EDAFA workload and fee-for-service emergency department sites will receive their emergency department visit premium in November.

To: Emergency Medicine physicians and Emergency Department Alternate Funding Agreement (EDAFA) groups
Category: Physician Services
Written by: Provider Negotiations Management Branch, Physician and Provider Services Division
Date issued: November 2, 2026
Bulletin Number: 261101

Overview

The Ministry of Health (the ministry) and the Ontario Medical Association have been working together to implement the 2024 Physician Services Agreement (PSA). Effective April 1, 2025, emergency department physicians will receive a premium, payable twice annually, for eligible services rendered in an emergency department site that has a workload model Emergency Department Alternative Funding Agreement (EDAFA) with the Ministry of Health or an emergency department site where physicians submit claims and receive remuneration only on a fee-for-service basis for insured services provided in the emergency department.

Payment and reporting

The second payment, for the period of October 1, 2025 to March 31, 2026, will be processed and paid on the November 2026 Remittance Advice (RA) to individual physicians.

The payment will appear under the accounting adjustment 'ED ENHANCED SHADOW-BILLING PREMIUM'.

The ministry will deposit the payments to the solo bank account on file where the bank account has remained open. Please ensure your banking information with the ministry is up to date.

Where bank account details are not available, a cheque will be issued payable to the solo physician or to the "Estate of" in the event the physician is deceased.

Cheques will be sent to the same address on file with the ministry that was used for the remittance advice.

For further information on the first payment and methodology, please refer to INFOBulletin 260404.

Keywords/Tags

Physician Services Agreement; PSA; Emergency Medicine

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.