1. Ontario Disability Support Program Medical Review Training Course
Welcome to the Ontario Disability Support Program Medical Review Training Course.

2. Navigation
The following information will help you navigate the content of this e-learning module.
Before we begin, let’s review how to use this eLearning module.
Notice the navigation bar below the presentation.
Use the forward arrow to advance to the next slide or the backward arrow to return to the previous slide.
This module has audio narration, so make sure to turn on your speakers or plug in your headset!
If you are not able to complete the entire module in one sitting, use the Table of Contents section to the left of the screen to select the section from which you wish to continue when you are ready to resume.
The following information will help you navigate the content of this e-learning module.
Before we begin, let’s review how to use this e-learning module.
Notice the navigation bar below the presentation.
Use the forward arrow to advance to the next slide or the backward arrow to return to the previous slide.
This module has audio narration, so make sure to turn on your speakers or plug in your headset!
If you are not able to complete the entire module in one sitting, use the Table of Contents section to the left of the screen to select the section from which you wish to continue when you are ready to resume.

3. Introduction
As a licensed health care professional, you may be asked to provide medical information for a patient who is undergoing a medical review for the Ontario Disability Support Program (ODSP).
The information you provide will help the Ministry of Community and Social Services (MCSS) assess whether your patient continues to be “a person with a disability,” as defined by the ODSP Act, 1997.
Introduction
As a licensed health care professional, you may be asked to provide medical information for a patient who is undergoing a medical review for the Ontario Disability Support Program (ODSP).
The information you provide will help the Ministry of Community and Social Services (MCSS) assess whether your patient continues to be “a person with a disability,” as defined by the ODSP Act, 1997.

4. Objectives By completing this e-learning module you will learn:
The ODSP medical review process.
Your role in the medical review process.
How to efficiently complete the form.
Key information the ministry needs.
How to receive payment for completing the forms.
Objectives
By completing this e-learning module you will learn about the ODSP medical review process and your role in the process.
You will also learn how to efficiently complete the form, key information the ministry needs and how to receive payment for completing the forms.

5. Key messages
The Medical Form is designed to be streamlined and efficient, making it easier for health care professionals to complete.
The ministry needs this information to make a decision about whether your patient continues to qualify for ODSP.
To assist you to complete the form, your patient will be provided with the reasons they were originally found to be eligible for support.
If your patient’s medical condition, impairments and restrictions have not improved and will not improve, you will only need to complete Medical Form Part A.
Key Messages:
The Medical Form is designed to be streamlined and efficient, making it easier for health care professionals to complete.
The ministry needs this information to make a decision about whether your patient continues to qualify for ODSP.
To assist you to complete the form, your patient will be provided with the reasons they were originally found to be eligible for support.
If your patient’s medical condition, impairments and restrictions have not improved and will not improve, you will only need to complete Medical Form Part A.

6. Topics to Cover _____________________________
Introduction to Medical Review Process
Introduction to the Form
Completing Part A
Completing Part B
Billing and Payment Information
Testing your knowledge
Short Survey
This teaching material will cover the following topics:
Introduction to Medical Review Process
Introduction to the Form
Completing Part A
Completing Part B
Billing and Payment Information
Testing your knowledge
Short Survey

7. 1 ___________________________ Introduction to Medical Review Process
Topic 1 of the Medical Review Training Course: Introduction to Medical Review Process

8. What is ODSP
ODSP is a provincial social assistance program that provides income support, health care benefits and employment supports to eligible Ontario residents who have disabilities.
To qualify for ODSP income support, a person must be:
18 years of age or older;
a resident of Ontario;
in financial need; and
a person with a disability as defined by the ODSP Act, (unless a member of a prescribed class).
Most individuals must go through a disability determination process to determine if they meet the program’s definition of a person with a disability.
What is ODSP?
ODSP is a provincial social assistance program that provides income support, health care benefits and employment supports to eligible Ontario residents who have disabilities.
To qualify for ODSP income support, a person must be:
18 years of age or older;
a resident of Ontario;
in financial need; and
a person with a disability as defined by the ODSP Act, (unless a member of a prescribed class).
Most individuals must go through a disability determination process to determine if they meet the program’s definition of a person with a disability.

9. Who is a person with a disability
The program’s definition of a person with a disability is found in the ODSP Act. Meeting the definition means that:
A person must have a substantial mental or physical impairment that is continuous or recurrent, and is expected to last one year or more, and
The impairment directly results in a substantial restriction in the person’s ability to attend to their personal care, function in the community or function in the workplace, and
The impairment, its duration and restrictions have been verified by an approved health care professional.
Who is a person with a disability?
The program’s definition of a person with a disability is found in the ODSP Act. Meeting the definition means that:
A person must have a substantial mental or physical impairment that is continuous or recurrent, and is expected to last one year or more, and
The impairment directly results in a substantial restriction in the person’s ability to attend to their personal care, function in the community or function in the workplace, and
The impairment, its duration and restrictions have been verified by an approved health care professional.

10. What is a medical review
When your patient was found to be a person with a disability under the ODSP Act, a medical review date may have been assigned.
A medical review date is only assigned if there is a likelihood of improvement in your patient’s impairments based on the information presented in their application.
A medical review is not a re-application – it focuses on changes to your patient’s original qualifying impairments and restrictions, and if necessary any new medical issues that have emerged since the previous ODSP disability decision.
What is a Medical Review?
When your patient was found to be a person with a disability under the ODSP Act, a medical review date may have been assigned.
A medical review date is only assigned if there is a likelihood of improvement in your patient’s impairments based on the information presented in their application.
A medical review is not a re-application – it focuses on changes to your patient’s original qualifying impairments and restrictions, and if necessary any new medical issues that have emerged since the previous ODSP disability decision.

11. Medical Review Process
MCSS has a centralized unit, the Disability Adjudication Unit (DAU), which is responsible for administering the medical review process.
Once you complete the medical forms, the completed Medical Review Package is submitted to DAU.
The DAU employs Disability Determination Adjudicators (adjudicators) who are specially trained to:
Assess all information to determine whether your patient continues to meet the definition of a person with a disability under the ODSP Act.
Set another medical review date unless there is no likelihood of improvement in the patient’s impairments.
The DAU will send a letter to your patient to tell them about the decision. You will receive payment by billing the Ontario Health Insurance Plan (OHIP) or submitting an invoice to the ministry.
Medical Review Process
Ministry of Community and Social Services has a centralized unit, the Disability Adjudication Unit (DAU), which is responsible for administering the medical review process.
Once you complete the medical forms, the completed Medical Review Package is submitted to the DAU.
The DAU employs Disability Determination Adjudicators who are specially trained to:
Assess all information to determine whether your patient continues to meet the definition of a person with a disability under the ODSP Act.
Set another medical review date unless there is no likelihood of improvement in the patient’s impairments.
The DAU will send a letter to your patient to tell them about the decision.
You will receive payment by billing the Ontario Health Insurance Plan (OHIP) or submitting an invoice to the ministry.

12. 2 ___________________________ Introduction to the Form
Topic 2 of the Medical Review Training Course: Introduction to the Form

13. Medical Forms: Part A and Part B
Collects current information about the medical conditions, impairments and restrictions that were identified in the previous ODSP disability decision. Part A must be completed.
Identifies medical conditions that are not listed in Part A. It is only completed if necessary, based on the answers to the questions asked at the end of Part A.
There are two forms included in the medical review package: Medical From Part A and Medical Form Part B
Part A collects current information about the medical conditions, impairments and restrictions that were identified in the previous ODSP disability decision. Part A must be completed.
Part B identifies medical conditions that are not listed in Part A. It is only completed if necessary, based on the answers to the questions asked at the end of Part A. In that case, both the Health Status Report and the Activities of Daily Living must be completed.
Please fill out each section as completely and as legibly as possible. If anything is missing, the ministry will need to follow up with you.

14. Summary of the Disability Decision
This summary provides the reasons your patient was originally found to be a person with a disability and may assist you in completing the Medical Forms.
You will also receive a Summary of the Disability Decision. It will be given to you by your patient.
This summary provides the reasons your patient was originally found to be a person with a disability and may assist you in completing the Medical Forms.

15. Overview on completing forms
Welcome to the overview of the medical forms completion process.
Please remember that a medical review is not a re-application – it focuses on changes to your patient’s original qualifying impairments and restrictions, and if necessary any new medical issues that have emerged since the previous ODSP disability decision.
If your patient’s qualifying medical conditions, impairments and restrictions have not improved and will not improve, you will need to complete Part A, Section 1 and Section 3 only. There is no need to complete Section 2 or Part B.
If your patient’s qualifying medical conditions, impairments and restrictions have improved or improvement is expected or unknown, you will need to complete entire Part A (Sections 1, 2 and 3).
Furthermore, if your patient’s qualifying medical conditions, impairments and restrictions have improved or improvement is expected or unknown and there are other medical conditions to report you will need to complete Part B in addition to all sections of Part A.

16. 3 ___________________________ Completing Part A
Topic 3 of the Medical Review Training Course: Completing Part A

17. Who may complete Part A
Medical Form Part A may be completed by an Ontario registered:
Nurse Practitioner.
Optometrist.
Physician.
Psychologist.
Psychological Associate.
Registered Nurse.
Who may complete Part A?
Medical Form Part A may be completed by an Ontario registered:
Nurse Practitioner.
Optometrist.
Physician.
Psychologist.
Psychological Associate.
Registered Nurse.

18. Part A Section 1
Previously identified medical conditions, impairments and restrictions:
The form is pre-populated with information from the time your patient was found to be a person with a disability.
You will need to describe any clinically significant change in listed impairments and restrictions or indicate if there has been no change since the date of the decision.
Each page also contains your patient’s personal information.
Welcome to Part A Section 1
As mentioned before, Part A focuses on the status of previously identified medical conditions, impairments and restrictions. This information is pre-populated in Section 1.
The information you provide in Section 1 will help the ministry assess the patient’s current status including any clinically significant changes in the identified impairments and restrictions.
Each page of the medical form also contains your patient’s personal information.

19. Part A Section 1.1: Prognosis, impairments and duration
Section 1.1 of Part A will be pre-populated with previous medical conditions. In this example: Coronary Artery Disease.
You will need to indicate the expected prognosis by selecting one of the following checkboxes: improve, remain same, deteriorate or unknown. It is essential to provide this information to the best of your knowledge as this will help you answer question number 2 in Section 1.2.
Previous impairments will also be pre-populated. In this example: shortness of breath, fatigue and anxiety. You will need to indicate if the impairments are still present by marking either the yes or no checkbox.
You will then list any new related impairments that your patient currently has related to pre-populated medical conditions.
In the space provided, you will describe any clinically significant change related to the listed impairments or indicate if there has been no change since the date of the disability decision (in this example July 25th 2014). It is essential to complete this section to the best of your knowledge as it will help you to answer question number 1 in Section 1.2.
Further, you will indicate the duration of all current impairments (previous ones that are still present and any new ones) by selecting one of the following checkboxes: expected to last less than one year or expected to last one year or more and also comment on the frequency off all current impairments by selecting one of the following checkboxes: recurrent/episodic or continuous.

20. Part A Section 1.1: Restrictions
Part A Section 1.1 also collects information about previous restrictions.
Previous restrictions will be pre-populated in the form. In this example: unable to walk more than 100 meters and unable to use stairs. You will need to indicate if the restrictions are still present by marking either the yes or no checkbox.
You will then list any new restrictions that your patient currently has related to pre-populated medical conditions.
In the space provided, you will describe any clinically significant change related to the listed restrictions or indicate if there has been no change since the date of the disability decision (in this example July 25th 2014). It is essential to complete this section to the best of your knowledge as it will help you to answer question number 1 in Section 1.2.

21. Part A Section 1.2: Questions
To determine if you need to provide further information in Section 2, you will need to answer two questions in Section 1.2:
Question 1: Did any impairments or restrictions listed in Section 1 show
clinically significant improvement? Yes or No.
Question 2: Did you indicate for any medical condition in Section 1 the
prognosis is to “improve” or is “unknown”? Yes or No.
Part A Section 1.2
To determine if you need to provide further information in Section 2, you will need to answer two questions in Section 1.2. Please note that the information you have provided in Section 1.1 will help you answer the questions.
Question 1: Did any impairments or restrictions listed in Section 1 show clinically significant improvement? Yes or No.
Question 2: Did you indicate for any medical condition in Section 1 the prognosis is to “improve” or is “unknown”? Yes or No.

22. Part A Section 1.2: Answers
If there is no improvement and improvement is not expected:
Answer 1: No.
Answer 2: No.
If you have answered No to both questions, do not complete Section 2 and proceed directly to Section 3 to sign and date the form.
Do not complete Part B. No further information is needed.
Part A Section 1.2
Answers, if there is no improvement and improvement is not expected:
Answer 1: No.
Answer 2: No.
If you have answered No to both questions, do not complete Section 2. Proceed directly to Section 3 to sign and date the form. Do not complete Part B. No further information is needed.

23. Part A Section 3 Sign and date the form.
Welcome to Sections 3 of Part A: the Certificate of Approved Health Care Professional
By signing and dating Section 3, you are confirming that the information provided is true, in your professional opinion.

24. Going Back to Section 1.2: Questions
Question 1: Did any impairments or restrictions listed in Section 1 show clinically
significant improvement? Yes or No.
Question 2: Did you indicate for any medical condition in Section 1 the prognosis
is to “improve” or is “unknown”? Yes or No.
In the last few slides we have explained how to complete the form when there is no improvement and improvement is not expected.
We will now go back to Section 1.2 to see how to complete the form when there is an improvement or improvement is expected or unknown.
Let’s see the questions again.
Question 1: Did any impairments or restrictions listed in Section 1 show clinically significant improvement? Yes or No.
Question 2: Did you indicate for any medical condition in Section 1 the prognosis is to “improve” or is “unknown”? Yes or No.

25. Going Back to Section 1.2: Answers
If there is an improvement or improvement is expected or unknown, there are 3 ways to answer the questions:
Yes and Yes
Yes and No
No and Yes
If you have answered Yes to either question, complete Section 2. The ministry needs this information to make a decision about whether your patient continues to qualify for ODSP.
If there is an improvement or improvement is expected or unknown, there are 3 ways to answer the questions:
Yes and Yes or
Yes and No
No and Yes
If you have answered Yes to either question 1 or question 2, complete Section 2. The ministry needs this information to make a decision about whether your patient continues to qualify for ODSP.
Please note that the indication of improvement in Section 1 does not automatically imply that your patient is no longer a person with a disability.

26. Part A Section 2.1: Medical and other available information
2.1. You have a choice to either
describe or attach available
information on:
A. Examination Findings.
B. Other Findings.
C. Treatments or Interventions.
D. Impact of impairments and
restrictions on patient’s day-to
day activities.
E. Prognoses.
F. Other information that might be
useful in understanding the
patient’s current situation.
Welcome to Section 2 of Part A.
Section 2 collects medical and other available information on medical conditions listed in Section 1 only.
In Section 2.1 you have a choice to either describe available information or to attach relevant reports. You do not need to do both.
Please see the list of available descriptions below.

27. Part A Section 2.2
Answer the question in Section 2.2 to determine if Part B needs to be complete.
Question
Are there any other medical conditions not listed in Section 1 that:
present with impairments and restrictions, and
contribute to the patient’s current status.
Yes or No.
Answer
If you answered No, do not complete Part B. Proceed to Section 3 to sign and date the form. Nothing further is required.
Section 2 will also inform you if Part B needs to be completed.
Answer the question in Section 2.2 to determine if Part B needs to be completed.
Question: Are there any other medical conditions not listed in Section 1 that:
present with impairments and restrictions, and
contribute to the patient’s current status?
Yes or No.
If you answered No, do not complete Part B. Proceed to Section 3 to sign and date the form. Nothing further is required.
If you answered Yes, complete Part B. Before you go to Part B, complete Section 3 of Part A.
If you answered Yes, complete Part B. Before you go to Part B, complete Section 3 of Part A.

28. 4 ___________________________ Completing Part B
Topic 4 of the Medical Review Training Course: Completing Part B
Please remember that:
If you have answered No to both questions in Section 1.2 of Part A, then Part B is not needed.
Please do not complete Part B. No further information is needed.

29. Who may complete Part B
Medical Form Part B has two sections, the Health Status Report (HSR) and the Activities of Daily Living (ADL).
The HSR and ADL may be completed by an Ontario registered:
Nurse Practitioner.
Optometrist.
Physician.
Psychologist.
Psychological Associate.
Registered Nurse.
The ADL only may be completed by an Ontario registered:
Audiologist.
Chiropractor.
Occupational Therapist.
Physiotherapist.
Social Worker.
Speech Language Pathologist.
Who may complete Part B
Medical Form Part B has two sections, the Health Status Report (HSR) and the Activities of Daily Living (ADL).
The HSR and ADL may be completed by an Ontario registered:
Nurse Practitioner.
Optometrist.
Physician.
Psychologist.
Psychological Associate.
Registered Nurse.
The ADL only may be completed by an Ontario registered:
Audiologist.
Chiropractor.
Occupational Therapist.
Physiotherapist.
Social Worker.
Speech Language Pathologist.

30. Part B Section 1
Medical conditions not listed in Part A that contribute to the patients current status
Welcome to Part B Section 1.
In Section 1 you will list only medical conditions not already listed in Part A that contribute to the patients current status. You will need to provide prognosis, impairments, duration and restrictions for each medical condition you list.

31. Part B Section 2
2.1 Are any of the medical conditions you reported in Section 1 of Part B listed
below?
Mental health condition Yes or No.
Substance-related or addictive disorder Yes or No.
Neurodevelopmental disorder Yes or No.
Other medical condition presenting with a mental impairment Yes or No.
If you answered No to all, please go to Section 3.
If you answered Yes to any, please complete Section 2.2 and 2.3.
Welcome to Part B Section 2.
Section 2 consists of three parts:
Section 2.1 starts with important questions that will help you determine if the rest of the Section 2 needs to be completed or if you can move directly to Section 3.
Questions: Are any of the medical conditions you reported in Section 1 of Part B listed below?
Mental health condition Yes or No.
Substance-related or addictive disorder Yes or No.
Neurodevelopmental disorder Yes or No.
Other medical condition presenting with a mental impairment such as head injury Yes or No.
If you answered No to all, please go to Section 3.
If you answered Yes to any of the above, please complete Section 2.2 and 2.3.

32. Part B Section 2.2
Describe available information including the history that might be useful in understanding the patient’s mental impairments or attach copies of available reports:
A. Mental health condition.
B. Substance-related or
addictive disorder.
C. Neurodevelopmental
disorder.
D. Other medical condition
presenting with a mental
impairment.
In Section 2.2 you have a choice to either describe available information including the history that might be useful in understanding the patient’s mental impairments or attach copies of available reports related to the list below.

33. Part B Section 2.3: Intellectual and Emotional Wellness Scale
28-item scale.
Ratings address both the severity and frequency of each symptom.
Open area for comments on fluctuations in severity for episodic symptoms.
In addition to information provided in Section 2.2, you will need to complete the Intellectual and Emotional Wellness Scale or IEWS in Section 2.3.
The IEWS is a 28-item scale.
Ratings address both the severity and frequency of each symptom. There is also an open area for comments on any fluctuations in the severity for episodic symptoms.

34. Part B Section 3: Medical and other available information
Please note: In Section 3 you do not have to repeat the information already provided in previous sections.
3.1 Please describe available information, if applicable.
A. Examination Findings.
B. For recurrent or episodic impairments, describe how fluctuations in severity
affect the patient.
3.2 Have any consultations or assessments been completed by another health
care professional? Yes or No.
If No, please comment (example: pending, waiting list, not available).
If Yes, please select the type and describe relevant findings or attach copies of the available report.
Welcome to Part B Section 3.
Section 3 collects medical and other available information related to medical conditions, impairments and restrictions reported in Section 1 of Part B only. Please note that in Section 3, you do not have to repeat the information already provided in previous sections.
Section 3 is divided into three parts:
Section 3.1 where you will describe, if applicable:
Examination Findings, and
B. For recurrent or episodic impairments, describe how fluctuations in severity affect the patient.
Section 3.2 where you will first need to answer the following question:
Have any consultations or assessments been completed by another health care professional? Yes or No.
If No, please comment (example: pending, waiting list, not available).
If Yes, please select the type and describe relevant findings or attach copies of the available report.

35. Part B Section 4: Visual
Complete this section if your patient has a visual condition or impairment (vision loss). Please attach the most recent available visual assessment (example visual acuity / visual field test).
Welcome to Part B Section 4: Visual
The visual section needs to be completed only if your patient has a visual condition (example glaucoma, diabetic retinopathy) or impairment (vision loss). Please attach the most recent available visual assessment (example visual acuity / visual field test).

36. Part B Section 5: Auditory
Complete this section if your patient has an auditory condition or impairment (example hearing loss). Please attach the most recent available auditory assessment (example audiogram).
Welcome to Part B Section 5: Auditory
Complete the auditory section only if your patient has an auditory condition or impairment (example hearing loss). Please attach the most recent available auditory assessment (example audiogram).

37. Part B Section 6: Interventions and Treatments
6.1 Is the patient receiving any interventions
and treatments for conditions and
impairments listed in Part B? Yes or No.
A. If No, please comment.
Example: pending, side effects, no definitive diagnosis, treatment not available.
B. If Yes, please complete appropriate fields and comment on progress.
Welcome to Part B Section 6. This section collects information about interventions and treatments.
In Section 6.1 you will first need to answer the following question:
Is the patient receiving any interventions and treatments for conditions and impairments listed in Part B? Yes or No.
If No, please comment in section A.
As an example: pending, side effects, no definitive diagnosis, treatment not available. It is important to explain why your patient is not receiving any intervention or treatment.
If Yes, please complete appropriate fields in section B to provide information on your patient’s intervention and treatment such as medications and other relevant adjunct interventions. 
Furthermore, in section 6.2 you will have an opportunity to describe past treatments and reasons for discontinuation, and in section 6.3 you may also provide any other information that in your opinion is useful in understanding your patient’s current situation.
6.2 Describe any relevant past treatment and reason for discontinuation.
6.3 Please provide any other information that might be useful in understanding the
patient’s current situation.

38. Part B Sections 7 and 9: Certificate of Approved Health Care Professional
Sections 7 and 9 collect same information.
If you are continuing to Section 8 and completing the Activities of Daily Living you can complete Section 9 only.
If you are not completing the Activities of Daily Living section, please complete Section 7.
Welcome to Sections 7 and 9 of Part B: the Certificate of Approved Health Care Professional
Both sections collect the same information. Therefore, if you are continuing to Section 8 and completing the Activities of Daily Living you can skip Section 7 and complete Section 9 instead.
However, if you are not completing the Activities of Daily Living section, you must complete Section 7.
By signing and dating Section 7 and/or Section 9, you are confirming that the information provided is true, in your professional opinion.

39. Part B Section 8: Activities of Daily Living
8.1 Activities of Daily Living Index
25-item index made up of activities performed on a daily basis.
Rating scale ranges from 0 (no limitation) to 3 (severe limitation).
Open area for describing the limitations.
8.2 Does the patient require any of the
services or help listed below?
If Yes, please describe.
A. Assistive device or equipment
B. Support service or resource
C. Service or guide animal
8.3 Please provide any additional comments
about activities of daily living.
Welcome to Part B Section 8: Activities of Daily Living
Section 8 consists of three parts:
Section 8.1 is Activities of Daily Living Index or ADLI.
The ADLI is a 25-item index made up of activities performed on a daily basis. Rating scale ranges from 0 (no limitation) to 3 (severe limitation). There is also an open area for describing the limitations.
Section 8.2 ask if the patient requires any of the services or help listed?
If Yes, you will have an opportunity to describe:
A. Assistive device or equipment
B. Support service or resource
C. Service or guide animal
And
Section 8.3 is where you will provide any additional comments about activities of daily living.

40. 5 ___________________________ Billing and Payment Information
Topic 5 of the Medical Review Training Course: Billing and Payment Information

41. Billing and Payment Information
You will receive payment by billing Ontario Health Insurance Plan (OHIP) or submitting an invoice to the ministry.
To submit an invoice you will need to:
Create an invoice that includes
Your full name and profession, address and phone number
Your patient’s full name, date of birth, and member ID
The name of the form you completed (example Part A)
Mail your invoice to:
Ontario Disability Support Program
Disability Adjudication Unit
Box B18
Toronto, ON M7A 1R3
You will receive payment by billing the Ontario Health Insurance Plan (OHIP) or submitting an invoice to the ministry.
To submit an invoice you will need to:
Create an invoice that includes
Your full name and profession, address and phone number
Your patient’s full name, date of birth, and member ID
The name of the form you completed (example Part A)
Mail your invoice to:
Ontario Disability Support Program
Disability Adjudication Unit
Box B18
Toronto, ON M7A 1R3

42. Fees
The following fees are paid to approved health care professionals upon completion of Part A and Part B:
Medical Form Part A: $35.00 (Code K057)
Medical Form Part B: $ (Code K058) (BOTH Health Status Report and Activities of Daily Living)
Medical Form Part B: $ (Code K059) (ONLY Health Status Report)
Medical Form Part B: $25.00 (Code K060) (ONLY Activities of Daily Living)
Fees
The following fees are paid to approved health care professionals upon completion of Part A and Part B:
Medical Form Part A: cost of $35.00 (Code K057)
Medical Form Part B: cost of $ (Code K058) (including BOTH Health Status Report and Activities of Daily Living)
Medical Form Part B: cost of $ (Code K059) (ONLY include Health Status Report)
Medical Form Part B: cost of $25.00 (Code K060) (Including ONLY Activities of Daily Living)

43. Contact Information
If you have any questions, you can contact the Disability Adjudication Unit:
By phone:
within Toronto TTY device in Toronto
outside of Toronto TTY device outside of Toronto
By fax:
Contact Information
If you have any questions, you can contact the Disability Adjudication Unit:
By phone:
within Toronto TTY device in Toronto
outside of Toronto or TTY devices outside of Toronto
By fax:

44. 6 ___________________________ Test your knowledge
Topic 6 of the Medical Review Training Course: Test your knowledge

45. Remember
Medical Form Part A asks you to provide information about changes to medical conditions, impairments and restrictions that previously qualified your patient for the ODSP.
If your patient’s impairments and restrictions have not improved and the medical conditions will not improve, you will only need to complete Section 1 and Section 3 of Part A.
Only in cases where there is an improvement or improvement is expected or unknown, will you need to provide further information in Section 2 of Part A. You may also need to provide information about any new medical conditions in Part B.
Before you test your knowledge on how to complete the medical review form please remember:
Medical Form Part A asks you to provide information about changes to medical conditions, impairments and restrictions that previously qualified your patient for the ODSP.
If your patient’s impairments and restrictions have not improved and the medical conditions will not improve, you will only need to complete Section 1 and Section 3 of Part A. Part A Section 2 and Part B are not needed.
In cases where there is an improvement or improvement is expected or unknown, you will need to provide further information in Section 2 of Part A. You may also need to provide information about any new medical conditions in Part B.

46. Test your knowledge: Case 1
Based on the available medical and other evidence in your patient's chart, you conclude that:
Impairments and restrictions listed in Section 1 of Part A associated with Coronary Artery Disease do not show clinically significant improvement.
Prognosis for Coronary Artery Disease is to deteriorate.
Your patient is also diagnosed with Major Depressive Disorder not listed in Part A. Major Depressive Disorder presents with impairments and restrictions that contribute to your patient's current status. 
Which parts/sections will you complete? 
(Please select all that apply.)
A. Part A - Section 1
B. Part A - Section 2
C. Part A - Section 3
D. Part B
Test your knowledge: Case 1
Based on the available medical and other evidence in your patient's chart, you conclude that:
Impairments and restrictions listed in Section 1 of Part A associated with Coronary Artery Disease do not show clinically significant improvement.
Prognosis for Coronary Artery Disease is to deteriorate.
Your patient is also diagnosed with Major Depressive Disorder not listed in Part A. Major Depressive Disorder presents with impairments and restrictions that contribute to your patient's current status. 
Which parts/sections will you complete? 
(Please select all that apply on the right.)
A. Part A - Section 1
B. Part A - Section 2
C. Part A - Section 3
D. Part B
Again, which parts/sections will you complete?
Select all that apply.

47. Case 1 Answer
Correct answer is A. and C. You will complete Part A Section 1 and Part A Section C.
Case 1 Answer
Correct answer is A. and C. You will complete Part A Section 1 and Part A Section C.

48. Test your knowledge: Case 2
Based on the available medical and other evidence in your patient's chart, you conclude that:
Impairments and restrictions listed in Section 1 of Part A associated with Coronary Artery Disease show clinically significant improvement.
Prognosis for Coronary Artery Disease is unknown.
Your patient is also diagnosed with Major Depressive Disorder not listed in Part A. Major Depressive Disorder presents with impairments and restrictions that contribute to your patient's current status. 
Which parts/sections will you complete? 
(Please select all that apply.)
A. Part A - Section 1
B. Part A - Section 2
C. Part A - Section 3
D. Part B
Test your knowledge: Case 2
Based on the available medical and other evidence in your patient's chart, you can conclude that:
Impairments and restrictions listed in Section 1 of Part A associated with Coronary Artery Disease show clinically significant improvement.
Prognosis for Coronary Artery Disease is unknown.
Your patient is also diagnosed with Major Depressive Disorder not listed in Part A. Major Depressive Disorder presents with impairments and restrictions that contribute to your patient's current status. 
Which parts/sections will you complete? 
(Please select all that apply on the right.)
A. Part A - Section 1
B. Part A - Section 2
C. Part A - Section 3
D. Part B
Again, please select all that apply.

49. Case 2 Answer
Correct answer is A, B, C and D. You will complete Part A Sections 1, 2 and 3, and Part B.
Case 2 Answer
Correct answer is A, B, C and D. You will complete Part A Sections 1, 2 and 3, and Part B.

50. Thank You
Thank you for taking the time to test your knowledge! Please move ahead to the last closing slide.
Thank you for taking the time to test your knowledge! Please move ahead to the last closing slide.

51. 7 ___________________________ Short Survey: Click here to begin survey
Topic 7 of the Medical Review Training Course: Survey
Congratulations, you are now at the end of the training seminar. Please take the time to complete this short survey included on this slide. Thank you and we value your feedback!