Regulation - LGIC

Proposed Regulatory Amendment to O. Reg. 386/99 under the Home Care and Community Services Act, 1994 (HCCSA) Relating to Direct Funding Agreements for the Purpose of Self-Directed Care (SDC)

Regulation Number(s):
Ontario Regulation 386/99
Instrument Type:
Regulation - LGIC
Bill or Act:
Home Care and Community Services Act, 1994 (HCCSA)
Summary of Decision:
Made: November 22, 2017
Filed: November 24, 2017
Published on e-Laws: November 24, 2017
Printed in The Ontario Gazette: December 9, 2017
Analysis of Regulatory Impact:
No new administrative cost for business.
Further Information:
Proposal Number:
Posting Date:
September 8, 2017
Summary of Proposal:
In May 2015, the ministry announced Patients First: A Roadmap to Strengthen Home and Community Care, a three-year plan to improve and expand home and community care. It includes 10 initiatives to achieve higher quality, more consistent, and better integrated, home and community care.

Self-Directed Care, whereby clients are able to hire their own provider, or purchase services from a provider of their choice, using funding provided directly to them, is a key initiative on the Roadmap. It is intended to provide clients and caregivers in particular circumstances with greater say in choosing a provider and how that provider delivers services. This should support continuity of care and care quality, and improve the client and caregiver experience.

The proposed regulatory amendment would:
- specify the community services that LHINs may fund when providing direct funding to, or on behalf of, a person to purchase a community service;
- identify the eligible client cohorts; and
- exempt LHINs from the current service maximums for personal support services with respect to direct funding agreements for the purpose of self-directed care entered into with, or on behalf of, adults with an Acquired Brain Injury.

The proposed amendment to the regulation would apply where the minister has approved a LHIN to provide funding to, or on behalf of, a person to purchase a community service.
Contact Address:
Abdullah BaMasoud
1075 Bay Street, 10th Floor
Toronto, ON M5S 2B1
Effective Date:
November 24, 2017