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A900 – Complex house call assessment

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

A primary care service rendered in a patient's home to a patient that is considered either a frail elderly patient or a housebound patient. The service provided must satisfy, at a minimum, all of the requirements of an intermediate assessment.
The service must satisfy all requirements of an intermediate assessment.
The patient must meet the definition of 'frail elderly' or 'housebound'.
For the purposes of A900, a frail elderly patient is a patient who is 65 years of age or over who has one or more of the following: Complex medical management needs, that may include polypharmacy; Cognitive impairment (e.g. dementia or delirium); Age-related reduced mobility or falls; or Unexplained functional decline not otherwise specified.
For the purposes of A900, a housebound patient is a patient who meets all the following criteria: The person has difficulty in accessing office-based primary health care services because of medical, physical, cognitive, or psychosocial needs/conditions; Transportation and other strategies to remedy the access difficulties have been considered but are not available or not appropriate in the person's circumstances; and The person's care and support requirements can be effectively and appropriately delivered at home.
Medical record must demonstrate that an intermediate assessment was rendered and that the patient was a frail elderly or housebound patient.
Age

The service applies to a frail elderly patient (age 65+); or or a housebound patient (no age restriction)

Usage limits
Limited to the first person seen during a single visit to the same location.

A900 is not eligible for virtual care (video or telephone) as it is not listed in Appendix J.

A multiple resident dwelling (e.g., apartment block, retirement home) is considered a single location; A900 is only payable for the first patient seen at that location during a visit.

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