Updates from the Ministry of Health on the new interprovincial billing rates for the 2026-27 fiscal year

To: Chief Executive Officers, Hospitals
Category: Interprovincial Health Care
Written by: Hospitals Branch, Hospitals and Capital Division
Date issued: March 12, 2026
Bulletin Number: 260313

This INFOBulletin is a follow up to the memo sent to hospital CEOs dated March 5, 2026, on this topic.

The new interprovincial billing rates for the 2026-27 fiscal year for outpatient and inpatient services, well newborns, high cost transplants, and special implants and devices are effective as of April 1, 2026. These new rates are outlined in further detail in the attachments.

The national Assistant Deputy Ministers Policy Advisory Committee has approved the interprovincial billing rates for these services.

Furthermore, Ontario hospitals will continue to submit Quebec outpatient claims using the revised combined outpatient billing rate sheet that includes physician compensation for non-invasive and diagnostic procedures through the Reciprocal Hospital Billing System for the 2026-27 fiscal year and onwards, until further notice.

Please forward this bulletin and its attachments to your hospital’s out-of-province billing department to ensure efficient processing of your hospital's reciprocal billing claims.

Should you have any further inquiries, need clarification regarding any of the information presented here, or be interested in obtaining a copy of the Ontario Hospital Reciprocal Billing Manual, please contact the Ministry of Health via e-mail at Hospitals.Branch-HSQFD@ontario.ca.

Attachments: Interprovincial Hospital Billing Rates for 2026-27 Fiscal Year

Keywords/Tags

Interprovincial billing

Contact information

Do you have questions about this INFOBulletin? Please contact the Ministry of Health via e-mail at Hospitals.Branch-HSQFD@ontario.ca.