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Assistive Devices Program
Client Assessment/Eligibility
As an ADP registered authorizer, what is required in order for me to prescribe a device?
By signing the application form the ADP registered authorizer certifies, among other things, that based on a personal assessment of the applicant ADP eligibility criteria have been met and all safety and environmental concerns have been taken into consideration. Please refer to the application form for further details.
 What if I determine that my client is not eligible for ADP funding?
You must not submit an application form to ADP for an ineligible individual.
What if my client does not agree with me?
Your client may seek a second opinion.
What if my client needs to give their insurance company a letter from the ADP indicating that they are not eligible for funding?
You or your client may fax (416-327-8192) or mail a request directly to the Mobility Category Program Coordinator requesting a letter of denial for insurance purposes. Please provide your client's name name, address, date of birth, health card number and the specific equipment that you have recommended.
My client has a medical condition that prevents him/her from getting out of bed everyday, but when he/she does he/she requires a wheelchair for mobility in his/her home. Does he/she meet the “ongoing daily use” eligibility criteria?
Yes.
My client has a degenerative disease. How do I plan forhis/her long-term mobility needs?
Look further ahead than the minimum six months and at the changes that may happen. Authorize a device that provides the opportunity for adjustments and modifications if they are required in the future. For example :
I work in an acute care hospital. My clients often need a wheelchair at discharge but I do not know whether their home is accessible or whether they will need a wheelchair for their long-term use. Should I submit an application to the ADP?
No. You must be able to confirm that the home is accessible for the authorized device (which you can do without a home visit) and you must be able to confirm that the authorized device will be required for a minimum of six months. It is recommended that the client rent equipment under these circumstances.
My client needs a wheeled walker in his/her home but can not carry it up the stairs into the house. Is he/she eligible for ADP funding?
Yes. Eligibility for funding does not depend on the client’s ability to transport equipment. Any related safety issues would be identified and addressed during your clinical assessment.
Does ADP fund equipment that is only going to be used occasionally?
No. ADP provides funding for equipment required on an ongoing daily basis.
My client does not need a mobility device first thing in the morning but by noon can not walk without the support of a wheeled walker. Will the ADP fund his/her walker?
Yes. He/she requires the walker on an ongoing daily basis.
My client needs to use a wheelchair when he/she goes out to doctor appointments. Is he/she eligible for ADP funding assistance?
Maybe, if he requires the use of a wheelchair on an ongoing daily basis. Note : See Section 4 of the Administration Manual for details regarding eligibility criteria.
There is no public transportation in my client’s community. I have recommended that h/shee purchase a scooter. Will the ADP provide funding assistance for the scooter?
No. The ADP does not provide funding for equipment used to replace transportation. Note : See Section 410 of the Administration Manual.
My client lives in a Long-Term Care Home. He/she needs a type 1 wheeled walker to move about his/her room and a wheelchair to get down to the dining room for all meals. Will the ADP provide funding assistance for both the walker and the wheelchair?
In this case the ADP would consider funding both devices if the client requires the wheelchair to be prescribed specifically to meet his/her unique individual needs. If the client only needs transportation to and from the dining room with no particular unique prescription, he/she should purchase a more economically priced transportation chair.
My client lives in a small apartment. There is no room for any equipment in his/her living space. Will ADP fund a wheeled walker to help him/her get down to the lobby of the apartment building?
Yes. The ADP considers your client’s place of residence to be the apartment building. Note : See Section 405 of the Administration Manual for details regarding eligibility criteria.
My client has an ADP funded wheelchair that meets his/her basic mobility needs. He/she also needs a walker to get into the bathroom because the wheelchair will not fit through the doorway. He/she can use the walker himself/herself to get into the bathroom. Is my client eligible for ADP funding assistance?
Yes. The ADP will contribute towards the purchase of a type 1 or type 2 wheeled walker and a wheelchair under these circumstances.
My client needs a manual tilt wheelchair to meet his/her basic mobility requirements. Should I check both the WMA5/WMK5 on the front of page 3 AND the "Standard Manual Wheelchair Frame with Manual Dynamic Tilt on the back of page 3?
Not necessarily. You would only check the Standard Manual Wheelchair Frame (WANA) if your client requires ongoing adjustability to facilitate independent mobility. If your client does require this option, clinical rationale is required. Please refer to the product manual for further details.
Does the ADP pay for attendant controls for power wheelchairs?
No. ADP clients must be able to use a power wheelchair independently.
Does the ADP provide funding assistance for recycled equipment?
Only through the Central Equipment Pool (CEP) for High Technology Wheelchairs. |
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Ministry of Health and Long-Term Care Tel: Toronto 416-327-8804 |
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