Permanent adjustments of the Year 1 and Year 2 increases will be effective April 1, 2023.

To: Nurse Practitioner (NP) Physician Collaboration Programs
Category: Primary Health Care Services, Physician Services
Written by: Negotiations Branch, Physician and Provider Services Division
Date issued: April 1, 2023

The Ministry of Health and the Ontario Medical Association have been working together to implement physician compensation increases in accordance with the 2021 Physician Services Agreement (PSA).

The PSA provides for Year 1 and Year 2 compensation increases to be implemented as permanent adjustments to physician payments effective April 1, 2023. The permanent increase amounts vary according to relativity as outlined in the PSA. They are allocated to each section or physician grouping, as per page 6 of the Financial Agreement of the PSA.

Base payment increase

Effective April 1, 2023, the Monthly Consultation Fee under your funding agreement for the programs listed below will be increased by 3.3385%:

  • Nurse Practitioner Led Clinics (NPLC)
  • Primary Care Nurse Practitioner Program (PCNP)

Amendments to Funding Agreements to allow for the flow of funds related to this increase will be finalized as soon as possible.


Physician Services Agreement; PSA; physicians; payments

Contact information

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