1. Assistive Devices Program Ministry of Health & Long-Term Care
Wheelchairs, Positioning Devices (Seating) & Ambulation Aids
Central Equipment Pool for High Technology Wheelchairs

2. Today’s Presentation:
The Program
What is the Central Equipment Pool for High Technology Wheelchairs?
Eligibility
What are the eligibility criteria?
Application Process
Roles and Responsibilities
Accessing CEP
Funding Application
Changes/Modifications to current applications

3. What is the Central Equipment Pool for High Technology Wheelchairs (CEP)?
CEP provides ADP clients throughout Ontario with high quality new and recycled power wheelchairs with power tilt/recline units at discounted prices and provides a rebate on the client's costs once the equipment is returned to the pool.
For the purpose of ADP funding assistance, a high technology wheelchair is defined as a power wheelchair and/or power base that includes a power dynamic positioning device – tilt and/or recline – as a component
In addition to the opportunity to purchase recycled equipment, a consistent level of service to ADP clients across the province has been established by consolidating all high-technology services in one responsibility centre.

4. What is CEP? (Continued)
This is a recycling pool and as such, clients will be provided with quality reconditioned equipment that meets their individual requirements when available. All routine maintenance and repair costs are provided free of charge, for the 3 year warranty period to CEP clients.
ADP funding assistance, for all components of a high technology wheelchair, including positioning devices (seating) must be obtained through the Central Equipment Pool.

5. Equipment Provided
Equipment (including seating) is provided by CEP based on the authorizer’s prescription and ADP approval. This may include
Base
Power Dynamic Positioning Devices
Custom molded seating
Specialty controls
Only those items listed in the ADP Product Manual are eligible for funding assistance through the ADP CEP program.

6. The Central Equipment Pool
Is an essential resource for the ADP applicant and/or agent and the ADP registered authorizer regarding CEP equipment policies and procedures
Works cooperatively with the ADP applicant and authorizer to ensure that the choice of equipment is appropriate to meet the individual's basic mobility requirements
Is an agent of the Program and as such must comply with the Freedom of information and Protection of Privacy Act, Personal information Protection and Electronic Documents Act and the Personal Health Information Protection Act. (section 535 – Policy and Procedures Manual ADP Program) Please provide a copy of the ADP application form to CEP

7. Key Concepts
CEP is a recycling program – recycled equipment will be provided where it meets the clinical prescription
Equipment is provided for assessment and trial purposes to determine the appropriate mobility prescription
Clients are responsible for their portion of the costs
Assessment times must be reasonable
Rebates may be available if equipment is no longer required

8. Administration Manual for “Mobility” Category Wheelchairs, Positioning Devices (Seating) & Ambulation Aids
Applicant Eligibility – Section 3
Not eligible for WSIB or Veteran's Affairs Canada for same condition
Valid health card
Permanent residency
Physical disability
Applicant Eligibility Criteria for Mobility Devices – Section 4
Functional status requirements
Basic Mobility Requirement is defined by ADP for funding purposes
Device must be required and used on an ongoing daily basis within the applicant’s place of residence and to gain entry/exit from the residence
Place of residence may be a home, apartment building, long-term care home etc.

9. Administration Manual for “Mobility” Category Wheelchairs, Positioning Devices (Seating) & Ambulation Aids
Confirmation of Eligibility for Equipment Required – Section 5
Assessment process and equipment trials
Move from the most basic to the more complex equipment
Ambulation Aid to Manual Wheelchair to Power Mobility
Central Equipment Pool for High Technology Wheelchairs – Section 6
Funding Periods and Replacement Policies – Section 7

10. Eligibility Criteria CEP specific applicant eligibility
The applicant must require the authorized equipment to support posture to facilitate mobility
Applicant must be able to operate the authorized equipment independently
Required and intended use of the equipment must be to provide mobility
Meet the applicant’s basic mobility needs on an ongoing daily basis
Client is a permanent Ontario Resident with a valid Health card
Client is not eligible for WSIB or Veterans Affairs for the same medical condition or device

11. CEP Specific Eligibility Criteria (Section 6)
Power Tilt and/or recline:
Maintain skin integrity where there is a high risk of tissue trauma and a loss of ability to effectively weight shift independently;
Maximize respiratory function where there are measurable limitations, and objective data can be provided to show improvements with power tilt/power recline;
Maintain independent mobility through increased sitting tolerance, where there is an inability to maintain a functional sitting position due to abnormal tone/reflex activity, postural instability, and/or joint/spinal contractures/deformities.

12. CEP Specific Eligibility Criteria
Power Tilt and Recline
Clinical equipment results demonstrate that power tilt or power recline alone is not an adequate solution to achieve previous goals.
Power Elevating Leg Rests
Decrease in swelling due to chronic edema in the lower extremities, where power tilt and/or recline is prescribed. Objective trial data must be provided.
Repositioning of the lower extremities where power recline is prescribed and self elevating leg rests are not effective to regain a functional position.

13. CEP Specific Eligibility Criteria
Assistance towards the purchase of power tilt, power recline and/or power elevating leg rests should not be considered where the purpose is solely for pain management, to facilitate transfers, toilet activities, swallowing, and/or rest.
Factors that will influence the prescription details include the applicant's medical condition and prognosis, and mobility needs now, and in the foreseeable future.

14. Client is not eligible for CEP equipment
Eligibility Criteria
CEP specific applicant eligibility
The applicant must require the authorized equipment to support posture to facilitate mobility
Applicant must be able to operate the authorized equipment independently
Required and intended use of the equipment must be to provide mobility
Meet the applicant’s basic mobility needs on an ongoing daily basis
Client is not eligible for CEP equipment
Client is a permanent Ontario Resident with a valid Health card
Client is not eligible for WSIB or Veterans Affairs for the same medical condition or device

15. Key Points: Eligibility Criteria
Applicants must meet basic ADP eligibility criteria before being considered for CEP (including being independent and safe using a power wheelchair)
Power elevating leg rests are funded only in conjunction with tilt and/or recline

16. Accessing the Program: Roles and Responsibilities
Authorizer
Applicant
CEP representative (local)
CEP Operations

17. Role of the Authorizer (section 120)
Is the gatekeeper to the Program and assumes the leadership role in the assessment process, confirmation of the applicant’s eligibility, and completion of the ADP application form in a timely fashion.
Inform their client and/or legal representative about ADP eligibility criteria, policies and procedures so that the applicant/client can make an informed decision regarding submitting an application to the program.
Complete a comprehensive clinical assessment
Identify the need for mobility equipment
Work with CEP to provide trial equipment

18. Role of the Authorizer (Cont) (section 120)
Will work with client’s vendor to enhance his/her own knowledge of ADP funded equipment by discussing the client’s equipment needs and technical support requirements with the ADP Registered Vendor.
The ADP authorizer must provide a complete prescription that includes all the components of the system (power wheelchair/base, positioning devices (seating), and the power positioning devices (tilt and /or recline) that the client requires and that meet the ADP eligibility criteria.
Determine ADP eligibility and complete the application form
Follow up to ensure prescribed equipment continues to meet the client’s needs

19. The Role of the Applicant
In order to be eligible for ADP funding assistance the client must:
Participate in a clinical assessment with an ADP Registered Authorizer
Provide personal health information required by the program to determine eligibility - Individuals have the right to disqualify themselves from the funding program
Is responsible for paying his/her 25 per cent portion of the ADP approved amount for the mobility equipment directly to CEP in a timely manner

20. Role of the CEP Information Resource
Provide equipment for clinical trials
Provide quotes as required
Follows up to ensure a smooth process and completed documentation

21. CEP Rep Checklist Completed at the initial assessment.
Ensures the client is well informed and able to ask questions at the beginning of the process
Ensures the client has key contact numbers for the sales representative and service departments
An information pamphlet is also available

22. Role of CEP – (Cont)
Provide new and/or recycled high technology wheelchairs according to the contractual agreement
Deliver high quality product
Maintain a high quality service delivery system throughout the province
Works with the authorizer and client to determine the most appropriate equipment
Provide warranty and service for all CEP (MOHLTC owned items)
Provide education and support to ADP authorizers, clients and caregivers
Provides feedback to manufacturers on products

23. Application process – Electronic Application Form

24. Application Process
Complete the application form and provide a copy to the CEP representative
Vendor Number -- leave this section for the CEP representative to complete
Only CEP can be listed as a vendor in this section

25. Prescription Changes
How do I make changes or corrections on an ADP application form that has been submitted to, or approved by the Program?
Authorizers must make the correction on the appropriate page of the application form and submit it by fax ( ) or mail, with a covering page explaining why the change(s) are required. Do not send in a new application form.

26. Access the ADP Web Site for further information at:

27. ADP Contact Ian Lowe, Senior Program Coordinator
Tel: Toll Free:
Fax: