Assistive Devices Program Authorizer Roles and Responsibilities

Transcription

1 Purpose This Authorizer Roles and Responsibilities document is solely intended to provide general information to healthcare professionals who are currently, or are seeking to become, Registered Assistive Devices Program (ADP) Authorizers. For more detailed information, Authorizers should refer to the terms of the Authorizer Agreement, the ADP Program Manual, and any applicable device-specific administration manuals. In the event of any inconsistency between this Roles and Responsibilities document and the Authorizer Agreement, the Program Manual, and/or an ADP device-specific administration manual, the Authorizer Agreement, Program Manual and/or device-specific administration manual will prevail. Background The Program s mandate is to provide customer-centred support and funding to Ontario residents who have long-term physical disabilities and to provide access to personalized assistive devices appropriate for those residents basic needs. To meet the needs of Applicants, the Program must ensure that ADP Registered Authorizers provide accurate and timely assessment of Applicant s eligibility. The ADP will regularly review Authorizers to ensure that Program criteria, as provided for in the Authorizer Agreement and the Program Manual, including the Conflict of Interest Policy, are met, thus providing an efficient and cost effective service. This guide is designed to provide an outline of roles and responsibilities for ADP Registered Authorizers, based on the device category in which they are registered. As well, Authorizers who are also members of a professional association and/or a regulated health college should also be aware of any additional requirements imposed by their respective regulatory college and/or professional association. Members of regulated health colleges may also be subject to additional requirements under the Regulated Health Professions Act, 1991, as well as under any applicable health profession-specific Act (the Nursing Act, 1991, the Audiology and Speech Pathology Act, 1991, etc.). Roles of ADP Registered Authorizers A healthcare professional must be registered with the ADP as an Authorizer in order to recommend approved assistive devices for eligible Applicants. In order to become registered as an Authorizer with the ADP, Authorizers must enter into an Authorizer Agreement. Authorizers play a significant role in the assessment process, confirmation of the Applicant s eligibility and completion of the application form. Responsibilities of ADP Registered Authorizers The Authorizer Agreement and the Program Manual stipulate the terms and conditions of gaining and retaining Authorizer status, as well as the circumstances under which the Authorizer Agreement may be terminated. Under the terms of the Authorizer Agreement, the ADP must be informed in writing of a change in an Authorizer s professional status, name, position, employer, business address and/or telephone number within 10 days of the date on which the change occurs. January 12, 2011 Page 1

2 The Program must be kept apprised of each Authorizer s current place of employment and business address so those Applicants in the Authorizer s area are able to locate the Authorizer. Failing to inform the Program of such a change is contrary to the terms of the Agreement and may cause delays in the processing of Applicants ADP applications. Where an Authorizer fails to notify the ADP of such a change, the Authorizer may be informed in writing that the Authorizer registration status with the ADP may be terminated. To ensure ADP Registered Authorizers are accountable and maintain a good working knowledge of ADP policy & procedures and reliable ADP equipment assessment skills, they must submit ADP applications on a regular basis in order to maintain their active registration status with the ADP. Where, as result of a compliance review, the Authorizer has been found to be in contravention of the ADP Authorizer Agreement, the Program Manual and/or the Conflict of Interest Policy, the Program may terminate the Authorizer s ADP registration number and inform the Authorizer in writing that he/she is no longer registered with the ADP. In addition, the Program may terminate the Authorizer Agreement in circumstances where an Authorizer is found to have violated the terms of the Authorizer Agreement. Record Keeping Accurate record keeping is essential. The Program may ask to see, at any time: the Authorizer s clinical assessment findings to confirm the Applicant's eligibility; verification of any follow-up visits; confirmation that the Applicant has been provided a full list of ADP Registered Vendors in the Applicant s community; confirmation that the registered healthcare professional is in good standing with his/her professional association or regulatory college, if applicable; and a complete copy of all application forms submitted to the Program. Authorizers should understand the ADP will conduct periodic audits of all Registered Authorizers. January 12, 2011 Page 2

3 Index This guide addresses the roles and responsibilities of the following categories of Authorizers: 1.0 Audiologist 2.0 Dentist 3.0 Massage Therapist 4.0 Occupational Therapist 5.0 Ophthalmologist 6.0 Optometrist 7.0 Physiotherapist 8.0 Registered Nurse 9.0 Speech-Language Pathologist 10.0 Anaplastologist / Restorative Prosthetist 11.0 Certified Fitter 12.0 Hearing Instrument Practitioner 13.0 Ocularist 14.0 Orthotist 15.0 Prosthetist 16.0 Specialist / Rehabilitation Teacher of the Blind January 12, 2011 Page 3

4 1.0 Audiologist An audiologist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The audiologist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 1.1 Registration Status All audiologists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Audiologist is not a member in good standing with the College of Audiologists and Speech-Language Pathologists of Ontario, their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Audiologists who seek to reinstate their active Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 4

5 1.2 Roles and Responsibilities Role of the Audiologist: Informs the Applicant and/or the Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an Applicant who does not meet eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Responsibilities of the Audiologist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP, the audiologist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; remain in good standing with their regulatory college. January 12, 2011 Page 5

6 1.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 6

7 2.0 Dentist A dentist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The dentist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 2.1 Registration Status All dentists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Dentist is not a member in good standing with The Royal College of Dental Surgeons of Ontario, their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Dentists who seek to reinstate their active Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 7

8 2.2 Roles and Responsibilities Role of the Dentist: Informs the Applicant and/or the Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an Applicant who does not meet eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Responsibilities of the Dentist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP, the dentist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; remain in good standing with their regulatory college. January 12, 2011 Page 8

9 2.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 9

10 3.0 Massage Therapist A massage therapist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The massage therapist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 3.1 Registration Status All massage therapists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Massage Therapist is not a member in good standing with The College of Massage Therapists of Ontario, their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Massage Therepists who seek to reinstate their active Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 10

11 3.2 Roles and Responsibilities Role of the Massage Therapist: Informs the Applicant and/or the Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an Applicant who does not meet eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Responsibilities of the Massage Therapist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP, the massage therapist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; provide Applicants with a full list of ADP Registered Vendors serving their community, prior to the purchase of equipment (lists are available on the ADP website), where applicable. Authorizers are expected to advise Applicants to compare as selection, service plans and prices may vary from Vendor to Vendor; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; January 12, 2011 Page 11

12 remain in good standing with their regulatory college. 3.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 12

13 4.0 Occupational Therapist An occupational therapist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The therapist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible, the Authorizer may complete the application form and submit it to the ADP for review. 4.1 Registration Status All occupational therapists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Occupational Therapist is not a member in good standing with the College of Occupational Therapists of Ontario their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Occupational therapists who seek to reinstate their active Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 13

14 4.2 Roles and Responsibilities Role of the Occupational Therapist: Informs the Applicant and/or Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application to the Program for an Applicant who does not meet the eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Role of the Occupational Therapist for Mobility Aids: Identifies the need for mobility equipment as part of the Applicant assessment process, works with the Applicant s Registered Vendor to ensure appropriate assessment and trial equipment is obtained and authorizes the equipment that meets the Applicant s functional requirements and the ADP eligibility criteria. Works with the Applicant s Registered Vendor to enhance his/her own knowledge of ADP funded equipment by discussing the Applicant s equipment needs and technical support requirements with the Registered Vendor. Must follow-up with the Applicant once the ADP funding has been approved to ensure the correct authorized equipment has been delivered and that the Applicant s functional requirements for the authorized equipment continue to be met. Role of the Occupational Therapist for Pressure Modification Devices: Assesses the Applicant s medical condition and need for compression garments. If no certified fitter is involved in the assessment process, the occupational therapist measures the Applicant and orders the garments from the Registered Vendor. The Registered Vendor mails the garments to the Authorizer, who then fits them to the Applicant and educates the Applicant about the proper use and care of the device. The occupational therapist can also determine the Applicant s clinical requirement for compression sleeve(s), confirming that the Applicant s edema cannot be managed effectively with the use of nighttime bandaging, in conjunction with daily use of graduated compression garments. The Applicant s need of compression sleeve(s) is confirmed with his/her Physician and must be documented in the occupational therapist s clinical notes. Occupational therapists can authorize pressure garments and/or pressure orthoses for the management of hypertrophic scars as a member of an ADP Registered Burn Team. In the case of orthotics, the role of the occupational therapist is that of rehabilitation assessor. Occupational therapists can authorize sequential extremity pumps and accessories for the management of lymphedema as a member of an ADP Registered Lymphedema Team. January 12, 2011 Page 14

15 Responsibilities of the Occupational Therapist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular, please note that in order to maintain an Authorizer s registration status with the ADP, the occupational therapist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; provide Applicants with a full list of ADP Registered Vendors serving the Applicant s community, prior to the purchase of equipment (lists are available on the ADP website), where applicable. Authorizers are expected to advise Applicants to compare as selection, service plans and prices may vary from Vendor to Vendor; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device; Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; remain in good standing with their regulatory college. 4.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy for additional details regarding conflicts of interest. January 12, 2011 Page 15

16 5.0 Ophthalmologists An ophthalmologist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The Ophthalmologist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 5.1 Registration Status All ophthalmologists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Ophthalmologist is not a member in good standing with the College of Physicians and Surgeons of Ontario, their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Ophthalmologists who seek to reinstate their activeauthorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 16

17 5.2 Roles and Responsibilities Role of the Ophthalmologist: Informs the Applicant and/or the Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an Applicant who does not meet eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Responsibilities of the Ophthalmologist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP the ophthalmologist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; provide Applicants with a full list of ADP Registered Vendors serving their community, prior to the purchase of equipment (lists are available on the ADP website), where applicable. Authorizers are expected to advise Applicants to compare as selection, service plans and prices may vary from Vendor to Vendor; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; January 12, 2011 Page 17

18 remain in good standing with their regulatory college. 5.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 18

19 6.0 Optometrist An optometrist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The Optometrist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 6.1 Registration Status All optometrists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written confirmation that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. An Optometrist s active registration status with the ADP may be changed under the following conditions: If the Optometrist is not a member in good standing with the College of Optometrists of Ontario, the Authorizer s number will be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s number may be made inactive and their status changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Optometrists who seek to reinstate their Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 19

20 6.2 Roles and Responsibilities Role of the Optometrist: Informs the Applicant and/or the Agent about all applicable ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an Applicant who does not meet eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Responsibilities of the Optometrist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP, the optometrist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; provide Applicants with a full list of ADP Registered Vendors serving their community, prior to the purchase of equipment (lists are available on the ADP website), where applicable. Authorizers are expected to advise Applicants to compare as selection, service plans and prices may vary from Vendor to Vendor; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; January 12, 2011 Page 20

21 remain in good standing with their regulatory college. 6.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 21

22 7.0 Physiotherapist A physiotherapist must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The therapist must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 7.1 Registration Status All physiotherapists registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Physiotherapist is not a member in good standing with the College of Physiotherapists of Ontario, the Authorizer s ADP Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Physiotherapists who seek to reinstate their active Authorizer registration status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 22

23 7.2 Role of the Physiotherapist: Informs the Applicant and/or the agent about the ADP policies, eligibility criteria, and procedures, so that the Applicant and/or Agent can make an informed decision regarding the submission of an application to the Program. Must not submit an application for funding assistance to the Program for an individual who does not meet the eligibility criteria established by the ADP. Must continue to meet all conditions specified in the Authorizer Agreement. Role of the Physiotherapist for Mobility Aids: Identifies the need for mobility equipment as part of the Applicant assessment process, works with the Applicant s Registered Vendor to ensure appropriate assessment and trial equipment is obtained and authorizes the equipment that meets the Applicant s functional requirements and the ADP eligibility criteria. Works with the Applicant s Registered Vendor to enhance their own knowledge of ADP funded equipment by discussing the Applicant s equipment needs and technical support requirements with the Registered Vendor. Must follow-up with the Applicant once the ADP funding has been approved to ensure the correct authorized equipment has been delivered and that the Applicant s functional requirements for the authorized equipment continues to be met. Role of the ADP Registered Physiotherapist for Pressure Modification Devices: Assesses the Applicant s medical condition and need for compression garments. If no certified fitter is involved in the assessment process, the physiotherapist measures the Applicant and orders the garments from the Registered Vendor. The Registered Vendor mails the garments to the Authorizer, who then fits them to the Applicant and educates the Applicant about the proper use and care of the device. The physiotherapist can also determine the Applicant s clinical requirement for compression sleeve(s), confirming that the Applicant s edema cannot be managed effectively with the use of nighttime bandaging, in conjunction with daily use of graduated compression garments. The Applicant s need of compression sleeve(s) is confirmed with his/her Physician and must be documented in the physiotherapist s clinical notes. Physiotherapists can authorize pressure garments and/or pressure orthoses for the management of hypertrophic scars as a member of an ADP Registered Burn Team. In the case of orthotics, the role of the physiotherapist is that of rehabilitation assessor. Physiotherapists can authorize sequential extremity pumps and accessories for the management of lymphedema as a member of an ADP Registered Lymphedema Team. January 12, 2011 Page 23

24 Responsibilities of the Physiotherapist: The Authorizer Agreement sets out the responsibilities of ADP Registered Authorizers. In particular please note that in order to maintain an Authorizer s registration status with the ADP, the physiotherapist must comply with the following responsibilities: maintain a clear understanding of policy and procedures related to the Program and the categories for which they are registered; maintain a good working knowledge of devices authorized and knowledge of currently available products listed in the ADP device specific product manual(s); recommend devices only for Applicants whom he/she has assessed in person and determined eligible for funding assistance based on ADP criteria; provide Applicants with a full list of ADP Registered Vendors serving their community, prior to the purchase of the equipment (lists are available on the ADP website), where applicable. Authorizers are expected to advise Applicants to compare as selection, service plans and prices may vary from Vendor to Vendor; inform Applicants about the price of the device, where applicable. Authorizers should also explain additional costs the Applicant can expect to incur when purchasing the device. Applicants should be informed of the prices they should expect to pay when shopping for a device; abide by the ADP Conflict of Interest Policy; once the Applicant has received the ADP funded equipment, provide follow-up service to ensure that the equipment meets the Applicant's requirements; comply with the terms and conditions of the Authorizer Agreement, the Program Manual and any device-specific administration manuals, including those terms and conditions in relation to the release of personal information and personal health information by the Authorizer. Authorizers should also ensure that they are in compliance with all other applicable legislation, including the Freedom of Information and Protection of Privacy Act, 1990, the Personal Information Protection and Electronic Documents Act, 2000 and the Personal Health Information Protection Act, 2004; remain in good standing with their regulatory college. 7.3 Conflict of Interest A conflict of interest is defined in the Conflict of Interest Policy (and the Program Manual), and may include situations in which an ADP Registered Authorizer, who determines Applicant eligibility or refers Applicants to a Registered Vendor, accepts from that Vendor any fee, amount or receives any benefit from that Vendor directly or indirectly. Authorizers should consult the Conflict of Interest Policy (and the Program Manual) for additional details regarding conflicts of interest. January 12, 2011 Page 24

25 8.0 Registered Nurse A Registered Nurse must be registered with the ADP as an Authorizer to recommend approved assistive devices for eligible Applicants. The nurse must assess the Applicant s status in person and recommend the appropriate device to best meet the Applicant s basic needs. Eligibility for ADP funding assistance is based on policies and criteria established by the Program. If the Applicant is determined to be eligible the Authorizer may complete the application form and submit it to the ADP for review. 8.1 Registration Status All registered nurses registered with the ADP must adhere to the terms and conditions specified in the Authorizer Agreement, the Program Manual and the device-specific Administration Manual(s) applicable to the device being authorized. Every three years there is a process by which ADP Registered Authorizers will be issued a replacement ADP Authorizer Card. During this process, the Program will identify Authorizers who have authorized five or fewer devices over a two year period in each device category. ADP Registered Authorizers who are found to have authorized five or fewer devices over that two-year period will receive written notification that their registration number will not be renewed. An Authorizer who wishes to appeal the decision should submit an appeal request in writing to the Program. The Program will notify the Authorizer in writing of the final decision regarding their registration status. Authorizers must maintain an active status with the Program in order to be eligible to sign application forms and receive Program mailings. If the Registered Nurse is not a member in good standing with the College of Nurses of Ontario, their ADP Authorizer Agreement may be terminated. If the Authorizer informs the Program of a leave of absence that will suspend authorizing duties, the Authorizer s status will be changed to on leave. The ADP will confirm that the Authorizer is in good standing with their regulatory college on an annual basis, unless the ADP has an existing agreement in place with the college. The Authorizer must send the ADP a letter explaining a change in status that will affect his or her authorizing duties to: Registration Unit Assistive Devices Program Ministry of Health and Long-Term Care 5700 Yonge Street, 7th Floor Toronto, Ontario M2M 4K5 Fax: (416) Registered Nurses seek to reinstate their active Authorizer registration number status must send a request in writing to the Registration Unit at the address listed above. January 12, 2011 Page 25