O. Reg. 172/05: GENERAL

 

ontario regulation 172/05

made under the

Health Insurance Act

Made: April 6, 2005
Filed: April 11, 2005
Printed in The Ontario Gazette: April 30, 2005

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

(General)

1. (1) Subsection 16 (2) of Regulation 552 of the Revised Regulations of Ontario, 1990 is revoked and the following substituted:

(2) It is a condition for the performance and for payment of the insured services set out in the schedule of dental benefits that the insured services be performed in a public hospital graded under the Public Hospitals Act as Group A, B, C or D by a dental surgeon who has been appointed to the dental staff by the public hospital on the recommendation of the chief of the surgical staff and the agreement of the Medical Advisory Committee of the public hospital.

(2) Clause 16 (4) (a) of the Regulation is revoked and the following substituted:

(a) hospitalization in a public hospital graded under the Public Hospitals Act as Group A, B, C or D is medically necessary; and

(3) Subsections 16 (7) and (8) of the Regulation are revoked and the following substituted:

(7) It is a condition for the performance and for payment of insured services prescribed under subsection (6) that hospitalization in a public hospital graded under the Public Hospitals Act as Group A, B, C or D is medically necessary.

(8) In this section,

“schedule of dental benefits” means,

(a) the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (April 1, 2003)”, if the service is performed on or after April 1, 2003 and before January 1, 2004,

(b) 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)”, if the service is performed on or after January 1, 2004 and before April 1, 2004,

(c) the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (April 1, 2004)”, if the service is performed on or after April 1, 2004 and before April 1, 2005,

(d) the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (April 1, 2005)”, but does not include the “[Commentary…]” portions of the document, if the service is performed on or after April 1, 2005.

2. (1) If this Regulation is filed on or before April 1, 2005, it comes into force on April 1, 2005.

(2) If this Regulation is filed after April 1, 2005, it is deemed to have come into force on April 1, 2005.