bulletin

Bulletin Number
        4309
Date
        April 9, 1998
Direct inquiries to
         Ministry of Health
         Processing Office

(address below)
Distribution
        Physicians, Hospitals, Clinics, and Laboratories
Subject      CHANGES TO PHYSICIAN PAYMENTS FOR 1998/99
A. Announcement of changes
B.
Physician fee codes which are now included in threshold fee reductions as of April 1, 1998
C.
Physician fee codes which are now excluded from threshold fee reductions as of April 1, 1998
D.
Applying for a Practice Exemption from the thresholds (Specialist Retention Initiative)

A.   Announcement of Changes

The Ministry of Health and the Ontario Medical Association have accepted the recommendations of the Physician Services Committee (PSC) and will introduce a number of measures to manage OHIP payments for physician services within the authorized fee-for-service budget.

The recommendations fall into four major areas:

1. Threshold Exemptions

a) Professional Fees no longer exempt

The professional fees exempted from the thresholds that were originally introduced in June 1996 with specialty-specific thresholds are no longer exempt, effective April 1, 1998, including fee codes for:

  • cataract and retinal surgery
  • labour/delivery
  • abortion
  • dialysis
  • cardiac surgery
  • audiology
  • selected laser surgery, Moh’s surgery
  • transplants
  • radiation oncology

    .../Page 2

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