A818

PDF page 194 / A66

CONSULTATIONS AND VISITS
VIRTUAL CARE SERVICES
   DEFINITIONS:
    For the purposes of this section of the Schedule only, the following Definitions apply:
     Comprehensive Virtual Care Service means a Virtual Care Service rendered where an
     Existing/Ongoing Patient-Physician Relationship exists, and in the physicians’ professional
     opinion in accordance with accepted professional standards and practice, the person's care
     and support requirements can be effectively and appropriately delivered by Video or
     Telephone.
     Existing/Ongoing Patient-Physician Relationship means:
 1. Where a physician is providing a Virtual Care Service to a patient where there has been at least
    one insured service with a direct physical encounter between the patient and that physician
    (Family and General Practice Physician or specialist) in the preceding 24-months; or
 2. Where a physician is providing a Virtual Care Service to a patient who has signed the MOH’s
    Patient Enrollment and Consent to Release Personal Health Information form and is enrolled to
    that physician or another physician within the same group (who is signatory/locum to a MOH
    alternate funding plan agreement); or
 3. Where a specialist or GP Focused Practice Physician is providing a consultation by Video set
    out in Appendix J – Section 1, or has provided any such consultation in the preceding 24-
    months to that patient; or
     [Commentary:
     Where the visit leading to the referral for consultation has occurred virtually, it would be
     expected that the referring physician has an established relationship with the patient and that
     the clinical issue leading to the referral has been assessed in-person within the previous 12-
     months.]
     [Commentary:
     Where a physician who has been paid for a consultation for the patient for the same diagnosis
     makes a request for a referral for ongoing management of the patient, the service rendered
     following the referral is not payable as a consultation, unless the request for referral, if the
     referral is made, allows for an ongoing patient physician relationship in the context of a
     consultation by Video.]
 4. Where a physician provides any of the following services, or has provided any of the following
    services in the preceding 24-months:
            •   A920 – Medical management of early pregnancy - initial service by Video or
                Telephone,
            •   A945/C945 – Special palliative care consultation by Video,
            •   A320/C320 - Special Medical Assistance in Dying (MAID) consultation by Video,
            •   A680/C680 – Initial assessment - substance abuse by Video,
            •   A814, A817, A818 – Midwife or Aboriginal Midwife-Requested Assessments
                (MRAs) by Video,
            •   A802 – Extended midwife or Aboriginal Midwife-requested genetic assessment by
                Video,

PDF page 199 / A71

Midwife or Aboriginal Midwife-Requested Anaesthesia Assessment (MAMRAA) by Video
         Midwife or Aboriginal Midwife-Requested Anaesthesia Assessment (MAMRAA) by Video is an
         assessment of a mother or newborn provided by an anaesthesiologist upon the written request
         of a midwife or Aboriginal Midwife because of the complex, obscure or serious nature of the
         patient’s problem and is payable to an anaesthesiologist for such an assessment in any setting.
       Urgent or emergency requests may be initiated verbally but must subsequently be requested in
       writing. The written request must be retained on the patient’s permanent medical record. The
       MRAA must include the common and specific elements of a specific assessment by Video and
       the physician must submit his/her findings, opinions and recommendations verbally to the
       midwife or Aboriginal Midwife and in writing to both the midwife or Aboriginal Midwife and the
       patient’s primary care physician or nurse practitioner, if applicable. Maximum one MAMRAA
       (A818 or A816) per patient per anaesthesiologist per pregnancy.
   A818 Midwife or Aboriginal Midwife-Requested Anaesthesia
             Assessment (MAMRAA) by Video......................................       106.80

PDF page 826 / AJ2

APPENDIX J
VIDEO ONLY
     A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
     A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
     A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
     A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
     A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
     A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
     A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
     A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
     A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
     A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
     A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
     A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
     A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
     A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
     A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
     A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
     A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
     C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
     C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
     C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
     C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
     C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
     C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
     C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
     C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
     C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
     C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
     C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
     C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
     C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
     C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
     C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
     C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
     C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
     C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
     C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
     C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
     C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
     C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
     C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
     C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
     W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
     W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
     W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
     W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
     W795A, W895A, W925A

Master, record 304. Record Layout PDF, page 1.

A81820250601999999990000000000000000000000000010680000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.