Client Special Services Items

grab bars

patient lifters
(manual only)

slings

toilet aids

• Client submits M.D.'s prescription and any relevant documentation to caseworker.
• Prescription and/or supporting documentation must indicate the diagnosis which specifies the medical need for the equipment.
• If the client is on Homecare or is involved with an Occupational Therapist, information is needed regarding the manufacturer's name and model number of the specific equipment.
• Prescriptions from Chiropractors are not accepted.
• Cost quotations are not required.

• Client must submit a cost quotation outlining the repair required and the cost of repair.

orthopaedic pillows

• Client submits M.D's prescription to caseworker.
• Prescription must include the medical diagnosis which specifies the medical need for the item.
• Prescriptions from Chiropractors are not accepted.
• Cost quotations are not required.

test strips

• Covered by Ontario Drug Benefit card.

alcohol

lancets

platforms

• Client submits M.D.'s prescription to caseworker.
• M.D's prescription must specify the number of syringes and lancets used on a daily basis. If this information is not provided on the prescription, the M.D. must be contacted.
• Insulin dependent clients over the age of 65 are eligible for a yearly grant of $125.00 to purchase their syringes. Clients apply to the Monitoring for Health program through the Canadian Diabetic Association at 363-3373.
• Clients who are insulin dependent must apply for coverage of lancets through the Canadian Diabetic Association at 363-3373. C.D.A. covers 65% of the cost.
• If the method of cash payment is not appropriate (e.g. client is unable to access supplies due to their medical disability or client has a history of misspent funds), C.S.S. can order supplies for the client.

Blood Glucose Monitor (Glucometer)

• Client must submit a prescription for the glucometer (specifying non-insulin dependent) to the caseworker.
• A cost quotation is not required.

• The Monitoring for Health Program administered by the Canadian Diabetic Association will fund 65% towards the cost of the Blood Glucose Monitor. Applications can be obtained by calling 363-3373. Client must have application completed by their M.D. and their Pharmacy.
• Client must submit copy of completed C.D.A. form and an invoice or cost quotation from the pharmacy to their worker.

• Employment and Social Services does not cover drug costs not covered by client's drug card (e.g. allergy serum, Epi Pens, Hepatitis B shots). The Medical Doctor must contact O.D.B. to request Special Authorization to have this medication covered by the Drug Card.

I.V. poles

tubing

gauze

• The Assistive Devices Program (ADP) covers 75% of Enteral Feeding Supplies.
• For clients receiving Social Assistance, the Ministry of Community & Social Services (MCSS) (via ADP) will fund up to 25% of A.D.P.'s contribution. The client must advise the vendor and provide verification (i.e., monthly statement or drug card). The vendor will bill ADP for the total amount of the supplies.
• For client not receiving Social Assistance, Employment and Social Services (via Client Special Services) will fund up to 25% of A.D.P.'s contribution.
• Client submits a copy of the A.D.P. form completed by the Health Professional and the Vendor.
• Client submits a copy of the A.D.P. form and a cost quotation/invoice to the caseworker.
• For repeat orders, client submits a cost quotation or invoice to the caseworker.

• Client must submit a detailed prescription from a Chiropodist, Podiatrist or Orthopaedic Surgeon. Prescriptions are not accepted from Chiropractors. The prescription must be written on letterhead or prescription pad. The medical documentation must specify the medical condition, (diagnosed by way of a biomechanical examination). Orthotics must be medically necessary for daily use. Requests for orthotics for dependants under 14 years of age must be accompanied by a prescription from an orthopaedic surgeon or pediatrician.
• A cost quotation, on vendor's letterhead, is required. The vendor must verify the orthotics are made from a plaster cast in a professional podiatry laboratory. The cost of orthotics must not exceed $550.00. Employment and Social Services does not allow the client to pay extra costs to the vendor, over and above the $550.00 maximum.
• Orthotics last a minimum of 3 years.
• Repairs/modifications to orthotics may be considered within the three years. Supporting medical documentation and a cost estimate is required.

covered:

orthopaedic shoes

custom made shoes or boots (used in conjunction with a brace)

not covered:

walking/comfort footwear

sandals

slippers

winter boots

running/athletic shoes

• Client must submit a detailed prescription from a Chiropodist, Podiatrist or Orthopaedic Surgeon. Prescriptions are not accepted from Chiropractors. The prescription must be written on letterhead or prescription pad and must specify the medical condition which necessitates orthopaedic shoes, e.g. foot deformity, severe abnormal height discrepancy, hammertoes, acute rheumatoid arthritis, diabetic neuropathy, or foot ulcers. Abbreviations (e.g. DDD, OA) on prescriptions are not acceptable. Orthopaedic footwear is not provided for the diagnosis of pes planus (flat feet) or osteo-arthritis. Orthopaedic footwear must be medically necessary for daily use.
• A cost quotation, on vendor's letterhead, is required. Cost of non-custom orthopaedic shoes must not exceed $235.00. The quotation must include the make and model number of the shoe being quoted.
• Custom made footwear must be prescribed by a Chiropodist, Podiatrist or Orthopaedic Surgeon. Prescription must detail the medical condition which necessitates the shoes being custom made. The footwear must be made from a plaster cast. A cost quotation on vendor's letterhead is required.
• One pair of footwear is provided every 2 years. If replacement is required prior to the 2 year period, client must provide detailed medical documentation verifying a dramatic change in the medical condition and why the present shoes cannot be modified or repaired to accommodate the medical condition.

• The Assistive Devices Program (ADP) will contribute 75% up to a maximum of $500.00 toward the funding of one hearing aid every three years.
• If hearing aids are required for both ears, ADP will contribute 75% up to a maximum of $1000. toward the purchase for eligible applicants.
• Employment and Social Services will fund the remaining cost not covered by ADP for basic hearing aids only. There is no provision for telecoils or phone devices.
• Client submits ADP form, cost quotation, and Audiologist's report to caseworker.
• Replacements for damaged or lost hearing aids are not covered except in exceptional circumstances.
• Hearing Aid batteries are not covered by ADP. Employment and Social Services will only fund one package of batteries per hearing aid with the initial request. The client must assume responsibility for batteries thereafter.

• Hearing Aid batteries are not covered by ADP. Employment and Social Services will only fund one package of batteries per hearing aid with the initial request. The client must assume responsibility for batteries thereafter.

electric

• Eligibility for a hospital bed is based on the client's medical condition. Hospital beds are provided for severe medical conditions only, such as Multiple Sclerosis, congestive heart failure, or a person who is bedridden due to medical conditions.
• A detailed prescription and/or supporting documentation must include the medical condition which makes the hospital bed a necessity and must also specify if a manual or electric bed is required. The medical necessity for an electric bed must be indicated.
• Client submits M.D.'s prescription and relevant documentation to caseworker.
• Cost quotations are not required.
• Employment and Social Services does not fund Orthopaedic beds, mattresses or double sized Hospital beds.

• Client must submit a cost quotation which outlines the required repair and the cost of repair.

• The Assistive Devices Program (ADP) no longer provides a grant to persons born after July 1, 1963 to purchase incontinence supplies. Persons not on Social Assistance who received a grant previously are to contact West Park Hospital (243-3600) who has assumed the responsibility of providing them with funds to help cover the cost of the supplies. Persons under the age of 18 are to contact the Easter Seal Society, Incontinence Supplies Program at 1888-ESS-KIDS.

surgical supplies
(catheters, leg bags)

• Client submits M.D.'s prescription specifying required supplies and quantities used on a daily or monthly basis. New requests (first time request for a client) must be accompanied by a quotation which provides the manufacturer name, product number and size for each item. If the client is unable to determine the product they require and have no other resources, they may go to the current contracted vendor, Starkmans Surgical Supplies, 1243 Bathurst St. (Bathurst & Davenport Rd.) Ph # 534-8411 to obtain a quotation with specific product information and product numbers.
• Clients who receive supplies on an ongoing basis must provide updated prescriptions once per year. If there is a change to their regular order (a new item), the quotation with the product number etc., along with a new prescription will be required. A new prescription is also required where there an increase of supplies is needed.
• For a re-order of supplies, the client must contact their worker 2 to 3 weeks prior to their supplies running out.

non-wheeled walker

• Client submits M.D.'s prescription and any relevant documentation (i.e. Homecare referral or O.T.'s report for walker).
• Prescription and/or supporting documentation must indicate the diagnosis which specifies the medical need for the equipment.
• Prescriptions from a Chiropractors are not accepted.
• Cost quotations are not required.

wheeled walkers

• The Assistive Devices Program (ADP) contributes a fixed maximum contribution toward the cost of a quad cane and wheeled walker to persons meeting the medical criteria established by the Ministry of Health. The client must be assessed by an authorizer, who will assess their mobility and determine eligibility based on A.D.P's medical criteria. There may be a fee charged by the authorizer for the assessment which is the responsibility of the client. If the client does not know of an authorizer, they may contact A.D.P. (327-8804) for names of authorizers in their area.
• The client must be assessed by an authorizer, who will assess their mobility and determine eligibility based on A.D.P's medical criteria. There may be a fee charged by the authorizer for the assessment which is the responsibility of the client. If the client does not know of an authorizer, they may contact A.D.P. (327-8804) for names of authorizers in their area.
• The completed application is mailed to A.D.P. and is reviewed to determine amount of approved funding. If funding is approved, the client will receive a "Mobility Devices Approval for Funding" letter specifying the amount of approved funding. The client must take the approval letter to a vendor registered with A.D.P.
• If funding is not approved, A.D.P. will advise the client of the reason.
• For persons receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P.'s contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• Client submits copy of A.D.P. approval letter and a cost quotation from the vendor to the caseworker.
• For persons not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P.'s contribution.

customized back supports

customized braces

customized splints

extremity pumps

pressure garments

No coverage for:

Generation II Braces

Omni Braces

• There is A.D.P. eligibility for customized splints and braces which are required on a daily basis and the client meets the medical criteria established by A.D.P.
• A.D.P. also funds 75% of the cost of burn garments, pressure garments and extremity pumps if patient was born after July 1st, 1963.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution for any item covered by A.D.P. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• For clients not receiving Social Assistance, client submits completed A.D.P. form and cost quotation to caseworker.

compression stockings

lumbar/hernia supports

splints

No coverage for:

Generation II Braces

Omni Braces

• Client must submit a detailed prescription from a Medical Doctor. Prescription must be written by the M.D. on their letterhead or prescription pad and must specify the medical condition which makes the item(s) necessary. Abbreviations (e.g. DDD, OA) on prescriptions are not acceptable. The prescribed item must be necessary for daily use.
• Cost quotation, on vendor's letterhead, is required. The quotation must reflect each item prescribed with the manufacturer's name and product number.
• The cost of a back brace must not exceed $150.00.
• Compression stockings are provided when the prescription indicates the compression is more than 20mmHg. Cost must not exceed $150.00 per pair. Client may be provided with 2 pairs every 6 months with submission of a new prescription and cost quotation. Maternity pantyhose is not provided.
• Braces, back supports & splints may be replaced after 12 - 24 months, with submission of medical documentation (verifying a replacement is required) and a cost quotation. Cost of a back support must not exceed $150.00.

• Clients who have a permanent ostomy must apply for a grant through the Assistive Devices Program (ADP) (416-327-8804) to purchase their supplies. The yearly $600.00 grant (or $800.00 if the client is receiving Social Assistance) is paid in two installments, six months apart.
• If client requires supplies pending their next installment, they must submit:
  • copies of itemized receipts which verify the grant was spent on ostomy supplies
  • list of required supplies, including quantities and product numbers
  • date when next installment is expected
  • M.D.'s prescription
• Cost quotations are not required.
• A.D.P. will not provide funding for persons who have a temporary ostomy (required for a maximum of six months).
• Clients must submit a prescription from their Medical Doctor which specifies the ostomy is temporary and the length of time the supplies will be required. A list of required supplies, including product numbers and quantities, is also needed.

• The Ministry of Health provides oxygen and oxygen equipment under the Ontario Drug Program for persons who meet the medical criteria.

breast

• The Assistive Devices Program provides up to 75% funding of a Breast Prosthesis. There is no A.D.P. funding for the mastectomy bras.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement). Employment and Social Services will pay the remaining portion not covered by ADP/MCSS and the cost of two mastectomy bras.
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund the portion not covered by A.D.P. and the cost of 2 bras.
• Clients must submit a copy of the A.D.P. form for the breast prosthesis and a cost quotation for the mastectomy bras.

ocular (eye)

• The Assistive Devices Program funds up to 75% of the cost of an ocular (eye) prosthesis.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement). Employment and Social Services will pay the remaining portion not covered by ADP/MCSS where there is an outstanding balance.
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund the portion not covered by A.D.P.
• Employment and Social Services also provides funding for repairs and cleaning of the prosthesis as it is not covered by A.D.P. A cost quotation/invoice is required.

limbs

• The Assistive Devices Program provides up to 75% funding of a Prosthesis.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement.)
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P's contribution.
• Clients must submit the A.D.P. form for the prosthesis, a cost quotation and any other information provided by the vendor which pertains to the prosthesis.
• There may be extra features for the prosthesis (e.g. sach foot) which A.D.P. does not fund. The vendor must provide information regarding the need for the features and a cost quotation. Employment and Social Services (via C.S.S.) will review these features for program eligibility as there are some features Employment and Social Services will not fund.
• Accessories for the prosthesis (e.g. stump socks, sheaths) are not funded by A.D.P. Employment and Social Services will fund these items as required. A cost quotation is required from the vendor.

repairs

• A.D.P. will fund up to 75% of repairs only when each individual repair exceeds $100.00.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P's contribution
• Client must submit the A.D.P. form or cost quotation to caseworker.
• For repairs not covered by A.D.P., the client must submit a cost quotation from the vendor which outlines the repair required and the cost of the repair.

breast pumps

• Employment and Social Services will fund the rental of breast pumps where there is medical need (ie. premature baby still in hospital).
• Client must submit medical documentation, which outlines the medical need for the breast pump and the length of time the pump is required, along with a cost quotation from the hospital or vendor (if not rented from the hospital).

• Aerochambers are not funded by the Assistive Devices Program (ADP).
• Client must submit an M.D.'s prescription, detailing the medical necessity of the aerochamber, and a cost quotation.

• The Assistive Devices Program funds 75% of the cost of the monitors for infants to a maximum of 3 months.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P's contribution.
• Client must submit the A.D.P. form and an invoice/cost quotation to F.W.

• Children under the age of 9 qualify for funding from the Assistive Devices Program for 75% of the cost of Compressors and Nebulizers.
• If the parent/guardian is in receipt of Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client (parent or guardian) must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• If the parent/guardian is not in receipt of Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P's contribution. Client is to submit the A.D.P form and cost quotation to caseworker.
• There is no A.D.P. coverage for persons over the age of 9 who require a compressor or nebulizer.
• Client must submit M.D prescription which provides the medical diagnosis and a cost quotation for the compressor/nebulizer to caseworker.

• The Assistive Devices Program will fund up to a maximum of $1200.00 for a CPAP machine for persons who meet the medical criteria established by A.D.P.
• For clients receiving Social Assistance, MCSS (via ADP) will fund a maximum of $400.00 (25% of A.D.P contribution). The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund $400.00 (25% of A.D.P's contribution).
• Client submits A.D.P. form and the invoice/cost quotation to caseworker.

• The Assistive Devices Program no longer provides funding for supplies used in conjunction with the CPAP machines.
• Client must submit a cost quotation for the supplies as required (normally a three month supply).

• Social Services will fund a humidifier only when it is used in conjunction with a CPAP machine.
• Client must submit medical documentation to verify the Humidifier is used in conjunction with a CPAP machine.

tracheotomy supplies

• The Assistive Devices Program provides funding of 75% of the cost of a suction machine and most supplies.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement)
• Client must submit A.D.P. form and cost quotation/invoice to caseworker.
• The Assistive Devices Program does not provide funding for some accessories.
• Client must submit a cost quotation for the supplies as required (normally a three month supply).

• The Assistive Devices Program contributes a fixed maximum contribution ($2400.00) towards the cost of a scooter to persons meeting the medical criteria established by the Ministry of Health. The client must be assessed by an authorizer who will assess their mobility and determine eligibility based on A.D.P.'s medical criteria. The authorizer will complete the application by prescribing the equipment and features. There may be a fee charged by the authorizer for the assessment. This fee is the responsibility of the client. If the client does not know of an authorizer, they may contact A.D.P. at 327-8804 for names of authorizers in their area.
• The completed application is mailed to A.D.P. and a determination is made regarding the amount of funding. The customer will be sent a "Mobility Devices Approved for Funding" letter indicating the approved amount. This process takes approximately 4 - 6 weeks.
• When the client receives the A.D.P. approval, they must take this to a A.D.P. registered vendor. The client should shop around among vendors as prices may vary
• If funding is not approved, ADP will advise the client of the reason.
• A.D.P. does not provide coverage for batteries, warranties or repairs.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P.’s contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement).
• Client submits a copy of the A.D.P. funding approval letter and vendor's cost quotation to caseworker
• For clients not receiving Social Assistance, Employment and Social Services (via C.S.S.) will fund up to 25% of A.D.P.’s contribution plus the cost of batteries.
• Client submits copy of A.D.P. funding approval letter and vendor's cost quotation to caseworker.

• The Assistive Devices Program contributes a fixed maximum contribution toward the cost of a primary wheelchair to persons meeting the medical criteria established by the Ministry of Health. The client must be assessed by an authorizer who will determine their eligibility based on their medical condition and the medical criteria established by A.D.P. The authorizer will complete the application by prescribing equipment and necessary features. There may be a fee charged by the authorizer for the assessment. This fee is the responsibility of the client. If the client does not know of an authorizer, they may contact A.D.P. (327-8804) for names of authorizers in their area.
• The completed application is mailed to A.D.P. and a determination is made regarding the amount of funding. The client will be issued a "Mobility Devices Approved for Funding" letter which specifies the maximum amount ADP will pay. The application approval takes approximately 4-6 weeks.
• Once the funding approval notice is received by the client, they must take their copy of the application and the approval letter to an A.D.P. registered vendor. The client should shop around among vendors as prices may vary.
• If funding is not approved, ADP will advise the client of the reason.
• A.D.P. does not provide coverage for batteries, some accessories, warranties and repairs.
• For clients receiving Social Assistance, MCSS (via ADP) will fund up to 25% of A.D.P.’s contribution. The client must advise the vendor they are receiving Social Assistance and provide verification (ie. Drug card or monthly statement). Employment and Social Services will fund the cost of the batteries only.
• Client submits a copy of the A.D.P. funding approval letter and vendor's cost quotation to caseworker.
• For clients not receiving Social Assistance, Social Services (via C.S.S.) will fund up to 25% of A.D.P.’s contribution plus the cost of batteries.
• Client submits copy of A.D.P. funding approval letter and vendor's cost quotation to caseworker.

• Client must contact their worker to request a repair to their wheelchair/scooter. They must be specific regarding the repair required (ie. flat tire, batteries not charging). The repair must affect the mobility of the chair (e.g. a loose or broken basket is not considered a repair).
• Except in emergency situations (after hours or on weekends), prior authorization for repairs from the worker is required. Client's contacting suppliers directly to have their chair repaired will be responsible for the cost of the repair.
• Where the vendor determines the cost of repairs exceed $500.00, the vendor must send a written quotation to C.S.S. for approval.
• Clients who have specific power tilt chairs which were purchased through A.D.P’s Central Equipment Pool must contact Carol Parson directly at the Special Needs Unit, phone number #392-8552 to request repairs to their chair. A specific location of Shoppers Home Health Care will be contacted to complete the repair. Any repair completed by other vendors will void the warranty. Clients with this particular procedure have been informed by the Special Needs Unit.

Authorized Repair Companies