Health Care Professionals: Reporting a communicable disease or event

The following is taken directly from Schedule of Benefits Physician Services Under the Health Insurance Act (PDF)

“Immediate telephone reporting - specified reportable disease to the Medical Officer of Health

Telephone reporting of a specified reportable disease to a Medical Officer of Health (MOH) is the service of immediately providing all available information to a MOH in order to comply with the requirements of the Health Protection and Promotion Act and/or any applicable regulations, and includes providing, by any method, any subsequent information to a MOH regarding a previous report related to the same reported disease within the 12 month period.

K034 Telephone reporting - specified reportable disease to a MOH: 36.00

Payment rules:

1. K034 is limited to a maximum of one service per physician, per patient, per specified reportable disease, per 12 month period.
2. K034 is only eligible for payment when the telephone report is personally rendered by the physician.
3. K034 is only eligible for payment for the following specified reportable diseases: anthrax, botulism, brucellosis, cholera, cryptosporidiosis, cyclosporiasis, diphtheria, primary viral encephalitis, food poisoning (all causes), symptomatic giardiasis, invasive haemophilus influenzae b disease, hantavirus pulmonary syndrome, hemorrhagic fevers (e.g. ebola, marburg and other viral causes), hepatitis A, lassa fever, legionellosis, listeriosis, measles, acute bacterial meningitis, invasive meningococcal disease, paratyphoid fever, plague, acute poliomyelitis, Q fever, rabies, rubella, Severe Acute Respiratory Syndrome (SARS), shigellosis, smallpox, invasive group A streptococcal infections, tularemia, typhoid fever, verotoxin-producing E. coli infection indicator conditions (e.g. haemolytic-uremic syndrome), west Nile virus illness, and yellow fever. 

Medical record requirements:

K034 is only eligible for payment if the patient record demonstrates that the required information of the report related to one of the specified reportable disease has been communicated immediately by telephone to the MOH.

Commentary:

1. For payment purposes, an immediate telephone report to a MOH includes a report provided to a delegate of a MOH under the regulation.
2. The diseases specified in association with K034 represent a subset of the reportable diseases listed in Regulation 559/91 under the Health Protection and Promotion Act. For payment purposes, the specified list of diseases has been identified as requiring an immediate telephone report.]"