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- Virtual services can be claimed for the eligible insured services listed in Appendix J of the Schedule and can be provided under payment programs Health Claims Payment (HCP) and Workplace Safety and Insurance Board (WCB).
www.ontario.ca/document/ohip-infobulletins-2022/bulletin-221203-virtual-health-care-ontario
Dec 1, 2022 · The new Virtual Care Services are not intended to replace existing Schedule fee codes for services that were eligible for payment if provided virtually prior to March 2020, such as those listed below (please note, this list is not comprehensive).
At the time of service, both the patient and provider must be physically present in Ontario for insured in-province services to be eligible for payment. Virtual care services are not eligible to be submitted through Reciprocal Medical Billing (RMB).
Apr 9, 2021 · Four new COVID-19 temporary OHIP virtual care fee codes specific for palliative care services (K092, K093, K094, and K095). These are eligible for payment for services provided in the period between March 14, 2021 and September 30, 2021.
Please note: physician reimbursement is not an eligible expense. Agree to provide virtual urgent care services with minimum daily operating hours up to March 31, 2022. Demonstrate how the program is designed and governed with input from patients and include mechanisms to measure the patient experience.
Dec 1, 2022 · As part of the 2021-2024 Physician Services Agreement, the Ministry of Health (MOH) and the Ontario Medical Association (OMA) agreed to a new virtual care funding framework that adds certain services provided by video and telephone as insured services under OHIP.
The Ministry of Health has approved funding to help Ontario Health Teams (OHTs) and In Development Teams looking to become approved OHTs to strengthen and optimize virtual primary care programs and services that improve the patient experience through integrating timely access to primary care services with other services offered through OHT partn...
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Are virtual care services eligible for reimbursement in Ontario?
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Will a virtual CARE code replace a schedule fee code?
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Nov 20, 2023 · Virtual care services are not eligible for payment where it is not medically appropriate to provide the services without a direct physical encounter. Video services must be performed using a verified virtual visit solution ( https://www.ontariohealth.ca/system-planning/digital-standards/virtual-visits-verification/verified-solutions-list ).
