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Ministry Status: Routine Monitoring and Engagement

Ontario Health Insurance Plan

OHIP Bulletins


Keeping Health Care Providers informed of payment, policy or program changes

Primary Health Care Services InfoBulletins

To:  All Primary Care Physicians

Published by:  Negotiations Branch

Date Issued:  March 9, 2017

Bulletin Number:  11171

Re:  Supporting Areas of High Physician Need

Posted Electronically Only

PDF Version Portable Document Format | 146 Kb

This INFOBulletin is a follow-up to:

These earlier INFOBulletins announced changes to the ministry's Managed Entry policy which limited registrations for physicians interested in joining or becoming a Family Health Organization (FHO) or Family Health Network (FHN) to twenty (20) physicians per month in areas of high physician need only. Further, participation in the Income Stabilization Program was limited to physicians joining a FHN or FHO in areas of high physician need.

This INFOBulletin includes an updated list of Areas of High Physician Need. The updated list is effective immediately upon posting of this INFOBulletin.

The factors considered when compiling this list include the Rurality Index for Ontario (RIO) score and family physician to population ratio. Input from Local Health Integration Networks (LHINs) based on factors associated with local demographics, socioeconomic status, population health needs and access considerations have also been incorporated.

If you are interested in applying to become a FHO or FHN physician within these areas, please contact the ministry at:


Ministry of Health and Long-Term Care
Blended Models Unit, NAMD
1075 Bay Street, 3rd Floor
Toronto, Ontario M5S 2B1

Family physicians interested in practicing in other parts of the province have a variety of different practice and compensation models available to them. These include but are not limited to: Comprehensive Care Model (CCM); Family Health Group (FHG), replacement or locum physician within a FHN or FHO and traditional fee for service. In the fall of 2015, the ministry also introduced a voluntary New Graduate Entry Program (NGEP) for new family medicine graduate physicians who wish to join a FHO or FHN that is not in an identified high physician need area.

With the approval of the ministry and/or subject to available FTE positions within models, physicians can also join Community Health Centres (CHCs), Aboriginal Health Access Centres (AHACs), Rural and Northern Physician Group Agreement (RNPGAs), Blended Salary Models (BSMs) and others.

Answers to Frequently Asked Questions about the Managed Entry policy are also available on the ministry's web site. If you have any further questions, please contact your ministry Program Analyst at 416-325-3575 or 1-866-766-0266.

To view Portable Document Format PDF files, you will need to have Adobe Acrobat® Reader installed on your computer. You can download this free software from the Adobe website.

For More Information

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