Public Information

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.

 

For More Information

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