ADP : Orthotic Devices

• specified custom-made braces and splints
• selected paediatric orthoses

• braces for less than 6 months use
• braces worn only at night or to rest a body part
• braces worn for only one daily activity, such as work, school or sports
• braces for acute conditions
• foot orthoses
• shoes and shoe modifications
• prefabricated orthoses
• centrally fabricated orthoses
• treatment machines

Any resident of Ontario who has a valid Health Card and a long-term, physical disability requiring an orthosis for 6 or more months to perform a variety of daily activities.

ADP does not pay for equipment available under the Workplace Safety and Insurance Board or to Group 'A' veterans for their pensioned conditions.

You begin by getting an ADP Equipment/Supply Authorization (ESA) form. You can get this form by calling one of these numbers :

You can also get this form by visiting a vendor who is registered with ADP. Call one of the above numbers for the names and telephone numbers of vendors in your area.

No. You must fill in the first section called Biographical Information.

Yes. All applicants must be examined by either a general practitioner or a specialist physician, depending on the complexity of the device. If required, the specialist must be a geriatrician, neurologist, neurosurgeon, orthopaedic surgeon, paediatrician, plastic surgeon, physiatrist, general surgeon, rheumatologist, radiation oncologist or medical oncologist.

The physician will fill in the information about your disability in the second section of the ADP form.

For orthotic devices, your general practitioner or specialist will refer you to an authorizer approved by ADP. These authorizers are Canadian board-certified orthotists.

The authorizer will determine the exact type of orthotic device you need. He or she will then fill in Section 3 of your ESA form.

All clients with a chronic, complex disability must see both an ADP authorizer and a rehabilitation assessor. Rehabilitation assessors are occupational therapists or physiotherapists registered with ADP.

The rehabilitation assessor will determine if you need physiotherapy or occupational therapy and will also sign Section 3 of the ESA form.

From any vendor in Ontario who is registered with ADP. The vendor will bill ADP directly for a portion of the cost of the orthosis.

The vendor will bill ADP 75 percent of the approved cost of your device. You will be charged for the remaining 25 percent.

If you are receiving social assistance benefits under Ontario Works (OW), Ontario Disability Support Program (ODSP) or Assistance to Children with Severe Disabilities (ACSD), you will be eligible to receive additional funding to 100 percent of the ADP approved price.

Many private insurance plans will share your cost. If you have private medical coverage, check with your insurer or agent to see if they will help pay for your share of the cost.

ADP will pay up to 75 percent of the replacement cost if your medical condition or size changes and you need a new orthotic device.

ADP will pay a portion of the approved amount if your orthotic device is worn out due to regular use.

ADP does not pay for replacement if the original equipment is lost, stolen, or damaged due to misuse. You are encouraged to buy insurance for coverage in these situations.

For further information, please write :

Ministry of Health and Long-Term Care
Assistive Devices Program
7th Floor, 5700 Yonge Street
Toronto, ON M2M 4K5

Or call ADP :

Toronto  416-327-8804
Toll-free  1-800-268-6021
TDD/TTY  416-327-4282
TDD/TTY  1-800-387-5559
Fax  416-327-8192

June 2004 / Cat. No. 2104181