovery is achieved prior to March 1998.
  2. The recovery rate percentage on the March 1998 RA will be adjusted upward for that month if required in individual cases in order to recover the full amount owed by the physiotherapy facility.

However, most physiotherapy facilities will have their utilization adjustments completed on the November 1997 RA or the December 1997 RA.

Your utilization adjustment (UA) is shown in a message on your monthly RA. The revised UA amount is a "net" calculation based on both fiscal 95/96 and 96/97. Details based on both fiscal year calculations are shown under the "Utilization Adjustment Reconciliation" message.

Any questions regarding this adjustment should be directed to your local Ministry of Health Processing Office.

Office locations
Barrie
30 Poyntz St.
L4M 3P2
Hamilton
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
Kenora
220-808 Robertson St.
P9N 1X9
Kingston
1055 Princess St.
P.O. Box 9000
K7L 5A9
Kitchener
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
 
London
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
 
Mississauga
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Oshawa
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Ottawa
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
Peterborough
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
 
Sarnia
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
Sudbury
199 Larch St.,
Suite 801
P3E 5R1
 
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
Timmins
38 Pine St. N., Ste. 110
P4N 6K6
Toronto
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
Windsor
1427 Ouellette Ave.
N8X 1K1
    Head Office
P.O. Box 38
Kingston, ON
K7L 5J2