Eligibility for SRI

Eligibility is restricted to certified specialists whose eligible billings exceed the 1999/2000 threshold of $400,000 and to General/Family Practitioners whose eligible billings exceed the $320,000 threshold.

The most recent available province-wide data will be used to determine eligibility.

Physicians currently receiving Underserviced Area Program incentive grants are exempt from threshold and need not apply.

Categories for Approval - Specialists

Geographic Undersupply: The geographic area (defined as the municipality and county in which the applicant practices as well as adjoining counties) must be less than 75% of the Royal College of Physicians and Surgeons standard for individual specialists to be considered eligible under the category of geographic undersupply.

Provincial Resource: Highly specialized services comprise a significant portion of a specialist’s workload, consideration as a provincial resource may be given. Determination is made on whether the services provided are deemed to be highly specialized with limited numbers of physicians able to perform the service. Applicants providing a routine specialty service using a different technique or technology will not be considered provincial resources.

Service Specific Exemption: Exemption of specific service codes for obstetrical deliveries, invasive cardiology and dialysis will continue in 1999/2000. When an applicant is not eligible for an exemption based on either geographic undersupply or as a provincial resource, additional filters will be applied as appropriate.

Categories for Approval – GP/FPs

Geographic Undersupply: GP/FPs who practice full-time in a community, municipality or township designated as underserviced by the ministry with a complement of four or fewer GP/FPs, which has 75% or less of the recommended complement (one or more vacancies), may be eligible for exemption.

Undersupplied Domains of Practice: GP/FPs who practice in undersupplied domains of practice (HIV/AIDS, palliative care, and French language services) may be eligible for exemption. A physician who applies for a threshold exemption under this category must provide a significant portion of his/her services within the undersupplied domain of practice.

Special Consideration: GP/FPs who can demonstrate that their practice contains significant differences from other GP/FP practices may apply for exemption based on special consideration. Decisions will be made on a case-by-case basis.

Service Specific Exemption: Exemption of specific service codes for obstetrical deliveries will continue in 1999/2000. When an applicant would not be eligible for an exemption based on any other category, this additional filter will be applied as appropriate.

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