SUBJECT: CHANGES TO OHIP-INSURED PHYSIOTHERAPY SERVICES EFFECTIVE APRIL 1, 2005.

(1) Name
(2) Eligibility for service
(3) Maximum number of services
(4) Coverage for Ontario Disability Support Program (ODSP) Family Benefits Program and Ontario Works
(5) Fee code changes
(6) Claims requirements
(7) Documentation Requirements
(8) Schedule of “Designated Physiotherapy Clinics”

(1) Name: The amendments to Section 21 revoke the title “Schedule 5”. OHIP funded physiotherapy facilities are termed “Designated Physiotherapy Clinics”.

(2) Eligibility for service: Insured physiotherapy services are defined as services rendered by designated physiotherapy clinics, when ordered by a physician and rendered by a physiotherapist employed or under contract with a designated physiotherapy clinic to insured individuals who are:

• younger than 20 years of age or 65 years of age or older
• individuals who following discharge as a hospital patient have physiotherapy needs directly connected to a condition, illness or injury for which the individual was admitted to hospital (post acute hospitalization); or
• individuals who require in-home services due to their condition, illness, or injury (including residents of LTC home facilities)