You are here

I have a medical review date from the Ontario Disability Support Program. What does this mean?

Question
I have a medical review date from the Ontario Disability Support Program. What does this mean?

Glossary

Clear language definitions to common legal terms. 

Embed this content on your website

Learn how you can embed and share Steps to Justice content on your website.

GET STARTED

Was this information helpful?

Tell us why

By submitting this form, you accept the Privacy Policy

By submitting this form, you accept the Mollom privacy policy.
Reviewed: 
May, 2017
Answer

When the Disability Adjudication Unit or the Social Benefits Tribunal decides that you’re a person with a disability, they may give you a medical review date.

They do this if they think that your health might improve.

When it’s time for your medical review, the Ontario Disability Support Program (ODSP) will check your disability or health status to see if you still qualify for income support as a person with a disability.

Medical Review Package

When the Disability Adjudication Unit is ready to do your medical review, they send you a Medical Review Package. The package has forms that have to be filled out and sent back within 90 days.

The Medical Review Package has:

  • instructions about the package
  • Summary of Disability Decision that explains why you were found to be a person with a disability
  • Medical Form Part A
  • Medical Form Part B
  • Consent to the Release of Medical and Related Information form
  • Self-Report form
  • an information sheet for health care professionals
  • a mailing envelope for the completed forms

If you can’t send the package back within the 90 days, you can ask for more time.

Steps 1 to 3 explain how to complete the forms. Step 4 explains what to do if you need more time.

Not having to prove you’re a “person with a disability”

Some people can get ODSP without having to prove that they’re a person with a disability. They don’t have to do a medical review. This is true even if at first they qualified for income support as a person with a disability.

Next steps

Body:

When the Disability Adjudication Unit does a medical review, they decide whether you still qualify for income support as a person with a disability.

They send you a Medical Review Package with forms that ask for information that they use to make their decision.

The Medical Review Package has:

  • instructions about the package
  • Summary of Disability Decision that explains why you were found to be a person with a disability
  • Medical Form Part A
  • Medical Form Part B
  • Consent to the Release of Medical and Related Information form
  • Self-Report form
  • an information sheet for health care professionals
  • a mailing envelope for the completed forms

Medical Form Part A is already partly filled in with information about you. This includes information about your medical conditions from the last time you had to show the Ontario Disability Support Program (ODSP) that you qualified for income support as a person with a disability.

Who can complete Medical Form Part A

Medical Form Part A must be completed by one of the following “approved health professionals”:

  • a family doctor or a specialist
  • a psychologist or a psychological associate
  • an optometrist
  • a nurse practitioner

Sending in only Medical Form Part A

To keep getting income support as a person with a disability, you must send in a completed Medical Form Part A.

You don’t need to send in Medical Form Part B if the health professional who completes Medical Form Part A says all of the following:

  • your medical conditions are likely to stay the same or get worse
  • your physical or mental health problems have not gotten significantly better
  • you have other medical conditions that show you’re a person with a disability and they’re not listed in Medical Form Part A

Including Medical Form Part B

There are times when it can be helpful to have a health professional complete Medical Form Part B, even if it’s not necessary.

For example, it might be helpful if you have a new medical condition that’s:

  • not listed in Medical Form Part A,
  • more serious than the medical conditions listed in Medical Form Part A, and
  • not going to get better.

To find out if completing Medical Form Part B is a good idea for you, talk to your health professional. You may also want to get legal advice.

Body:

Make sure to read Step 1 before reading this Step.

Medical Form Part B has 2 sections:

  • Health Status Report
  • Activities of Daily Living Index

Health Status Report

This must be filled out by one of the following “approved health professionals”:

  • a family doctor or a specialist
  • a psychologist or a psychological associate
  • an optometrist
  • a nurse practitioner

In the Health Status Report, your health professional lists any medical conditions you have that are not listed in Medical Form Part A.

The health professional must say whether a medical condition is likely to:

  • improve
  • stay the same
  • get worse

Or, they can say that they don’t know.

And they must give information about:

  • how a medical condition affects you, for example, how it limits your activities or stops you from doing certain things
  • how long they expect the condition to affect you
  • whether you’re affected by it all the time or some times

Activities of Daily Living Index

This must be filled out by one of the following “approved health professionals”:

  • a family doctor or a specialist
  • a psychologist or a psychological associate
  • an optometrist
  • an audiologist or a speech language pathologist
  • an occupational therapist or a physiotherapist
  • a chiropractor
  • a social worker
  • a registered nurse or a nurse practitioner

In the Activities of Daily Living Index, your health professional describes how much your health problems limit your ability to:

  • work
  • look after yourself
  • take part in activities at home and in the community

The Activities of Daily Living Index does not have to be filled out by the same health professional who fills out the Health Status Report.

For example, your family doctor may be the best person to fill out the Health Status Report. And your occupational therapist may be the best person to fill out the Activities of Daily Living Index.

Finding out more

To learn more about how the Ontario Disability Support Program decides if you’re a person with a disability, you may find it helpful to look at When I apply to the Ontario Disability Support Program, how do I prove that I have a disability?

Body:

The Medical Review Package also includes:

  • Consent to the Release of Medical Information
  • Self Report

Consent to the Release of Medical Information

This gives your health professional permission to give the Disability Adjudication Unit any medical information that supports your application.

This might include reports from specialists, psychological or other assessments, X-ray reports, and test results.

You must fill out, sign, and send in the Consent to Release Medical Information.

Self Report

This includes questions about:

  • your education
  • your work history
  • how your health problems affect you in your daily life

You don’t have to fill out the Self Report. And if you don’t have to send in Medical Form Part B, there’s no reason to fill out the Self Report.

If you want to send in the Self Report and you need help to fill it out, try to get someone who knows about your health problems to help you with it.

Body:

You send the completed forms from the Medical Review Package to the Disability Adjudication Unit.

You have 90 days to send in the forms. If you got the Medical Review Package in the mail, your deadline is 93 days from the mailing date on the envelope it came in.

In the package, there’s an envelope with the Disability Adjudication Unit’s address on it.

Your health professional should keep copies of the completed forms.

If you miss the time limit

If you don’t send the forms in within the time limit, the Ontario Disability Support Program (ODSP) may cut off or reduce your income support.

But if you need more time, you can contact the Disability Adjudication Unit and ask them to give you more time.

Explain why you need it. For example, you might need more time because you were in the hospital or in jail. Or you might not have been able to find a health professional who could complete the forms in time.

Body:

When the Disability Adjudication Unit gets your completed Medical Review Package, they:

  • look at the information, and
  • decide whether you still meet the Ontario Disability Support Program (ODSP) definition of a person with a disability.

They let you know their decision by sending you a letter in the mail.

If the Disability Adjudication Unit says that you’re still a “person with a disability”, your income support continues with no change.

If the Disability Adjudication Unit says you’re not a “person with a disability”

You’ll continue to get income support for 3 months. But after the 3 months, ODSP cuts off your income support.

You may be able to appeal the decision. But first you have to write to the Disability Adjudication Unit and ask for an internal review.

After you’ve asked for an internal review, you can appeal to the Social Benefits Tribunal.

For help appealing the decision, you may want to contact your local community legal clinic.

Learn more about this topic
CLEO (Community Legal Education Ontario/Éducation juridique communautaire Ontario)
CLEO (Community Legal Education Ontario/Éducation juridique communautaire Ontario)
Ontario Ministry of Community and Social Services

Parlez Français