Bulletin Number
        November 10, 1997
Direct inquiries to
         Ministry of Health
         Processing Office

(address below)
Subject      1995 and 1996/97 OPTOMETRY UTILIZATION ADJUSTMENT
Payments to optometrists exceeded the Social Contract cap in 1995/96 and the cap amount set in 1996/97. Part of the overpayment for 95/96 was previously recovered by in-year reductions, but a total of $2.370 million is outstanding. For 96/97, the overpayment to all optometrists was $4.541 million. The combined total owed for the two years is $6.913 million.

Recovery of the total amount owing will be spread over a five month period starting with the November 1997 Remittance Advice (RA) through the March 1998 RA. Recovery will be limited to a 16% reduction of each RA payment until amounts owing have been collected. On the fifth month of recovery (March 1998 RA) all remaining amounts owing will be applied to the RA for collection.

To summarize, the monthly recovery from November 1997 to March 1998 will be 16% per RA with the following exceptions:

  1. When an individual optometrist's full recovery is achieved prior to March 1998.
  2. The recovery rate percentage on the March 1998 RA will be adjusted upward for that month if required in individual cases in order to recover the full amount owed by the optometrists.

Your utilization adjustment (UA) is shown in a message on your monthly RA. The revised UA amount is a "net" calculation based on both fiscal 95/96 and 96/97. Details based on both fiscal year calculations are shown under the "Utilization Adjustment Reconciliation" message.

Any questions regarding this adjustment should be directed to your local Ministry of Health Processing Office.

Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
    Head Office
P.O. Box 38
Kingston, ON
K7L 5J2