Effective November 1st, 2018 – New reporting requirements.
New federal regulations will enforce new reporting obligations for physicians in Ontario. It will capture not only deaths from MAID, but also written requests for MAID, even if a MAID death does not occur. Ontario has developed a hybrid approach to the federal reporting regime, the charts below provides an overview on Ontario’s hybrid approach1:
1 MOHLTC, Office of the Chief Coroner of Ontario & Health Canada “MAID – Program update & Ontario’s approach to the federal monitoring regime. Oct 2018.
Under the new reporting requirements in Ontario, physicians will report to Health Canada via the Canadian MAID Data Collection Portal under the following scenarios2:
Last updated on November 2, 2018
Written request for MAID received and MAID was NOT provided
|Deadline to report|
|1. Patient Ineligible: you found the patient to be ineligible for MAID ||Within 30 days after the day the ineligibility is determined|
Health Canada via Canadian MAID Data Collection Portal
|For all MAID scenarios, reporting obligations end 90 days after receipt of the written request
|2. Patient referral to another practitioner or Care Coordination Service (CCS): reporting is required if you have communicated with the referring physician or CCS regarding the patient. ||Within 30 days after the day of referral/transfer
|3. Patient death from other cause: you became aware of the death of the patient from a cause other than MAID. ||Within 30 days after the day you became aware of the patient’s death
|4. Patient withdraws request: you became aware that the patient withdrew the request for MAID. ||Within 30 days after the day you became aware of the withdrawal
Written request for MAID received and MAID was provided
|5. Substance for self-administration prescribed or provided: Between 90th and 120th day, if patient: is still alive, has died from another cause, or the outcome is unknown ||No earlier than 90 days and no later than 120 days||Health Canada via Canadian MAID Data Collection Portal||You can report earlier if you know the patient has died. In all other cases, you must wait 90 days before reporting
2 Government of Canada https://www.canada.ca/en/health-canada/services/medical-assistance-dying/reporting-requirements.htmlWhat constitutes a written request?
- A patient’s written request may take any form including a text message or an e-mail.
- It must be more than an inquiry or a request for information about MAID.
- The request does not have to be in the format required by the Criminal Code as a safeguard when MAID is provided (i.e., duly signed, dated and witnessed) to require reporting.
Questions or concerns about the new regulations/reporting requirement should be directed to:
Health Canada at: email@example.com or Toll Free (Canada and United States): 1-833-219-5528
The CPSO policy on Medical Assistance in Dying articulates the obligations for physicians with respect to MAID. The policy can be found here: https://www.cpso.on.ca/Policies-Publications/Policy/Medical-Assistance-in-Dying
The policy is being updated to reflect the new federal regulations.
MAID Billing Guide
The purpose of this guide is to provide a general overview on how to appropriately bill OHIP for Medical Assistance In Dying (MAID) services based on the payment rules laid out in the OHIP Schedule of Benefits