Updates from the Ministry of Health on the new interprovincial billing rates for the 2024-25 fiscal year.

To: Chief Executive Officers, Hospitals
Category: Interprovincial Health Care
Written by: Hospitals Branch, Hospitals and Capital Division
Dates Issued: April 8, 2024
Bulletin Number: 240402

Overview

This INFOBulletin is a follow up to the memo sent to hospital Chief Executive Officers dated February 29, 2024, on this topic.

The new interprovincial billing rates for the 2024-25 fiscal year for out-patient and in-patient services, well newborns, high cost transplants, and special implants and devices are effective as of April 1, 2024.These new rates are outlined in further detail in the attachments.

The national Assistant Deputy Ministers Policy Advisory Committee has approved the interprovincial billing rates for these services.

Ontario hospitals submitting Quebec out-patient claims

Ontario hospitals will continue to submit Quebec out-patient claims using the revised combined out-patient billing rate sheet that includes physician compensation for non-invasive and diagnostic procedures through the Reciprocal Hospital Billing System for the 2024-25 fiscal year and onwards, until further notice.

Please share to your out-of-province billing department

Please forward this bulletin and its attachments to your hospital’s out-of-province billing department to ensure efficient processing of your hospital's reciprocal billing claims.

Inquiries

Should you have any further inquiries, need clarification regarding any of the information presented here, or be interested in obtaining a copy of the Ontario Hospital Reciprocal Billing Manual, please contact the ministry via e-mail at Hospitals.Branch-HSQFD@ontario.ca.

Interprovincial hospital billing rates for 2024-25 fiscal year