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Q117A
Q117A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Childhood Immunizations - 95%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Q117A is the Cumulative Preventive Care Management Service Enhancement Code, also known as the Preventive Care Bonus, for achieving a 95% childhood immunization rate, with an associated bonus value of $2200. It is a tracking code that must be billed at $0.00. Eligibility for the associated bonus is restricted to physicians in FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who meet the minimum roster size.
When to Use
- Use Q117A when your rostered patient panel meets the 95% immunization threshold for the childhood immunization target defined in the Preventive Care Bonus program.
- Submit this code once you have verified your immunization data via the Ministry's Preventive Care Bonus report to trigger the $2200 payment.
Common Pitfalls
- Billing Q117A without confirming that your rostered patients have received all required doses for the specific age cohort, as missing a single vaccine in the series will disqualify the entire bonus.
- Attempting to bill Q117A if you are not in an eligible funding model like FHO or FHG, as the system will reject the claim for non-participating providers.
Billing Tips
- Always cross-reference your internal EMR immunization tracking with the Ministry's monthly Preventive Care Bonus report before submitting Q117A to ensure your data matches their records.
Provider Fee$0.00
Effective: March 1, 2005
Category
AQ. Appendix Q
Subcategory
APPENDIX Q
Service Type
Other
Code Classes
Other Premiums (including After Hours Procedure Premiums)
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