Ontario Health Insurance Plan

INFOBulletin

Implementation of the New Virtual Care Funding Framework

The temporary virtual care ("K-Codes") and the Ontario Virtual Care Program will remain in place until the new virtual care model is implemented.


To: All Physicians
Category: Physician Services
Written by: Provider Services Branch; OHIP, Pharmaceuticals and Devices Division
Date issued: September 9, 2022
Bulletin Number: 220901


New Virtual Care Funding Framework

The Ministry of Health (the Ministry) and the Ontario Medical Association have been working together to implement the 2021 Physician Services Agreement (PSA).

The new virtual care funding framework set out in the PSA will take effect on December 1, 2022, rather than October 1, 2022 due to implementation planning changes. The Schedule of Benefits for Physician Services (Schedule) will be updated accordingly and made available to physicians as soon as possible to facilitate transition to the new funding model.

The temporary virtual care K-Codes (K080, K081, K082, K083, K092, K093, K094, K095) will remain in place until November 30, 2022.

Effective December 1, 2022, video visits delivered through the Ontario Virtual Care Program (OVCP) will be transitioned into the OHIP insured framework in accordance with the pricing structure, rates and payment parameters outlined in the PSA.

Keywords/Tags

OHIP; Physicians; COVID-19; Virtual; Virtual care; K-Codes; Ontario Virtual Care Program; OVCP; Physicians Services Agreement.

Contact Information

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