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Ministry Programs

Ontario Health Insurance Plan

OHIP Out of Country Services

U.S. Preferred Providers: Mental Health Services

The Ministry of Health, Long-Term Care (MOHLTC) hasentered into preferred provider arrangements with the following U.S. psychiatric hospitals to provide the listed mental health services to Ontario residents who have received prior approval from the MOHLTC. Services other than those listed are not insured services even if they are provided in one of the listed psychiatric hospitals.

Programs for Children and Adolescents (under 18 years)

Disorder	Program Name
Child and Adolescent Psychiatry	Residential Treatment at the Child and Adolescent Centers Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/residential-center/adolescent-center https://www.rogershospital.org/residential-center/child-center Diagnoses: Spectrum of child and adolescent psychiatric disorders Minimum Age: 8 Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
Eating Disorders	Residential Treatment at the Eating Disorder Center Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/residential-center/eating-disorder-center Diagnoses: Eating Disorders Minimum Age: 12 Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
	The New Orleans Institute: Trauma-Based Eating Disorders River Oaks Hospital, New Orleans LA http://riveroakshospital.com/programs/trauma-based-disorders/trauma-based-eating-disorders/ Diagnoses: Eating Disorders Minimum Age: 13 Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
Obsessive Compulsive Disorder	Residential Treatment at the Child and Adolescent Centers Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/residential-center/adolescent-center https://www.rogershospital.org/residential-center/child-center Diagnoses: Obsessive Compulsive Disorder Minimum Age: 8 Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days

 

Programs for Adults (18 years and over)

Disorder	Program Name
Depression and Anxiety Disorders	Partial Hospitalization Program / Cognitive Behavioural Therapy for Depression and Anxiety Disorders Rogers Memorial Hospital, Oconomowoc WI and West Allis WI https://www.rogershospital.org/treatment-service/adult-partial-program-depression-and-anxiety-disorders Diagnoses: Depression and Anxiety Disorders Gender: F/M Level of Care: Day Treatment Typical length of Stay: 30 to 45 days
Eating Disorders	Residential Treatment at the Eating Disorder Center Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/residential-center/eating-disorder-center Diagnoses: Eating Disorders Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
	The New Orleans Institute: Trauma-Based Eating Disorders River Oaks Hospital, New Orleans LA http://riveroakshospital.com/programs/trauma-based-disorders/trauma-based-eating-disorders/ Diagnoses: Eating Disorders Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
	The Eating Disorders Program for Males River Oaks Hospital, New Orleans LA http://riveroakshospital.com/programs/the-eating-disorders-treatment-center/males-track/ Diagnoses: Eating Disorders Gender: Male Level of Care: Residential Typical length of Stay: 30 to 90 days
Obsessive Compulsive Disorder	Partial Hospitalization Program for Adults Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/treatment-service/ocd-partial-hospitalization Diagnoses: Obsessive Compulsive Disorder Gender: F/M Level of Care: Day Treatment Typical length of Stay: 30 to 45 days
	Residential Treatment at the OCD Center Rogers Memorial Hospital, Oconomowoc WI https://www.rogershospital.org/residential-center/obsessive-compulsive-disorder-center Diagnoses: Obsessive Compulsive Disorder Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
Trauma-Based Disorders	The New Orleans Institute: Trauma-Based Disorders River Oaks Hospital, New Orleans LA http://riveroakshospital.com/programs/trauma-based-disorders/trauma-based-disorders/ Diagnoses: Post-Traumatic Stress Disorder, Dissociative Identity Disorder, Major Depressive Disorder, etc. with/without Substance Abuse Gender: F/M Level of Care: Residential Typical length of Stay: 30 to 90 days
	Partial Hospitalization Program for Post-Traumatic Stress Disorder Rogers Memorial Hospital, Oconomowoc WI and West Allis WI https://www.rogershospital.org/treatment-service/posttraumatic-stress-disorder-partial Diagnoses: Post Traumatic Stress Disorder Gender: F/M Level of Care: Day Treatment Typical length of Stay: 30 to 90 days

Note: The mental health services/programs listed above are generally appropriate only for persons who are psychiatrically stable and ready to engage in therapy. Persons who are not psychiatrically stable should seek or be directed to treatment in Ontario. A list of designated psychiatric facilities under the Mental Health Act may be found at the following link: http://www.health.gov.on.ca/en/common/system/services/psych/designated.aspx

Expenses incurred for non-medical services such as travel, accommodation and meals (except where accommodation and meals are part of insured inpatient or residential treatment) are NOT covered by OHIP.

The MOHLTC does not endorse, warrant, guarantee or otherwise certify the quality or standards of treatment or other services provided by preferred providers. These considerations should be reviewed by the patient in consultation with his or her attending physician(s). Hospital scorecards are one tool that may be of assistance to patients and physicians seeking further information about appropriateness, quality and safety.

If you require further information about the OOC prior approval process, please call the Out of Country Program at 1-888-359-8807.