bulletin

Bulletin Number
        4335
Date
        May 11, 1999
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution  
    Physicians, Hospitals, Clinics, and Laboratories
Subject      Increase to Threshold Reduction Level
Effective April 1, 1999, for fiscal year 1999/2000, the threshold levels at which reductions are calculated increases by $20,000. For General/Family Practitioners, the starting level increases from $300,000 to $320,000, and for Specialists from $380,000 to $400,000.

Threshold reductions are calculated at the following percentages after a physician reaches the revised payment amounts shown below.

Reduction Rate 33.3% 66.7% 75%

Payment Amounts Prior to April 1, 1999

- General Practitioners $300,000   $325,000 $350,000

- Specialists                 $380,000    $405,000 $430,000

New Payment Amounts Effective April 1,1999

- General Practitioners $320,000    $345,000 $370,000

- Specialists                 $400,000     $425,000 $450,000

Calculation of Threshold Reduction

The method of calculation is unaffected, except that each threshold level has increased by $20,000. The percentage calculation is based on the total amount billed. Once the reduction is applied, the payment amount is less than the amount billed. The levels noted above, at which the percentage reduction is applied, are payment levels. To reach these payment amounts, the actual billings will be higher because any billing beyond the Threshold will have resulted in a reduced payment.

The new total billing amounts that correspond to each revised payment level above are shown below:

Reduction Rate 33.3% 66.7% 75%

Billed Amounts Effective April 1, 1999

- General Practitioners $320,000 $357,500        $432,500

- Specialists                  $400,000 $437,500       $512,500

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