Extensions of extended medical therapies may be considered for recipients eligible for general health supplements when:
- Recipients have exhausted their 10 visits for the year authorized under the Medical Services Plan (MSP) supplementary benefits.
- A medical practitioner or nurse practitioner has confirmed an acute need, not chronic (acute means severe and immediate, whereas chronic refers to ongoing conditions).
- No other resources, including local hospital out-patient facilities, are available.
Note: The 12-visit extension applies to any combination of services included under extended medical therapies after the 10 MSP visits have been exhausted.
Employment and Assistance Worker (EAW) and Community Integration Specialist are responsible for:
- Gathering documentation required to determine eligibility for extended medical therapies.
- Forwarding all relevant documentation to Health Assistance.
Health Assistance is responsible for:
- Approving extensions to extended medical therapies.
If you meet the eligibility requirements for the extended medical therapies, meet with your Employment and Assistance Worker (EAW) who will assess your emergency need and provide you with expedited application.
The Employment and Assistance Office (EAO) will confirm no other resources, including local hospital out-patient facilities, are available and ensure that you have provided a written request from a medical practitioner or nurse practitioner and therapist that includes all of the following:
- name and address of therapist diagnosis of the condition (specifically whether the condition is acute or chronic) from a medical practitioner or nurse practitioner
- frequency and number of visits required for each type of therapy
- medical justification why further treatment is required
- date on which the 10 MSP visits were exhausted
The required documentation will be forwarded all documentation to Health Assistance (HA) and you will be notified of decision by letter. If HA approves a service included under extended medical therapies, the service provider will be notified via Purchase Authorization generated at HA.
Note that the ministry does not reimburse recipients.