OHIP Physiotherapy

OHIP 

 

 Please click here for OHIP Waiting List status 

 

 Fisioterapia per gli anziani e bambini pagata dall’OHIP
Fisioterapia para las personas mayores y niños pagados por OHIP

 

Patient Eligibility for OHIP Physiotherapy

To be eligible for one-to-one Physiotherapy Services at SPINEgroup’s community physiotherapy centre under the Ontario Ministry of Health and Long-Term Care’s (MOHLTC) Publicly Funded “Community Physiotherapy Program“, a person must, for each “Episode of Care” (EOC) meet the following criteria:

  • √ be insured under the Ontario Health Insurance Plan (OHIP) and referred by a physician or nurse practitioner based on an assessment that the person requires Physiotherapy Services and is within one of the following categories:

  • aged 65 years and older; OR

  • aged 19 years and younger; OR

  • any age if recently discharged as an inpatient of a hospital and a physician on the medical staff of the hospital determines that the insured person needs physiotherapy services that are directly connected to the condition, illness, or injury for which the insured person was admitted to the hospital; OR

  • be referred by a physician or nurse practitioner based on an assessment that the person requires Physiotherapy Services and be eligible for funding of services under the Ontario Disability Support Program (ODSP) or Ontario Works (OW) programs.

In all cases, each person must provide a written Referral from an Ontario physician or nurse practitioner for each “episode of care” prior to the initiation of OHIP funded Physiotherapy Services.

What is OHIP Community Physiotherapy?

The MOHLTC’s Community Physiotherapy Program was designed to provide eligible patients better access to Physiotherapy Services. In short, this program will simply make our services available to those who might not have had access to them previously. More specifically, the “Community Physiotherapy Program” is structured under an “Episode of Care” (EOC) model that provides time-limited, goal-oriented physiotherapy treatment for a specific health condition. The objective is to rehabilitate physical function and/or promote mobility when that function and/or mobility has been impaired as a result of a debilitating event or disease, pain, injury or surgical procedure. An EOC must not be provided concurrently with any other funding source, such as WSIB and automotive or extended health insurance.

Outcome measures will be taken both on assessment, and at discharge.  As a patient completes an EOC, a discharge report will be sent to the referring physician or nurse practitioner. However, please note that the “Community Physiotherapy Program” is for the treatment of a specific acute condition but not for the ongoing treatment of a chronic or long-term problem.