Billing Code Reminder: “Newish” MCSS ODSP forms & form codes

These new codes pay ~$25 more than old codes

The Ministry of Community and Social Services (MCSS) has simplified the Ontario Disability Support Program (ODSP) Medical Review process with two new forms more than a year ago.

But since then, through our continued work with doctors across the province, we have discovered that most doctors are using the old set of codes when the new codes actually pay ~$25 more. We would like to remind and encourage doctors to use these new forms and codes.

Please review the below information on these new forms and codes.

Medical Form Part A is mandatory and asks you about the patient’s previously identified medical conditions, impairments, and restrictions.

Medical Form Part B is optional – you only complete it if there have been clinically significant improvements in a patient’s medical conditions, impairments or restrictions OR the patient has other medical conditions, impairments, and restrictions not listed in Part A. Part B contains the Health Status Report (HSR) section and Activities for Daily Living Index (ADLI) section.

Get the MCSS step by step guide on how to fill out these new forms >

New billing codes
Along with the new forms, there are new fee codes (K057 – K060) you can bill instead of the cumbersome and confusing K050-K056.

Read the complete OHIP Bulletin >

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