Regulation - LGIC

Proposed Amendments to Regulation- 386/99 under the Home Care and Community Services Act, 1994 relating to the Provision of Personal Support Services by Approved Agencies

Regulation Number(s):
Instrument Type:
Regulation - LGIC
Bill or Act:
Home Care and Community Services Act, 1994
Summary of Decision:
Made: March 26, 2014
Filed: May 1, 2014
Published on e-Laws: May 1, 2014
Printed in The Ontario Gazette: May 17, 2014
Analysis of Regulatory Impact:
No new administrative cost for business.
Further Information:
Proposal Number:
Posting Date:
December 18, 2012
Summary of Proposal:
Over the next three years, Ontario will help 90,000 more seniors get the care they need to live comfortably in their own homes by adding three million more hours of personal support services. This is part of the government's Action Plan for Health Care to ensure access to the right care, at the right time, and in the right place. To assist in the delivery of these additional hours, a policy change was approved to allow agencies which have traditionally provided only community support services (CSS agencies), to be approved by the Ministry of Health and Long-Term Care upon the recommendation of the Local Health Integration Network, to provide personal support services provided that the agency meets the criteria for approval under the Home Care and Community Services Act, 1994 (HCCSA).

The Ministry of Health and Long-Term Care is seeking public feedback on proposed amendments to Regulation 386/99 under the HCCSA to set out the eligibility criteria and service maximums for personal support services provided by these agencies.

The eligibility criteria would be similar to the current criteria set out in the Regulation for Community Care Access Centres (CCACs) including:
- The client must be insured under the Health Insurance Act;
- The place where the services will be provided must have the necessary physical features to allow for the service provision; and
- There must not be a significant risk of serious physical harm to the service provider, or if the risk is significant, the service provider must be able to take reasonable steps to reduce the risk so that it is no longer significant.

The service maximums would be similar to the criteria set out in the regulations for CCACs including:
- Personal support services provided to a person at his or her place of residence:
120 hours, in the first 30 days of service;
90 hours, in any subsequent 30-day period.
- However, these agencies would not be able to provide more than these amounts of services in extraordinary circumstances.

Contact Address:
Ministry of Health and Long-Term Care
Health System Strategy and Policy Division
Health Policy and Care Standards Branch
56 Wellesley St., 9th floor
Toronto, ON
M5S 2S3
Effective Date:
July 1, 2014