A-29, r. 4 - Regulation respecting devices which compensate for a physical deficiency and are insured under the Health Insurance Act

Section 30 Disposition versions

2019-01-01

30. The Board also assumes the cost of purchase, replacement, fitting or repair of an insured device or of one or a combination of its components, adjustments or supplements that is furnished to an insured person in Québec by an institution in the hospital or rehabilitation centre for persons with a physical deficiency operated by the latter or by a laboratory under subparagraph 1 of the first paragraph of section 27, on the following additional conditions:

(1)  the technical specifications of the device have been set forth in writing by one of the following persons at the centre: a prosthesist, an orthosist or an orthotics-prosthetics technician, an occupational therapist or a physiotherapist, the latter 2 having been designated by the centre; one of those persons shall have met with the insured person for that purpose; and

(2)  in the case of a laboratory, the technical specifications of the device have been set forth in writing by one of the following persons at the laboratory: a prosthesist, an orthosist or an orthotics-prosthetics technician; one of those persons shall have met with the insured person for that purpose;

(3)  in respect of an ambulation aid, whether it is furnished to an insured person in Québec by an institution or a laboratory, a full assessment of the person’s needs certifying in writing that a specific aid is required has been carried out by a physiotherapist or occupational therapist in a centre operated by an institution referred to in the fourth paragraph where a rehabilitation program may have been drawn up and implemented for the insured person; moreover, the physiotherapist or occupational therapist has certified that the person is undergoing or has undergone rehabilitation and that the aid is nevertheless required to ensure the person’s ability to walk. In that respect, the insured person must have met with a prosthesist, an orthosist, an orthotics-prosthetics technician with the laboratory which provided the ambulation aid in Québec or, where the aid is provided by an institution, one of the latter specialists, a physiotherapist or an occupational therapist.

An orthotics-prosthetics technician is a person who holds a Diploma of College Studies in orthotics and prosthetics technology (1984) or in orthopedic ortheses and prostheses techniques (1993).

An orthosist or prosthesist is a person who holds a diploma in orthotics or prosthetics awarded before 1 July 1982 by an educational establishment recognized by the Minister of Education, Recreation and Sports or who has received a laboratory permit in orthopedic prosthetics or orthotics under the Act respecting medical laboratories and organ and tissue conservation (chapter L-0.2).

Notwithstanding section 13, for the purposes of subparagraph 3 of the first paragraph, the institution referred to in this paragraph is a public institution within the meaning of the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5) or is a private institution referred to in both sections 99 and 475 of the Act respecting health services and social services or referred to in both sections 12 and 177 of the Act respecting health services and social services for Cree Native persons.

O.C. 612-94, s. 30; O.C. 1334-98, s. 13; O.C. 1047-2000, s. 1.

2012-09-01

30. The Board also assumes the cost of purchase, replacement, fitting or repair of an insured device or of one or a combination of its components, adjustments or supplements that is furnished to an insured person in Québec by an institution in the hospital or rehabilitation centre for persons with a physical deficiency operated by the latter or by a laboratory under subparagraph 1 of the first paragraph of section 27, on the following additional conditions:

(1)  the technical specifications of the device have been set forth in writing by one of the following persons at the centre: a prosthesist, an orthosist or an orthotics-prosthetics technician, an occupational therapist or a physiotherapist, the latter 2 having been designated by the centre; one of those persons shall have met with the insured person for that purpose; and

(2)  in the case of a laboratory, the technical specifications of the device have been set forth in writing by one of the following persons at the laboratory: a prosthesist, an orthosist or an orthotics-prosthetics technician; one of those persons shall have met with the insured person for that purpose;

(3)  in respect of an ambulation aid, whether it is furnished to an insured person in Québec by an institution or a laboratory, a full assessment of the person’s needs certifying in writing that a specific aid is required has been carried out by a physiotherapist or occupational therapist in a centre operated by an institution referred to in the fourth paragraph where a rehabilitation program may have been drawn up and implemented for the insured person; moreover, the physiotherapist or occupational therapist has certified that the person is undergoing or has undergone rehabilitation and that the aid is nevertheless required to ensure the person’s ability to walk. In that respect, the insured person must have met with a prosthesist, an orthosist, an orthotics-prosthetics technician with the laboratory which provided the ambulation aid in Québec or, where the aid is provided by an institution, one of the latter specialists, a physiotherapist or an occupational therapist.

An orthotics-prosthetics technician is a person who holds a Diploma of College Studies in orthotics and prosthetics technology (1984) or in orthopedic ortheses and prostheses techniques (1993).

An orthosist or prosthesist is a person who holds a diploma in orthotics or prosthetics awarded before 1 July 1982 by an educational establishment recognized by the Minister of Education, Recreation and Sports or who has received a laboratory permit in orthopedic prosthetics or orthotics under the Act respecting medical laboratories, organ and tissue conservation and the disposal of human bodies (chapter L-0.2).

Notwithstanding section 13, for the purposes of subparagraph 3 of the first paragraph, the institution referred to in this paragraph is a public institution within the meaning of the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5) or is a private institution referred to in both sections 99 and 475 of the Act respecting health services and social services or referred to in both sections 12 and 177 of the Act respecting health services and social services for Cree Native persons.

O.C. 612-94, s. 30; O.C. 1334-98, s. 13; O.C. 1047-2000, s. 1.