ontario regulation 442/03
made under the
Health insurance act
Made: December 17, 2003
Filed: December 19, 2003
Printed in The Ontario Gazette: January3, 2004
Amending Reg. 552 of R.R.O. 1990
(General)
1. (1) Section 16 of Regulation 552 of the Revised Regulations of Ontario, 1990 is amended by adding the following subsections:
(5.1) The amount that would otherwise be payable by the Plan for an insured service is increased by,
(a) 1 per cent if the service was rendered on or after April 1, 2002, but before April 1, 2003; and
(b) 3 per cent if the service was rendered on or after April 1, 2003, but before January 1, 2004.
(5.2) Each dental surgeon who provided insured services during the period that commenced on April 1, 2002 and ended on March 31, 2003 is entitled to a payment calculated using the formula,
P = (A/B) × $300,000
in which,
“P” = the amount of the payment,
“A” = the total amount otherwise paid by the Plan to the dental surgeon for insured services rendered on or after April 1, 2002 but before April 1, 2003, and
“B” = the total amount paid by the Plan for all dental services rendered on or after April 1, 2002 but before April 1, 2003.
(2) Section 16 of the Regulation is amended by adding the following subsection:
(5.3) Each dental surgeon who provided insured services during the period that commenced on April 1, 2003 and ended on December 31, 2003 is entitled to a payment calculated using the formula,
P = (A/B) × $225,000
in which,
“P” = the amount of the payment,
“A” = the total amount otherwise paid by the Plan to the dental surgeon for insured services rendered on or after April 1, 2003 but before January 1, 2004, and
“B” = the total amount paid by the Plan for all dental services rendered on or after April 1, 2003 but before January 1, 2004.
(3) Subsection 16 (8) of the Regulation is revoked and the following substituted:
(8) In this section,
“schedule of dental benefits” means the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (January 1, 2004)”.
2. (1) Subsection 1 (1) shall be deemed to have come into force on April 1, 2002.
(2) Subject to subsection (3), subsections 1 (2) and (3) come into force on January 1, 2004.
(3) If this Regulation is filed after January 1, 2004, subsections 1 (2) and (3) shall be deemed to have come into force on January 1, 2004.