Each year, Ontario physicians pay a professional liability fee which provides protection from legal liability suits. Physicians have the option to become members of the Canadian Medical Protective Association (CMPA) or to obtain this protection from an alternate medical liability protection provider.
The Ministry of Health and Long-Term Care (MOHLTC) subsidy program provides a partial reimbursement of the fees paid by physicians for this liability protection. The program that delivers the reimbursement process is the Medical Liability Protection (MLP) Reimbursement Program.
The Government of Ontario understands that professional liability protection is a necessary part of practicing medicine. Enabling physicians to access adequate medical liability protection allows Ontario to remain competitive in recruiting and retaining physicians in Ontario. Ensuring that physicians have access to a medical liability protection program also means that there is adequate compensation available to patients who are harmed by medical negligence. Furthermore, the College of Physician and Surgeons of Ontario mandates medical liability protection as a condition of licensing physicians.
Program eligibility and reimbursement requirements are summarized in the Program Requirements.
There are three MLP Reimbursement options available. These options, along with their requirements are summarized under the Program Reimbursement Options.
The chart below explains the different options available to you depending if you are already enrolled, would like to enrol, or would like to change a current payment option:
If Already Enrolled
To Enrol or Change a Payment Option
No further action required if already enrolled in Option A or Option B.
In order to be reimbursed on time, ensure a completed Medical Liability Protection (MLP) Reimbursement Program Authorization form is received at MOHLTC no later than January 1st of the year to be reimbursed.
Note: once a program authorization has been completed, there is no need to register each year. If program eligibility remains intact, future reimbursements (if applicable) will be automatically processed.
|In Year Quarterly Reimbursement
Complete an Application for Direct Bank Payment and mail it with a void cheque to:
Ministry of Health and Long-Term Care
Medical Liability Protection Reimbursement Program
P.O. Box 48
Kingston, ON K7L 5J3
Please write on the Application for Direct Bank Payment form if you would like to register banking information to be used for:
Medical Liability Protection (MLP) Reimbursement Program Forms are available electronically at: www.health.gov.on.ca/en/pro/programs/ohip/mlp/forms.aspx
Yes, fax your completed:
To: MLP Reimbursement Program at: (613) 545-5810.
No, the ministry requires a physician signature to process any MLP program forms or applications.
Yes, you may change options however; there are eligibility requirements for each option that must be met. Please refer to the Program Reimbursement Options to review the requirements for each option and for instructions on how to change options. The effective date of the change will depend on when the request is received.
Academics are eligible for reimbursement.
The reimbursement schedule for Option A – Advance Reimbursement is January to December. Under Option B – In-Year Quarterly Reimbursement, academics are reimbursed on a July to June schedule. Since the schedules do not align, academics are therefore ineligible for reimbursement under Option A – Advance Reimbursement.
If all information required by the ministry is received and processed within established timelines:
Option A - Advance Reimbursement deposit will occur by April 30th for the current reimbursement year.
Option B - In-Year Quarterly Reimbursement first deposit will happen in April for the current reimbursement year. Subsequent payments will be made in July, October with the final payment in January of the following year.
Physicians including interns, residents and clinical fellows must be licensed by the CPSO. Licensing requirements are available on the CPSO website located at:
No, it is not mandatory to have an OHIP Billing Number to receive a partial reimbursement.
Once you complete the Medical Liability Protection (MLP) Reimbursement Program Authorization for Option A – Advance Reimbursement or Option B – In Year Quarterly Reimbursement, you will be registered and it will not be necessary to select a reimbursement option every year. For more information refer to the Program Reimbursement Options.
If your Medical Liability Protection (MLP) Reimbursement Program Authorization does not specify an option or is incomplete it will be returned to you along with a letter identifying that the registration process is incomplete.
Yes, the outstanding balance can be paid at any time. If you select Option B - In-Year Quarterly Reimbursement and pay the outstanding balance, the balance of your annual reimbursement will be processed with the next scheduled quarterly payment.
Physicians are responsible for confirming and reporting reimbursements to any third party. If your Canadian Medical Protective Association (CMPA) / medical liability protection fees are paid by a hospital, clinic or university, you will need to determine with them what to do with the ministry reimbursement. Ministry reimbursements are made directly to the physician.
If you notice a broken link please notify the Medical Liability Protection (MLP) Reimbursement Program toll free number at: 1-888-805-9877.
Please contact the Medical Liability Protection (MLP) Reimbursement Program toll free number at: 1-888-805-9877. Local calls in the Kingston and surrounding area call direct at: (613) 547-0886.
For 2011, in Ontario there is an overall decrease in CMPA fees payable. As a result there are approximately 25 work type codes that fall below the 1986 reimbursement threshold which are not eligible for reimbursement in 2011.
We can't update addresses. If you are an automated option A or B you will have to call and change it with the Canadian Medical Protective Association at 1-800-267-6522, our system will be automatically updated when the next payment information is transferred.
Membership fees for Ontario physicians are calculated based on medico-legal risk in Ontario. Based on an agreement between the CMPA, OMA and the ministry, if the CMPA’s assets in a given year exceed forecasted liabilities, fee credits may be applied to reduce the amount collected in that year.
The application of a significant fee credit in 2012 has resulted in fees that are at or below the 1986 base fees. Consequently, there will be no Medical Liability Protection (MLP) reimbursements for 2012 fees. Since the membership fees have been set at or below the 1986 base, this will not impact physicians’ net costs for medical liability protection for 2012.
Questions and Answers regarding the fee setting process are available on the CMPA website at: http://www.cmpa-acpm.ca/cmpapd04/docs/membership/fees/com_qa-e.pdf
The CMPA fees are used to develop the MLP RP fee schedule used each year to determine reimbursements. Based on agreement between the OMA and ministry, reimbursement fees each year are based on the difference between the CMPA fees and the 1986 base fees.
The CMPA sets the medical liability fees each year. For 2012, the applied fee credit substantially lowers physician fees to at or below the 1986 base fees. If fees are at or below the 1986 base fees, there are no reimbursements processed through the Medical Liability Protection (MLP) reimbursement program.
The timing of the impact depends on which reimbursement option you are registered for and also the type of work you practice (work type code). Refer to the following timing impact summary to determine when you are affected.
How does this impact me?
Reimbursement for Option A and B physicians are processed in year.
Physicians registered for Option A and B (annual and quarterly reimbursements) will not be reimbursed in the 2012 year.
|In Year Quarterly Reimbursement
Canadian Medical Protective Association (CMPA) fees are calculated annually based on estimates of the future cost of medical liability protection for care provided in the year and are affected by any fee credit that the CMPA, OMA and ministry may agree to apply in a given year.. The CMPA fees are then used to determine the ministry MLP reimbursement amounts (see the question: How are the Medical Liability Protection (MLP) reimbursement rates calculated?)
2013 CMPA fees and the MLP reimbursement program fee schedule will be available in the fall of 2012. At that time further information regarding the 2013 MLP reimbursement program will be made available on the MLP program web pages.
The Canadian Medical Protective Association (CMPA) reviewed its own internal / external publications and communications and made changes to accurately reflect their current organization. The CMPA requested the Ministry of Health and Long-Term Care (MOHLTC) make terminology changes to its communications and forms to ensure continuity of program language in both organizations.
The ministry is aligning with the Ontario Public Service (OPS) Green Transformation Strategy to communicate with physicians in a more environmentally, cost effective manner. The complete strategy is available at:
Medical Liability Protection (MLP) Reimbursement Program materials are available electronically at:
Yes, INFOBulletin 4523 dated December 14, 2010 was mailed to all physicians, hospitals, clinics and laboratories to introduce program changes.
Ministry of Health and Long-Term Care
Claims Services Branch
Medical Liability Protection (MLP) Reimbursement Program
P.O. Box 48
Kingston, Ontario K7L 5J3
Call MLP Reimbursement Program toll free at: 1-888-805-9877
Fax: (613) 545-5810
Hours of operation: 8:00am – 5:00pm