The ministry will temporarily increase facility cost payments by an additional 9.95% for the period January 1, 2025 to March 31, 2025.

To: Integrated Community Health Services Centres 
Category: Community Surgical and Diagnostic Centres 
Written by: Provider Services Branch, Physician and Provider Services Division 
Date issued: December 24, 2024 
Bulletin Number: 241205

Physician Services Agreement initiatives effective January 1, 2025

The Ministry of Health (the ministry) and the Ontario Medical Association (OMA) have been working together to implement physician compensation increases in accordance with the Arbitration Award (Award) for Year 1 of the 2024–2028 Physician Services Agreement (PSA).

The ministry and the OMA have agreed to implement an interim 9.95% compensation increase on physician payments for services rendered during the period of January 1, 2025 to March 31, 2025.

The temporary 9.95% increase will be applied as an across the board (ATB) increase to the value of Fee Schedule Codes (FSCs). This will be achieved through an update to the Fee Schedule Master (FSM). The Schedule of Facility Costs for Integrated Community Health Services Centres will not be updated for the temporary increase.

The 9.95% ATB compensation increase for Year 1 of the 2024–2028 PSA will be combined with the 2.8% ATB compensation increase from Year 3 of the 2021–2024 PSA, resulting in a compounded increase of 13.0286% to Fee-for-Service payments for services rendered between January 1, 2025 and March 31, 2025.

Tables showing Fee Schedule Code increases

Tables showing the applicable FSC increases are available with this INFOBulletin.

Premium and add-on Fee Schedule Codes

Premium and add-on FSCs that pay a percent increase have not been changed but will calculate the premium payments using the increased fee approved value of the accompanying eligible service(s).

Update your billing software

Please ensure that your billing software is updated to reflect the new FSC values for any services rendered on or after January 1, 2025, before submitting your claims.

The updated Fee Schedule Master will be available for download by January 7, 2025.

Claims processed through the OHIP claims system with service dates between January 1, 2025 and March 31, 2025 will reflect these increases and will be reported on your Remittance Advice.

Keywords/Tags

FSM; payments; facility costs; physicians; Physician Services Agreement; PSA; fee schedule master

Contact information

Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524. Hours of operation: 8:00 a.m. to 5:00 p.m. Eastern Monday to Friday, except holidays.