O. Reg. 422/01: GENERAL

 

ONTARIO regulation 422/01

made under the

health insurance act

Made: November 7, 2001
Filed: November 14, 2001
Printed in The Ontario Gazette: December 1, 2001

Amending Reg. 552 of R.R.O. 1990

(General)

Note: Since the end of 2000, Regulation 552 has been amended by Ontario Regulations 14/01, 66/01, 183/01, 250/01, 272/01, 306/01, 322/01, 344/01, 345/01 and 415/01.  Previous amendments are listed in the Table of Regulations published in The Ontario Gazette dated January 20, 2001.

1. Regulation 552 of the Revised Regulations of Ontario, 1990 is amended by adding the following section:

38.0.0.1 (1) A physician or practitioner may give a direction under subsection 16.1 (1) of the Act (direction to make payments to prescribed person or entity) to the persons or entities and in the circumstances described in this section.

(2) A physician who ordinarily practises with one or more physicians at a department of a public hospital in Ontario (a “physician hospital group”) may direct that payment for the insured services he or she renders at that department be made,

(a) to the physician hospital group or to one or more members of that group;

(b) to the public hospital; or

(c) to a person or partnership with which the physician hospital group has an agreement concerning the provision of insured services at that department.

(3) A practitioner who ordinarily practises at a department of a public hospital in Ontario with one or more practitioners who are members of the same regulated health profession (a “practitioner hospital group”) may direct that payment for the insured services he or she renders at that department be made,

(a) to the practitioner hospital group or to one or more members of that group;

(b) to the public hospital; or

(c) to a person or partnership with which the practitioner hospital group has an agreement concerning the provision of insured services at that department.

(4) Subject to subsection (6), a physician who ordinarily practises with one or more physicians (a “physician group”) at one or more sites in Ontario may direct that payment for the insured services he or she renders at the site or sites be made,

(a) to the physician group or to one or more members of that group; or

(b) to a person or partnership with which the physician group has an agreement concerning the provision of insured services at those sites.

(5) Subject to subsection (6), a practitioner who ordinarily practises at one or more sites in Ontario with one or more practitioners who are members of the same regulated health profession (a “practitioner group”) may direct that payment for the insured services he or she renders at the site or sites be made,

(a) to the practitioner group or to one or more members of that group; or

(b) to a person or partnership with which the practitioner group has an agreement concerning the provision of insured services at those sites.

(6) Subsection (4) or (5) applies only if the General Manager assigned an identification number to the physician group or practitioner group before the day Ontario Regulation 422/01 comes into force.

2. This Regulation shall be deemed to have come into force on November 1, 2001.