Bulletin 251006 — Acuity Modifier Payment for the 2024–2025 fiscal year
Relativity updates on the October 2025 Remittance Advice (RA)
To: Family Health Network (FHN) and Family Health Organization (FHO) Physicians
Category: Primary Health Care Services
Written by: Physician Relations and Contract Oversight Branch, Physician and Provider Services Division
Date issued: October 31, 2025
Bulletin Number: 251006
Overview
An Acuity Modifier has been introduced into the capitation system for Family Health Network (FHN) and Family Health Organization (FHO) models as directed by the 2021 Physician Services Agreement, negotiated and ratified by the Ontario Medical Association (OMA) and the Ministry of Health (ministry).
Based on the Canadian Institute for Health Information (CIHI) Population Grouper methodology, the new Acuity Modifier payment will work to improve equity in FHN and FHO physician compensation for complex patient care. It came into effect on April 1, 2024.
No action is required on the part of the physician/physician groups.
Acuity Payment for fiscal year 2024–2025
Further to Bulletin 240502 — Acuity Modifier Payment for the 2024–2025 Fiscal Year FHN and FHO physicians who started their practice in fiscal year 2023–2024 or fiscal 2024–2025 will receive their one-time new acuity payment for 2024–2025 on the November 2025 Remittance Advice (RA).
This one-time payment for the entire fiscal year 2024–25 will appear under accounting transaction 'NETWORK BASE RATE ACUITY MODIFIER PAYMENT'.
| RA Date | Physician cohort | Physician payment |
|---|---|---|
| May 2024 | Started FHN or FHO practice prior to April 1, 2023 | One-time interim payment for the period April 1, 2024, to March 31, 2025 |
| August 2025 | All FHN and FHO physicians | Permanent, ongoing automated monthly payment for April 1, 2025 onwards |
| November 2025 | Started FHN or FHO practice after April 1, 2023 | One-time interim payment for the period April 1, 2024, to March 31, 2025 |
Keywords/Tags
FHN; FHO; 2021 PSA; Capitation; Acuity Modifier
Contact information
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