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What
is the Assistive Devices Program
The Ontario Ministry of Health runs
the Assitive Devices Program (ADP) to help people who have long term
physical disabilities get needed equipment and supplies.
In some cases ADP pays up to 75 per
cent of the cost items like artificial limbs, orthopaedic braces,
wheelchairs and breathing aids.
In other cases, such as hearing
aids for adults and breast prostheses, ADP contributes a fixed
amount.
For some kinds of supplies, such as
ostomy and incontinence supplies and needles and syringes for
insulin-dependent seniors, ADP pays an annual grant directly to the
person.
Who can apply for
this help?
Any Ontario resident who has a
long-term physical disability and a valid Health Card issued in his
or her name.
At one time, ADP served only young
people. Today, its coverage has been extended to people of all
ages. However, some items still restricted to certain age
groups.
Fact sheets on each category of
equipment specify any age limits. They also spell out medical
conditions people must meet to get help in paying for equipment.
Are there income
limits for ADP assistance?
No. You are eligible for ADP
whatever your income.
What if I received
benefits from Workers' Compensation or Department of Veterans
Affairs (DVA)?
ADP does not pay for equipment
available under Workers' Compensation or to Group 'A' veterans for
their pensioned conditions.
I have learning
disability. Can I get ADP help?
Not unless you also have a physical
disability that requires the use of the device you are applying for.
What if the
Ministry of Community and Social Services once paid for an assitive
device now covered by ADP?
Contact your representative at that
ministry before you order your equipment through ADP.
What types of
equipment does ADP cover?
Twelve categories of equipment are
covered by ADP:
° Communication Devices°
° Diabetes Supplies
° Enteral Feeding Supplies
° Hearing Devics
° Incontinence Supplies
° Orthotic Devices
° Ostomy Devices
° Pressure Modification Devices
° Prosthetic Devices (Breast, Limb, Ocular, Maxillofacial)
° Respiratory Devices
° Visual Devices
° Wheelchairs, Positioning and Ambulation Aids
The fact sheet for each equipment
category lists the devices and supplies eligible for ADP funding.
How do I apply for
ADP assistance?
The steps are listed in the fact
sheet or application form for each category. Everyone must
start with an application form or authorization form. You fill
in part of the form. The rest will be filled in by other
people.
If a medical
assessment is required, who does it?
Usually a medical doctor who
specializes in caring for people with your type of disablity.
Some people may also be assessed by a team of health care
professionals. After examining you, the doctor will describe
or confirm your physical problem on the form. You will be
asked to sign the form so your doctor can release your diagnosis to
people who will help you select devices best suited to your needs.
If you can't sign the form because of your disability, a family
member, legal guardian or trustee may sign it for you.
What happens next?
Usually, your doctor will refer you
to an "authorizer". This is a health care
professional registered with ADP. He or she is trained to work
with people who have your physical condition.
The authorizer will assess whether
you meet ADP funding the criteria and help you decide which device
is best for you. He or she will then describe which deivce is
best for you. He or she will then describe on the form the
equipment you need.
Some types of equipment, such as
artificial limbs and certain communication devices, are complex to
design. A team of skilled specialists has to assess your
needs. In this case, you will be referred to a clinic approved
by ADP. A member of the clinic team will act as an authorizer
and complete the form for you.
After filling in the appropriate
section, the authorizer gives you the form to take to a
supplier to get your equipment. In some cases, the form is
sent to ADP for approval before you purchase your equipment.
Where do I find a
supplier of my approved equipment?
You can usually get your device
from a supplier who is a registered vendor with ADP. However,
if the device must be custom-made, you will be referred to a
professional trained to make it. These professionals are also
registered with ADP.
What is a
registered vendor?
A supplier who is approved by ADP.
ADP-registered vendors agree to
carry a wide range of products and have skilled staff to answer your
questions.
Some ADP-registered vendors can
make a device designed to meet your special needs.
Can I get my
equipment from a supplier not registered with ADP?
Most devices are covered by ADP
only if they are bought from a registered vendor. The few
exceptions to this are explained in the fact sheets.
Who does the
supplier bill for my equipment?
Registered vendors bill ADP
directly for its parts of the approved cost of your equipment.
You pay your part directly to the vendor.
Do I own the
assistive devices I get through ADP?
Most devices, yes. Some items
are bought by ADP and lent or rented to clients. Information
about this can be found in the fact sheets.
What if I want to
buy a piece of equipment outside Ontario?
Most of the time you must buy your
equipment from ADP-registered vendor in Ontario. However, a
few vendors in nearby provinces are registered. This makes it
possible for people who live in northwestern Ontario, for example,
to buy their devices and supplies from Manitoba vendors registered
with ADP.
The program encourages people to buy devices manufactured in Canada.
If I need to
replace devices covered by ADP, who pays for them?
If your doctor or authorizer says
your equipment is no longer suitable because of a change in your
condition or size, ADP will contribute to the cost of replacing it.
If your equipment is worn out,
beyond repair at a reasonable cost, ADP will pay up to 75 percent of
the cost of replacement at the end of a certain time period.
This period is listed in most fact sheets.
ADP will not pay for replacement of
equipment that is lost, stolen or damaged due to misuse before the
minimum replacement period is up. Clients are encouraged to
buy insurance to cover the cost of replacement in these cases.
Do forms have to be
filled out to replace my equipment?
Yes. If the equipment is
being replaced because of a change in your size or medical
condition, you must visit your physician or authorizer. He or
she will write the reason for the replacement on an authorization
form. If the equipment is being replaced at the end of the
specified replacement period, your doctor or authorizer must
complete an authorization form.
Will my insurance
company pay my share of the equipment cost?
Some insurance programs will.
Please check your insurance policy.
What if I can't
afford to pay my shared of the equipment cost?
Help is available. A number
of groups may pick up your part of the equipment expense.
These include voluntary/charitable organizations (such as the Easter
Seal Society or the March of Dimes), other provincial government
programs and some municipal social service departments. These
groups may also contribute to the cost of devices not listed in the
ADP manual.
Vocational Rehabilitation Service
clients who seeks VRS repayment for their part of the cost must get
approval from their VRS counsellor before they order a device
through ADP.
How do I find
out more about the device I need?
Our series of fact sheets gives you
details about many categories of assistive devices. Each fact
sheet lists the equipment in a specific category. It also
describes the assessment process and explains how to get the
equipment.
Who should I
contact if I have questions?
For information, write:
Assistive Devices Branch
7th Floor, 5700 Yonge Street
North York, ON M2M 4K5
Or call ADP:
Toronto: (416)327-8804
Toll-free: 1-800-268-6021
T.D.D./TTY: 1-800-387-5559
Fax: (416) 327-8192
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