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Bulletin Number



September 1, 2003

Direct inquiries to

Ministry of Health and Long-Term Care Processing Office

(See Address Below)

Physicians, Hospitals, Clinics and Laboratories



The Service Retention Initiative (SRI) Program exists to encourage physicians to maintain services in regions with a marked undersupply and to encourage specialists who provide highly subspecialized services to remain in the province.

Physicians whose threshold eligible OHIP billings [i.e. total billings, excluding: services set out in Appendix E of the Schedule of Benefits, Workplace Safety and Insurance Board (WSIB) services, and Underserviced Area Program (UAP) services] exceed the 2003/2004 threshold of $455,000 can apply for an exemption to threshold reductions through the SRI Program.

Each year, the Physician Services Committee (PSC), which is made up of representatives from the Ontario Medical Association and the Ministry of Health and Long-Term Care, reviews the SRI Program eligibility criteria. For this year, the PSC has recommended continuing with the same program criteria.

The SRI is also a program intended to encourage recruitment so that conditions of regional physician undersupply are reduced or eliminated. As a condition of enrolment, physicians must agree to assist in recruiting additional physicians to their areas. Recruitment will allow the physician to adjust his/her practice by, for example, redistributing patient services to their colleagues to avoid or minimize the effects of future threshold reductions.

Annual Application Required

All physicians who applied for admission to the 2002/2003 program will automatically be mailed an application for 2003/2004. All physicians who wish to renew their enrolment in the SRI Program must submit an application, including all required documentation as well as evidence of their efforts to satisfy the recruitment provision of their SRI Program agreement.