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Aging Gracefully across Environments using Technology to Support Wellness, Engagement and Long Life Workpackage 8 – ETHICS-TECH Project 8.2: Aging, Disability and Technology – Understanding and Advancing Canadian Policies for Technology Access Access to Assistive Technology in Canada: A Jurisdictional Scan of Programs June 30, 2017 (FINAL)

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Aging Gracefully across Environments using Technology to Support Wellness, Engagement and Long Life

Workpackage 8 – ETHICS-TECH

Project 8.2: Aging, Disability and Technology – Understanding and Advancing Canadian

Policies for Technology Access

Access to Assistive Technology in Canada: A Jurisdictional Scan of Programs

June 30, 2017

(FINAL)

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 2

CONTENTS

PREFACE ________________________________________________________________________ 3

CONTRIBUTORS _________________________________________________________________ 5

Primary Authors _______________________________________________________________________ 5

Contributing Authors ___________________________________________________________________ 5

Contributors ___________________________________________________________________________ 5

Acknowledgements ______________________________________________________________________ 5

1. EXECUTIVE SUMMARY ________________________________________________________ 6

2. INTRODUCTION _______________________________________________________________ 7

Purpose _______________________________________________________________________________ 7

Background ____________________________________________________________________________ 7

Disability in Canada ____________________________________________________________________________ 7

Assistive Technology ____________________________________________________________________________ 8

Unmet Needs for Assistive Technology ______________________________________________________________ 8

3. METHODS ____________________________________________________________________ 9

Overview ______________________________________________________________________________ 9

Research Question ______________________________________________________________________ 9

Scope of Jurisdictional Scan _____________________________________________________________ 10

Key Questions _________________________________________________________________________ 10

Data Searches and Charting _____________________________________________________________ 11

Summary of Findings and Analysis _______________________________________________________ 11

4. RESULTS ____________________________________________________________________ 14

Appendices – Data Tables by Jurisdiction __________________________________________________ 14

Planned Data Analyses and Analyses in Progress ____________________________________________ 14

5. DISCUSSION _________________________________________________________________ 14

Overview of Some Preliminary Findings ___________________________________________________ 14

Strengths and Limitations _______________________________________________________________ 16

6. SIGNIFICANCE AND CONCLUSIONS ___________________________________________ 16

7. REFERENCES ________________________________________________________________ 17

8. APPENDICES _________________________________________________________________ 18

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 3

PREFACE

AGE-WELL NCE (Aging Gracefully across Environments using Technology to Support Wellness,

Engagement and Long Life Network of Centres of Excellence, Incorporated) is a Canadian

government-funded network that launched in 2015. AGE-WELL NCE focuses on technologies and

services that can benefit older adults and caregivers by promoting independence and contributing to

health and quality of life. Research within AGE-WELL NCE encompasses eight Workpackages and

four Crosscutting Activities.

This jurisdictional scan report is part of Workpackage 8 ETHICS-TECH, specifically Project 8.2:

Aging, Disability and Technology (ADT) - Understanding and Advancing Canadian Policies for

Technology Access. The project is a collaboration between AGE-WELL NCE investigators and the

network partner March of Dimes Canada. The focus of the project is to examine ethical concerns (e.g.

equity of distribution) in the availability of technology and services for Canadians. The project also

addresses the need for equitable access to assistive technology in Canada in order to respect human

rights and meet individuals’ needs, including those of persons aging without disability, acquiring

disability as they age, or aging with disability.

To examine access, the project includes a survey or scan of current assistive-technology programs

offered by governments as well as charity organizations across Canada. The scan covers 14 federal,

provincial, and territorial jurisdictions. As a snapshot of current programs across Canada, the scan

presents an overview of:

programs providing assistive devices;

devices and services that are provided;

funding or services that are offered;

eligibility criteria;

service providers;

processes for acquiring devices or services; and

restrictions about what devices or services are provided.

Though the report is intended to be as comprehensive as possible at the time of its completion, the scan

results tables need to be viewed as living documents requiring updates as programs change and

additional information or omissions are identified. The information included is not intended to

substitute up-to-date information posted on the programs’ websites or program-specific advice directly

provided by the relevant organizations. While potentially useful, no plans have yet been made to

develop a searchable database using the contents of this report or to establish mechanisms to ensure

that such a database is maintained.

This report is likely to be valuable to a number of stakeholders, including government policymakers;

non-profit or charitable organizations; academic researchers; assistive technology manufacturers,

distributors or vendors; healthcare planners and providers; advocacy groups; and consumers. Analysis

of the scan findings will inform more in-depth exploration of approaches to bridge gaps, and contribute

to efforts to address access issues with changes in government policy, program and service planning, as

well as systematic coordination across sectors. The scan findings can also guide research agendas to

evaluate evidence for the effectiveness of assistive devices that are commercially available, but are not

funded through existing programs. Research and development of innovative solutions for devices or

services to address unmet needs can also be stimulated. Finally, a consolidated list of existing programs

across Canada (as is found in this report) can assist healthcare providers and consumers to better

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 4

navigate complex assistive technology funding systems and services, and may ultimately inspire

greater advocacy efforts. However, to be most useful, the information contained in this report will need

to be continually updated and made available in a way that is easily accessible by healthcare providers

and consumers.

We hope that you will find this report useful and we welcome any feedback and comments to further

the discussion on assistive technology access in Canada.

Rosalie Wang, PhD, OT Reg. (Ont.)

University of Toronto

[email protected]

WP 8.2 Project Co-Leads

Michael Wilson, PhD

McMaster Health Forum

[email protected]

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 5

CONTRIBUTORS

Primary Authors

Daphne Schreiber, MSc, March of Dimes Canada

Rosalie H. Wang, PhD, OT Reg. (Ont.), University of Toronto

Contributing Authors

Evelyne Durocher, PhD, OT Reg. (Ont.), University of Toronto

Michael G. Wilson, PhD, McMaster University

Contributors

Hajer Chalghoumi, PhD, University of Ottawa

Amélie Gauthier-Beaupré, MSc (c), University of Ottawa

Madalina Oancea, MSc. (OT) (c), University of Toronto

Funding

The project was funded by AGE-WELL NCE with in-kind contributions from March of Dimes Canada.

Acknowledgements The authors wish to thank the following AGE-WELL NCE members for their assistance in reviewing

the report and providing their invaluable feedback: Jerome Bickenbach, Andria Spindel, Paul Stolee,

Don Juzwishin, and Thomas Hadjistavropoulos. The authors gratefully acknowledge Claudine Auger,

Virginie Cobigo, Maxine Perrin, and Crislee Dignard for their assistance.

The following content experts are also acknowledged for their assistance in reviewing programs within

their jurisdictions: Emma Smith, Ben Mortenson, Cherry Nixdorf, Ed Giesbrecht, Kim Adams, Jennifer

Fahey, Joanne Hanlon, Cher Smith, Pearl Gryfe, Karen Hall, Andrew Campbell, Stephen Chan,

Claudine Auger, Michelle Plante, Dominique Gelinas Bronsard, and Pam Becker.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 6

1. EXECUTIVE SUMMARY

Assistive technology can contribute to enabling individuals living with a disability to engage or

participate in valued activities (e.g. personal daily activities, communication, mobility, employment).

However, in Canada, unmet needs for assistive devices persist and multiple barriers have been reported

by individuals in accessing needed assistive devices. To examine patterns and gaps in assistive

technology programs and ultimately to identify approaches to support more equitable access, we

conducted a detailed cross-Canada jurisdictional scan of current assistive technology programs that are

offered by government as well as charity organizations.

To ensure a systematic approach in identifying, documenting, and synthesizing information in the scan,

we used established frameworks for scoping reviews to guide the conduct of our jurisdictional scan.

We collected data from government and charity organizations in 14 jurisdictions (10 provinces, 3

territories and Canada-wide). We documented the following information: names and jurisdictions of

the government and charity organization programs; assistive technology devices covered under the

program; funding availability for assistive technology devices and how the funding system works;

availability and nature of assistive technology services; the eligibility criteria for the program; the

providers or authorizers for the funding and/or services; and the restrictions on the assistive technology

devices that are provided.

Additional analyses are planned using the data generated through this scan and will examine patterns

and gaps in assistive technology programs with respect to access; justice and equity in Canadian

programs governing access and funding of assistive technology devices and services; and variations in

the definitions of disability and assistive technology that are used in legislation and the implications for

policies, programs and access.

A comprehensive jurisdictional scan of funding and service programs for assistive technology across

Canada has not been previously completed. The findings from this jurisdictional scan will have

implications for Canadians living with disability, older adults, caregivers, government policymakers,

charity organizations, researchers, industry and others who have a stake in enhancing equitable access

to assistive technologies for Canadians. The outcomes of this jurisdictional scan can inform efforts to

better align programs and services with the societal values of Canadians to improve assistive

technology access through policy implementation.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 7

2. INTRODUCTION

Purpose

The purpose of this jurisdictional scan is to survey current assistive technology programs that are

offered by government as well as charity organizations across Canada. We include all programs that

provide assistive technology devices and services to such devices in order to examine patterns and gaps

in programs and ultimately to identify approaches to support more equitable access.

Background

The demographics in Canada are rapidly changing as the proportion of individuals over the age of 65

increases. The change in the number of seniors is primarily due to the aging of the baby boomer

generation (those born between 1946-1965), increased life expectancy, and trends towards families

having fewer children (Statistics Canada, 2015a). In 2015, approximately one in six Canadians were

aged 65 years and older (Statistics Canada, 2015a). It is estimated that by 2030, one in four Canadians

will be aged 65 years and older (Statistics Canada, 2014).

Disability in Canada

Though definitions of disability vary within Canadian legislation and policy, the Government of

Canada advises use of the definition set out by the United Nations Convention on the Rights of Persons

with Disabilities (UN-CRPD) (United Nations (UN), 2006). According to the CRPD, disability is

viewed as dynamic and “results from the interaction between persons with impairments and attitudinal

and environmental barriers that hinders their full and effective participation in society on an equal basis

with others” (p.1) (United Nations (UN), 2006). Further, “persons with disabilities include those who

have long-term physical, mental, intellectual, or sensory impairments, which in interaction with various

barriers may hinder their full and effective participation in society on an equal basis with others” (p.4)

(United Nations (UN), 2006).

While many Canadians are living longer and remaining healthy and active as they age, the likelihood of

having multiple chronic health conditions that can result in disability rises with age (Public Health

Agency of Canada, 2010). According to the 2012 Canadian Survey on Disability, 14% of community-

dwelling Canadians (15 years and older) reported living with a disability (Statistics Canada, 2017a).

The prevalence of disability increased from 4% in young adults to 33% in those aged 65 years and

older, with an average age of onset of 43 years (Statistics Canada, 2017a). The ten most commonly

reported disability types reported in the survey, in order of prevalence, included difficulties with pain,

flexibility, mobility, mental health, dexterity, hearing, seeing, learning, memory, and developmental

concerns (Statistics Canada, 2017a). Using the disability types delineated in the survey, 75% of

Canadians living with disability reported having more than one disability type.

Beyond potential consequences for health and well-being, disability can have multiple socio-economic

implications for individuals (e.g. educational attainment, employment, income) and for society in terms

of potential resources and supports that are needed for individuals to fully participate in and contribute

to their communities. Further, with the aging of the baby boomer generation, a cohort that tends to have

greater education levels and income in comparison to previous cohorts, it is expected that the number

of potential healthcare service users will increase, as will demands for higher-quality services

(Canadian Medical Association, 2014; Statistics Canada, 2009, 2015b). With pressures to minimize the

impact of disability on individuals while ensuring sustainability in health and social services, a

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 8

significant role can be played by modifying tasks or activities and environmental factors, which can

often be achieved through the use of assistive technology.

Assistive Technology

Assistive technologies can contribute to enabling individuals living with a disability to engage or

participate in valued activities (e.g. personal daily activities, communication, mobility, employment).

In Canada, 81% of individuals living with a disability reported using at least one aid or device to assist

them to more fully participate in society (Statistics Canada, 2017a). The Canada Health Act 1985

generally states that health care policy in Canada aims to “protect, promote and restore the physical and

mental well-being of residents of Canada and to facilitate reasonable access to health services without

financial or other barriers” (Government of Canada, 1985). Notably, Canada does not have federal

universal legislation specific to assistive technology funding and services, and leaves legislation, if any,

to the provinces. The terms used for assistive technology and definitions for these terms vary between

pieces of legislation, policies, and programs across jurisdictions. A definition commonly used by

assistive technology specialists comes from the United States of America Assistive Technology Act

2004 (Public Law 108-364) (Congress United States of America Government, 2004). The Act defines

an assistive technology device as “any item, piece of equipment, or product system, whether acquired

commercially, modified, or customized, that is used to increase, maintain, or improve functional

capabilities of individuals with disabilities.” (29 USC 3002 (4)). The Act further defines assistive

technology services as “any service that directly assists an individual with a disability in the selection,

acquisition, or use of an assistive technology device.” (29 USC 3002 (5)).

Technological innovation can greatly assist individuals living with disability. Notably, the development

of information and communication technology, sensors, robotics and artificial intelligence have

advanced rapidly over the last several decades, and users are finding new applications in consumer

technologies (e.g. tablet computers, smart home systems) and healthcare technologies (e.g. surgical and

rehabilitation robotics, artificial intelligence based medical diagnosis). Devices and systems designed

specifically to support function in individuals living with various disabilities are also increasingly being

researched and developed.

Unmet Needs for Assistive Technology

In spite of rapid growth in innovation, unmet needs for assistive devices persist. As reported in the

2012 Canadian Survey on Disability, approximately 27% of users of aids or assistive devices indicated

needing at least one other aid or device that they did not have (Statistics Canada, 2017a). In addition,

unmet needs for aids and assistive devices increased with severity of disability, where severity of

disability was defined in relation to the number of disability types the person has, the degree of

difficulty experienced, as well as the frequency of activity limitations. For those with severe disability,

44% reported having unmet assistive device needs.

Multiple barriers to efforts to obtain needed assistive technology devices have been reported in Canada.

The cost of aids and assistive devices was cited as the most common reason for not having a needed

assistive device (Statistics Canada, 2017a). Government-funded programs do not always cover the full

cost of devices and often do not cover repairs and maintenance, necessitating consumers to pay the

remainder of the costs (Gordon, Kerzner, Sheldon, & Hansen, 2007). As the median income of adults

with a disability is $10,000 less per year than for adults without a disability, the lack of full funding

from government programs has a greater impact on persons living with disability who are already

socio-economically vulnerable (Human Resources Development Canada, 2000; Statistics Canada,

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 9

2017a). Further, as the likelihood of experiencing disability rises with age, funding for assistive devices

is critical for seniors. About 14% of Canadians aged 65 and older were also living under low-income

conditions in 2015 (Statistics Canada, 2017b) Without properly maintained or repaired devices,

consumers are at risk for managing without needed functional devices or are compelled to use devices

that are ineffective or unsafe (Gordon, et al., 2007).

A lack of availability of devices creates barriers to participation in needed (or chosen) activities, and

can result in exclusion, stigma and further marginalization (Gordon, et al., 2007). Consumers can also

experience potential health risks associated with long wait times to obtain or replace assistive

technology. Government-funded programs may also limit access to various device options that could

meet the needs of consumers, or may restrict the number of vendors providing the equipment (Gordon,

et al., 2007). These practices restrict consumer choices and can result in consumers making

compromises that do not adequately meet their needs or requirements. Such compromises can further

result in decreased functionality or even device abandonment.

A comprehensive jurisdictional scan of funding and service programs for assistive technology across

Canada, including government and charity organizations in 14 jurisdictions (10 provinces, 3 territories

and Canada-wide) has not (at least to our knowledge) been previously completed. We aimed to fill this

gap by conducting a detailed cross-Canada examination that describes disparities in access to funding

and services between jurisdictions and population groups. The findings from this jurisdictional scan

will have implications for Canadians living with disability, older adults, caregivers, government

policymakers, non-profit and charity organizations, researchers, industry and others who have a stake

in enhancing equitable access to assistive technologies for Canadians. The outcomes of this

jurisdictional scan can inform efforts to better align programs and services with the societal values of

Canadians to improve assistive technology access through policy implementation.

3. METHODS Overview

To ensure a systematic approach in identifying, documenting, and synthesizing information in the scan,

we used established frameworks for scoping reviews (Arksey & O'Malley, 2005; McColl, Robert,

Miller, & Smith, 2015; Peters et al., 2015) to guide the conduct of our jurisdictional scan. Our approach

included:

1. identifying the research question;

2. identifying the scope of the scan using the research question as a guide;

3. identifying the key questions directed by the research question and the scope of the scan;

4. collecting and charting the data according to the key questions; and

5. summarizing the findings and analyzing patterns within the data.

Research Question

What is the nature and scope of coverage of the current assistive technology programs that are offered

by government as well as charity organizations across Canada?

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 10

Scope of Jurisdictional Scan

The programs included in the scan are those that provide direct funding and/or services related to

supporting the use of assistive technologies. As the focus of AGE-WELL is on older adults, the scan is

limited to programs that serve adults rather than children. Our scope includes adults aging into and

those aging with a disability. ‘Aging into a disability’ refers to persons acquiring a disability in their

later years whereas ‘aging with a disability’ refers to persons who have a disability before reaching

their later years. Many programs are not limited to older adults but are available to adults of all ages.

We have restricted the scan to include devices and services used primarily by a person with a disability,

as opposed to devices primarily used by caregivers.

The scan is limited to programs offered by government, registered charity organizations as they supply

the majority of funding and service programs to persons living with disabilities in Canada. Programs

offered by private insurance companies are excluded because not everyone is eligible or able to pay

into these programs. Also excluded are various government programs that offer disability or wage-loss

income support because they are not specific to assistive technology. Tax credits offered by

government programs toward the purchase of devices or services are also excluded.

While many terms and definitions have been used to describe and define technology that can contribute

to health, independence and participation, consensus on terms and definitions has not yet been

achieved. For the purposes of this scan, the terms assistive technology device and service will be used

as defined by the United States of America Assistive Technology Act 2004 (Public Law 108-364)

(Congress United States of America Government, 2004). (Refer to Table 1 for definitions of the terms

as used in this report).

The types of devices covered in this jurisdictional scan include devices to support mobility,

communication, sensation (vision and hearing), cognition, and psychological and mental health.

Examples of included devices are wheelchairs, walkers, communication boards, speech generating

devices, hearing aids, visual fire alarms, FM amplifiers, white canes, magnifiers, computer access aids,

specialized software, location aids, and memory aids. Devices that are therapeutic (e.g. exercise

equipment, transcutaneous nerve stimulation devices) or medical (e.g. respiratory equipment) in nature,

as well as glasses that correct vision (considered a consumer product) are not included, nor are

building, home and vehicle modifications.

Key Questions

The key questions and data sought to address the overall research question include the following:

1. What are the names and jurisdictions of the government and charity organization programs in

Canada? For government programs, which legislation (statutes, acts, regulations or orders) govern

these programs?

2. What assistive technology devices are covered under the program?

3. Is funding provided for assistive technology devices and if so, how does the funding system work?

4. Are assistive technology services provided and, if so what services are available?

5. If funding and/or services is/are provided, what are the program’s inclusion and exclusion

(eligibility) criteria?

6. Who are the providers or authorizers for funding and/or services and what is the process?

7. Are there restrictions on the assistive technology devices that are funded or supplied, and if so,

what are the restrictions?

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 11

Data Searches and Charting

In Table 2, the key questions and sub-questions guiding the data collection are outlined. Data sources

included: government and charity organization websites, program description and policy documents,

the Canadian Legal Information Institute website (CanLII) (www.canlii.org/en/), as well as personal

communications with representatives from selected programs and content experts from across Canada.

An Internet search (using google.ca) was conducted to complete the data collection forms for each

jurisdiction. An Internet search (using combinations of terms such as “assistive technology”, “assistive

device”, disability, equipment, funding, Canada, and specific provinces or territories) identified

existing program lists created by charities, government, or other organizations in Canada. The

identified programs from these lists were then searched to collect data related to our key questions. The

program lists were used as leads to guide further searches throughout the jurisdictions. Government

websites were searched for relevant programs. When program websites referred to other programs,

those were searched. A hand search of the Internet for additional programs was also conducted. If

program information was unclear or missing, program representatives were contacted by telephone or

e-mail. Program representatives were asked if they knew of any other programs in their jurisdiction.

The latest versions of government legislation on the CanLII website were searched using the key terms

(disability or injury) and (exact (aid) or equipment or device or service). Identified pieces of legislation

were matched with the government programs where possible. Where legislation referred to a potential

program that was not already included in the data tables, a further internet search was conducted to

identify any missing programs. All data collection forms were verified by at least one other researcher.

Content experts from each jurisdiction (e.g. health care professional providers such as occupational

therapists) were contacted to independently review the collected information.

Summary of Findings and Analysis

Summarization and analysis of the findings for patterns within the data is in progress.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 12

Table 1: Definitions of terms

TERM DEFINITION

Disability

(From the Convention on the Rights of Persons with Disabilities) Preamble, p.1 “disability is an evolving concept”, “ disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others” (United Nations (UN), 2006) Article 1 Purpose, p.4 “Persons with disabilities include those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others” (United Nations (UN), 2006)

Assistive technology device

(From the United States of America Assistive Technology Act 2004 (Public Law 108-364), Section (29 USC 3002 (4)) “any item, piece of equipment, or product system, whether acquired commercially, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” (Congress United States of America Government, 2004)

Assistive technology device service

(From the United States of America Assistive Technology Act 2004 (Public Law 108-364), Section (29 USC 3002 (5)) “any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” (Congress United States of America Government, 2004)

Assistive technology device program

Program that provides individuals with assistive technology devices through provision of funds for purchase, leases or loans of devices and provides services related to these devices.

Registered charity (From the Canada Revenue Agency) “Registered charities are charitable organizations, public foundations, or private foundations that are created and resident in Canada. They must use their resources for charitable activities and have charitable purposes that fall into one or more of the following categories: the relief of poverty, the advancement of education, the advancement of religion, and other purposes that benefit the community.” (Canada Revenue Agency, 2017)

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 13

Table 2: Data collection descriptions

KEY QUESTIONS

DATA AND DESCRIPTION

1. What are the government and charity organization programs available in Canada?

Program

Name of program (in full)

Acronym if available

Links to program webpage

For government programs, under which legislation (statutes, acts, regulations or orders) do these programs belong?

Legislation

List of statutes, acts, regulations and orders governing the program

Links to the legislation

2. What assistive technology devices are covered under the program?

What devices are covered under the program?

List of devices that are covered (use their terminology, where possible)

See definition of devices used in this project to see what is included.

3. Is funding provided for assistive technology devices and if so, how does the funding system work?

Are devices funded or supplied? (Yes / No) How does the funding system work?

Whether or not the devices are funded (paid for) or supplied (e.g. provided from a pool of existing devices)

Details of funding and how the system works (e.g. co-payments)

4. Are assistive technology services provided and, if so what services are available?

Are services available and/or covered? (Yes / No) What services are available?

Whether or not services are available and/or covered (use their terminology, where possible)

List of services that are available and/or covered (e.g. assessment, training, prescription, set up, maintenance, support services)

See definition of services used in this project to see what is included

5. If funding and/or services are provided, what are the program’s inclusion and exclusion (eligibility) criteria?

What are the program’s inclusion and exclusion (eligibility) criteria?

Details of the program’s criteria – e.g. population groups, age, diagnosis, disability type (use their terminology, where possible)

6. Who are the providers or authorizers for funding and/or services and what is the process?

Who are the providers or authorizers? What is the process for provision or authorization?

Details of who (e.g. health care providers) is able to provide or authorize services

Whether a prescription is required and from whom

Whether an assessment needs to be completed by a provider or authorizer

7. Are there restrictions on the assistive technology devices that are funded or supplied, and if so, what are the restrictions?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

Describe lists or coding systems (e.g. for groups of devices) used to define what is funded or supplied

Describe any restrictions on which devices can be approved, funded or supplied

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 14

4. RESULTS

Appendices – Data Tables by Jurisdiction

Appendices 1-14 detail the data collected for each jurisdiction, which are comprised of the federal

government; each of the governments for the 10 provinces and three territories; and national, provincial

and territorial charity organizations. Each appendix includes separate tables for the following

information:

1. Government Programs

2. Government-Legislated Insurance Programs

3. Legislation Governing the Programs, and

4. Charitable Organization Programs.

Planned Data Analyses and Analyses in Progress

Additional analyses are planned using the data generated through this scan and will examine the

following:

1. patterns and gaps in assistive technology programs with respect to access to assistive technology

and whether Canada is adequately addressing the UN-CRPD in its programs;

2. justice and equity in Canadian programs governing access and funding of assistive technology;

3. variations in the definitions of disability and assistive technology that are used in legislation and the

implications for policies, programs and access;

4. review of the evidence for commercially-available technology that addresses mental health

concerns; and

5. access to assistive technology that addresses cognitive concerns.

5. DISCUSSION

Overview of Some Preliminary Findings

While detailed discussion on the analyses and interpretation of the data will be included in future

analyses, a few preliminary observations may be noted. Federal, provincial and territorial governments

offer numerous programs to provide assistive technology devices and services to Canadian adults.

Disparities are evident in multiple dimensions and these require further exploration. The most

commonly funded and serviced devices address mobility issues and ranged from wheeled walkers to

powered mobility devices. Device funding from the government for communication, vision and hearing

issues is inconsistent across provincial and territorial programs, ranging from full funding to none at

all. Service programs, however, are available to support acquisition of required devices. Little to no

funding is offered in government programs for assistive technology devices to address cognitive or

mental health concerns. Programs that support post-secondary education and employment training may

fund electronic and computer-based assistive technology devices and related software. The eligibility

criteria to receive device funding and services for similar technologies addressing similar limitations or

disabilities were highly variable between jurisdictions and programs.

A previous report focusing mainly on the province of Ontario and some national government funding

programs concluded that programs are a highly fragmented, overlapping and poorly coordinated

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 15

patchwork that is challenging for consumers to navigate (Gordon, et al., 2007). Gordon and colleagues

found that access was inequitable as a result of different funding and service-delivery mechanisms

between provincial and territorial government programs. Similar findings were described in another

report focused on government policies related to funding for wheelchairs and scooters across Canada,

which identified wide variations in funding across the country, ranging from no funding to full funding

by provincial or territorial health plans (McColl, et al., 2015; Smith, Roberts, McColl, Martin Ginis, &

Miller, in press). In particular, some provincial programs do not provide wheelchair or scooter funding

for people who reside in residential or long-term care settings despite 50% of individuals in these

environments requiring a wheelchair for mobility.

Barriers to accessing assistive technology devices and services can arise when programs are highly

variable and complex. In Canada, programs can be offered by federal, provincial or territorial

governments, legislated or private insurance, or charity organizations. Many government programs are

the payer of last resort, meaning that other programs such as private and workers’ insurance need to be

accessed prior to seeking funding from those programs. Charity organizations also play numerous

important roles in device funding and service provision. National and provincial/territorial charity

organizations collaborate with governments to provide assistive technology devices. These

collaborations may involve operating purchase or loan programs supported by government and

charitable funding. Other charities may deliver services for assistive technology devices and provide

assistance to obtain government or other funding for devices. Some charities operate loan programs for

selected types of devices while others offer grant funding to purchase devices that are not funded by

government or other programs. The availability of grant funding is dependent on the service group and

mandate of the charity organization. From a consumer perspective, navigating through assistive

technology programs to obtain what is needed can be confusing and time-consuming, and can

necessitate substantial knowledge and advocacy efforts.

Canada has an obligation as a signing and ratifying state of the UN-CRPD to make assistive

technology available and affordable, and to support use of assistive technology that can promote and

protect the human rights and fundamental freedoms by all persons with disabilities (Article 4) (United

Nations (UN), 2006) (Government of Canada, 2014). Canada does not, however, have federal

legislation that stipulates universal access to assistive technology devices and services. Specific subsets

of Canadians (e.g. veterans, refugees, Indigenous peoples) have federal provisions for assistive

technology devices and services, though these provisions are variable. Legislation, policies, and

programs providing for the remainder of Canadians through the provinces and territories are also highly

variable. Issues of inequity of access to assistive technology and the resultant inequality of opportunity

for persons with disabilities within a resource-limited system of health and social care will require

committed effort on the part multiple stakeholders in order to rectify.

The focus of this jurisdictional scan was on funding and services for currently-available assistive

technology. In exploring legislation, policy, and program changes to support equitable access to

assistive technology we need also to be cognizant of rapidly emerging technologies designed both for

persons with disabilities and for the general consumer. The increasing availability of these technologies

such as robotic exoskeletons, robotic assistants, autonomous vehicles, the Internet of things, and virtual

reality may create substantial opportunities for persons with disabilities to more fully participate in life

and society. However, the expense and complexity of new technologies may create further obstacles to

access and deepen inequalities. Creating legislation, policies, programs that address existing and new

issues of equitable access while optimizing the opportunities offered by new technologies will be a

sustained challenge.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 16

Consultations with Canadians to solicit their values and preferences, research evidence, guiding ethical

rationale, and insights from successful and unsuccessful policy and program models within Canada and

internationally will help to inform change. The convening of stakeholders, such as policymakers,

charity organizations, service provider organizations, industry representatives, among others will be

required to discuss opportunities for legislation and policy change.

Strengths and Limitations

There are several notable strengths to this jurisdictional scan of assistive technology programs.

Primarily, it is the first comprehensive pan-Canadian survey of government and charity organization

programs that provide funding and services for assistive technologies. Secondly, the survey applied a

systematic and transparent approach to collecting and documenting the data. Finally, the data provides

many opportunities for additional analyses and is well-positioned to be used by the AGE-WELL NCE

and others to support evidence-informed policy development.

Limitations related to the methods and data collection need to be outlined. During data collection, it

was apparent that publicly-available program information (e.g. on websites) was not always available

in the level of detail that was required. During the data collection and verification phases it was noted

that programs were updated and some even became inactive, as such, carrying out the same procedures

later in time likely will yield different findings. In some instances the available information did not

match what was carried out in the programs. That is, information from personal communications and

content experts indicated that in practice, many areas of the programs were open to interpretation. We

have made attempts to obtain clarification through the use of multiple sources (e.g. content experts) and

to document discrepancies where possible. Also, because definitions of disability and assistive

technology devices varied from program to program, it was not always possible to obtain comparable

information. We have used the terminology that the programs use in order to minimize interpretation

during data collection. We excluded building, home, and vehicle modifications in the scan in order to

manage the scope of the jurisdictional scan. We recognize that these modifications are needed to

comprehensively address activity and participation barriers, and thus examining these technologies will

be necessary in the future. We have also excluded devices and services that are available only for

research purposes (e.g. some robotic exoskeletons). For some of the programs, especially with

charities, it was difficult to ascertain the size of the program and how much funding or service are

provided (e.g. if only one powered wheelchair is provided per year compared to several). Where the

information was available, we have documented the maximum funding per year. Another limitation is

that we have not included private insurance programs, and as such do not have a complete picture of all

sources of assistive technology. Finally, at the program navigation level it is unclear which funding

sources would be approached first in practice and how each individual consumer might be covered by a

combination of programs.

6. SIGNIFICANCE AND CONCLUSIONS

This jurisdictional scan provides comprehensive information about the current assistive technology

programs that are offered by government as well as charity organizations across Canada, and includes

an examination of the nature and scope of device funding and services. We anticipate that the

jurisdictional scan findings will help to inform more in-depth exploration of approaches to bridge

program gaps, and contribute to efforts to address access issues with changes in government policy,

program and service planning, as well as systematic coordination across sectors.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 17

7. REFERENCES

Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework.

International Journal of Social Research Methodology, 8(1), 19-32. doi:

10.1080/1364557032000119616

Canada Revenue Agency. (2017). What is the difference between a registered charity and a non-profit

organization? Retrieved Mar 1, 2017, from http://www.cra-arc.gc.ca/chrts-gvng/dnrs/rgltn/dffrnc-

rc-np-eng.html

Canadian Medical Association. (2014). 14th Annual National Report Card on Health Care: Seniors

Health Issues and the Impact of an Ageing Population, from

https://www.cma.ca/En/Lists/Medias/2014_Report_Card-e.pdf

Congress United States of America Government. (2004). Assistive Technology Act, Public Law 108-

364. Congress U. S. Government Retrieved from https://www.gpo.gov/fdsys/pkg/PLAW-

108publ364/html/PLAW-108publ364.htm.

Gordon, P., Kerzner, L., Sheldon, T., & Hansen, E. (2007). Assistive Devices in Canada: Ensuring

Inclusion and Independence. ARCH Disability Law Centre, Toronto, Ontario.

Government of Canada. (1985). Canada Health Act (R.S.C., 1985, c. C-6). Canada: Retrieved from

http://laws-lois.justice.gc.ca/eng/acts/c-6/.

Government of Canada. (2014). Convention on the Rights of Persons with Disabilities: First report of

Canada.

Human Resources Development Canada. (2000). In Unison: A Canadian Approach to Disability Issues.

Federal/Provincial/Territorial Ministers Responsible for Social Services Retrieved Oct 31, 2016,

from http://www.ccdonline.ca/en/socialpolicy/poverty-citizenship/income-security-reform/in-

unison-2000

McColl, M. A., Robert, L., Miller, B., & Smith, E. (2015). Policy Governing Support for Mobility Aids

for People With Disabilities in Canada: Canadian Disability Policy Alliance.

Peters, M. D. J., Godfrey, C. M., McInerney, P., Soares, C. B., Khalil, H., & Parker, D. (2015). The

Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI scoping reviews: The

Joanna Briggs Institute.

Public Health Agency of Canada. (2010). The Chief Public Health Officer’s Report on the State of

Public Health in Canada 2010: Growing Older – Adding Life to Years, from http://www.phac-

aspc.gc.ca/cphorsphc-respcacsp/2010/fr-rc/pdf/cpho_report_2010_e.pdf

Smith, E. M., Roberts, L., McColl, M., Martin Ginis, K., & Miller, W. C. (in press). A national

evaluation of the policies governing funding for wheelchairs and scooters in Canada. Canadian

Journal of Occupational Therapy.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 18

Statistics Canada. (2009). Educational Attainment - Population 15 years and over by highest certificate,

diploma or degree, by age groups (2006 Census) (45 to 54 years, 55 to 64 years, 65 to 74 years, 75

years and over), from http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/educ43b-

eng.htm

Statistics Canada. (2014). Population projections: Canada, the provinces and territories, 2013 to 2063.

Statistics Canada. (2015a). Annual Demographic Estimates: Canada, Provinces and Territories: Section

2: Population by age and sex Retrieved 09/21, 2016, from http://www.statcan.gc.ca/pub/91-215-

x/2015000/part-partie2-eng.htm

Statistics Canada. (2015b). Economic Well-Being - Table 2 Average total income of women and men,

by age group, 2008.

Statistics Canada. (2017a). Canadian Survey on Disability: A profile of persons with disabilities among

Canadians aged 15 years or older, 2012 Retrieved Feb 24, 2017, from

http://www.statcan.gc.ca/pub/89-654-x/89-654-x2015001-eng.pdf

Statistics Canada. (2017b, 2017 May 26). Table 206-004 Low income statistics by age, sex and

economic family type, Canada, provinces and selected census metropolitan areas (CMAs)

Retrieved Jun, 2017, from

http://www5.statcan.gc.ca/cansim/a26?lang=eng&retrLang=eng&id=2060041&&pattern=&stByV

al=1&p1=1&p2=31&tabMode=dataTable&csid=

United Nations (UN). (2006). Convention on the Rights of Persons with Disabilities.

8. APPENDICES

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 1 of 15

Table 1-A: Federal Government of Canada Programs Table 1-B: Federal Government of Canada Legislation Governing Programs Table 1-C: National Charitable Organization Programs References Table 1-A: Federal Government of Canada Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Veteran Affairs Canada – Services – Treatment Benefits – Programs of Choice http://www.veterans.gc.ca/eng/about-us/policy/category/29 http://www.veterans.gc.ca/eng/services/health/treatment-benefits/poc

Yes – Devices are fully or partially funded Program is administered through a third party - Medavie Blue Cross. There are frequency and dollar limits which are detailed in the benefits grid

Substantial list with different eligibility criteria under each Aids for daily living (e.g. walking aids, self-help aids, bathroom aids) Audio (hearing) services (e.g. hearing devices/aids) Prosthetics and orthotics (e.g. artificial limbs, braces) Special equipment (e.g. wheelchairs, walkers, powered mobility devices, lifts, hospital equipment, ergonomic equipment) Vision (eye) care (e.g. low

Yes Batteries, maintenance and repairs. May reimburse travel to receive treatment benefits Many services associated with provision of devices (e.g. occ. therapy, physiotherapy, speech language pathology, low vision evaluation)

Must have a Veteran Affairs health identification card Coverage varies dependent on being in Group A (devices related to the condition for which are granted disability entitlement). or Group B (devices for any medical conditions with a demonstrated health need) Royal Canadian Mounted Police (RCMP) supplemental health benefits are also provided under this program.

Process varies for each type of equipment. A prescription from a qualified health professional is needed. The type of health professional needed is dependent on the equipment. A recommendation from another healthcare professional may also be needed. Requests must be approved and have preauthorization from Veterans Affairs Canada. Most items only need to be preauthorized once, but some require

Yes Devices need to be listed on benefits grid, however items off grid may be requested if it is justified in the prescription. Prescriptions from health care professionals are valid for one year from the date it is written

(Veteran Affairs Canada, 2016a, 2016b, 2016c, 2017) http://www.veterans.gc.ca/eng/services/health/treatment-benefits/tb-common-terms http://www.veterans.gc.ca/eng/services/health/treatment-benefits/poc/poc_search http://www.veterans.gc.ca/public/pages/publications/system-pdfs/vac-health-vip-2015.pdf

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 15

vision aids)

preauthorization per each request. Details on what is needed for each device are in the benefits grid.

Immigration, Refugees and Citizenship Canada - Interim Federal Health Program (IFHP) http://www.cic.gc.ca/english/refugees/outside/summary-ifhp.asp

Yes - Devices are fully funded, or rental fees Program is administered through a third party - Medavie Blue Cross. Prior approval from IFHP is required. Does not cover (even in part) products/services covered under public or private health insurance. Does not coordinate with other programs, so no co-payments possible.

Assistive devices, medical supplies and equipment – From benefits grid: Hearing aids Low vision glasses (separate to vision care) Bathing and toileting aids Aids for personal mobility (manual wheelchair, powered wheelchair, seating systems, walking aids, electronic obstacle detectors, lifts, slings, bath lift, hospital beds, mattresses) Orthopedic and prosthetic equipment (e.g. artificial limbs, supplies, braces, orthotics) Mobility aids

Yes Hearing aid services, repairs, supplies Occ. , physio and speech therapy Does not cover (even in part) products/services covered under public or private health insurance. Does not coordinate with other programs, so no co-payments possible.

Resettled refugee Protected persons Refugee claimants Victims of human trafficking Detainees

Only available until qualify for provincial or territorial coverage. Registered health care providers must prescribe device and submit claim on behalf of the client.

Devices need to be listed on a benefits grid (Long list of exclusions)

(Blue Cross, 2017; Government of Canada - Citizenship and Immigration, 2016a, 2016b; Medavie Blue Cross, 2016)

Health Canada - First Nations and Inuit Health- Non-Insured Health Benefits (NIHB) https://www.canada.ca/en/health-

Yes - Devices are fully funded or rentals funded All other public or private benefit plans must be applied to before consideration (e.g. federal,

General medical supply and equipment: Bathing and toileting aids Dressing aids Feeding aids Lifting and transfer aids Low vision aid

Yes Delivery, maintenance, replacement (with guidelines) and repair

Resident of Canada First nations person registered under Indian Act, or Inuk recognized by Inuit land claim organization, or Infant under 1 year whose

Prior approval is required except under special circumstances. Must be prescribed by health professional (e.g. physician or nurse

Yes, each item has a unique benefit code. There are approved providers. Exclusions for general supplies:

(Non-Insured Health Benefits (NIHB), 2016, 2017a, 2017b, 2017c)

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 15

canada/services/non-insured-health-benefits-first-nations-inuit.html

provincial, territorial, private insurance)

Mobility aids –e.g. walking aids, wheelchairs, cushions Misc. supplies and equipment Audiology Orthosis and prosthetics Some items may be included on a case by case basis (unless on exclusion list) Some benefits have own specific criteria for provision, type, replacement

parent is registered (need to apply for child’s registration) For some clients, self-government or First Nations or Inuit health authority is responsible for health benefits

practitioner) Provided by recognized NIHB pharmacy or recognized NIHB medical supplies and equipment provider Equipment suppliers primarily directly bill the program for reimbursement, if they don’t then clients pay the full price and apply for reimbursement. Requests for reimbursements must be made within one year from the date of service or purchase.

Items used exclusively for sports, work or school Items for cosmetic purposes Experimental equipment Therapy treatment (e.g. Occupational Therapy, Physiotherapy, Speech Therapy, Chiropractic and Massage Therapy) Therapy equipment (e.g. treadmills, exercise balls); Household items/products; Home renovations (e.g. ramps, stair lifts). No lift chairs or scooters

Correctional Services Canada – Health Services http://www.csc-scc.gc.ca/lois-et-reglements/800-cd-eng.shtml#s2a https://buyandsell.gc.ca/cds/public/2017/01/23/8921a69b8c06457ea41ee196bfb7b495/annex_f_-_national_essential_health_services_framework_-_bilingual.pdf

Yes - Devices are fully funded

Wheelchairs (electric, manual) Motorized scooters Walking aids – walkers, canes, crutches) Orthoses – back, knee, ankle braces, elbow and wrist supports, foot orthotics) Prosthetics and orthosis Hearing aids (and supplies)

Yes Assessment, batteries and repair for hearing aids

Must be an inmate at a correctional facility

If an item is through the approved list, no special authorization is required. Certain items require approval by the manager of clinical serves and recommended by the institutions physician.

Yes, there is a list of items which can be accessed with or without special approval.

(Correctional Services Canada, 2015; Office of the Correctional Investigator of Canada, 2016)

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 4 of 15

National Defense and Canadian Armed Forces – Health Services http://www.forces.gc.ca/en/caf-community-health-services/index.page

Yes - Devices are fully funded Items are fully funded, but there are limits specific to each devices such as cost limits or devices/year allowed. A Base Surgeon is given authority to prescribe immediate assistive devices to a maximum of $15,000 per year.

Mobility aids, prosthetics and orthotics, vision aids, hearing aids

Yes Repairs and replacement. Fees for forms filled out by health care providers are covered

Must be a Regular Force (REG F) personnel in Canada or abroad. Reserve Force (RES F) may be covered during certain periods depending on their duty status.

A prescription from a regulated health care provider is required.

No (Government of Canada - National Defence, 2016a, 2016b; National Defense and Canadian Armed Forces, 2016)

Employment and Social Development Canada - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities https://www.canada.ca/en/employment-social-development/services/student-financial-aid/student-loan/student-grants/csg/disabilities-service-equipment.html Offered jointly with the provinces and territories, except Quebec, Nunavut, and Northwest Territories where they have their own programs

Yes – Devices are funded up to a maximum Grants for equipment is maxed at $8,000 each school year (August 1 to July 31) for each year of studies.

Hearing, vision and communication devices

No Must be a Canadian citizen or permanent resident of Canada. Must be in a full time or part time program at designated post-secondary institution and be a recipient of student financial assistance. Must have a severe permanent disability caused by a physical or mental impairment that prevents working and participating in post-secondary school studies for the rest of life.

Proof of disability is needed from a medical certificate, a psycho-educational assessment or proof of recipient of federal or provincial permanent disability assistance. Written confirmation is required of the equipment needed and the cost of the equipment from a person qualified to determine such need.

No (Government of Canada, 2016)

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 15

Canada Post - Literature for the Blind Program https://www.canadapost.ca/common/tools/pg/manual/PGlitblind-e.asp

No Literature for the blind can be mailed free of postage

N/A Yes The following items, can be mailed free of postage as Literature for the Blind: matter or plates impressed in braille or similar raised type as well as tapes, records, CDs and other sound recordings posted by the blind in Canada or addressed to a recognized institution for the blind.

None N/A N/A (Canada Post, 2016)

Table 1-B: Federal Government of Canada Legislation Governing Programs

Program name Ministry or department responsible

Statute, act, regulation, order

Health Treatment Benefits - Programs of Choice http://www.veterans.gc.ca/eng/services/health/treatment-benefits/poc

Ministry of Veterans Affairs Department of Veterans Affairs Act, RSC 1985, c V-1

Veterans Health Care Regulations, SOR/90-594

Canadian Forces Members and Veterans Re-establishment and Compensation Act, SC 2005, c 21

Canadian Forces Members and Veterans Re-establishment and Compensation Regulations, SOR/2006-50

Interim Federal Health Program (IFHP) http://www.cic.gc.ca/english/refugees/outside/summary-ifhp.asp

Ministry of Immigration, Refugees and Citizenship

Immigration and Refugee Protection Act, SC 2001, c 27 http://canlii.ca/t/7vwq

Order Respecting the Interim Federal Health Program, 2012, SI/2012-26 http://canlii.ca/t/5212v

Interim Federal Health Program Policy http://www.cic.gc.ca/english/department/laws-policy/ifhp.asp

Non-Insured Health Benefits (NIHB) Program - First Nations and Inuit http://healthycanadians.gc.ca/health-system-systeme-sante/services/non-insured-health-benefits-services-sante-non-assures/index-eng.php

Ministry of Health (not Indigenous and Northern Affairs)

Indian Act http://laws-lois.justice.gc.ca/eng/acts/I-5/index.html Indian Health Policy 1979 http://www.hc-sc.gc.ca/ahc-asc/branch-dirgen/fnihb-dgspni/poli_1979-eng.php

Correctional Service Canada - Health Services http://www.csc-scc.gc.ca/health/index-eng.shtml

Ministry of Public Safety and Emergency Preparedness, Correctional Service Canada is a federal government agency

Corrections and Conditional Release Act, SC 1992, c 20

Corrections and Conditional Release Regulations, SOR/92-620

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 6 of 15

National Defence and Canadian Armed Forces - Health Services http://www.forces.gc.ca/en/caf-community-health-services-benefits-drug-coverage/index.page

Ministry of Veterans Affairs (? Not Ministry of National Defense) Department of National Defense and Canadian Armed Forces

Canadian Forces Members and Veterans Re-establishment and Compensation Act, SC 2005, c 21

Canadian Forces Members and Veterans Re-establishment and Compensation Regulations, SOR/2006-50

Canada Student Grant for Services and Equipment for Students with Permanent Disabilities http://www.esdc.gc.ca/en/student_grants/csg/disabilities_service_equipement.page

Employment and Social Development Canada (ESDC)

Canada Student Financial Assistance Act, SC 1994, c 28

Canada Student Financial Assistance Regulations, SOR/95-329

Canada Post - Literature for the Blind Program

Canada Post Corporation Act and Regulations

Material for the Use of the Blind Regulations

Table 1-C: National Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Lions Club International http://www.lionsclubs.org/EN/index.php (Reg. charity, by region/chapter)

Yes – Varies depending on what is requested. Individual local Lions Clubs may provide funding for assistive devices. Not all clubs offer funding.

Any type of device can be requested

Yes Any type of service can be requested

Varies by clubs Client contacts their local club directly. Each club has different rules and application processes.

No (Lions Clubs, 2016) Note: Was forwarded to multiple chapters before one was found to have the program. They have a hearing aid recycling but they do not give out the hearing aids directly.

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 15

Kiwanis International http://www.kiwanis.org/ (Reg. charity, by region/chapter)

Yes – Varies depending on what is requested. Individual local Kiwanis Clubs may provide funding for assistive devices. Not all clubs offer funding.

Any type of device can be requested

Yes Any type of service can be requested

Varies by clubs Client contacts their local club directly. Each club has different rules and application processes.

No (Kiwanis Foundation of Canada, 2016) Note: Was forwarded to multiple chapters before one was found to have the program.

March of Dimes Canada - Assistive Mobile Technology Initiative (Reg. charity) (Special program in Halifax, Montreal, Vancouver and Calgary so far) Calls for funding application dates varies city to city.

Yes – Funded up to a Maximum Covers the cost of purchasing the tablet and the selected assistive apps. Maximum available is $2,500 per individual.

Tablet and apps

No Aged 18+ Person with permanent disability that impacts his or her ability to fully engage in activities in daily living Financial need with combined gross income of applicant and spouse (where applicable) not to exceed $45,000 after allowable deductions are considered

Letter from occupational therapist, or speech language pathologist.

No (March of Dimes Canada, 2016)

Muscular Dystrophy Canada – Equipment Program http://www.muscle.ca/ http://www.muscle.ca/we-can-help/financial-assistance/ (Reg. charity) Equipment program available in regions: Atlantic Canada (New Brunswick, Nova

Yes – Funding is provided within limits (see individual programs for details)

Access equipment – e.g. Door opener Bathroom aids Beds and mattresses Lifts –e.g. Hydraulic lifting device and sling, transfer aid, track lift, chair lift, Communication devices Mobility devices – e.g. Power Wheelchair Power tilt/recline seating Manual Wheelchair Rollator/Walker/Walking device Scooter

Yes Repairs and modifications Batteries

Must have a neuromuscular disorder, must be a member of Muscular Dystrophy Canada

Must have a prescription from a registered health provider

No List of assistive devices covered under Equipment Program

(Muscular Dystrophy Canada, 2016c, 2016d, 2017)

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 15

Scotia, Newfoundland/ Labrador, PEI), Ontario, Quebec, Western Canada (BC, Alberta, Saskatchewan, Manitoba, NWT, Yukon)

Muscular Dystrophy Canada – Community Services Fund http://www.muscle.ca/ (Reg. charity) http://www.muscle.ca/we-can-help/financial-assistance/ Program available in regions: Atlantic Canada (New Brunswick, Nova Scotia, Newfoundland/ Labrador, PEI), Ontario, Quebec, Western Canada (BC, Alberta, Saskatchewan, Manitoba, NWT, Yukon)

Yes – Funding maxes at $1,000 Funding is through individual chapters, not every chapter has allocated funding. Funding can be for full equipment, to fund a co-pay, or for short term rentals Need evidence of approval or denial from other funding source

Varies Can fund: Life Line Services Adaptive Technologies/ Environmental Control Units

Yes Varies Can fund: Equipment repair

Must have a neuromuscular disorder, be a member of Muscular Dystrophy Canada and be a member of the local chapter

Must have a prescription from a registered health provider. Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Quotes from 2 different equipment vendors

No (Muscular Dystrophy Canada, 2016a, 2016b, 2016c, 2016d)

Multiple Sclerosis Society of Canada – Quality of Life Grants (some provinces/territories only) https://mssociety.ca/ https://mssociety.ca/suppo

Yes – Funds towards for equipment purchase and permanent loans

Varies (refer to divisions and chapters)

Yes Divisions and chapters manage equipment programs in various ways Full or partial purchase of equipment or permanent loan Information and advocacy

Diagnosis of multiple sclerosis, residence within the local chapter/catchment area. Some regions have a low income requirement.

No (Multiple Sclerosis Society of Canada, 2017)

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 9 of 15

rt-services/programs-and-services/financial-assistance (Reg. charity)

to assist people in understanding e resources available to them through their own benefits programs and provincial health system, etc.

Amyotrophic Lateral Sclerosis (ALS) Canada National society operates for research program ALS Canada partners with provincial societies, but also operates the society in Ontario (Reg. charity)

Yes – (varies by regional program)

Walkers, wheelchairs, scooters, bathroom aids, lifts, pressure relief items, and basic communication items (varies by region)

Yes - (varies by region) Have been diagnosed with ALS, PLS and/or Motor Neuron Disease, be registered with ALS Canada or the provincial ALS societies, have accessed all other private or public programs available before applying.

(ALS Canada, 2017)

Canadian Red Cross – Health Equipment Loan Program (HELP) – Short Term Loan and Customized Community Health Equipment Services http://www.redcross.ca/how-we-help/community-health-services-in-canada http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-

Yes – loan programs Programs vary by branch

Programs vary by branch, but devices focus on mobility, independence and safety

Yes Programs vary by branch Accept equipment donations, disinfect and repair for loan program

Seniors and those recovering from illness or surgery in their own homes

(Red Cross Canada, 2016a, 2016b)

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 10 of 15

loan-program (Reg. charity)

Rotary International Local clubs in Canada https://www.rotary.org/en

Yes – Varies depending on what is requested. Individual local Rotary Clubs may provide funding for assistive devices. Not all clubs offer funding

Any type of device can be requested

Yes Any type of service can be requested

Varies by clubs Client contacts their local club directly. Each club has different rules and application processes

No (Rotary Club, 2016) Note: Was forwarded to multiple chapters before one was found to have the program.

War Amps – Adult Program and War Veterans (Reg. charity)

Yes – Devices are cost shared Must apply to government programs and/or insurance first. Funding is only for full prosthesis. Amount is maxed at $1,000-$4,000 depending on province. Amount given is decided on a case by case basis and can reapply for funding once every three years. For War Veterans, no funds provided

Prosthetics Yes Information on life as amputee Catalogue of assistive devices specific to amputees. Information for prosthetic and stump hygiene and care. For War Veterans, provides system navigation for federal, provincial services and benefits

Must have amputation Over 18 years old Registered with War Amps

Must have prescription, War Amps works directly with the vendor

Any vendor (War Amps, 2016a, 2016b)

Alzheimer’s Society of Canada partnered with MedicAlert Foundation Canada – MedicAlert Safely Home

No Each bracelet/service costs $60/year

MedicAlert Safety Bracelet to help people living with dementia who go missing

Yes MedicAlert ID with an electronic medical profile with unlimited updates, 24-hour Emergency

None None N/A (Alzheimer Society of Canada, 2016)

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(Reg. charity) Hotline staffed with trained specialists to supply police and emergency responders with information Family/emergency contact notification immediately after hotline is called

Ceridian Cares Grants (Reg. charity)

Yes – Funding provided within limits Grants fund Basic Essentials which includes Assistive Devices. Grants typically range from $200-$4000. Level of funding varies, maximum of $5000 Two estimates for cost of devices are needed, if device costs more than amount of grant, recipient pays the difference.

Medical devices category, e.g. prosthetics, medical equipment, home adjustments for barrier free living, braille books (not specific list)

Yes Services can be requested, not strictly part

Applicant must be 18+ years of age

Recipient must be Canadian resident

Recipient must be individual or family in need of financial assistance related to types of items supported by Ceridian Cares

Basic Essentials: recipient

annual household income must be at or below "Low Income Cut Off before tax" level as defined by Stats Canada

Quality of Life: recipient annual household income must be at or below "median total income in their province or territory" as defined by Stats Canada

Application submitted with required documentation Need proof of income Payment is made to vendor, recipient’s responsibility to arrange service/equipment

No (Ceridian Cares, 2016a, 2016b)

Rick Hansen Foundation – Quality of Life Grants

Yes – Maximum funding is $10,000

Varies depending on request

No Resident of Canada; have a physical disability

A letter of support from a medical professional is

No (Rick Hansen Foundation, 2016, 2017)

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 15

(Program currently on hiatus) (Reg. Charity)

Two independent quotations needed for equipment and services.

(individual and community projects)

needed

Tetra Society of North America Tetra operates 45 chapters throughout North America (Reg. charity) (non-profit, charitable organization, each chapter receives donations from various groups)

Yes – financial contribution required for custom devices All devices are built by volunteers and are free. Clients are asked to contribute towards materials and mileage spent.

Devices must not be commercially available and are custom built

Yes Tetra’s services are offered at no charge – no upfront fees, no call-out charges, no hourly rates and no membership dues.

None can be anyone

No medical forms or authorizations from health professionals are needed

No (Tetra Society, 2016)

Canadian Hearing Society Direct services only in Ontario (advocacy and partnerships with other organizations across Canada) (Reg. charity)

No Hearing aids TTYs (text telephones) Emergency notification systems Amplified telephone Alerting systems Portable “type and read” devices Assistive listening systems such as counter loop systems, FM systems and infrared systems Visual smoke alarms Baby monitors Alarm clocks Amplified phones

Yes Support and advice Selling of devices (proceeds return to programs) Catalogue of devices and online store

Culturally Deaf, oral deaf, deafened or hard of hearing Any age

(Canadian Hearing Society, 2016)

Canadian National Institute for the Blind

No Assistive technologies commonly used by people

Yes

Canadians who are blind or partially sighted

N/A N/A (Canadian National Institute for the Blind

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 15

(CNIB) http://www.cnib.ca/en/Pages/default.aspx National program with regional services and programs

with vision loss: Computer screen readers, screen magnifiers, braille displays, and voice input software that operate in conjunction with graphical desktop browsers and other programs. Stand-alone products designed specifically for people with vision loss, including personal digital assistants (PDAs), note takers and electronic book players, which provide portable access to books and periodicals, phone numbers, appointment calendars, and more. Video magnifiers (CCTVs) that magnify printed material and may reverse text and background colours for greater ease of reading.

Assessment, training and advice obtaining financial support to obtain assistive devices for vision loss (local programs) Webstore and accessible catalogue of devices specifically for those with vision loss

Canadian who may lose sight due to preventable causes

(CNIB), 2016)

References ALS Canada. (2017). About Us Retrieved 03/15, 2017, from https://www.als.ca/en/about-us

Alzheimer Society of Canada. (2016). MedicAlert ® Safely Home ® Retrieved 04/18, 2016, from http://www.alzheimer.ca/en/We-can-help/Our-services/Safely-Home

Blue Cross. (2017). IFHP Benefit Grid Retrieved 03/15, 2017, from https://providerifhpen.medavie.bluecross.ca/wp-content/uploads/sites/5/2017/02/IFHP-Benefit-Grid-Supplemental-new-Version-English.pdf

Canada Post. (2016). Literature for the Blind Retrieved 04/18, 2016, from https://www.canadapost.ca/tools/pg/manual/pglitblind-e.asp

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 15

Canadian Hearing Society. (2016). Communication Devices Retrieved 04/18, 2016, from http://www.chs.ca/services/communication-devices

Canadian National Institute for the Blind (CNIB). (2016). Our Range of Services Retrieved 04/18, 2016, from http://www.cnib.ca/en/services/vision-support/range/Pages/default.aspx

Ceridian Cares. (2016a). Application for Grant Form Retrieved 04/18, 2016, from http://www.ceridiancares.ca/download/Ceridian-Cares-Application-for-Grant-Form.pdf?v=20160217

Ceridian Cares. (2016b). Evaluation Criteria Retrieved 04/18, 2016, from http://www.ceridiancares.ca/evaluation

Correctional Services Canada. (2015). National Essential Health Services Framework Retrieved 03/14, 2017, from https://buyandsell.gc.ca/cds/public/2017/01/23/8921a69b8c06457ea41ee196bfb7b495/annex_f_-

_national_essential_health_services_framework_-_bilingual.pdf

Government of Canada - National Defence. (2016a). Comprehensive Medical Care Retrieved 05/13, 2016, from http://www.forces.gc.ca/en/caf-community-health-services-benefits-drug-coverage/comprehensive-medical-care.page

Government of Canada - National Defence. (2016b). Supplemental Health Care Coverage Retrieved 05/03, 2016, from http://www.forces.gc.ca/en/caf-community-health-services-benefits-drug-coverage/supplemental-health-care-

coverage.page#trusses-canes

Government of Canada - Citizenship and Immigration. (2016a). Determine your eligibility – Interim Federal Health Program Retrieved 04/18, 2016, from http://www.cic.gc.ca/english/refugees/outside/arriving-

healthcare/individuals/apply-who.asp

Government of Canada - Citizenship and Immigration. (2016b). Interim Federal Health Program: Summary of coverage Retrieved 04/18, 2016, from http://www.cic.gc.ca/english/refugees/outside/summary-ifhp.asp

Government of Canada. (2016). Employment and Social Development - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from https://www.canada.ca/en/employment-

social-development/services/student-financial-aid/student-loan/student-grants/csg/disabilities-service-equipment.html

Kiwanis Foundation of Canada (2016). [Personal communication, 519-304-3038 (Feb 25, 2016)].

Lions Clubs (2016). [Toronto, Ontario, Personal communication, 416-698-9300 (Feb 25, 2016)].

March of Dimes Canada. (2016). Assistive Mobile Technology Initiative Retrieved 04/18, 2016, from https://www.marchofdimes.ca/EN/events/special/Pages/Assistive-Mobile-Technology-Initiative.aspx

Medavie Blue Cross (2016). [Personal communication, 1-888-614-1880 (April 11, 2016) ].

Multiple Sclerosis Society of Canada. (2017). Financial Assistance Retrieved 03/15, 2017, from https://mssociety.ca/support-services/programs-and-services/financial-assistance

Muscular Dystrophy Canada. (2016a). Community Services Fund Retrieved 04/19, 2016, from http://www.muscle.ca/we-can-help/financial-assistance/community-services-fund/

Muscular Dystrophy Canada. (2016b). Individual Application for Funding Retrieved 04/19, 2016, from http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf

Muscular Dystrophy Canada (2016c). [Personal communication, 1 800 366 8166 (April 19, 2016)].

Muscular Dystrophy Canada (2016d). [Personal communication, 506-849-8459 (April 19,2016)].

Muscular Dystrophy Canada. (2017). List of Assistive Devices Retrieved 03/15, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/list-of-assistive-devices/

National Defense and Canadian Armed Forces (2016). [Personal communication (April 11-12, 2016)].

Non-Insured Health Benefits (NIHB) (2016). [Personal communication, 1-866-225-0709 (Apr 18, 2016)].

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 15

Non-Insured Health Benefits (NIHB). (2017a). Benefits Information Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/index-eng.php

Non-Insured Health Benefits (NIHB). (2017b). Benefits List Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/provide-fournir/med-equip/criter/index-eng.php

Non-Insured Health Benefits (NIHB). (2017c). Guide for Medical Supplies and Equipment Benefits Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/_medequip/2017-equipement-medical-fournitures-

medicales/index-eng.php

Office of the Correctional Investigator of Canada (2016). [Personal communication, 1-877-885-8848 (April 11-13, 2016)].

Red Cross Canada. (2016a). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program

Red Cross Canada (2016b). [Personal communication, 416-480-2500 (March 3-7, 2016)].

Rick Hansen Foundation. (2016). Apply for a Grant Retrieved 04/18, 2016, from https://www.rickhansen.com/What-We-Do/Quality-of-Life-Grants/Request-for-Application

Rick Hansen Foundation. (2017). Quality of Life Program Retrieved 03/15, 2017, from http://www.rickhansen.com/What-We-Do/Quality-of-Life

Rotary Club (2016). [Personal communication, 416-363-0604 (Mar 10-11, 2016)].

Tetra Society. (2016). Request Assistance from the Tetra Society Retrieved 05/26, 2016, from http://www.tetrasociety.org/assistance/index.php

Veteran Affairs Canada (2016a). [Personal communication, Peterborough Office 1 866 522 2122 (April 11, 2016)].

Veteran Affairs Canada (2016b). [Personal communication, 1-866-522-2122 (April 11, 2016)].

Veteran Affairs Canada. (2016c). Programs of Choice (POC) - Health Care Benefits (Treatment Benefits) Retrieved 04/18, 2016, from http://www.veterans.gc.ca/eng/services/health/treatment-benefits/poc

Veteran Affairs Canada. (2017). Treatment Benefits Retrieved 03/15, 2017, from http://www.veterans.gc.ca/eng/services/health/treatment-benefits

War Amps. (2016a). Living With Amputation Retrieved 04/18, 2016, from http://www.waramps.ca/ways-we-help/living-with-amputation/#Aids

War Amps (2016b). [Personal communication, 1-877-622-2472 (Sep 12, 2016)].

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Table 2-A: Government of Alberta Programs Table 2-B: Alberta Government Legislated Insurance Programs Table 2-C: Alberta Legislation Governing Programs Table 2-D: Alberta Charitable Organization Programs Table 2-E: Alberta Other Resource Programs References Table 2-A: Government of Alberta Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Health - Alberta Aids to Daily Living (AADL) http://www.health.alberta.ca/services/aids-to-daily-living.html

Yes – Devices are funded, cost shared, some equipment is from pool (not new) Clients pay 25% of cost to maximum of $500 per year Cost share may be exempt for those with low incomes, are temporarily in extraordinary circumstances or for those requiring hearing aid Seniors who receive prosthetic, orthotic, mastectomy prosthesis and eye prosthesis benefits through AADL

Back and abdominal supports

Bathing and toileting equipment*

Custom-made footwear Custom-made ocular

prostheses Hearing aids and FM

systems Homecare beds and

accessories Orthotic braces (not foot

orthotics) Patient lifters Pressure reduction overlays Prosthetic devices Shoe elevations Specialized seating devices Speech generating

Yes Assessment

Resident with a valid Alberta Health Care Insurance Plan card Require assistance because of a long-term disability, chronic illness or terminal illness. Long-term and chronic are defined as being six months or longer Not eligible if receiving benefits from another government, or insurance program (if not available from other program AADL may pay).

Must be first assessed by an AADL authorized health care professional. For some devices, you must use an AADL preapproved vendor for assessment. If clients are assessed by a specialty supplier, they will supply benefit.

Approved vendor list Once assessed by an AADL Authorizer, clients provided with list of up to 3 AADL approved vendors from which to obtain medical equipment or supplies. Maximum number of benefits available each year. AADL will review requests for more than maximum number through appeal. Some benefits may be upgraded to more expensive item, but client responsible for paying additional amount

(Government of Alberta - Health, 2016, 2017)

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program receive these at no cost. Includes seniors who are currently receiving these benefits as well as those who will be applying. Not eligible if receiving benefits from another government, or insurance program (if not available from other program AADL may pay).

communication devices Therapeutic shoes with custom modifications Transfer aids Walkers and walking aids Wheelchair cushions and accessories Wheelchairs – manual and power

(additional costs not included in $500 cost-share maximum.)

Alberta Aids to Daily Living – Canadian National Institute for the Blind Specialized Technical Equipment Program (CNIB STEP) Funded by AADL http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP.pdf

Yes – Devices are funded, cost shared or loaned (recycled where able) Clients pay 25% of cost to maximum of $500 per year Cost share may be exempt for those with low incomes, are temporarily in extraordinary circumstances or for those requiring hearing aid (as per AADL) Not eligible if receiving benefits from another government, or insurance program

Consumer Products Low tech and low vision aids – e.g. large print phones, talking calculators, talking blood pressure monitors, braille watches and many other items, magnifiers, loupes, monoculars, binoculars and other items. Assistive Technology High tech equipment – e.g. CCTV’s, software, GPS, Optical Character Recognition equipment. Deafblind Products – e.g. vibrating watches, large print or braille clocks with vibrators, alerting systems, FM systems and communication devices

Yes Assessment and authorization

Blind, partially sighted and deafblind Valid Alberta Personal Health Number (PHN) Permanent resident (home, supportive living, hospital, long term care) Meet clinical eligibility specific to equipment types

Low tech equipment -Approved authorizer needs to assess/authorize Low vision aids – referral from optometrist, ophthalmologist or GP and evaluated by clinic with low vision specialist or CNIB clinic Assistive tech – need to complete application form from Assistive Technology Specialist Deafblind – need to submit application for review committee

STEP Approved Product List with generic categories, descriptions and price maximums and quantity/frequency limits Participants in Assistive Technology - High Tech equipment portion of STEP permitted to apply for 2 pieces of equipment in five-benefit-year period as long as requests are from different device categories Applicants may only apply for 1 piece of Assistive Technology - High Tech equipment within benefit year Replaced only if change in condition

(Canadian National Institute for the Blind (CNIB), 2015, 2016)

Human Services - Yes – Devices are AADL devices Yes Have disability As per AADL As per AADL (Government of Alberta -

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Assured Income for the Severely Handicapped (AISH) https://www.alberta.ca/aish.aspx

funded, cost shared Funds 25% remaining cost from AADL program. (Amount client has to pay for AADL is waived) (Income support program) All other income benefits programs must have previously been applied for

May also fund medical equipment not available through AADL program or other sources such as private insurance or temporary equipment loan programs Equipment may include: Arch supports and foot orthotics Canes and crutches Hearing aid batteries Splints and braces Specialized clothing adapted for a disability

Funds equipment maintenance for wheelchairs and scooters

that substantially limits ability to earn living Disability is likely to remain permanent No training, rehabilitation or medical treatment that will help to work enough to earn living At least 18 years old and not eligible to receive Old Age Security pension Live in Alberta and are Canadian citizen or permanent resident

Not in correctional facility or some mental health facilities such as Alberta Hospital Edmonton Meet financial eligibility criteria

Disability Services, 2017; Government of Alberta - Financial, 2017)

Human Services -Disability Related Employment Supports (DRES) http://www.humanservices.alberta.ca/AWonline/ETS/4345.html

Yes – Devices are funded, cost-shared with employer Max funding per individual is capped at $35,000

Rental of specialized software or technical devices Purchase of equipment: e.g. digital recorder, electronic organizers, screen readers, Brailler, electronic dictionaries Purchase of disability related software

Yes Installation, set-up, training, upgrades and maintenance

There are criteria for both clients as well as employer. The client must have barrier to education/training or employment created by their disability Resident of Alberta 16 years or older Canadian citizen, permanent resident, or

Individuals must first complete DRES Employability Assessment and have Service Plan. Specialized assessments may be required from Medical Specialists, Vocational Rehabilitation Experts, Occupational Therapists, Physical Therapists, Vocational Evaluators, Audiologists, Ophthalmologists, Speech

Change in technology or software only where status change occurs Not eligible: Computers, or non-disability related equipment (e.g. printers), technology related services (e.g. tech support) Hearing aids/vision wear Devices must also not be

(Government of Alberta - Human Services, 2013, 2016a, 2016b)

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refugee under Immigration and Refugee Protection Act) Legally entitled to work and/or train in Canada Must be able to work at least 15 h/week and receiving at least minimum wage Volunteers and those in supported or sheltered work are ineligible.

and Language Therapists or Psychologists.

covered under other programs.

Student Aid Alberta – Students with Permanent Disabilities - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities http://studentaid.alberta.ca/applying-for-funding/students-with-permanent-disabilities/

Yes – Devices are funded

Up to $8,000 per loan year

Equipment/Assistive Technology: Electronic reading/writing software Assistive software Digital recorder Assistive devices for visually impaired Assistive devices for hearing Alternate formats Other equipment (Schedule 4)

Yes Learning assessment fee

Proof of Permanent Disability - Medical documents identifying your permanent disability and how it restricts ability to participate in post-secondary studies The documents may include: medical letter, learning assessment, document proving you are in receipt of federal and/or provincial disability assistance, for example, Assured Income for the Severely Handicapped (AISH)

Must apply for student aid Schedule 4 in each study period/session if request grant for assistive services and equipment Provide estimate of your equipment costs New estimates are required each additional time you request funding for equipment. Submit receipts for purchases of assistive services and equipment before end of your study period

Learning related equipment

(Government of Alberta - Student Aid Alberta, 2017)

Seniors and Housing – Special Needs Assistance for Seniors (SNA) Program

Yes – Devices are funded, with limits

Lift chair — maximum $800 once.

Personal response service — maximum $30 per

Repairs to lift chair may also be considered. Installation fee for personal response service

1. Enrolled in Alberta Seniors Benefit program or submit Seniors Financial Assistance application

2. 65 years of age or older

Must have applied to Seniors Benefit program or submit Seniors Financial Assistance application

Not covered: Hearing aid batteries Medical equipment (for example, Broda chairs, alarm mats)

(Government of Alberta - Seniors and Housing, 2017)

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http://www.seniors-housing.alberta.ca/seniors/special-needs-assistance.html

month monitoring fee and $80 installation. Foot orthotics — maximum $400 each pair (maximum two pairs funded per lifetime)

3. Alberta resident 4. Canadian citizen or have

been lawfully admitted to Canada for permanent residence

5. Not have voluntarily deferred receipt of Old Age Security Single senior with total annual income of $26,965 or less, or senior couple with total combined annual income of $43,785 or less, may be eligible to receive assistance.

Then submit SNA claim form

Scooters Lift chairs not funded when senior lives in long-term care facility Foot orthotics – must be custom Senior’s or senior couple’s total annual income, residence and marital status, and items requested are used to determine amount funded. Maximum assistance available is $5,000 in benefit year.

Table 2-B: Alberta Government Legislated Insurance Programs

Government of Alberta – Workers’ Compensation Board (WCB) – Alberta https://www.wcb.ab.ca/

Yes – Primarily fully funded Full amount of devices are covered with exception of hearing aids where there is cap of $1,385 per aid. Vendor quotes may be needed.

Artificial limbs Braces Crutches/Canes Hearing aids and other aids Prosthetics Orthotic alteration of footwear Wheelchairs

Yes Maintenance, repair, assessment, batteries, and refitting of hearing aids Chiropractic/Physical therapy Vocational rehabilitation services

Must be an injury or illness acquired while working in Alberta

Assessment and quotes are preferred from health care provider at WCB centre however client can go to any regulated health care provider. Assessment form from service provider must be completed and approved prior to being supplied equipment.

There is an authorized vendor list however clients can also go to any vendors.

(Workers' Compensation Board Alberta, 2015, 2016b, 2017) (Workers' Compensation Board Alberta, 2016a) Note: Only offered basic information

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Table 2-C: Alberta Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Health - Alberta Aids to Daily Living (AADL) http://www.health.alberta.ca/services/aids-to-daily-living.html

Ministry of Health Public Health Act, RSA 2000, c P-37 Alberta Aids to Daily Living and Extended Health Benefits Regulation, Alta Reg 236/1985 , (Public Health Act)

Alberta Aids to Daily Living – Canadian National Institute for the Blind Specialized Technical Equipment Program (CNIB STEP) Funded by AADL http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP.pdf

Ministry of Health Public Health Act, RSA 2000, c P-37 Alberta Aids to Daily Living and Extended Health Benefits Regulation, Alta Reg 236/1985 , (Public Health Act)

Human Services -Assured Income for the Severely Handicapped (AISH) https://www.alberta.ca/aish.aspx

Ministry of Community and Social Services Assured Income for the Severely Handicapped Act, SA 2006, c A-45.1 Assured Income for the Severely Handicapped General Regulation, Alta Reg 91/2007 , (Assured Income for the Severely Handicapped Act)

Human Services -Disability Related Employment Supports (DRES) http://www.humanservices.alberta.ca/AWonline/ETS/4345.html

Ministry of Community and Social Services Income and Employment Supports Act, SA 2003, c I-0.5 Disability-Related Employment Supports and Services Regulation, Alta Reg 117/2011 , (Income and Employment Supports Act)

Student Aid Alberta – Students with Permanent Disabilities - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities http://studentaid.alberta.ca/applying-for-funding/students-with-permanent-disabilities/

Ministry of Advanced Education Student Financial Assistance Act, SA 2002, c S-20.5 Student Financial Assistance Regulation, Alta Reg 298/2002 Canada Student Financial Assistance Act, SC 1994, c 28

Seniors and Housing – Special Needs Assistance for Seniors (SNA) Program http://www.seniors-housing.alberta.ca/seniors/special-needs-assistance.html

Ministry of Seniors and Housing Unable to identify

Government of Alberta – Workers’ Compensation Board (WCB) – Alberta https://www.wcb.ab.ca/

Ministry of Labour Workers' Compensation Act, RSA 2000, c W-15 Workers' Compensation Regulation, Alta Reg 325/2002 , (Workers' Compensation Act)

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Table 2-D: Alberta Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Alberta (and Northwest Territories when required) Equipment Loan Program http://www.alsab.ca/equipment-loan-program/ (Reg. charity)

Yes – Equipment loans are provided free of charge.

Examples are: walkers, manual wheelchairs, power wheelchairs, collars, bidets, lift chairs, ramps, porch lifts, iPads, voice amplifiers, hospital beds and mattresses.

Yes – Delivery and pickup is provided at no cost

Contact equipment loan program Health professional completes request form

(ALS Society of Alberta, 2016)

Alberta Aids to Daily Living – Canadian National Institute for the Blind Specialized Technical Equipment Program (CNIB STEP) Funded by AADL http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP.pdf

See government program for details.

Canadian National Institute for the Blind

See above. Books available in braille and DAISY formats

Assessments and recommendations,

Canadian National Institutes for the Blind -

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(CNIB) –– Vision Loss Rehabilitation (operated by CNIB) Alberta (Reg. charity) https://ab.visionlossrehab.ca/en/patients-families/pages/services.aspx (service providers who Support access to STEP program) Vision Loss Rehabilitation Alberta is operated by CNIB and funded by donations and partially funded by the Government of Alberta

. Online and audio magazines. Connect clients to the Specialized Technical Equipment Program (STEP)

education about technologies; advice on financial supports

Alberta, 2017)

Spinal Cord Injury Alberta http://sci-ab.ca/classifieds (Reg. charity)

No Available devices change constantly as they are listed by users on forum

Yes Assistive devices buy and sell community forum

Must be person with spinal cord injury

N/A No (Spinal Cord Injury Alberta)

Multiple Sclerosis Society of Canada – Quality of Life Grants Alberta/Northwest Territories https://mssociety.ca/support-services/programs-

Yes - purchase, repair and/or permanent loan The maximum amount available per person is $1,000.00. Two or more price quotes

Bath aids (bath lifts, bath chairs, bath bench, handheld showers), Bracing & supports (orthotics, leg braces & splints), Broda chairs, CEP Computer Lease Commodes, Computer

delivery, pick up, cleaning, safety check, repairs, batteries and tires

Diagnosis of MS from physician or MS Clinic, Residence within the regional/chapter/division catchment area, and declaration of financial need

Assessment or letter of support from an appropriate provider must be included, for example Occupational Therapist, Physician, or Physiotherapist

Last resort funding, meaning all other potential funding sources must be fully explored

(Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division, 2017a, 2017b)

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and-services/financial-assistance (Reg. charity)

for the good or services are needed

with adaptations, Electric hospital beds and mattresses, Environmental controls, Hearing Aids (MS specific), Floor to ceiling transfer poles, Grab bars, Home accessibility (porch lifts, automatic door openers, stair glides, ramps), Kitchen aids (auto feeder, microwave, utensils), Lift chairs o Lift systems (ramp installations or repairs). Manual wheelchairs (tilt &non-tilt), Power wheelchairs (tilt & non-tilt), Prescribed orthopedic shoe/boot, Raised toilet seats, toilet safety frame & versa frames, Scooters (3 or 4 wheel) Transfer disk, belt or board, Trapeze bar

Muscular Dystrophy Canada - Equipment Program- Western Canada (BC, Alberta, Manitoba, Saskatchewan) (Reg. charity)

Yes – Cost sharing Maximum per item: $3,000 Client minimum contribution: $200 Equipment costing less than $200 will not be eligible for funding Short term rentals

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after

Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee

A signed equipment prescription from the appropriate licensed health care professional such as: an occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist Approval or denial letter from insurance company (if applicable) Is needed

Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017b)

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1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

resident in Canada) Quotes from 2 different equipment vendors needed

Muscular Dystrophy Canada – Community Services Fund- Western Canada (BC, Alberta, Manitoba – various local chapters only, note: no local chapter provides this in Saskatchewan) (Reg. charity)

Yes maximum funding amount of $1,000 per item

Life Line Services. Adaptive Technologies/ Environmental Control Units

Equipment repair For the local chapters of South Okanagan, Greater Vancouver , Central Alberta, and Southern Manitoba Must be a registered client of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

Prescription/letter from a professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed Quotes from 2 different equipment vendors for the requested item

(Muscular Dystrophy Canada, 2017a)

Cerebral Palsy Association in Alberta (CPAA)

Yes – Devices may be funded fully or cost-shared

Funding priorities – For basic needs Mobility and /or adaptive

No Must be a resident of Alberta with cerebral palsy Must be a member of

Applications must be accompanied by a signed letter from a registered

No (Cerebral Palsy Association in Alberta, 2015, 2016a, 2016b)

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http://www.cpalberta.com/programs-services/funding-requests/ (Reg. charity)

Three price quotes from different vendors are needed. Payments are made directly to the vendor. Approvals are valid for 6 months. Applicants must apply to other funding programs such as AADL before applying for funding through CPAA.

equipment Bikes (capped at $700) Computers (capped at $500 if not eligible for FSCD or $300 if eligible for FSCD)

CPAA for at least three months prior to applying

health care professional with the applicant’s diagnosis of cerebral palsy, the applicant’s need for the device, and how it will improve the applicant’s quality of life. If purchase completed, receipts in full must be provided to CPAA for all equipment, service(s), program(s), and/or item(s). Payment will be made directly to vendor upon receiving an invoice or to our member upon proof of purchase

Campbell McLaurin Foundation – Burns Memorial Fund http://www.burnsfund.com/programs/campbell-mclaurin-foundation/#about (Reg. charity)

Yes -Devices are fully funded or cost shared.

Hearing aids and alerting devices.

No Must have been a resident of Southern Alberta for at least one year and be able to demonstrate that personal or government funds are inadequate.

An assessment and hearing test is required from a Clinical Audiologist. If it’s an individual’s first hearing aid then a letter from a physician giving clearance for hearing amplification is required.

No (Burns Memorial Fund, 2016a, 2016b)

Red Cross Alberta – Health Equipment Loan Program (HELP) – Short Term Loan Program http://www.redcross.ca/in-

Yes – Devices are loaned, short term

heelchairs, walkers, bath seats, benches, commodes and toilet seats, crutches and canes, bed handles and other durable medical

Referred by health care professional

(Red Cross Alberta, 2017)

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your-community/alberta/health-equipment-loans/short-term-loan-program (Reg. charity)

equipment

Easter Seals Alberta http://easterseals.ab.ca/site/OurPrograms/EquipmentAndSupportServices.aspx (Reg. charity)

Yes Specialized mobility and adaptive equipment; power wheelchairs, scooters, hospital beds, lift assist chairs, porch lifts, stair lifts, and other specialized equipment

People with disabilities and medical conditions

(Easter Seals Alberta, 2016, 2017)

Table 2-E: Alberta Other Resource Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Glenrose I CAN Centre for Assistive Technology

No Communication aids, computer access aids, power wheelchair specialized access devices, and environmental controls.

Yes Assessment, help in applications of funding programs, consultation, training, and follow-up

Clients must work with the community service providers first to see if any other strategies or tools can meet their needs. If more specialized equipment is needed, the client becomes eligible for the service.

Referral to the service can be from a health care professional, from family, or from the individual themselves. The centre’s team of specialists provide the service

N/A (Alberta Health Services, 2016a; I Can Centre for Assistive Technology, 2016)

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Augmentative Communication and Educational Technology Service

No Communication devices and environmental controls

Yes Assessment, help with applying for funding of other programs, consultation, training, and follow-up

Client must have needs that cannot be met by primary therapy team or another agency. Must have clear communication goals, be interested in the service and have appropriate level or arousal and alertness.

Any health care provider or family member can refer with support from a primary consulting speech-language pathologist or an occupational therapist. The centre’s team of specialists provide the service

N/A (Alberta Health Services, 2016b)

Deaf and Hear Alberta http://deafandhearalberta.ca/

No N/A Yes Product catalogue specifically for the needs of those deaf or hard of hearing

N/A N/A N/A (Deaf and Hear Alberta, 2016)

References Alberta Health Services. (2016a). Assistive Technology Service Adult Retrieved 06/10, 2016, from http://www.albertahealthservices.ca/info/service.aspx?id=1067019

Alberta Health Services. (2016b). Augmentative Communication and Educational Technology Service (ACETS) Retrieved 06/13, 2016, from http://www.albertahealthservices.ca/info/service.aspx?id=1063661

ALS Society of Alberta. (2016). Equipment Loan Program Retrieved 05/18, 2016, from http://www.alsab.ca/equipment-loan-program/

Burns Memorial Fund. (2016a). Campbell McLaurin Foundation Retrieved 06/09, 2016, from http://www.burnsfund.com/programs/campbell-mclaurin-foundation/#about

Burns Memorial Fund. (2016b). Campbell McLaurin Foundation Application Retrieved 06/09, 2016, from http://www.burnsfund.com/wp-content/uploads/2016/05/CampbellMcLaurinFoundation_Application.pdf

Canadian National Institute for the Blind (CNIB). (2015). CNIB Specialized Technical Equipment Program - Approved Product List Retrieved Feb 23, 2017, from http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP-

Products.pdf

Canadian National Institute for the Blind (CNIB). (2016). CNIB Specialized Technical Equipment Program - Program Manual Retrieved Feb 23, 2017, from http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP.pdf

Canadian National Institutes for the Blind - Alberta. (2017). Alberta Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/alberta/programs-services/Pages/default.aspx

Cerebral Palsy Association in Alberta. (2015). Grant Criteria Adults Retrieved 06/02, 2016, from http://www.cerebralpalsy.mb.ca/downloads/grant-criteria-adults-201509.pdf

Cerebral Palsy Association in Alberta. (2016a). Funding Request Application Package Retrieved Feb 23, 2017, from http://www.cpalberta.com/wp-content/uploads/2016/07/CPAA-Funding-Request-Application-Package-2016.pdf

Cerebral Palsy Association in Alberta. (2016b). Funding requests Retrieved 06/09, 2016, from http://www.cpalberta.com/programs-services/funding-requests/

APPENDIX 2: ALBERTA PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 14

Easter Seals Alberta. (2016). Equipment And Support Services - How To Apply Retrieved 06/09, 2016, from http://www.easterseals.ab.ca/Site/OurPrograms/EquipmentAndSupportServices/HowToApply.aspx

Easter Seals Alberta. (2017). Equipment and Support Services Retrieved Feb 23, 2017, from http://easterseals.ab.ca/site/OurPrograms/EquipmentAndSupportServices.aspx

Government of Alberta - Disability Services. (2017). AISH - AISH Program Policy Retrieved Feb 23, 2017, from http://www.humanservices.alberta.ca/AWonline/AISH/7180.html

Government of Alberta - Financial, F. a. S. S. (2017). Assured Income for the Severely Handicapped (AISH) Retrieved Feb 23, 2017, from https://www.alberta.ca/aish.aspx

Government of Alberta - Health. (2016). Alberta Aids to Daily Living Retrieved 05/03, 2016, from http://www.health.alberta.ca/services/aids-to-daily-living.html

Government of Alberta - Health. (2017). Program Manual - Alberta Aids to Daily Living Retrieved Feb 23, 2017, from http://www.health.alberta.ca/services/AADL-program-manual.html

Government of Alberta - Human Services. (2013). Application DRES - Appendix #4 Eligible and Ineligible Assistive Services and Assistive Technology Retrieved 06/09, 2016, from

http://www.humanservices.alberta.ca/AWonline/documents/App4-DRES.pdf

Government of Alberta - Human Services. (2016a). Disability Related Employment Supports Retrieved 06/09, 2016, from http://www.humanservices.alberta.ca/working-in-alberta/3159.html

Government of Alberta - Human Services. (2016b). Disability Related Employment Supports (DRES) Retrieved 06/09, 2016, from http://www.humanservices.alberta.ca/AWonline/ETS/4345.html#at

Government of Alberta - Seniors and Housing. (2017). Special Needs Assistance for Seniors (SNA) Program Retrieved Feb 23, 2017, from http://www.seniors-housing.alberta.ca/seniors/special-needs-assistance.html

Government of Alberta - Student Aid Alberta. (2017). Students with Permanent Disabilities Retrieved Feb 23, 2017, from http://studentaid.alberta.ca/applying-for-funding/students-with-permanent-disabilities/

I Can Centre for Assistive Technology (2016). [Personal communication, 780-735-6070 (June 10, 2016)].

Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017a). Programs and Services Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/123/quality-of-life-grants-

equipment-ab-nwt-division

Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017b). Quality of Life - Equipment Community Fund Retrieved Jun, 2017, from

https://mssociety.ca/library/document/0rIeG2HSRgTDO6ZBqthY5n7M8CUWc4as/original.pdf

Muscular Dystrophy Canada. (2017a). Community Services Fund: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-

fund-western-canada/

Muscular Dystrophy Canada. (2017b). Equipment Program: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-western-canada/

Red Cross Alberta. (2017). Health Equipment Loan Program - Short Term Loan Program Retrieved Feb 23, 2017, from http://www.redcross.ca/in-your-community/alberta/health-equipment-loans/short-term-loan-program

Spinal Cord Injury Alberta. Classifieds Retrieved 05/17, 2016, from http://sci-ab.ca/classifieds

Workers' Compensation Board Alberta. (2015). WCB-Alberta Worker Handbook Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/assets/pdfs/workers/WCB-003_Worker_Handbook.pdf

Workers' Compensation Board Alberta (2016a). [Personal communication, 1-800-661-9608 (April 27-29, 2016)].

Workers' Compensation Board Alberta. (2016b). Worker Fact Sheet - Wheelchair costs Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/assets/pdfs/workers/WFS_Wheelchairs.pdf

Workers' Compensation Board Alberta. (2017). Workers' Compensation Board Alberta Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/

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Table 3-A: Government of British Columbia Programs Table 3-B: British Columbia Government Legislated Insurance Programs Table 3-C: British Columbia Legislation Governing Programs Table 3-D: British Columbia Charitable Organization Programs Table 3-E: British Columbia Other Resource Programs References Table 3-A: Government of British Columbia Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Ministry of Social Development and Social Innovation BC -Employment and Assistance (BCEA) – Medical Equipment and Devices http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-and-devices

Yes - Devices are either fully funded or co-pay Ministry is payer of last resort For income assistance and disability assistance clients, other resources may include other government programs or funding sources (e.g., Fair PharmaCare, Health Authorities, ICBC, WorkSafeBC, Veterans Affairs Canada), private insurance, publicly subsidized residential care facilities (when it is the client’s place of

Only these items: Canes, crutches, walkers Manual and power wheelchairs, wheelchair seating systems, scooters Toileting, transfers, and positioning aids Hospital beds and related items, pressure relief mattresses Floor or ceiling lift devices

Yes May consider repairing or replacing due to equipment being damaged, worn out, or not functioning, specific criteria apply (Unless under warranty, may fund repairs. If power wheelchair or scooter batteries require replacement after warranty expires, contracted service providers are not to charge over $450.00.) Replacement time period does not apply when item is required due to changes in condition

Devices for medically essential needs are available to clients who are eligible for general health supplements. Health supplements – Disability assistance determine on case by case basis, Financial eligibility to receive assistance (some assets are exempt) 18 years old Have severe physical or mental impairment expected to continue for more than two years Significantly restricted in ability to perform daily-

Item must be prescribed by medical practitioner or nurse practitioner and/or medical need confirmed by assessment of relevant therapist (occupational, physical therapist) Request must be pre-approved by ministry prior to purchase; except if life-threatening emergency

Yes, there is a list of types of accepted devices. Least expensive, appropriate devices may be provided to specific recipients to assist with medically essential need (In practice this ‘least expensive clause’ can lead to items that are appropriate not being approved and items that are not appropriate being approved instead) There are general criteria for devices and specific criteria for eligibility for each type of device, and justification for needs and special features/items are

(Ministry of Social Development and Social Innovation, 2016a, 2016d, 2017)

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residence). Co-funding may be considered when other resources cannot pay the entire cost (e.g. insurance) Must have no resources available from the family unit for equipment

Contracted vendors: Assessment (fitting and trial equipment), delivery, set up, training, servicing (e.g. with wheelchairs), maintenance, loaners provided until equipment arrives and during repairs, $450.00 maximum charge for replacement power wheelchair or scooter batteries.

living activities Require assistance with daily living activities from person, device, or animal For direct and imminent life-threatening health need must meet eligibility criteria for Life-Threatening Health Needs before being assessed eligibility for medical equipment and devices Clients living in facilities funded by Ministry of Health are not eligible for medical equipment from Social Dev and Soc Innovation.

required. E.g. guidelines for determining medical necessity for mobility devices to achieve basic needs, these are evaluated on a case by case basis Do not fund e.g. walking poles, strollers, high performance wheelchair for recreational or sports use, scooters intended primarily for recreational or sports use, automatic turning beds, containment type beds, ventilators, lift chairs There is also list of contracted medical equipment service providers.

Ministry of Social Development and Social Innovation BC -Employment and Assistance (BCEA) - Medical Equipment – Hearing Instruments http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-

Yes Payer of last resort For income assistance and disability assistance clients, other resources e.g. other government programs (e.g., PharmaCare, Health Authorities, ICBC, WorkSafeBC, Veterans

Hearing instruments Yes Some services, such as repairs and battery replacements

Must be eligible for General Health Supplements Hearing impaired parent of a dependent child Recipient involved in ministry-approved training or who, in opinion of Supervisor, requires instrument to obtain employment and where failure to provide represents a direct barrier

Through regional health authority or through private service providers If health authority hearing instrument services are unavailable, recipient may access local hearing instrument service provider who is audiologist or hearing instrument practitioner registered with the College of Speech and

Hearing instruments are least expensive and appropriate

(Ministry of Social Development and Social Innovation, 2016b)

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supplements-and-programs/medical-equipment-hearing-instruments

Affairs Canada), private insurance Co-funding may be considered No resources available to family unit to pay

to employment Recipient who is both registered with Canadian National Institute for Blind (CNIB) and is hearing impaired Person with hearing impairment who is sole homemaking support for adult who has cognitive impairment

Hearing Health Professionals of BC. Do not require referral from their medical practitioner to obtain hearing services from private service provider. Audiologist or hearing instrument practitioner registered with College of Speech and Hearing Health Professionals of BC assessment confirms need and prescribes hearing instrument Purchase of hearing instrument must be pre-approved Client’s hearing instrument service provider contact Pacific Blue Cross to determining eligibility PBC advises provider what supporting documentation is required. PBC makes a final decision

Ministry of Social Development and Social Innovation BC -Employment and Assistance (BCEA) - Medical Equipment –

Yes Payer of last resort For income assistance and disability assistance clients, other

Orthoses are items that are applied externally to the limb or body to provide support, protection or replacement of lost function

Yes May consider repairing or replacing due to damaged, worn out, or not functioning.

Must be eligible for general health supplements. Clients living in Ministry of Health funded residential

Least expensive, appropriate orthoses may be provided to eligible clients to meet medically essential need.

Does not fund: Prosthetic and related supplies Plaster or fibreglass cast Hernia support Abdominal support

(Ministry of Social Development and Social Innovation, 2016c)

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Orthoses http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-orthoses

resources e.g. other government programs (e.g., PharmaCare, Health Authorities, ICBC, WorkSafeBC, Veterans Affairs Canada), private insurance Co-funding may be considered No resources available to family unit to pay

Only funds: Custom-made foot orthotic Off-the-shelf foot orthotic Custom-made footwear Off-the-shelf orthopaedic footwear Off-the-shelf footwear Permanent modification to footwear Ankle brace Ankle-foot orthosis Knee-ankle-foot orthosis Knee brace Hip brace Upper extremity brace Cranial helmet Torso or spine brace Foot abduction orthosis Toe orthosis Orthosis accessories and supplies

Repairs, including modifications, should be completed by appropriate professional, e.g. person professional who fitted orthosis Replacement time period does not apply when item is required due to changes condition

care facilities may also be considered. If require medical equipment for direct and imminent life-threatening health need must meet eligibility criteria for Life-Threatening Health Needs Item must meet general criteria and specific criteria. only one orthosis per part of body may be considered one “resting” orthosis may also be considered for each part of body Item is required for one or more of following purposes: to prevent surgery for post-surgical care to assist in physical healing from surgery, injury or disease to improve physical functioning that has been impaired by a neuro-musculo-skeletal condition Guidelines to determine if orthoses are medically essential to achieve or maintain basic

Item must be prescribed by medical practitioner or nurse practitioner Guidelines assist ministry staff when reviewing information provided by client’s medical practitioner or nurse practitioner and, when required, information from an orthotist, pedorthist, podiatrist, occupational therapist or physical therapist Request must be pre-approved prior to purchase; except in cases of life-threatening emergency Criteria for under $100, over $100, custom

Walking boot for a fracture

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functionality.

Ministry of Health - Pharmacare – Medical Supplies Prosthetics and Orthotics (orthotics only for 18 and younger) http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/what-we-cover/medical-supplies-coverage/prostheses-and-orthoses http://www2.gov.bc.ca/assets/gov/health/health-drug-coverage/pharmacare/p_ogenstmt.pdf

Yes – Amount funded varies Amounts covered and deductibles depends on type of plan and income of applicant Coverage depends on PharmaCare plan, including deductible requirement Must not be covered by another insurer such as ICBC, WorkSafeBC, Veterans Affairs Canada, Health Canada’s Non-Insured Health Benefits Program, similar programs from other provinces or jurisdictions, or under award for damages.

Prosthetics (note: orthotics are only available for those 18 years and younger)

Yes Repairs and replacements Program covers repairs and replacements if not covered by a warranty; help attain or maintain basic functionality, extend useful life of device, and, covered by PharmaCare when was bought

Must be covered by one of PharmaCare plans: Fair PharmaCare Plan B (Residential Care) Plan C (B.C. Income Assistance) Plan F (At Home Program)

(A physician fills out the prescription, and then a detailed request for approval is submitted to PharmaCare by the prosthetist.) After health care provider determines what is needed, send claim to PharmaCare for service or supplies under $400 Need PharmaCare’s pre-approval for all services or supplies over $400 Prosthetic or orthotic health care provider will submit Application for Financial Assistance to PharmaCare if claim is $400 or over.

List of items that may be covered, need pre-approval Not covered: Back-up devices or replacement of lost or stolen items Lowest cost devices needed to attain or maintain basic functionality

(Ministry of Health, 2016a, 2016c) (BC Ministry of Health Services, 2009) (Pharmacare British Columbia, 2016)

Ministry of Health - Home and Community Care Services – Palliative Care Benefits Program http://www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/care-options-and-cost/end-of-

Yes - Devices are fully funded If no longer qualify may need to purchase supplies and equipment

Supplies and equipment for palliative care, e.g. : Walkers Wheelchairs Mechanical lifts, Commode Bathing aid Hospital beds

Yes Local health authority—Assessment, need for supplies and equipment is assessed at least monthly

(have life expectancy of up to 6 months, wish to receive palliative care at home and, consents to the focus of care being) primarily palliative rather than treatment aimed at a cure. B.C. residents of any age End stage of life-

Physician or nurse practitioner assess eligibility for benefits Submits registration form to Home and Community Care office of local health authority

Yes there is an approved list of equipment

(Ministry of Health, 2016b)

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life-care http://www2.gov.bc.ca/assets/gov/health/health-drug-coverage/pharmacare/palliative-patientinfo.pdf

threatening illness and want to receive medically-appropriate palliative care at home Not in licensed residential care facility covered under PharmaCare Plan

Ministry of Justice – Victim Services and Crime Prevention Division- Crime Victim Assistance Program (CVAP) http://www2.gov.bc.ca/gov/content/justice/criminal-justice/bcs-criminal-justice-system/if-you-are-a-victim-of-a-crime/victim-of-crime/financial-assistance-benefits

Yes – Devices are either fully funded or cost shared Need to make claims for services or expenses covered by other sources first e.g. health insurance plan, if there are additional, eligible costs not covered by other sources, Crime Victim Assistance Program can provide reimbursement

Replacement of damaged or destroyed disability aids Disability aids and related disability expenses or services e.g. Mobility aids Communication aids Vision aids Prosthetics and orthotics

No Must be a victim of a violent crime inside British Columbia and be physically or psychologically injured as a result Applicants must submit application within one year of incident (with some exceptions)

A CVAP specific consultant must set up referrals with appropriate health professionals. Three quotes are needed per device. There is no maximum per claim.

No (Crime Victims Association Program (CVAP), 2016a, 2016b)

First Nations Health Authority (FNHA) – Health Benefits http://www.fnha.ca/benefits/medical-supplies-and-equipment

Yes – Devices are fully funded Item must not be available through other federal, provincial, or other third party plans Benefits are delivered through the federal government’s NIHB

Audiology (Hearing Aids and Supplies) Bathing and Toileting Aids Cushions and Protectors Environmental Aids (Dressing and Feeding) Lifting and Transfer Aids Low Vision Aids Miscellaneous Supplies and Equipment Mobility Aids (Walking

Yes Delivery, maintenance and repair

Registered 'Indian' according to Indian Act or infant (up to one-year old) of eligible parent Resident of British Columbia within meaning of Medical Service Plan (Canadian citizen, permanent resident, present in BC at least 6

Prescription needed from authorized prescriber (e.g. physician or nurse practitioner) Assessment by health professional Take assessment to recognized provider, provider completes and forwards prescription to FNHA program for prior

Yes, each item has a unique benefit code. FNHA Health Benefits program Medical Supplies & Equipment List There are approved providers. Not funded: Assistive listening devices

(First Nations Health Authority (FNHA), 2016, 2017)

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program and funded through a buy back option. Benefits are fully paid as under NIHB program.

Aids, Wheelchairs) Orthotics and Custom Footwear Pressure Garments and Pressure Orthotics (Compression Device and Scar Management) Prosthetic Benefits (Breast, Eye, Limbs)

months) Not be funded or insured under any other benefit system or benefit plans provided by Federal legislation, a federal policy or under agreements entered into by Canada, and/or A First Nations Organization pursuant to self-government agreements, land claim agreements, contribution arrangements or internal policies or plans (language slightly different in two references)

approval, who determines eligibility

(excluding eligible hearing aids) Assistive speech devices (i.e., keyboard speech systems, speech enhancers) Cochlear implants Electric/myoelectric limb prosthetics Exercise devices Experimental equipment Foot products manufactured only from laser or optical scanning or computerized gait and pressure analysis systems Grab bars permanently fixed Hospital beds and mattresses Items used exclusively for sports, work or education Orthopedic footwear (i.e. "off the shelf") Scooters Short-term compression stockings/ garments (i.e. post-operative: surgical stripping, sclerotherapy, and edema conditions) Temporary prosthetics required as part of a surgical procedure

Canada Student Grant for Services and Equipment for Students

Yes Non-repayable grant of up to $8,000 per

Technical aids No Have a permanent disability as defined by Canada

Verification of permanent disability - Completed by a qualified medical assessor

(Student Aid BC, 2017b, 2017c)

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with Permanent Disabilities (CSGP-SEPD) Ministry of Advanced Education - Student Aid British Columbia Joint program with provincial government) https://studentaidbc.ca/explore/grants-scholarships/canada-student-grant-services-and-equipment-students-permanent (Note: equipment requests administered by Assistive Technology BC - ATBC)

program year for the purchase of equipment Up to $8,000 per loan year

Student Loan Program Demonstrate financial need through StudentAid BC application for full-time or part-time studies Not be in default of a Canada student loan Not be ineligible for a Canada or BC student loan due to previous declaration of bankruptcy Not have outstanding receipts or any unaccounted CSGP-SEPD or APSD funds Enrolled in full-time or part-time studies at designated post-secondary institution Have exceptional education related costs for services or equipment due to permanent disability

(i.e., physician, psychologist, etc.) in Canada within 3 years, must indicate the daily impact on your ability to participate fully in your studies Learning Disability documentation – a copy of a current psycho-educational assessment – psycho-educational assessment must be less than three years old A copy of your registration form for your current course(s) applicable to the permanent disability program funding you are requesting.

Ministry of Advanced Education - Student Aid British Columbia - Assistance program for students with permanent disabilities (APSD)

Yes Depending on need, grants of up to $10,000 ($12,000 if an attendant is required at

Technical aids (same as Canada program?)

No Student with a permanent disability Enrolled in public or private post-secondary institution in B.C.

Apply through disability services office in B.C. public post-secondary institutions Or StudentAid BC for B.C. private post-secondary

Only receive this grant when funds used up through Canada student grant for services and equipment for persons with permanent

(Student Aid BC, 2017b, 2017c)

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https://studentaidbc.ca/explore/grants-scholarships/assistance-program-students-permanent-disabilities

school) Demonstrate financial need through the StudentAid BC application for full-time or part-time studies Not be in default of a BC student loan to be eligible Not have outstanding receipts or any unaccounted CSGP-SEPD or APSD funds

institutions Shared application with Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (CSGP-SEPD)

disabilities (CSGP-SEPD)

Ministry of Advanced Education - Student Aid British Columbia - Learning Disability Assessment Bursary https://studentaidbc.ca/explore/grants-scholarships/learning-disability-assessment-bursary

No Yes – Learning disability assessments

For applicants to the Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (CSGP-SEPD)

Original receipt confirming payment Copy of current psycho-educational assessment must be attached. Psycho-educational assessment must be less than six months old, and must clearly identify a learning disability Shared application with Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (CSGP-SEPD)

(Student Aid BC, 2017a)

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Table 3-B: British Columbia Government Legislated Insurance Programs

Table 3-C: British Columbia Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Employment and Assistance (BCEA) – Medical Equipment and Devices

Ministry of Social Development and Social Innovation Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41

Insurance Corporation of British Columbia (ICBC) http://www2.gov.bc.ca/gov/content/home/services-a-z/collection-of-a-z/insurance-corporation-of-bc http://www.icbc.com/Pages/default.aspx *Automobilie insurance, for profit Crown corporation

Yes – Devices are fully funded The total amount covered by basic insurance coverage for all medical expenses, including all care services and equipment (including assistive devices) is maximum $150,000 over the lifetime of the individual.

Varies per claim Yes Assessment

Basic auto insurance is mandatory in British Columbia. Clients can by optional extra protection. Coverage is only available for accidents within the United States and Canada.

Approval is through ICBC adjusters and ICBC rehabilitation coordinators.

No (Insurance Corporation of British Columbia (ICBC), 2016a, 2016b, 2016c) Note: For personal communication – only basic information from reception, transferred twice to another department, would not answer questions.

Worksafe British Columbia – Health Care Benefits https://www.worksafebc.com/en/claims/benefits-services/health-care-benefits *Funded by employers

Yes – Devices are fully funded Devices are supplied either on a temporary or permanent basis

Prosthetics and orthotics Mobility aids Hearing devices Vision aids Hospital beds and mattresses Bathroom aids Safety aids

Yes Assessment, repair and maintenance. Replacement is offered when appropriate and not due to misuse.

Work related injury or illness in BC

The decision making power lies with the board of WorkSafe BC. Qualified healthcare professionals act as advisors.

There is an approved vendor list, and each device has a fee code

(WorkSafeBC, 2016a, 2016b)

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http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-and-devices

Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and Assistance for Persons with Disabilities Act)

Employment and Assistance (BCEA) - Medical Equipment – Hearing Instruments http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-hearing-instruments

Ministries of Social Development and Social Innovation AND Children and Family Development

Employment and Assistance Act, SBC 2002, c 40 Employment and Assistance Regulations, BC Reg 263/2002 http://www.bclaws.ca/civix/document/id/complete/statreg/263_2002

Employment and Assistance (BCEA) - Medical Equipment – Orthoses http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-orthoses

Ministry of Social Development and Social Innovation BC Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41 Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and Assistance for Persons with Disabilities Act)

Pharmacare – Medical Supplies Prosthetics and Orthotics (orthotics only for 18 and younger) http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/what-we-cover/medical-supplies-coverage/prostheses-and-orthoses

Ministries of Health AND Finance, Health Insurance BC administers the Ministry of Health's PharmaCare program on behalf of the Medical Beneficiary & Pharmaceutical Services Division

Medicare Protection Act, RSBC 1996, c 286 Medical and Health Care Services Regulation, BC Reg 426/97 , (Medicare Protection Act)

Home and Community Care Services – Palliative Care Benefits Program http://www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/care-options-and-cost/end-of-life-care

Ministries of Health AND Finance Medicare Protection Act, RSBC 1996, c 286 Medical and Health Care Services Regulation, BC Reg 426/97 , (Medicare Protection Act)

Victim Services and Crime Prevention Division- Crime Victim Assistance Program (CVAP) http://www2.gov.bc.ca/gov/content/justice/criminal-justice/bcs-criminal-justice-system/if-you-are-a-victim-of-a-crime/victim-of-crime/financial-assistance-benefits

Ministry of Justice Victims of Crime Act [RSBC 1996] CHAPTER 478 Canadian Victims Bill of Rights. (Federal)

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First Nations Health Authority (FNHA) - Health Benefits - Medical Supplies and Equipment http://www.fnha.ca/benefits/medical-supplies-and-equipment

Own organization in conjunction with BC Ministry of Health and Federal Ministry of Health

http://www.fnha.ca/about/governance-and-accountability

Canada student grant for services and equipment for students with permanent disabilities https://studentaidbc.ca/explore/grants-scholarships/canada-student-grant-services-and-equipment-students-permanent

Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28

Student Aid British Columbia - Assistance program for students with permanent disabilities https://studentaidbc.ca/explore/grants-scholarships/assistance-program-students-permanent-disabilities

Ministry of Advanced Education Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41 Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and Assistance for Persons with Disabilities Act)

Insurance Corporation of BC http://www.icbc.com/about-icbc/Pages/default.aspx

Crown corporation - Insurance Corporation of British Columbia

Insurance (Vehicle) Act, RSBC 1996, c 231 Insurance (Vehicle) Regulation, BC Reg 447/83, Part 7

Worksafe BC – Health Care Benefits https://www.worksafebc.com/en/claims/benefits-services

Ministry of Jobs, Tourism and Skills Training and Minister Responsible for Labour

Workers Compensation Act, RSBC 1996, c 492

Table 3-D: British Columbia Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS)Society

Yes – Equipment are loaned at no charge

Mobility, lift, bathroom, bedroom equipment and

Yes – Free delivery and return of all loaned

Must have an ALS diagnosis by a qualified

For Communication devices: Equipment must

There may be a wait list for certain items

(ALS Society of British Columbia, 2013, 2016)

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of British Columbia- Equipment Loan Program - BC and Yukon (Reg. charity)

communication devices equipment. Repair is also at no cost to the client.

neurologist and reside in BC or the Yukon; Must have a valid Provincial Health Care Number; Must have completed the membership application provided by the ALS Society of BC. There is no fee to register.

be prescribed by a qualified healthcare professional, such as a Speech-Language Pathologist or in a rural area an Occupational Therapist or Family Physician. For Bathroom Aids/Lifts/ Mobility/Misc./Beds and Mattresses: Equipment must be prescribed by a qualified health care professional, such as an Occupational Therapist, a Physiotherapist or in a rural area with limited resources, a Family Physician.

Canadian National Institute for the Blind (CNIB) –– Vision Loss Rehabilitation (operated by CNIB) BC and Northern Canada (Yukon) CNIB Sight Solutions BC Specialized services and assistive technology solutions Vision Loss Rehabilitation British Columbia is operated by CNIB and funded by donors and

No Assistive technology sales: desktop and portable video magnifiers, magnifying and screen reading software, text-to-speech devices and software, DAISY talking book players and more. An extensive range of equipment from brand name manufacturers at competitive retail prices.

Yes Assessment and recommendation; education; advice on financial support Specialized rehabilitation services and assistive technology solutions Worksite accommodation and vocational assessments, specialized training and instruction, assistive and mainstream equipment, customer support

Vision rehabilitation specialists

(Canadian National Institute for the Blind (CNIB), 2016; Canadian National Institutes for the Blind - BC and Northern Canada, 2017; Vision Loss Rehabilitation - British Columbia, 2017)

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partially funded by the Government of British Columbia. (Reg. charity)

Multiple Sclerosis Society of Canada – Quality of Life Grants BC/Yukon https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes Provides equipment or financial assistance to acquire a new piece of equipment

Mobility Aids: manual wheelchairs, power wheelchairs, walkers, scooters Personal Care: shower chairs, bath lifts, bath transfer board, grab bars, safety rails Home Care: patient lifts, lift chairs, hospital beds, mattresses, air conditioners

Yes – repair

Be diagnosed with MS, Be a resident of BC or Yukon, Have limited or no other program eligibility and fall within the Low Income Cut Off as determined by Statistics Canada

Occupational Therapist, Physical Therapist, or other health professional must complete a needs assessment

(Multiple Sclerosis Society of Canada - British Columbia and Yukon Division, 2017)

Muscular Dystrophy Canada - Equipment Program- Western Canada (BC, Alberta, Manitoba, Saskatchewan) (Reg. charity)

Yes – Cost sharing Maximum per item: $3,000 Client minimum contribution: $200 Equipment costing less than $200 will not be eligible for funding Short term rentals

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting,

Yes Repair and modifications, batteries, mattress replacement

Must be registered client of Muscular Dystrophy Canada (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

A signed equipment prescription from the appropriate licensed health care professional such as: an occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist Approval or denial letter from insurance company (if applicable) Is needed Quotes from 2 different equipment vendors needed

Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017b)

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Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Canada – Community Services Fund- Western Canada (BC, Alberta, Manitoba – various local chapters only, note: no local chapter provides this in Saskatchewan) (Reg. charity)

Yes maximum funding amount of $1,000 per item

Life Line Services. Adaptive Technologies/ Environmental Control Units

Yes Equipment repair

For the local chapters of South Okanagan, Greater Vancouver , Central Alberta, and Southern Manitoba Must be a registered client of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter Must be registered client of Muscular Dystrophy Canada (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

Prescription/letter from a professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed Quotes from 2 different equipment vendors for the requested item

Muscular Dystrophy Canada, 2017a)

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Red Cross British Columbia and Yukon – Health Equipment Loan Program (HELP) – Customized Community Health Equipment Services HELP Plus http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

Yes – Devices are provided on a loan basis Items are loaned free of charge for as long as needed

Hospital beds and patient lifts

Yes Delivery and set up, some locations

(Need password to access forms and manuals)

Referrals must come from designated occupational or physical therapists Through 5 health authorities.

Devices are those which are available in the equipment bank.

(Canadian Red Cross - BC and Yukon, 2017b, 2017c, 2017d)

Red Cross British Columbia and Yukon – Health Equipment Loan Program (HELP) – Customized Community Health Equipment Services Aids to Independent Living Program http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

Yes – Devices are provided on a loan basis Items are loaned free of charge for as long as needed Stock is new or used

Wheelchairs (manual and recliners, tilt-in-space) and specialty cushions Transfer aids, including lifts Bathing aids Toileting aids Beds and accessories (mattresses, rails) Walking aids (walkers, canes, crutches) Grab bars

Yes Maintenance and repairs Installation of grab bars

Must reside in BC lower mainland (2 health authorities – Vancouver Coastal, and Fraser Health) Must have under $20,000 in savings and income of up to $20,000 per person with a disability or up to $26,000 per person with a spouse or child with a disability Seniors coping with long-term illness and injury No financial resources to purchase or rent medical equipment.

Referrals must come from designated occupational or physical therapists Therapist does home visit, and application made to program

Devices are those which are available in the equipment bank. There is a waiting list for some items

(Canadian Red Cross - BC and Yukon, 2017a, 2017b, 2017d)

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Vancouver only (operates palliative care program)

Red Cross British Columbia and Yukon – Health Equipment Loan Program (HELP) – Short Term Loan Program http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

Yes – Short term loan Bath boards Bath stools Bath transfer benches Bathtub safety rails Bed cradles Bed handles Canes – standard and quad Commodes - wheeled, stationary and shower Crutches – axilla and forearm I.V. poles Overbed tables Raised toilet seats Toilet safety frames Wheelchairs - standard and companion Walkers – frame, 2 wheeled, 4 wheeled

Assist people coping with illness, injury or end-of-life at home

Referral from one of the following registered health care professionals listed below:

Doctor Chiropractor Licensed Practical Nurse Nurse Occupational Therapist Physical Therapist Respiratory Therapist

Devices are those which are available in the equipment bank.

(Canadian Red Cross - BC and Yukon, 2017b, 2017d)

BC Centre for Ability – Opportunities Fund for Persons with Disabilities Program of the BC Centre for Ability and funded by Employment and Social Development Canada http://www.oppsfund.ca/ (Reg. charity)

Yes – Devices are fully funded or cost shared Full or partial funding. (depends on need and amounts available) Three quotes from vendors are needed.

Adaptive equipment/tools required because of disability in order to train or perform job duties (may include computer) Communication aids, vision aids

No Have permanent disability as barrier to employment Unemployed or underemployed Eligible to work in Canada Not have received Employment Insurance benefits within last three (3) years Reside in: the Sunshine Coast, Sea to Sky up to Pemberton, Lower

Referral from Case Manager from workbc.ca None are required but occupational therapists may be consulted.

No (BC Centre for Ability, 2016a, 2016b)

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Mainland, Fraser Valley up to Boston Bar and Hope or Vancouver Island and the Gulf Islands Registered with Case Manager from WorkBC Completed job search using existing skills Considered short term training program

Neil Squire Society – Technology@Work Program http://www.neilsquire.ca/individual-programs-services/technologywork/ Collaboration with government on some programs (Reg. charity)

Yes – Devices may be fully or partially funded The devices are cost shared between individual, employer, and Technology@Work program, amount contributed is determined on case by case basis

Assistive devices, equipment and technology Communication and hearing devices Ergonomic supports and other individualized devices Wheelchair accessories (but not wheelchair themselves), ergonomic aids, communication aids, hearing devices, vision aids, software and more depending on specific requirements.

Yes Assessment, training

Have a work related barrier due to disability or functional limitation which can be addressed by assistive technology May include barriers related to traveling to and from workplace Resident of and be legally entitled to work in British Columbia 16 years of age or older Currently be employed, self-employed, volunteering, or have confirmed job offer WorkBC clients and public sector employees are not eligible Not eligible: Looking for work, but no offer Technology for personal use

Each client must have an initial assessment with an approved OT and assistive technology assistant

No Items not funded: Items that are primarily for personal use

(Neil Squire Society, 2016a, 2016b)

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Able to obtain services through public sector Have WorkBC service provider

The Kinsmen Foundation of BC http://www.kinsmenfoundationofbc.ca/application http://www.kinsmenfoundationofbc.ca/wp-content/uploads/2016/10/Kinsmen-Foundation-Funding-Information-and-Eligibility-Criteria.pdf (Reg. charity)

Yes – Funding is provided up to maximum for device types Funding limits range from $250 to $3000 depending on device Two quotes are needed from different vendors

New and used equipment, e.g. Power wheelchairs Manual Wheelchairs Custom orthotics Specialized wheelchair seating systems Scooters Walkers Assistive technology devices (e.g. Dragon speaking software)

No Demonstrate severe need, inability to acquire through any other means Financial need Type of disability (primarily physical in their mandate) How equipment request will improve applicants quality of life and increase personal independence If applicant has explored other avenues of funding How long equipment will meet need

A letter of support and/or assessment from a health care practitioner such as a medical doctor, occupational therapist or physiotherapist is needed.

There is list of types of devices previously funded and max funding available for each type (though other devices seem to be considered)

(Kinsmen Foundation of BC, 2016)

BC Association for Individualized Technology and Supports for People with Disabilities (BCITS) -Technology for Independent Living Program Environmental control systems and Door opener systems http://bcits.org/technology-

Yes – Devices are fully funded (equipment funded by donations and community grants)

Environmental control switches e.g. for TV (audio/video) Control Smartphone/Tablet Access Landline Phone Control Lamp/Fan Control Attendant Call Access Door Openers

Yes Assessments, installation, servicing, repairs, follow up (services funded by Ministry of Health)

Must have difficulties in accessing home environment due to severe physical disabilities. Candidate for Environmental control system will have desire to maximize independence via personal control over immediate environment. Applicants who are

Need to apply to program for Environmental Control Systems for approval An OT or technologist from BCITS do assessment

No (BC Association for Individualized Technology and Supports for People with Disabilities (BCITS), 2016a, 2016b, 2016c, 2017)

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for-independent-living-program-til/ (Reg. charity)

requesting door opener must be able to demonstrate that they cannot open door in question without assistance and be prepared to stay at residence for up to five years or pay move fee.

Cerebral Palsy Association of BC – Equipment Assistive Devices http://bccerebralpalsy.com/programs/equipment-assistive-devices-funding-program/ (Reg. charity)

Yes – Funding amount varies It is a bursary program. Amounts given varies per requests. Requests are funded on a first come first served basis. All funds must go directly towards the purchase of the equipment. A quote from a vendor is needed.

Communication and writing aids Orthotics Positioning and ambulance aids Home accessibility aids Electronic aids to daily living Vision aids and hearing aids

No Must have cerebral palsy and be current member of Cerebral Palsy Association of BC.

Signed letter from medical professional explaining need for this equipment

No (Cerebral Palsy Association of BC, 2016a, 2016b)

The Jennifer and Gregory Louie Foundation for Cerebral Palsy (Reg. charity)

Yes – Primarily cost shared Most grants are partial funding, but they give full grants if the amount requested is small. A quote with a picture of the device from a vendor is required.

Orthotics Power wheelchairs, standers, gait trainers, Lifts, specialized seating, adaptive bicycles Other devices that enhance mobility and independence Mounting system for communication device

No Resident of BC Have diagnosis of cerebral palsy

Complete grant application, letter is needed from physical therapist, occupational therapist or physician stating how mobility and/or functional ability will be enhanced by this particular piece of equipment.

No (The Jennifer and Gregory Louie Foundation for Cerebral Palsy, 2016a, 2016b)

Western Institute for Yes – Refurbished Hearing Aids Yes Not income tested, but is No (Western Institute for Deaf

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Table 3-E: British Columbia Other Resource Programs

Deaf and Hard of Hearing – Lend an Ear Program Communication Devices Showroom http://www.widhh.com/ (supported by provincial government) (Reg. charity)

devices are loaned Refurbished hearing aids are donated then provided to individuals who cannot afford to purchase new ones. Clients pay $140 towards the hearing aid.

Showroom displays variety of assistive listening and alerting devices to optimize communication and safety at home, in workplace, and in social environments. These devices include: FM systems Infrared systems for the television and radio Amplified telephones Visual alerting systems for the home

Hearing test, ear mold, and one year of free repairs. Hearing aids can also be cleaned, checked, or serviced at no charge.

aimed at those who cannot afford. Resident of BC Have applied to all other programs of funding

and hard of Hearing, 2016a, 2016b, 2017)

BC Rehab Foundation – Individual Grant Programs (Reg. charity)

Yes – Funding up to a maximum Funding limits for back up wheelchair and scooters Funds new and used equipment

Manual and powered wheelchairs, specialized seating Scooters Walkers Hospital beds, mattresses Custom orthotics Assistive technology devices – e.g. software for communication

Yes Repair

Considerations: Severe need, inability to acquire through other means Financial need Type of disability (physical) How equipment will improve quality of life and personal independence Length of time equipment is needed

Letter of support and/or assessment from health care practitioner such as a medical doctor, occupational therapist or physiotherapist

There is a list of type of devices funded Two quotes are needed from two different vendors.

(BC Rehab Foundation, 2016)

Program

Are devices funded or supplied? (Yes / No)

What devices are covered under the program?

Are services available and/or covered? (Yes / No)

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers?

Are there restrictions on the assistive technology devices that are funded

References

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 22 of 25

How does the funding system work?

What services are available?

What is the process for provision or authorization?

or supplied? What are the restrictions?

Assistive Technology British Columbia – Public Postsecondary Loan Bank (Also services for: Service Program for WorkBC and Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities) Partnered with Ministry of Advanced Education, Innovation and Technology and Ministry of Social Development http://www.at-bc.ca/

Yes – Devices are provided on loan basis Equipment loans are provided for semesters the student is enrolled in public postsecondary institution

Visual aids, FM system hearing aids, environmental controls, access to computers, limited communication aids, software.

Yes Consultation, assessment, training and technical support. Minor wheelchair modification to affix devices.

Resident of BC Legally able to work in BC Currently enrolled in BC public postsecondary institution Have permanent disability that is expected to persist for two years or longer that is primary barrier to training or student employment.

The school’s disability coordinator must also authorize application. Medical documentation of disability must be provided by appropriate health professional. Course registration

Devices are the ones that exist in the loan bank. New devices can be added to the bank when needed.

(Assistive Technology BC (ATBC), 2016a, 2016b)

Communication Assistance for Youth and Adults (CAYA) http://www.cayabc.org/ (Receives funds from Ministry of Social Development)

Yes – Devices are offered on a loan basis Loans are for an indeterminate period of time.

Augmentative and alternative communication devices and accessories

Yes Assessment, training, technical support and repair, maintenance

Ages 19+ and requires a communication device due to a severe communication disability. Does not include individuals whose primary communication disability is hearing loss

Anyone can refer, however Speech Language Pathologists provide services

Devices are those available in the library loan bank. Does not provide hearing aids or listening devices

(Communication Assistance for Youth and Adults (CAYA), 2016a, 2016b)

Spinal Cord Injury BC No Available devices change Yes N/A No (Spinal Cord Injury BC,

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 23 of 25

References ALS Society of British Columbia. (2013). ELP Program Retrieved 08/09, 2016, from http://www.alsbc.ca/sites/default/files/files/2013%20ELP%20Program%20-%20email%281%29.pdf

ALS Society of British Columbia. (2016). Equipment Loan Program Retrieved 08/09, 2016, from http://www.alsbc.ca/services/equipment-loan-program

Assistive Technology BC (ATBC) (2016a). [Personal communication, 604-264-8295 (May 31-June 14, 2016)].

Assistive Technology BC (ATBC). (2016b). Public Postsecondary Loan Bank Retrieved 06/14, 2016, from http://www.at-bc.ca/programs/ppl/index.html

BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2016a). Automatic Door Request Retrieved 05/17, 2016, from http://bcits.org/wp-content/uploads/2016/04/tildooropenerapplication.pdf

BC Association for Individualized Technology and Supports for People with Disabilities (BCITS) (2016b). [Personal communication, 1-866-326-1245 (May 17-26, 2016)].

BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2016c). Technology for Independent Living Program Retrieved 05/17, 2016, from http://bcits.org/technology-for-independent-living-

program-til/

BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2017). Application Retrieved 03/13, 2017, from http://bcits.org/wp-content/uploads/2016/04/tilapplication635563933870548660.pdf

BC Centre for Ability. (2016a). Opportunities Fund For Persons with Disabilities Retrieved 06/09, 2016, from http://www.oppsfund.ca/

BC Centre for Ability (2016b). [Personal communication, 604-451-5511 (May 26 - June 9, 2016)].

BC Ministry of Health Services. (2009). PharmaCare Prosthetic and Orthotic Program Retrieved 03/13, 2017, from http://www2.gov.bc.ca/assets/gov/health/health-drug-coverage/pharmacare/p_ogenstmt.pdf

BC Rehab Foundation. (2016). Individual Grant Programs Retrieved 05/19, 2016, from http://www.bcrehab.com/applications/individual-grant-programs

Canadian National Institute for the Blind (CNIB). (2016). Our Range of Services Retrieved 04/18, 2016, from http://www.cnib.ca/en/services/vision-support/range/Pages/default.aspx

Canadian National Institutes for the Blind - BC and Northern Canada. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/bc-yukon/programs-services/Pages/default.aspx

Canadian Red Cross - BC and Yukon. (2017a). Aids to Independent Living Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-aids-to-independent-living-program

Canadian Red Cross - BC and Yukon. (2017b). BC/Yukon Health Care Professional Applications and Referrals Retrieved Jun, 2017`, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc/yukon-health-

care-professional-applications-and-referrals

Canadian Red Cross - BC and Yukon. (2017c). Health Equipment Loan - Plus Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/british-columbia-and-yukon/health-equipment-loans/health-equipment-loan---plus

Canadian Red Cross - BC and Yukon. (2017d). Health Equipment Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx

Cerebral Palsy Association of BC. (2016a). Assistive Equipment Funds Retrieved 05/24, 2016, from http://bccerebralpalsy.com/programs/equipment-assistive-devices-funding-program/

constantly as they are listed by users on forum

Assistive devices buy and sell community forum

2016)

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 24 of 25

Cerebral Palsy Association of BC (2016b). [Personal communication, 604-408-9484 (May 24, 2016)].

Communication Assistance for Youth and Adults (CAYA). (2016a). CAYA Services Retrieved 05/18, 2016, from http://www.cayabc.org/caya-services/

Communication Assistance for Youth and Adults (CAYA). (2016b). Eligibility Retrieved 05/18, 2016, from http://www.cayabc.org/eligibility/

Crime Victims Association Program (CVAP) (2016a). [Personal communication, (British Columbia) 604-660-3888 (June 2, 2016)].

Crime Victims Association Program (CVAP). (2016b). Victim Application Retrieved 06/02, 2016, from http://www2.gov.bc.ca/assets/gov/law-crime-and-justice/criminal-justice/bc-criminal-justice-system/if-victim/publications/cvap-victim-

application.pdf

First Nations Health Authority (FNHA). (2016). Health Benefits Info Package Retrieved 05/18, 2016, from http://www.fnha.ca/Documents/FNHA_HealthBenefits_InfoPackage.pdf

First Nations Health Authority (FNHA). (2017). Medical Supplies and Equipment Retrieved 03/13, 2017, from http://www.fnha.ca/benefits/medical-supplies-and-equipment

Insurance Corporation of British Columbia (ICBC). (2016a). Autoplan Insurance Retrieved 06/03, 2016, from http://www.icbc.com/autoplan/Documents/autoplan-insurance.pdf

Insurance Corporation of British Columbia (ICBC) (2016b). [Personal communication, 1-800-663-3051 (May 23, 2016)].

Insurance Corporation of British Columbia (ICBC). (2016c). Rehabilitation Support Retrieved 06/03, 2016, from http://www.icbc.com/claims/injury/Treatment-and-Injury/Pages/rehabilitation-support.aspx

Kinsmen Foundation of BC. (2016). Funding Information and Eligibility Criteria Retrieved 05/18, 2016, from http://www.kinsmenfoundationofbc.ca/wp-content/uploads/2016/03/Kinsmen-Foundation-Funding-Information-and-Eligibility-

Criteria.pdf

Ministry of Health. (2016a, 05/13). Information for Device Providers - Province of British Columbia, 2016, from http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/device-providers

Ministry of Health. (2016b). Policy Manual Chapter 4 Retrieved 05/13, 2016, from http://www2.gov.bc.ca/assets/gov/health-safety/home-community-care/accountability/hcc-policy-manual/4_hcc_policy_manual_chapter-4.pdf

Ministry of Health. (2016c). Prostheses and Orthoses - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/what-we-cover/medical-

supplies-coverage/prostheses-and-orthoses

Ministry of Social Development and Social Innovation. (2016a). Disability Assistance - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/family-social-supports/services-for-people-with-

disabilities/disability-assistance

Ministry of Social Development and Social Innovation. (2016b). Medical Equipment - Hearing Instruments - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for-

government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-hearing-instruments

Ministry of Social Development and Social Innovation. (2016c). Medical Equipment - Orthoses - Province of British Columbia, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and-

procedure-manual/health-supplements-and-programs/medical-equipment-orthoses

Ministry of Social Development and Social Innovation. (2016d). Medical Equipment & Devices - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-

policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-and-devices

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 25 of 25

Ministry of Social Development and Social Innovation. (2017). Leaving Disability Assistance Retrieved 03/13, 2017, from http://www2.gov.bc.ca/gov/content/family-social-supports/services-for-people-with-disabilities/disability-

assistance/leaving-disability-assistance

Multiple Sclerosis Society of Canada - British Columbia and Yukon Division. (2017). Equipment Provision Program - Quality of Life Grants - BC and Yukon Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-

services/200/equipment-provision-program-bc-yukon

Neil Squire Society (2016a). [Personal communication, 1-844-453-5506 (May 26, 2016)].

Neil Squire Society. (2016b). Technology@Work Retrieved 05/26, 2016, from http://www.neilsquire.ca/individual-programs-services/technologywork/

Pharmacare British Columbia (2016). [Personal communication, 604-683-7151 (May 13, 2016)].

Spinal Cord Injury BC. (2016). Swap & Shop Retrieved 05/17, 2016, from http://sci-bc.ca/resource-centre/swap-shop/

Student Aid BC. (2017a). Learning Disability Assessment Bursary Retrieved Jun, 2017, from https://studentaidbc.ca/explore/grants-scholarships/learning-disability-assessment-bursary

Student Aid BC. (2017b). Resource Directory Retrieved 03/13, 2017, from https://studentaidbc.ca/sites/all/files/form-library/resource_directory_pd.pdf

Student Aid BC. (2017c). Services and equipment for students with permanent disabilities Retrieved 03/14, 2017, from https://studentaidbc.ca/explore/grants-scholarships/canada-student-grant-services-and-equipment-students-

permanent

The Jennifer and Gregory Louie Foundation for Cerebral Palsy. (2016a). Grants Retrieved 06/16, 2016, from http://www.jglfoundation.com/grants.html

The Jennifer and Gregory Louie Foundation for Cerebral Palsy (2016b). [Personal communication, [email protected] (May 26-June 16, 2016)].

Vision Loss Rehabilitation - British Columbia. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://bc.visionlossrehab.ca/en

Western Institute for Deaf and hard of Hearing. (2016a). Hearing Aids Retrieved 05/31, 2016, from http://www.widhh.com/programs-services/hearing-aid-clinic/

Western Institute for Deaf and hard of Hearing (2016b). [Personal communication, 604-736-7391 (May 26-31, 2016)].

Western Institute for Deaf and hard of Hearing. (2017). Showroom Retrieved 03/13, 2017, from http://www.widhh.com/programs-services/communication-devices-showroom/

WorkSafeBC. (2016a). Medical Supply Services Retrieved 05/31, 2016, from http://www.worksafebc.com/health_care_providers/programs_and_services/medical_supply_services/Default.asp

WorkSafeBC. (2016b). Rehabilitation Services and Claims Manual Retrieved 05/31, 2016, from

http://www.worksafebc.com/publications/policy_manuals/Rehabilitation_Services_and_Claims_Manual/volume_II/assets/pdf/rscm_ii_10.pdf

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Table 4-A: Government of Manitoba Programs Table 4-B: Manitoba Government Legislated Insurance Programs Table 4-C: Manitoba Legislation Governing Programs Table 4-D: Manitoba Charitable Organization Programs Table 4-E: Manitoba Other Resource Programs References Table 4-A: Government of Manitoba Programs

Program Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Home Care Services - Supplies and Equipment (under the umbrella of Manitoba Health, Seniors and Active Living) http://www.gov.mb.ca/health/homecare/index.html http://www.gov.mb.ca/health/homecare/guide.pdf

Yes – Devices are supplied (or rented?) from pool, if device unavailable, can be purchased. Unclear about whether the person needs to pay a rental fee, and whether devices can be purchased if unavailable (sources are inconsistent.)

Hospital beds and mattresses, hospital bed accessories Pressure relief mattresses and cushions Commodes Transfer devices and aids Wheelchair cushions and back supports Aids to daily living – e.g. cooking aids, eating and bathing aids, bathroom safety equipment, grab bars, dressing aids, hearing aid batteries, cane, crutches, walkers

Yes Assessment by health care providers, and delivery, set up, servicing and maintenance through Manitoba’s Materials Distribution Agency (MDA) Disability and Health Supports Unit (DHSU) has streamlined, one stop shop to access disability and health-related supports, arrange to have provincial delivery to clients through Manitoba’s Materials Distribution Agency (MDA) (Government of Manitoba, 2017e)

Manitoba resident, registered with Manitoba Health, Healthy Living and Seniors (the department) Require health services or assistance with activities of daily living Require service to stay living in home Require more assistance than that available from existing supports and community resources

Regional Health Authority Home Care Case Co-ordinator or other health care professional orders equipment through Manitoba’s Materials Distribution Agency (MDA)

Devices must be from the Manitoba’s Materials Distribution Agency Medical Products Catalogue If device is unavailable, may be purchased (3 quotes needed)

(Government of Manitoba, 2015, 2017f; Manitoba’s Materials Distribution Agency (MDA), 2017a, 2017b, 2017c)

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Families - Employment and Income Assistance (EIA) for Persons with Disabilities http://www.gov.mb.ca/fs/eia/ http://www.gov.mb.ca/fs/eia/pubs/eia_disability.pdf

Yes – Devices are supplied (or rented?) from pool, if device unavailable, can be purchased. Can provide money to pay for health related supplies or equipment Devices are funded, but up to guideline amounts Devices not being paid by other programs (e.g. Home Care or other plans) Single Grants for Medical Equipment and Supplies – If can pay for basic living costs, not afford your or your family’s health needs, can get grant for eligible costs

Hearing aids Medical equipment and supplies – costs for basic and essential medical equipment and supplies Mobility equipment (devices) not covered by other programs (e.g. Manitoba Wheelchair Program) Phones for health or safety – only if it is needed for health or safety reasons Prosthetic and orthotic devices –approved items not covered Manitoba Health

Yes Assessment, and delivery, servicing, maintenance Repair (of wheelchairs)

Must be 18+ Live in Manitoba Have a mental or physical disability that is likely to last more than 90 days and keeps person from earning enough money to pay for basic needs In financial need – total cost of monthly needs and shelter cost more than financial resources Requirement of looking for work does not apply to applicants who have disability. The length of time Disability Assessment Form is valid for a period determined by EAI and cannot exceed two years after which the user must reapply.

A physician, nurse practitioner, or psychologist must complete the EIA Disability Assessment Report. A Medical Equipment Request and Justification Form then needs to be completed by an approved health professional Health professionals request equipment using specific form to justify why the equipment is needed. If the equipment is deemed essential by DHSU EIA, then it is approved and covered. Disability and Health Supports Unit (DHSU) has streamlined, one stop shop to access disability and health-related supports, arrange to have provincial delivery to clients through Manitoba’s Materials Distribution Agency (MDA)

Devices must be from the Manitoba’s Materials Distribution Agency Medical Products Catalogue Or can be purchased if unavailable from pool

(Government of Manitoba, 2016b, 2017a, 2017b, 2017c)

Manitoba Health, Seniors and Active Living – Insured Benefits Ancillary Programs - Prosthetic

Yes – Devices are funded Costs not being paid through other provincial or

Limb and spinal orthotic devices Limb prosthetic devices

Yes Must be Canadian citizen or have immigration status (as outlined in the Health Services Insurance Act) (permanent

Certified prosthetist or orthotist submit claim forms

Yes, there is a specific list of suppliers/vendors that are approved One device every 2 years

(Government of Manitoba, 2016c, 2016e; Manitoba Health Seniors and Active Living, 2016)

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and Orthotic Program http://www.gov.mb.ca/health/mhsip/prosthetic.html

federal programs

residents/work/study permit holder and dependents) Resident in Manitoba Reside in Manitoba for six months a year. Manitoba resident Require prosthetic or orthotic services

unless diagnosis and prescription change, or device beyond repair

Manitoba Health, Seniors and Active Living – Insured Benefits Ancillary Programs – Telecommunications Program http://www.gov.mb.ca/health/mhsip/telecommunications.html

Yes – Devices are funded, partially 80% of cost covered to maximum of $428. $75 deductible. Costs not being paid through other provincial or federal programs

Telecommunications equipment that allows telephone conversation via keyboard and terminal display

Must be Canadian citizen or have immigration status (as outlined in the Health Services Insurance Act) (permanent residents/work/study permit holder and dependents) Resident in Manitoba Reside in Manitoba for six months a year. Manitoba resident Profoundly deaf or speech impaired, diagnosed by medical practitioner or audiologist

Claim form from supplier, initial claim must be accompanied by a diagnosis (from speech pathologist, audiologist or otolaryngologist)

Yes, there is a specific list of suppliers/vendors that are approved

(Government of Manitoba, 2016d, 2016e; Manitoba Health Seniors and Active Living, 2016)

Society for Manitobans with Disabilities (SMD) – Wheelchair Services Manitoba Community Wheelchair Program https://www.smd.mb.ca/smd-services/wheelchair-services

Yes – Devices are provided on a long term loan from a pool May order new chair if unavailable from pool for Employment and Income Assistance program

Manual and motorized wheelchairs

Yes Maintenance and repair. SMD does not cover transportation costs. Pneumatic tires and tubes – Service provides parts at no cost, but labor charges apply $20/wheel

Must be a resident of Manitoba with a valid Manitoba Personal Health Identification Number (PHIN), Have physical disability affecting mobility Requires a wheelchair for a minimum of 6 months

Wheelchair must be prescribed by an Occupational Therapist, Physiotherapist, physician or registered nurse licensed to practice in Manitoba.

Manual wheelchairs – criteria defined for each category of chair (e.g. basic wheelchair, basic heavy duty wheelchair, lightweight, tilt) Powered wheelchairs – criteria defined

(Society for Manitobans with Disabilities (SMD), 2014a, 2014b, 2014c, 2017)

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Funded by Province of Manitoba’s Community Wheelchair Program. SMD manages wheelchair pools of Winnipeg Regional Health Authority – Manitoba Wheelchair Program, Government of Canada – Non-insured Health Benefits*, Employment and Income Assistance** * criteria determined by program

Option to self-purchase limited selection of additional parts (e.g. maybe only anti-tippers)

Maintenance and repairs for self-owned chairs if it is similar model to those in the pool (unsure if this happens according to reviewer)

Not entitled to receive a wheelchair through a third party funder Must also not be in process of being paneled for personal care home At the end stage of a life-limiting illness and are considered palliative If using chair for over 6 months and moves to care home, can keep using, but not replaced, if using less than 6 months, must be returned

Pool of equipment is a pool of recycled and refurbished equipment; if approved, get chair on long-term loan, until needs change; equipment is then returned to the pool to be refurbished for next user; because have only one manufacturer/supplier, have only 2 types of power chairs (mid-wheel and rear-wheel drive chairs) if need front-wheel drive or other equipment not in pool, need to provide justification to go to different manufacturer

Department of Families, Employment and Income Assistance – MarketAbilities Program http://www.gov.mb.ca/fs/eia/marketabilities.html http://www.gov.mb.ca/fs/vrmanual/pubs/xvii_handbook.pdf Manitoba Family Services and Consumer Affairs - Vocational Rehabilitation Program for People with Disabilities

Yes – Devices are either fully funded, cost shared or leased or rented If the individual’s contribution exceeds 50% of the cost, then they retain ownership. Three quotes are needed for requests over $1,000. Equipment is rented or leased when an ongoing need is not anticipated. The device must also not be available through other programs.

Technical aids, devices, or adaptive equipment: Optical character readers Wheelchairs or adaptations to wheelchairs Tactile reading devices Tape recorders Computers and related personal access systems Telephone devices for the deaf Print to Braille and Braille to print hardware Typewriters and calculators (disability-specific needs). Closed circuit television

Yes Assessment and repairs to equipment from normal wear and tear Support services including Assessment, planning and provision

Resident of Manitoba Have an intellectual, physical, psychiatric, vision, hearing or learning disability 16 years of age or older Legally entitled to work in Manitoba Show a willingness to prepare for, obtain and maintain employment The device must be required to overcome significant disability related barriers to pursuing training, and/or employment.

A designated vocational counsellor coordinates the service delivery. Applicants may be required to demonstrate an ability to use the device prior to approval. For people with intellectual, psychiatric or learning disabilities, go to service centre For people with vision related disability – go to Canadian National Institute for the Blind

No Equipment purchased with 75 % percent or greater funding from marketAbilities Program is owned by Program, until participant demonstrates ability to use equipment, and has established ongoing vocational or employment related use or requirement for equipment. Participant owns equipment upon completion of Vocational

(Government of Manitoba, 2011, 2016a, 2017d; Manitoba Jobs and the Economy, 2015)

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Canada-Manitoba Labour Market Agreement for Persons with Disabilities (LMAPD) Services provided through Canadian National Institute for the Blind Canadian Paraplegic Association Society for Manitobans with Disabilities (potentially inconsistent information in fields)

readers Communication devices (Bliss/hearing aids) Orthotics

Proof of qualifying disability diagnosed or assessed by appropriate professional must also be included

For people with spinal cord injury – go to Canadian Paraplegic Association For people with physical disability including Deaf or hard of hearing – go to Society for Manitobans with Disabilities

Training plan for which equipment was required or purchased provided that: Training/employment period lasts minimum of 3 months and participant can demonstrate ability to use equipment and has ongoing employment related need for the equipment.

Manitoba Student Aid Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (Federal and provincial joint program)

Yes - Up to $8,000 per academic year

Braillers or technical aids No Application is online, requires account

(Government of Manitoba, 2017g)

Table 4-B: Manitoba Government Legislated Insurance Programs

Workers Compensation Board of Manitoba https://www.wcb.mb.ca/

Yes – Devices are funded, fully or short term rental fees paid

Artificial limbs, braces Crutches, canes Hearing aids and other aids

Yes Assessment Physiotherapy and occupational therapy

Must be an injury or illness acquired while working in Manitoba

The case manager coordinates the process. An assessment of needs is performed though WCB and information from a

There is an authorized vendor list however clients can also go to any vendors.

(Workers Compensation Board Manitoba, 2014, 2015, 2016)

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(Mutual workplace injury and disability insurance agency funded by employer premiums)

Reasonable repair and maintenance orthotic alteration of footwear Replacement or repair costs of prosthetics

health care professional is needed. The case manager requests for the device and makes the final decision along with the adjudicator.

Manitoba Public Insurance https://www.mpi.mb.ca/en/ (Public automobile insurance) Non-profit Crown corporation

Yes Devices are fully covered and are either purchased or rented

Devices covered include eyeglasses, hearing aids, back supports, special footwear, crutches, artificial limbs and special equipment that assist with daily living or workplace tasks.

Yes Assessment Repairing, replacing, fitting or adjusting devices that are medically required and prescribed because of injuries sustained in the accident. Also covers the cost of repairing, replacing or adjusting a device that you had before the accident and that was damaged or lost in the accident or that no longer meets your needs because of injuries sustained in the accident. This is one-time replacement coverage.

All Manitobans who are injured in an automobile collision – including both vehicle owners and non-vehicle owners

Devices must be medically necessary and prescribed (by whom is unclear. Overall process is unclear)

Repair or replacement due to neglect, misuse or willful damage is not covered

(Manitoba Public Insurance, 2017a, 2017b, 2017c)

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Table 4-C: Manitoba Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Manitoba Health, Seniors and Active Living -Home Care Services – Supplies and Equipment

Manitoba Health, Seniors and Active Living Department The Health Services Insurance Act, CCSM c H35 Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Act) The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act)

Families - Employment and Income Assistance (EIA) for Persons with Disabilities http://www.gov.mb.ca/fs/eia/ http://www.gov.mb.ca/fs/eia/pubs/eia_disability.pdf

Ministry of Families, Department of Families Disability and Health Supports Unit (DHSU)

Manitoba Assistance Act, The, CCSM c A150 Employment and Income Assistance Regulation, Man Reg 404/88 R , (Manitoba Assistance Act)

Manitoba Health, Seniors and Active Living – Insured Benefits Ancillary Programs – Prosthetics and Orthotics, Telecommunications http://www.gov.mb.ca/health/mhsip/programs.html

Manitoba Health, Seniors and Active Living Department The Health Services Insurance Act, CCSM c H35 Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Act) The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act)

Society for Manitobans with Disabilities (SMD) – Wheelchair Services Manitoba Community Wheelchair Program https://www.smd.mb.ca/smd-services/wheelchair-services

Winnipeg Regional Health Authority The Health Services Insurance Act, CCSM c H35 Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Act) The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act)

MarketAbilities Program Manitoba Family Services and Consumer Affairs - Vocational Rehabilitation Program for People with Disabilities

Ministry of Families, Department of Families, Disability and Health Supports Unit (DHSU) Department Employment and Income Assistance

The Social Services Administration Act, CCSM c S165 Vocational Rehabilitation of Disabled Persons Regulation, Man Reg 1/90 , (Social Services Administration Act) Canada – Manitoba Labour Market Agreement for Persons with Disabilities (LMAPD)

Manitoba Student Aid Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (Federal and provincial joint program)

Canada Student Financial Assistance Act, SC 1994, c 28

Workers Compensation Board of Manitoba* https://www.wcb.mb.ca/

The Workers Compensation Act, CCSM c W200

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Manitoba Public Insurance https://www.mpi.mb.ca/en/

Manitoba Public Insurance Corporation Act, CCSM c P215 Automobile Insurance Coverage Regulation, Man Reg 290/88 R , (Manitoba Public Insurance Corporation Act) Off-Road Vehicle Insurance Coverage Regulation, Man Reg 139/2000 , (Manitoba Public Insurance Corporation Act)

Table 4-D: Manitoba Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Manitoba - Equipment Loan Program (Reg. charity)

Yes – Equipment are loaned at no charge

Includes mobility equipment, lift equipment, bathroom aids, etc

No Provincial Home Care Program and Society for Manitobans with Disabilities program should be accessed first

(ALS Society of Manitoba, 2014)

Cerebral Palsy Association of Manitoba (Reg. charity)

Yes – Funding amount varies and there is usually a deductible Amounts given varies per request. Requests for iPads and computers are limited to $1000. If a request is over $1500, quotes from two different vendors are required.

Mobility and communication devices

No Resident of Manitoba Over 18 years, Have cerebral palsy Paid member of association Proof of applications to other funding sources is required.

Letter of support is required from a therapist, doctor, resource/special education teacher, agency or family worker.

No (Cerebral Palsy Association of Manitoba (CPAM), 2015)

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Canadian National Institute for the Blind – Manitoba and Saskatchewan Vision Loss Rehabilitation Manitoba (operated by CNIB and funded by donors and partially funded by the Government of Manitoba) (Reg. charity)

No Yes Assistive technology services - assessment and recommendations; education on use; course; advice on financial supports Career and employment education and advice on technology supports

(Canadian National Institute for the Blind – Manitoba and Saskatchewan, 2017; Vision Loss Rehabilitation Manitoba, 2017)

Society for Manitobans with Disabilities (SMD) – Wheelchair Services Manitoba Community Wheelchair Program https://www.smd.mb.ca/smd-services/wheelchair-services Funded by Province of Manitoba’s Community Wheelchair Program. SMD manages wheelchair pools of Winnipeg Regional Health Authority – Manitoba Wheelchair Program, Government of Canada – Non-insured Health Benefits*, Employment and Income Assistance**

See details under government programs.

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* criteria determined by program (Reg. charity)

Society for Manitobans with Disabilities (SMD) – Assistive Technology Support Program https://www.smd.mb.ca/smd-services/assistive-technology (Reg. charity)

Yes – Devices are cost-shared 50% reimbursement of cost of assistive device up to maximum of $2,500 or unfunded amount, whichever is lesser. Refund program so assistive devices must have already been purchased The program has a certain amount of money each year. Once it has run out, need to wait for next year.

Hearing devices, chair lifts, transfer aids, bath and toileting aids, hospital beds and mattresses, manual wheelchairs, scooters, and walkers. Other devices are also funded depending on requests. (large list of previously funded devices)

No Must be a member of SMD Alliance Purchased their assistive device within current fiscal year Have received less than $2,500 under this Program within current fiscal year

3 references are required. They do not have to be health practitioners, they can be family members, etc.

(Society for Manitobans with Disabilities (SMD), 2010, 2014d, 2016)

Department of Families, Employment and Income Assistance – MarketAbilities Program http://www.gov.mb.ca/fs/eia/marketabilities.html http://www.gov.mb.ca/fs/vrmanual/pubs/xvii_handbook.pdf Manitoba Family

See details under government programs.

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Services and Consumer Affairs - Vocational Rehabilitation Program for People with Disabilities Canada-Manitoba Labour Market Agreement for Persons with Disabilities (LMAPD) Services provided through Canadian National Institute for the Blind Canadian Paraplegic Association Society for Manitobans with Disabilities

Open Access Resource Centre (OARC) – Lending Program (Reg. charity)

Yes – Devices are provided on a short term loan basis (6-10 week trial) Equipment are loaned on a first come first serve basis. Loans are for a maximum of ten weeks.

Augmentative and alternative communication devices – electronic communication aids

Yes Assessment, training, and support

For residents of Manitoba that have speech challenges.

None Devices are those available in the library loan bank.

(Open Access Resource Centre, 2015a, 2015b)

Lions Foundation of Manitoba and Northwestern Ontario (Reg. charity)

Yes – Device funding varies depending on need and approval

Wheelchairs Motorized scooters Hospital beds Computers for special needs students

Financial evaluation of family, statement of living expenses Letter from sponsoring Lions Club and letter from recipient explaining need

Letter of explanation, letter from physician, quote for equipment cost

(Society for Manitobans with Disabilities (SMD), 2010) (could not find more information on this)

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for equipment

Muscular Dystrophy Canada - Equipment Program- Western Canada (BC, Alberta, Manitoba, Saskatchewan) (Reg. charity)

Yes – Cost sharing Maximum per item: $3,000 Client minimum contribution: $200 Equipment costing less than $200 will not be eligible for funding Short term rentals

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

A signed equipment prescription from the appropriate licensed health care professional such as: an occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist Approval or denial letter from insurance company (if applicable) Is needed Quotes from 2 different equipment vendors needed

Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017b)

Muscular Dystrophy Canada – Community Services Fund- Western Canada (BC, Alberta, Manitoba – various local chapters only, note: no local chapter provides this in Saskatchewan)

Yes maximum funding amount of $1,000 per item

Life Line Services. Adaptive Technologies/ Environmental Control Units

Equipment repair For the local chapters of South Okanagan, Greater Vancouver , Central Alberta, and Southern Manitoba Must be a registered client of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter

Prescription/letter from a professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed

Muscular Dystrophy Canada, 2017a)

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(Reg. charity) (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

Quotes from 2 different equipment vendors for the requested item

Table 4-E: Manitoba Other Resource Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Assistive Technology Service – Health Science Center

No – Devices not funded but have Assistive Technology rental program and payment varies: No charge for labour or rental for clients covered by Manitoba Health If payment is covered by third party, may be fees for labour and rental

Work with orthotics, electronic, mechanical and other assistive devices

Yes Modification of commercial equipment or custom design and fabrication of specialized devices

Not orthotics , only custom-made assistive technology devices if nothing is commercially available

(Health Sciences Centre, 2017)

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Winnipeg Regional Health Authority – Communication Devices Program - Assistive Technology Service –Deer Lodge Centre Provincial program http://www.wrha.mb.ca/prog/cdp/services.php

YES - No cost loan for trial and assessment purposes. After successful trial, devices can be rented for a low fee. The Employment and Income Assistance (EIA) program may cover the rental fees for EIA participants

Speech Generating Devices Access/mounting equipment

Telehealth is available to facilitate access to all Manitobans Consultations, assessments, troubleshooting, training and support is available as well as replacement device for clients whose rented equipment requires repair or other service.

Resident of Manitoba, 18 years of age or older with severe communication disorder (speech alone does not meet communication needs). Must be Capable of caring for device with potential for using the equipment as assessed by Speech-Language Pathologist and Occupational Therapist

Referral is needed from an SLP, OT or another health care provider. Clients cannot referral themselves directly.

No Maximum of three device trials per client.

(Winnipeg Health Region, 2016)

References ALS Society of Manitoba. (2014). Services - Equipment Lending Program Retrieved 08/09, 2016, from http://alsmb.ca/als-manitoba/services/

Canadian National Institute for the Blind – Manitoba and Saskatchewan. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/mb-sk/programs-services/Pages/default.aspx

Government of Manitoba. (2011). Employment Programs and Services for People with Disabilities Retrieved Feb 23, 2017, from https://www.gov.mb.ca/jec/pdfs/disabilities_guide.pdf

Government of Manitoba. (2015). Your Guide to Home Care Services in Manitoba Retrieved Feb 23, 2017, from http://www.gov.mb.ca/health/homecare/guide.pdf

Government of Manitoba. (2016a). Families - Employment and Income Assistance - marketAbilities Program Operating Manual Retrieved 06/09, 2016, from http://www.gov.mb.ca/jec/eia/marketAbilities/vrmanual/166.3.html

Government of Manitoba. (2016b). Income Assistance for Persons with Disabilities Retrieved 09/28, 2016, from http://www.gov.mb.ca/fs/pwd/iapd.html

Government of Manitoba. (2016c). Manitoba Health, Seniors and Active Living - Prosthetic and Orthotic Program Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/prosthetic.html

Government of Manitoba. (2016d). Manitoba Health, Seniors and Active Living - Telecommunications Program Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/telecommunications.html

Government Of Manitoba. (2016e). Manitoba Health, Seniors and Active Living, Are you covered? Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/index.html

Government of Manitoba. (2017a). Employment and Income Assistance for Persons with Disabilities (Brochure) Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/pubs/eia_disability.pdf

Government of Manitoba. (2017b). Employment and Income Assistance Program (EIA), Medical Equipment Info Sheet Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/dhsu/pubs/med_equip_info_sheet.pdf

Government of Manitoba. (2017c). Families - Employment and Income Assistance Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/

Government of Manitoba. (2017d). Families - Employment and Income Assistance - marketAbilities Program Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/marketabilities.html

Government of Manitoba. (2017e). Families, Disability and Health Supports Unit, from http://www.gov.mb.ca/fs/dhsu/index.html

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 16

Government of Manitoba. (2017f). Manitoba Health, Seniors and Active Living, Home Care Services in Manitoba Retrieved Feb 23, 2016, from http://www.gov.mb.ca/health/homecare/index.html

Government of Manitoba. (2017g). Manitoba Student Aid Retrieved Jun, 2017, from http://www.edu.gov.mb.ca/msa/program/funding.html#disabilities

Health Sciences Centre. (2017). Shops and Services Retrieved 03/10, 2017, from http://www.hsc.mb.ca/servicesShopsOther.html#AssistiveTech

Manitoba Health Seniors and Active Living (2016). [Personal communication, 204-786-7365 (June 15, 2016)].

Manitoba Jobs and the Economy. (2015). Self-Directed marketAbilities Program Handbook for Applicants Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/vrmanual/pubs/xvii_handbook.pdf

Manitoba Public Insurance. (2017a). Bodily Injury Claims - Personal Injury Protection Plan Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Pages/BI.aspx

Manitoba Public Insurance. (2017b). Medicines, Medical Devices, and Medical Supplies Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Expenses/Pages/BI-supplies.aspx

Manitoba Public Insurance. (2017c). Special Equipment Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Rehabilitation/Pages/rehab-equipment.aspx

Manitoba’s Materials Distribution Agency (MDA). (2017a). Aids to Daily Living (Guide) Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/files/File/mda_medical_products_catalogue/aids_daily_living_197_220_2016.pdf

Manitoba’s Materials Distribution Agency (MDA). (2017b). Home Care Equipment Program Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/mda-equipment.html

Manitoba’s Materials Distribution Agency (MDA). (2017c). Medical Equipment (Guide) Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/files/File/mda_medical_products_catalogue/medical_equipment_177_196_2016.pdf

Open Access Resource Centre. (2015a). How does the program work? Retrieved 06/2, 2016, from http://www.oarc.ca/lending-program/how-does-the-program-work

Open Access Resource Centre. (2015b). Who can borrow equipment? Retrieved 06/02, 2016, from http://www.oarc.ca/lending-program/who-can-borrow-equipment

Society for Manitobans with Disabilities (SMD). (2010). AT Funding Guide Retrieved 05/06, 2016, from https://www.smd.mb.ca/uploads/ck/files/SMD_AT_Funding_Guide_revised_2010_new.pdf

Society for Manitobans with Disabilities (SMD). (2014a). Frequently Asked Questions Consumers Retrieved 06/14, 2016, from https://www.smd.mb.ca/uploads/ck/files/services/Frequently_Asked_Questions-Consumers_April_2014.pdf

Society for Manitobans with Disabilities (SMD). (2014b). Frequently Asked Questions HealthCare Professionals Retrieved 06/14, 2016, from https://www.smd.mb.ca/uploads/ck/files/services/Frequently_Asked_Questions-

Health_Care_Professionals-April_2014.pdf

Society for Manitobans with Disabilities (SMD). (2014c). Policies and Procedure Manual - Wheelchair Services Retrieved Feb 23, 2017, from

https://www.smd.mb.ca/uploads/ck/files/services/MANITOBA_WHEELCHAIR_PROGRAM%20_POLICY_AND_PROCEDURE_MANUAL_2.pdf

Society for Manitobans with Disabilities (SMD). (2014d). What is Assistive Technology Retrieved 06/14, 2016, from

https://www.smd.mb.ca/uploads/ck/files/foundation/foundation_events/PDF/What%20is%20Assistive%20Technology%20REVISED%20Oct%202014_SMD%20website.pdf

Society for Manitobans with Disabilities (SMD). (2016). The Assistive Technology Support Program and Assistive Technology Funding Guide Retrieved 06/14, 2016, from https://www.smd.mb.ca/smd-services/assistive-technology

Society for Manitobans with Disabilities (SMD). (2017). Wheelchair Services, Manitoboa Community Wheelchair Program Retrieved Feb 23, 2017, from https://www.smd.mb.ca/smd-services/wheelchair-services

Vision Loss Rehabilitation Manitoba. (2017) Retrieved Jun, 2017, from https://mb.visionlossrehab.ca/en

Winnipeg Health Region. (2016). Communication Devices Program Retrieved 06/02, 2016, from http://www.wrha.mb.ca/prog/cdp/services.php

Workers Compensation Board Manitoba. (2014). Section 40 - Benefits Administration Retrieved 06/15, 2016, from https://www.wcb.mb.ca/section-40-benefits-administration

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Workers Compensation Board Manitoba. (2015). Benefits and Services for Injured Workers (Brochure) Retrieved Feb 23, 2017, from

https://www.wcb.mb.ca/sites/default/files/resources/4131_WCB_Benefits_and_Services_Booklet_Web.pdf

Workers Compensation Board Manitoba (2016). [Personal communication, Claims Service Centre 1-855-954-4321 (June 26, 2016)].

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Table 5-A: Government of New Brunswick Programs Table 5-B: New Brunswick Government Legislated Insurance Programs Table 5-C: New Brunswick Legislation Governing Programs Table 5-D: New Brunswick Charitable Organization Programs Table 5-E: New Brunswick Other Resource Programs References Table 5-A: Government of New Brunswick Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Social Development – Health Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html Convalescent / Rehabilitation Program http://www2.gnb.ca/content/gnb/en/services/services_renderer.8015.html Administered by Easter Seals New Brunswick

Yes – Devices are loaned from a pool for as long as needed, or funded fully/purchased if unavailable from pool Devices are owned by government and recycled and provided by Easter Seals Devices and services must not be covered by other agencies or private health insurance plans.

Canes, crutches, walkers, gait trainers Raised toilet seats, reducer rings, toiler risers, toilet safety frame, commodes Tub transfer bench, bath benches and chairs, hand held showers, bath lifts, shower commodes Arco rail, M-rail, Smart rail, trapeze bar, grab bars, wall mounted supports, super poles, supine stander, prone stander, hydraulic standing frame Transfer boards, disc and belts, standing transfer aid, portable manual lift, power patient lifts, ceiling mounted lifts, slings

Yes Maintenance and recycling (through Easter Seals) and modifications.

Eligibility Clients of Social Development and their dependents Individuals who have special health needs and qualify for assisted health care (Section 4.4 of the Family Income Security Act and Regulations). Have one of the following: Valid white Health Services Card showing "SUPPLEMENTARY” in the BASIC HEALTH, or “CREQUIP” (Convalescent/Rehab Equipment” in the ADDITIONAL HEALTH ELIGIBILITY section

A prescription form is required from an occupational or physical therapist

Does not cover Lift chairs, Stair lifts, Exercise equipment, Adaptive aids, Communication equipment , Equipment required for short term use, Equipment that is not patient specific for clients in adult residential facilities Most equipment available under this program is eligible once every 5 years. Ongoing services normally paid monthly.

(Government of New Brunswick, 2016f) (Government of New Brunswick, 2017b)

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Emergency Response Systems medical helmets, pressure relief cushions outside a wheelchair Hospital beds Reactive and active support surfaces (for pressure reduction)

OR Valid yellow Health Services Card showing A “Y” under the OTH in the VALID ONLY FOR box, or An “X” under SUPP in the VALID ONLY For box Additional criteria may apply.

Department of Social Development – Health Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html Hearing Aid Program http://www2.gnb.ca/content/gnb/en/services/services_renderer.8035.html

Yes – Devices are funded, fully Devices and services must not be covered by other agencies or private health insurance plans.

Behind the Ear (BTE), In the Ear (ITE) and In the Canal (ITC) hearing aids N

Yes Maintenance of hearing aids services Repairs and ear molds Not cover hearing tests or evaluations

Eligibility Clients of Social Development and their dependents Individuals who have special health needs and qualify for assisted health care (Section 4.4 of the Family Income Security Act and Regulations). Clients must have one of the following: Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “HA.” (Hearing Aid) in the ADDITIONAL HEALTH ELIGIBILITY section OR Valid yellow Health Services card with a “Y”

[Not specified on website, ? anyone can sell them].

Does not cover CIC, BAHA or BI-CROS hearing aids Personal FM systems Cochlear implants Hearing aids for cochlear implants Batteries for hearing aids or cochlear implants Hooks, filters or tubing Convenience options such as T-coil, directional microphone, etc. Cleaning/drying Pocket Talkers Hearing Aids are payable once every 5 years.

(Government of New Brunswick, 2016b)

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under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box Additional criteria may apply.

Department of Social Development – Health Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html Orthopedic Program http://www2.gnb.ca/content/gnb/en/services/services_renderer.8155.html

Yes – Devices are funded, fully Devices and services must not be covered by other agencies or private health insurance plans.

Specific custom fitted braces and supports Custom made braces Therapeutic and orthopedic design footwear Custom made shoes and insoles

Yes Modifications, repairs are paid Quantities and frequencies are monitored

Eligibility Clients of Social Development and their dependents Individuals who have special health needs and qualify for assisted health care (Section 4.4 of the Family Income Security Act and Regulations). Clients must have one of the following Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “OR.” (Orthopedic) in the ADDITIONAL HEALTH ELIGIBILITY section, OR Valid yellow Health Services card with a “Y” under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box Additional criteria may apply.

[Not specified on website] Does not cover: Support bras Cervical pillows Soft or unfitted supports and braces Non-custom insoles Non-custom wrist braces and splints braces and supports for short term use Braces and supports for sports purposes

(Government of New Brunswick, 2016c)

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Department of Social Development – Health Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html Prosthetic Program http://www2.gnb.ca/content/gnb/en/departments/social_development/services/services_renderer.8116.html

Yes – Devices are funded, fully Devices and services must not be covered by other agencies or private health insurance plans.

Program covers: Limb prostheses (arm, leg, foot) Artificial larynx (Servox device, voice prostheses) Ocular prostheses (artificial eye) Breast prostheses and 1 bra

Modifications and repairs are considered as required

Eligibility Clients of this department and their dependents Individuals who have special health needs and who qualify for assisted health care under Section 4.4 of the Family Income Security Act and Regulations Clients must have one of the following: Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “PR” in the ADDITIONAL HEALTH ELIGIBILITY section OR Valid yellow Health Services Card with a “Y” under the OTH in the VALID ONLY FOR box a “X” under SUPP in the VALID ONLY FOR box Additional criteria may apply.

[Not specified on website] Does not cover Myo-electric prostheses Prosthetic limbs payable once every 5 years Artificial larynxes and artificial eyes eligible every 3 years Breast prostheses and bras eligible once every 2 years

(Government of New Brunswick, 2016d)

Department of Social Development – Health

Yes – Devices are loaned from a pool for as long as

Manual wheelchairs Power wheelchairs

Modifications and repairs Rentals

Eligibility Clients of this department

A prescription form is required from an

Does not cover Geriatric wheelchairs

(Government of New Brunswick, 2016e)

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Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html Wheelchair / Seating Program http://www2.gnb.ca/content/gnb/en/services/services_renderer.7995.html http://www2.gnb.ca/content/dam/gnb/Departments/sd-ds/pdf/HealthServices/Recycling-e.pdf Administered by Easter Seals New Brunswick

needed, or funded fully/purchased/rented if unavailable from pool Devices are owned by government and recycled and provided by Easter Seals Devices and services must not be covered by other agencies or private health insurance plans.

Four-wheeled scooters Rehabilitation strollers Seating and positioning aids components

and their dependents Individuals who have special health needs and who qualify for assisted health care under Section 4.4 of the Family Income Security Act and Regulations Clients must have one of the following: Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “CEQUIP” in the ADDITIONAL HEALTH ELIGIBILITY section OR Valid yellow Health Services card with a “Y” under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box. Additional criteria may apply.

occupational or physical therapist

Lift chairs and “Lazy Boy” style chairs Stand up wheelchairs Car seats Back up wheelchairs Transport wheelchairs Three-wheeled scooters Electronics for environmental control Attendant Accessories that are not prescribed for medical or safety reasons Any equipment for short term use Back packs, storage pouches, baskets, etc Wheelchairs are considered once every 5 years. Seating and accessories are eligible every 2 years.

(Government of New Brunswick, 2016f)

Department of Social Development – Disability Support Program http://www2.gnb.ca/conten

Yes – Devices can be funded, individual program Contribution based on

Technical supports and assistive devices not covered under other programs

Yes No cost for general facilitation services.

Eligibility Resident of New Brunswick 19 to 64 years of age Long term disability (does

Needs are based on a personal disability support plan through their independent facilitation service.

Not specified (Government of New Brunswick, 2016a)

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t/gnb/en/services/services_renderer.200972.Disability_Support_Program.html

income assessment

Service delivery model allows self-management of plan or request support of a social worker. Clients requesting ongoing support of social worker will meet with social worker to determine strengths and needs to develop case plan and receive regular contact, advocacy and support from social worker

not include medical condition that does not result in long term disability, or services required to address drug, alcohol, nicotine or gambling addictions). Require disability related supports to address unmet needs and to establish or maintain living arrangement in community, to assist or enhance capacity of natural support networks to provide support in community, or to help participate in community, thereby helping to avoid long-term inactivity and stress Require disability related supports to address unmet needs and to assist or enhance capacity of your natural support networks to help you personally or to help you participate in community.

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Post-Secondary Education, Training and Labour -Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities http://www2.gnb.ca/content/gnb/en/departments/post-secondary_education_training_and_labour/services/services_renderer.200789.Canada_Student_Grant_for_Services_and_Equipment_for_Persons_with_Permanent_Disabilities_.html Federal and provincial student loan, grant and bursary program

Yes – Funding provided up to a limit Funding limit of $2000 includes cost of accommodation, tuition, books Note: Federal government has $2000 for financial aid for disability and $8000 for services and equipment. Inconsistent on website

Technical aids e.g. Computer, brailler Alternate formats e.g. large print, braille print

No Not specific to equipment

Canadian citizen, permanent resident status or considered to be protected person as defined in Immigration and Refugee Protection Act; Resident of New Brunswick Demonstrate financial need Students with permanent disability may enrol in at least 40% of full-time course load to get full-time loan, and between 20% and 39% for students with permanent disability Students with permanent disability taking between 40% and 59% of full-time course load can elect to be in full-time or part-time status Enrolled in degree, diploma or certificate program that is at least 12 weeks in duration at designated post-secondary educational institution Maintain satisfactory scholastic standard Not in default on previous student loan Pass credit check (this applies to students who are 22 years of age or older who are applying for

Application form needs to be submitted

Two quotes for equipment (Government of New Brunswick, 2017a)

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student loan for first time) Not beyond program length, plus one additional study period Not beyond 340 weeks of eligible assistance (called your lifetime assistance limit). This is 400 weeks for students in doctoral studies, or 520 weeks for students with permanent disabilities.

Table 5-B: New Brunswick Government Legislated Insurance Programs

WorksafeNB* http://www.worksafenb.ca/ (Crown corporation)

Yes – Devices are primarily fully funded If approved, devices paid in full. If worker requests device beyond what WorkSafeNB determines to be medically effective and sufficient, then worker may pay difference between approved device and requested upgrade

Mobility aids, communication aids, aids for daily living, hearing aids, prosthetics and orthotics

Yes Assessment, repair, replacement (provided by Easter Seals if it is for wheelchairs), batteries for hearing aids

Must be an injury or illness acquired while working in New Brunswick

A needs assessment must be completed by an authorized health care provider. WorksafeNB only approves devices if they are deemed medically effective and directly improve return to work and activities of daily living.

Yes they must come from an authorized provider or vendor. If a worker requests a device beyond what WorkSafeNB determines to be medically effective and sufficient, then the worker may pay the difference between the approved device and the requested upgrade.

(Worksafe NB, 2016a) (Worksafe NB, 2016b) (Worksafe NB, 2016c) (Worksafe NB, 2016d)

* charged with overseeing the implementation and application of New Brunswick's Occupational Health and Safety Act; Workers' Compensation Act; Workplace Health, Safety and Compensation Commission and Workers' Compensation Appeals Tribunal Act; and, the Firefighters' Compensation Act.

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Table 5-C: New Brunswick Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Department of Social Development – Health Services http://www2.gnb.ca/content/gnb/en/departments/social_development/health_services.html

Department of Social Development Health Services Act, SNB 2014, c 112 General Regulation, NB Reg 84-115 Family Income Security Act, SNB 1994, c F-2.01 General Regulation, NB Reg 95-61 , (Family Income Security Act)

Department of Social Development – Disability Support Program http://www2.gnb.ca/content/gnb/en/services/services_renderer.200972.Disability_Support_Program.html

Department of Social Development (Unclear which act is the most appropriate) Health Services Act, SNB 2014, c 112 General Regulation, NB Reg 84-115 Family Services Act, SNB 1980, c F-2.2 General Administration Regulation, NB Reg 81-132 , (Family Services Act) Family Income Security Act, SNB 1994, c F-2.01 General Regulation, NB Reg 95-61 , (Family Income Security Act) Vocational Rehabilitation of Disabled Persons Act, RSNB 2011, c 234 General Regulation, NB Reg 91-5 , (Vocational Rehabilitation of Disabled Persons Act)

Post-Secondary Education, Training and Labour -Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities http://www2.gnb.ca/content/gnb/en/departments/post-secondary_education_training_and_labour/services/services_renderer.200789.Canada_Student_Grant_for_Services_and_Equipment_for_Persons_with_Permanent_Disabilities_.html Federal and provincial student loan, grant and bursary program

Department Post-Secondary Training, Education and Labour and Human Resources and Skills Development Canada

Post-Secondary Student Financial Assistance Act, SNB 2007, c P-9.315 General Regulation, NB Reg 2007-78

WorksafeNB* Workers' Compensation Act, RSNB 1973, c W-13

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http://www.worksafenb.ca/ General Regulation, NB Reg 84-66 , (Workers' Compensation Act) Table 5-D: New Brunswick Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of New Brunswick and Nova Scotia –Equipment Loan Program (Reg. charity)

Yes Equipment is loaned free of charge

Bathroom Aids, Beds & Accessories, Communication Devices, Lifts, Walkers, Power Wheelchairs, and Miscellaneous Equipment

Yes Delivery is free of charge. Service due to regular wear and tear is provided at no cost. May be minor set up and fees to do personal adjustments.

Equipment must be recommended by a physiotherapist or an occupational therapist

No modifications are to be made to any of the equipment provided without written consent

(ALS Society - New Brunswick and Nova Scotia, 2017a, 2017b)

Canadian National Institute for the Blind – New Brunswick Vision Loss Rehabilitation New Brunswick Vision Loss Rehabilitation New Brunswick does not mention how it is funded (Reg. charity)

No Assistive technology sales: magnifiers; talking watches, timers and scales; large-button phones; and colour identifiers, braille board games, tactile dice, TV magnifiers and large-print playing cards, white canes, pocket magnifiers, specialty sunglasses and talking pedometers, high-contrast, large-print keyboards; braillers; signature guides; and talking calculators

Yes Assessment and recommendations, education, advice on financial supports, networking groups

(Canadian National Institute for the Blind - New Brunswick, 2017; Vision Loss Rehabilitation - New Brunswick, 2017)

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The John Wood Foundation (Reg. charity)

Yes – Devices are either fully funded or cost shared Max amount granted is $5000. The amount funded is dependent on device requested, funding from other sources, and finances of applicant. One or more written quotes from suppliers are needed.

Varies depending on request.

No Must be a resident of New Brunswick with any type of significant disability

Written confirmation from a rehabilitation professional is needed.

No (The John Wood Foundation, 2016a) (The John Wood Foundation, 2016b)

Red Cross – Health Equipment Loan Program (HELP) Hospital Bed program http://www.redcross.ca/in-your-community/new-brunswick/health-equipment-loans/bed-loan-program (Reg. charity)

Yes – Devices are provided on a loan basis for as long as needed

Hospital Beds Yes Delivery, Pick up and Installation

Resident who needs equipment at home

Devices are those available within the equipment loan pool

(Red Cross Canada, 2016)

Red Cross – Health Equipment Loan Program (HELP) Specialized Equipment Program http://www.redcross.ca/in-your-community/new-brunswick/health-equipment-loans/specialized-equipment-program (Reg. charity)

Yes – Devices are provided on a loan basis for as long as needed

Customized mobility aids Yes Delivery, Pick up and Installation

Resident living in Long Term Care or senior

Devices are those available within the equipment loan pool

(Red Cross Canada, 2016)

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Red Cross – Health Equipment Loan Program (HELP) Short Term Loan (Reg. charity)

Yes – Devices are loan on loan, short term

Wheelchairs, Walkers Bath seats, Benches, Commodes, Toilet seats Crutches, Canes Bed handles, Other durable medical equipment

Yes Delivery, Pick up and Installation

Resident who needs equipment at home, hospital discharge or palliative care

Devices are those available within the equipment loan pool

(Red Cross Canada, 2016)

Easter Seals New Brunswick – Social Development Equipment Loan Program Administers the equipment loan programs of the New Brunswick Government -Social Development Programs (Convalescent / Rehabilitation Program and Wheelchair / Seating Program) (Reg. charity, listed as Canadian Rehabilitation Council for the Disabled New Brunswick Branch Inc.)

See governmental programs for details

Easter Seals New Brunswick - Personal Services Program (Reg. charity, listed as Canadian Rehabilitation Council for the Disabled New Brunswick Branch Inc.)

Yes - long-term equipment loans, financial aid for non-reusable items e.g. orthopedic shoes, occasional loans to purchase devices

Rehabilitation Equipment, Wheelchairs Prosthetics and Orthotics Computers and Technical aids

Must have a Physical disability Finances are taken into consideration

Accepts referrals from occupational, speech or physio-therapists, VON or public health nurses, extra-mural hospital staff or physicians Referrals are then addressed on an individual basis by a client coordinator to determine

Devices are those available within the loan pool for the loaned devices.

(Easter Seals New Brunswick, 2017b) (Easter Seals New Brunswick, 2017a)

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need and appropriateness

Multiple Sclerosis Society of Canada – Quality of Life Grants Atlantic Division https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes - Program funds maximum of $450 per applicant toward purchase equipment Two price quotes are needed

Types of equipment include: Mobility and assistive devices, Minor home modifications, Bathroom equipment (accessibility and safety devices)

Yes – Repair

Confirmation of MS diagnosis

A written recommendation is required by an occupational therapist for minor home renovations or for all other equipment by an occupational therapist, a physical therapist, or a physiatrist.

Once funds have been depleted, the program will close until the following fiscal year. Year runs from January through December.

(Multiple Sclerosis Society of Canada - Atlantic Division, 2017)

Muscular Dystrophy Canada - Equipment Program- -Atlantic Provinces (Reg. charity)

Yes – Cost Sharing Equipment and repairs costing less than $200.00 will not be considered

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Yes Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Letter of medical necessity for equipment, signed by health care professional (OT, PT, Orthotist) Approval or denial letter from insurance company (if applicable) Is needed

Lawtons Home HealthCare is the preferred vendor, though 2 quotes required Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017b)

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Muscular Dystrophy Canada – Community Services Fund- Atlantic Canada (Only chapters in New Brunswick and Nova Scotia) (Reg. charity)

Yes maximum funding amount of $1,000 per item Quotes from 2 different equipment vendors for the requested item

Life Line Services Adaptive Technologies/ Environmental Control Units

Yes Equipment repair

For the Chapters of Central New Brunswick, Fundy, Halifax, Southeastern New Brunswick Mighty Drivers, Sunny Trail Must be a registered client of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Prescription/letter from professional including Physician/ OT/ PT outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed

(Muscular Dystrophy Canada, 2017a) http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf

Table 5-E: New Brunswick Other Resource Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 16

Miramichi Accessible Transit

Yes – Devices are provided on a loan basis Loans are free of charge

Technical aids No Devices are those that are in the loan cupboard

(Miramichi Accessible Transit, 2017)

References ALS Society - New Brunswick and Nova Scotia. (2017a). Equipment Loan Program Retrieved Jun, 2017, from http://alsnbns.ca/en/service/equipment-loan-program/

ALS Society - New Brunswick and Nova Scotia. (2017b). Prescription Form Retrieved Jun, 2017, from http://alsnbns.ca/wp-content/uploads/PrescriptionFormRevisedOct16WORD.pdf

Canadian National Institute for the Blind - New Brunswick. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/new-brunswick/programs-services/Pages/default.aspx

Easter Seals New Brunswick. (2017a). Application Form Retrieved 03/01, 2017, from http://www.easterseals.nb.ca/forms/psp.pdf

Easter Seals New Brunswick. (2017b). Personal Support Program Retrieved 03/01, 2017, from http://www.easterseals.nb.ca/index.php/en/inner-page/personal-services-program-psp

Government of New Brunswick. (2016a). Disability Support Program Retrieved 08/15, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.200972.html

Government of New Brunswick. (2016b). Health Services Hearing Aid Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/departments/social_development/seniors/content/services-

seniors/services_renderer.8035.Health_Services_Hearing_Aid_Program_.html#serviceDescription

Government of New Brunswick. (2016c). Health Services Orthopedic Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8155.html

Government of New Brunswick. (2016d). Health Services Prosthetic Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8116.Health_Services_Prosthetic_Program_.html

Government of New Brunswick. (2016e). Health Services Wheelchair/Seating Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.7995.html

Government of New Brunswick. (2016f). Recycling-e.pdf Retrieved 07/26, 2016, from http://www2.gnb.ca/content/dam/gnb/Departments/sd-ds/pdf/HealthServices/Recycling-e.pdf

Government of New Brunswick. (2017a). Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities Retrieved 03/01, 2017, from http://www2.gnb.ca/content/gnb/en/departments/post-

secondary_education_training_and_labour/services/services_renderer.200789.Canada_Student_Grant_for_Services_and_Equipment_for_Persons_with_Permanent_Disabilities_.html

Government of New Brunswick. (2017b). Health Services Convalescent / Rehabilitation Program Retrieved 03/01, 2017, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8015.html

Miramichi Accessible Transit. (2017). Miramichi Accessible Transit Retrieved 03/01, 2017, from http://www.mat-bus.com/

Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl

Muscular Dystrophy Canada. (2017a). Community Services Fund: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-

fund-atlantic-canada/

Muscular Dystrophy Canada. (2017b). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/

APPENDIX 5: NEW BRUNSWICK PROGRAMS

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Red Cross Canada. (2016). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program

The John Wood Foundation. (2016a). Assistance For Disabled People in New Brunswick Retrieved 08/10, 2016, from http://thejohnwoodfoundation.org/home.html

The John Wood Foundation (2016b). [Personal communication, [email protected], (Aug 9, 2016)].

Vision Loss Rehabilitation - New Brunswick. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://nb.visionlossrehab.ca/en

Worksafe NB. (2016a). Hearing Aids and Batteries Retrieved 07/26, 2016, from http://www.worksafenb.ca/pdf/resources/policies/29-551.pdf

Worksafe NB. (2016b). Prostheses, Orthoses and Assistive Devices Retrieved 07/26, 2016, from http://www.worksafenb.ca/pdf/resources/policies/25-007.pdf

Worksafe NB. (2016c). Workers’ Compensation a guide for New Brunswick workers Retrieved 07/26, 2016, from http://www.worksafenb.ca/docs/Workers%E2%80%99-Compensation-a-guide-for-New-Brunswick-workers.pdf

Worksafe NB. (2016d). Workers’ rehabilitation Centre Retrieved 07/26, 2016, from http://www.worksafenb.ca/docs/wrcprogams_e.pdf

APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

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Table 6-A: Government of Newfoundland and Labrador Programs Table 6-B: Newfoundland and Labrador Government Legislated Insurance Programs Table 6-C: Newfoundland and Labrador Legislation Governing Program Table 6-D: Newfoundland and Labrador Charitable Organization Programs Table 6-E: Newfoundland and Labrador Other Resource Programs References

Table 6-A: Government of Newfoundland and Labrador Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Health and Community Services - Special Assistance Program – Medical equipment and supplies http://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html#sap Joint with the Department of Advanced Education and Skills (AES)

Yes – Devices are funded, fully or cost-shared Fully funded on home support or income support, otherwise contribution is based on financial needs

Basic medical supplies and equipment for activities of daily living for individuals living in the community Orthotics such as braces Wheelchairs, commodes or walkers bathroom aids, prosthetics and orthotics Home care beds and therapeutic services

Yes Repair and modifications

There is a financial needs requirement. Devices must be needed for a minimum of 3 months

Clinical assessment must be completed by an appropriate health care provider

Yes – some devices have to go through specific vendors. If there is no vendor contract then the program uses the most cost effective vendor based on price and geography

(Government of Newfoundland and Labrador, 2016) (Newfoundland Health Authority Western Health, 2016)

Department of Advanced Education, Skills and Labour (AES) – Income Support – Hearing Aid program

Yes – devices are supplied

Hearing Aids Yes Certain temporary provisions may be made through hearing aid dispenser working in

Students over age 17 attending secondary or postsecondary schools full time or

Hearing test has to be done at the nearest Regional Audiology Department (not at a private practice)

Batteries are not provided (Seniors Resource Centre, 2015) (Government of Newfoundland and Labrador, 2017a)

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 8

Joint with the Department of Health and Community Services http://www.aesl.gov.nl.ca/policymanual/pdf/is/health_hearing_aids.pdf

remote area and can be arranged, where appropriate, through the Audiology Program Director in order to reduce travel costs to nearest issuing centre

Adults certified by the Department of Advanced Education and Skills as unable to pay Hearing aid is needed according to test by nearest Regional Audiology Department, and person unable to pay

Department of Advanced Education, Skills and Labour (AES) - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities http://www.aesl.gov.nl.ca/studentaid/disabilities/index.html (Federal and provincial joint program)

Yes Funding is up to $8,000 per academic year (August 1 to July 31)

Computers, printers, accessories, and associated software; portable computing devices (tablets) ; CCTVs; Digital voice recorders / Smartpens; Spell checkers; Braille products; FM systems (assistive listening devices); and assistive technology packages and software

No Services provided are not directly related to assistive devices

Deemed eligible for Canada Student Grant for Students with Permanent Disabilities; Have identified barriers/limitations that restrict ability to perform daily activities necessary to participate in studies; Not be in default of Canada Student Loan; Demonstrate financial need through Student Aid application for full-time or part-time studies; Enrolled in post-secondary level program at designated post-secondary institution as full-time or part-time student

Application form needs to be filled out in consultation with the school’s disability coordinator. Verification of Eligibility form must also be filed out. Receipts for all services and equipment received must be provided to Student Financial Assistance Division to ensure funds provided were used for the intended purpose.

(Government of Newfoundland and Labrador, 2017b) (Government of Newfoundland and Labrador, 2015)

APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

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Table 6-B: Newfoundland and Labrador Government Legislated Insurance Programs

Workplace Health, Safety and Compensation Commission of Newfoundland and Labrador* http://www.workplacenl.ca/default.whscc *employer funded

Yes – Devices are funded, fully or rental price is fully paid

Varies, depends on claim Specialized beds and mattresses Mobility devices (e.g. crutches, canes, walkers, wheeled mobility) Orthotics and orthopedic footwear Other assistive devices for daily activities Prostheses Hearing devices, bathroom aids, safety aids or any other device deemed medically necessary.

Yes Assessment, repair, maintenance, modifications and replacement

Must be an injury or illness acquired while working in Newfoundland and Labrador

All devices must be prescribed by a licensed health care professional. Workplace NL will then approve the devices if: a). will improve or maintain the worker's functional abilities; b) will improve the likelihood of early and safe return to work; c). will minimize the risk of further injury or aggravation of the original injury; or, d). will reduce the severity of symptoms where the work injury has a significant impact on the activities of daily living.

Devices must come from an authorized vendor. Sometimes the authorized prescriber is also the authorized vendor. If there is no authorized vendor available for a particular device, then they can use another vendor. Devices may be rented or purchased depending upon the length of the disability and taking into consideration a cost comparison of the two options. One wheeled mobility device is allowed per user.

(Workplace Health Safety Compensation Commission of Newfoundland and Labrador, 2017b) (Workplace Health Safety Compensation Commission of Newfoundland and Labrador, 2017a) (Workplace Health Safety Compensation Commission of Newfoundland and Labrador, 2004)

Table 6-C: Newfoundland and Labrador Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Special Assistance Program – Medical equipment and supplies http://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html#sap

Department of Health and Community Services http://www.health.gov.nl.ca/health/department/index.html Section 1B of website explains that intervention and support services for persons with disability are not covered in legislation

Hearing Aid program http://www.aesl.gov.nl.ca/policymanual/pdf/is/health_hearing_aids.pdf

Department of Advanced Education, Skills and Labour (AES)

Income and Employment Support Act, SNL 2002, c I-0.1 Income and Employment Support Regulations, NLR 144/04 , (Income and Employment Support Act)

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Canada Student Grant for Services and Equipment for Students with Permanent Disabilities http://www.aesl.gov.nl.ca/studentaid/disabilities/index.html

Department of Advanced Education, Skills and Labour (AES)

Income and Employment Support Act, SNL 2002, c I-0.1 Income and Employment Support Regulations, NLR 144/04 , (Income and Employment Support Act)

Workplace Health, Safety and Compensation Commission of Newfoundland and Labrador* http://www.workplacenl.ca/default.whscc

Workplace NL (Commission) Workplace Health, Safety and Compensation Act, RSNL 1990, c W-11 Workplace Health, Safety and Compensation Regulations, CNLR 1025/96 , (Workplace Health, Safety and Compensation Act)

Note: Provincial plans 2015-2018 – in process of developing provincial Assistive Technology Program

Table 6-D: Newfoundland and Labrador Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Newfoundland and Labrador- Equipment Loan Program (Reg. charity)

Yes – equipment pool, on as needed basis

Manual wheelchairs with gel pads/cushions; Electric hospital beds; Liftout recliner chairs; Walkers, including Rollators; safety rails/bathroom assists; Mechanical patient lifts/slings No communication aids

? only available if no health benefits

Equipment must be recommended by a health care professional, via prescription/requisition form

(ALS Society of Newfoundland and Labrador, 2017)

Canadian Red Cross Health Equipment Loan Program (HELP) – Short Term Loan Program

Yes – Supplied, three-month short term

Wheelchairs Walkers Bath seats Benches Commodes

Yes Delivery, Pick up and Installation

Resident who needs equipment at home, hospital discharge or palliative care

Devices are those available within the equipment loan pool

(Canadian Red Cross - Newfoundland and Labrador, 2017)

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AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 8

http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program

Toilet seats Crutches Canes Bed handles Other durable medical equipment

Canadian National Institute for the Blind – Newfoundland and Labrador (Reg. charity) Vision Loss Rehabilitation Newfoundland and Labrador operated by CNIB and funded by the Government of Newfoundland and Labrador

No Assistive technology sales: magnifiers; talking watches, timers and scales; large-button phones; and colour identifiers, braille board games, tactile dice, TV magnifiers and large-print playing cards, white canes, pocket magnifiers, specialty sunglasses and talking pedometers, high-contrast, large-print keyboards; braillers; signature guides; and talking calculators

Yes Assessment and recommendations, education, advice on financial supports, networking groups

(Canadian National Institute for the Blind - Newfoundland and Labrador, 2017; Vision Loss Rehabilitation - Newfoundland and Labrador, 2017)

Canadian Hard of Hearing Association Newfoundland and Labrador (CHHA-NL) http://chha-nl.ca/services/borrow-hearing-devices/ (Reg. charity)

Yes - Free short term loans for trial of 2 weeks.

Hearing devices (telephone devices, listening devices, and alerting devices)

No A loan form must be completed including the recipient’s name/ address/ phone number, the items to be borrowed, and the start and return date of the loan

A responsibility and damage waiver statement must be signed and witnessed

(Canadian Hard of Hearing Association - Newfoundland and Labrador, 2017; Seniors Resource Centre, 2015)

Dr. H. Bliss Murphy Cancer Care Foundation http://cancercarefoundation.nl.ca/ (Reg. charity)

Yes - Short term financial assistance for cancer treatment related expenses

Prostheses or other expenses related to cancer

No Must be a cancer patient and be in financial need

Patients should contact the Social Work Department of the Cancer Centre for program information.

(Dr. H. Bliss Murphy Cancer Care Foundation, 2017; Seniors Resource Centre, 2015)

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Multiple Sclerosis Society of Canada – Quality of Life Grants Atlantic Division https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes - Program funds maximum of $450 per applicant toward purchase equipment Two price quotes are needed

Types of equipment include: Mobility and assistive devices, Minor home modifications, Bathroom equipment (accessibility and safety devices)

Yes – Repair

Confirmation of MS diagnosis

A written recommendation is required by an occupational therapist for minor home renovations or for all other equipment by an occupational therapist, a physical therapist, or a physiatrist.

Once funds have been depleted, the program will close until the following fiscal year. Year runs from January through December.

(Multiple Sclerosis Society of Canada - Atlantic Division, 2017)

Muscular Dystrophy Canada - Equipment Program- -Atlantic Provinces (Reg. charity)

Yes – Cost Sharing Equipment and repairs costing less than $200.00 will not be considered

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Letter of medical necessity for equipment, signed by health care professional (OT, PT, Orthotist) Approval or denial letter from insurance company (if applicable) Is needed

Lawtons Home HealthCare is the preferred vendor, though 2 quotes required Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017)

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Table 6-E: Newfoundland and Labrador Other Resource Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Empower – the Disability Resource Centre (Receive funding from Department of Advanced Education, Skills and Labour) http://www.empowernl.ca/programs-services/adaptive-technology/

No

Hardware and software for computer access, communication aids, hearing devices, and vision devices

Yes Trialing of devices on site and one week loans, training, and troubleshooting, assessment and recommendations. Help with finding funding. Help with finding free software to suit their needs

None N/A N/A (Empower - The Disability Resource Centre, 2016b) (Empower - The Disability Resource Centre, 2016a)

References ALS Society of Newfoundland and Labrador. (2017). Equipment Loan Program Retrieved Jun, 2017, from http://alsnl.ca/services-2/equipment-loan-program/

Canadian Hard of Hearing Association - Newfoundland and Labrador. (2017). Borrow Hearing Devices Retrieved 03/03, 2017, from http://chha-nl.ca/services/borrow-hearing-devices/

Canadian National Institute for the Blind - Newfoundland and Labrador. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/newfoundland/programs-services/Pages/default.aspx

Canadian Red Cross - Newfoundland and Labrador. (2017). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/newfoundland-and-labrador/health-equipment-loans/short-term-loan-program

Dr. H. Bliss Murphy Cancer Care Foundation. (2017). Financial Programs Retrieved 03/03, 2017, from http://cancercarefoundation.nl.ca.s163866.gridserver.com/wp-content/uploads/2013/02/Financial-Programs-Brochure1.pdf

Empower - The Disability Resource Centre (2016a). [Personal communication, 709-722-4031 (July 21-27, 2016)].

Empower - The Disability Resource Centre. (2016b). Technology Services Retrieved 07/27, 2016, from http://www.empowernl.ca/programs-services/adaptive-technology/

APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 8

Government of Newfoundland and Labrador. (2015). Equipment Frequency of Entitlement.

Government of Newfoundland and Labrador. (2016). Programs Funded through the Department of Health and Community Services Retrieved 08/08, 2016, from

http://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html#sap

Government of Newfoundland and Labrador. (2017a). Hearing Aid Program Retrieved 03/01, 2017, from http://www.aesl.gov.nl.ca/policymanual/pdf/is/health_hearing_aids.pdf

Government of Newfoundland and Labrador. (2017b). Students with Permanent Disabilities Retrieved 03/01, 2017, from http://www.aesl.gov.nl.ca/studentaid/disabilities/index.html

Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl

Muscular Dystrophy Canada. (2017). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/

Newfoundland Health Authority Western Health (2016). [Personal communication, 709-637-5000 (August 8, 2016)].

Seniors Resource Centre. (2015). Seniors Guide to Services and Programs in Newfoundland and Labrador Retrieved 03/01, 2017, from http://www.seniorsresource.ca/SRCNL%20Seniors%20Guide%20August%202015.pdf

Vision Loss Rehabilitation - Newfoundland and Labrador. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://nl.visionlossrehab.ca/en

Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2004). Hearing Loss.

Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2017a). HealthCare Benefits Retrieved 03/01, 2017, from http://www.workplacenl.ca/workers/WS_HealthCareBenefits.whscc

Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2017b). Policies Retrieved 03/01, 2017, from http://www.workplacenl.ca/healthcare/policies.whscc

APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

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Table 7-A: Government of the Northwest Territories Programs Table 7-B: Northwest Territories Government Legislated Insurance Programs Table 7-C: Northwest Territories Legislation Governing Programs Table 7-D: Northwest Territories Charitable Organization Programs Table 7-E: Northwest Territories Other Resource Programs References Table 7-A: Government of the Northwest Territories Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Health and Social Services - Supplementary Health Benefits http://www.hss.gov.nt.ca/en/services/supplementary-health-benefits Extended Health Benefits Seniors’ Program http://www.hss.gov.nt.ca/sites/www.hss.gov.nt.ca/files/seniors-program-extended-health-benefits.pdf

Yes – Devices are funded, fully Devices are fully paid according to reasonable and customary charges. Program is administered by Alberta Blue Cross. Payor of last resort – must claim through other programs first (e.g. employer, workers’ compensation)

Audiology equipment (e.g. hearing aids)

Medical equipment (e.g. wheelchairs and walkers)

Orthotics and custom-made footwear

Prosthetics

Yes Travel for fitting of custom made devices

Non-Native or non-Indigenous Métis

60 years of age or over Permanent resident of the

NWT Registered with the NWT

Health Care Plan. Must apply for Extended

Health Benefits program

Prescription or written order from recognized health care professional. Prior approval for medical equipment required.

Prior approval for medical equipment required.

(Alberta Blue Cross, 2012; Government of the Northwest Territories, 2017a, 2017c) (Alberta Blue Cross, 2016) Note: declined to give information

Health and Social Services - Supplementary Health Benefits http://www.hss.gov.nt.ca/e

Yes – Devices are funded, fully Devices are fully paid according to reasonable and customary charges.

Audiology equipment (e.g. hearing aids)

Medical equipment (e.g. wheelchairs and walkers)

Orthotics and custom-

Yes Travel for fitting of custom made devices

Non-Native or Métis Permanent resident of the

NWT Registered with the NWT

Health Care Plan

Prescription or written order from recognized health care professional. Prior approval for medical

Prior approval for medical equipment required.

(Alberta Blue Cross, 2012; Government of the Northwest Territories, 2017a, 2017b)

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n/services/supplementary-health-benefits Extended Health Benefits for Specified Disease Conditions http://www.hss.gov.nt.ca/sites/www.hss.gov.nt.ca/files/specified-disease-conditions-program-ehb.pdf

Program is administered by Alberta Blue Cross Payor of last resort – must claim through other programs first (e.g. employer, workers’ compensation)

made footwear Prosthetics

under the care of a physician or nurse practitioner for one of the listed disease conditions (e.g. Alzheimer’s diabetes heart disease) Must apply for Extended Health Benefits program

equipment required. (Alberta Blue Cross, 2016) Note: declined to give information

Health and Social Services - Supplementary Health Benefits http://www.hss.gov.nt.ca/en/services/supplementary-health-benefits Metis Health Benefits http://www.hss.gov.nt.ca/sites/www.hss.gov.nt.ca/files/metis-health-benefits.pdf

Yes – Devices are funded, fully Devices are fully paid according to reasonable and customary charges. Program is administered by Alberta Blue Cross Payor of last resort – must claim through other programs first (e.g. employer, workers’ compensation)

Audiology equipment (e.g. hearing aids)

Medical equipment (e.g. wheelchairs and walkers)

Orthotics and custom-made footwear

Prosthetics

Yes Travel for fitting of custom made devices

Registered Indigenous Métis

Permanent resident of the NWT

Registered with the NWT Health Care Plan. Métis Health Benefits program

Prescription or written order from recognized health care professional. Prior approval for medical equipment required.

Prior approval for medical equipment required.

(Alberta Blue Cross, 2012; Government of the Northwest Territories, 2017a, 2017d) (Alberta Blue Cross, 2016) Note: declined to give information

Department of Education, Culture and Employment - Study Grant for Services and Equipment for Students with Permanent Disabilities

(Note: Not part of Federal Grant Program)

Yes - Up to $8,000 reimbursed per academic year

Special equipment – e.g Braille writer, alternative keyboard and alternate formats such as large or Braille print or voice activated programs

Yes - one-time medical assessment – 75% of the cost up to a maximum of $1,000

Canadian citizen or a permanent resident Considered "Ordinarily Resident " of NWT for at least 12 continuous months before start of program Any previous student financial assistance loan payments must be up to date and not have

Apply for any time during academic year Provide medical, or other professional assessment describing way disability limits full participation in post-secondary studies

Not Eligible: Capital costs such as wheelchair, hearing aids, computer, printer, monitor, glasses, etc. Repairs or modifications to capital equipment

(Government of the Northwest Territories, 2016, 2017e)

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outstanding debts with Government of NWT Have permanent disability – functional limitation from physical or mental/cognitive impairment restricting ability to perform daily activities for postsecondary studies and remains throughout life

Department of Education, Culture and Employment - The Learning Support for Persons with Disabilities Fund https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/learning_support_for_persons_with_disabilities_brochure.pdf (Cost shared program with Government of Northwest Territories and Government of Canada through Labour Market Agreement for Persons with Disabilities)

Yes – Devices are funded, fully

Assistive technology (e.g. Dragon Dictate or Zoom Text software) Communication and sensory devices Software and access to computer devices Not covered for individuals: Desktop computers, laptops, tablets, smart phones

Yes Educational assessments

Individuals or organizations may apply for funding. Must show that the funding requested will help to overcome barriers to learning. Criteria for Individuals: Must be 18+ Not attending high school Live in Northwest Territories Have a disability requires supports to overcome barriers to learning Involved in a learning activity; applying for a learning activity that will help further an individual’s education, increase daily living skills or obtain future employment Show commitment to achieving education, employment or personal

2 support letters are required, one from an appropriate health care professional describing supports needed and another from health care professional or an educator, disability organization, tutor, social worker, wellness worker, etc

2 quotes are needed Not covered for individuals: Desktop computers, laptops, tablets, smart phones

(Government of Northwest Territories, 2016; Northwest Territorries Disabilities Council, 2016, 2017)

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goals; Unable to receive funding for training elsewhere

Table 7-B: Northwest Territories Government Legislated Insurance Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Workers’ Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut* http://www.wscc.nt.ca/ * Arm’s length government agency, administers Workers Compensation Acts

Yes - Devices are funded, fully or rental fee is paid Devices are available on a temporary or permanent basis depending on need.

Various, depends on claim.

Yes Assessment, repair and replacement

Work related injury or illness in Nunavut or North West Territories.

A recommendation from an appropriate health care provider is needed as well as supporting documentation of a medical need.

No (Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut, 2016, 2017)

Table 7-C: Northwest Territories Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Supplementary Health Benefits Extended Health Benefits Seniors’ Program http://www.hss.gov.nt.ca/en/services/r%C3%A9gimes-

Ministry of Health and Social Services, Department of Health and Social Services

Could not find specific legislation on these; policy documents have been rescinded and work has been done to make the programs similar in what is insured

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d%E2%80%99assurance-maladie-compl%C3%A9mentaires/extended-health-benefits-seniors%E2%80%99-program

Supplementary Health Benefits Extended Health Benefits for Specified Disease Conditions http://www.hss.gov.nt.ca/en/services/supplementary-health-benefits/extended-health-benefits-specified-disease-conditions

Ministry of Health and Social Services, Department of Health and Social Services

Could not find specific legislation on these; policy documents have been rescinded and work has been done to make the programs similar in what is insured

Supplementary Health Benefits Metis Health Benefits http://www.hss.gov.nt.ca/en/services/r%C3%A9gimes-d%E2%80%99assurance-maladie-compl%C3%A9mentaires/m%C3%A9tis-health-benefits

Ministry of Health and Social Services, Department of Health and Social Services

Could not find specific legislation on these; policy documents have been rescinded and work has been done to make the programs similar in what is insured

The Learning Support for Persons with Disabilities Fund https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/learning_support_for_persons_with_disabilities_brochure.pdf

Department of Education, Culture and Employment Student Financial Assistance Act, RSNWT 1988, c S-14 Student Financial Assistance Regulations, RRNWT 1990, c S-20 , (Student Financial Assistance Act) Canada-Northwest Territories Labour Market Agreement for Persons with Disabilities https://www.canada.ca/en/employment-social-development/programs/training-agreements/lma-disabilities/nwt.html

Study Grant for Services and Equipment for Students with Permanent Disabilities

Department of Education, Culture and Employment Student Financial Assistance Act, RSNWT 1988, c S-14 Student Financial Assistance Regulations, RRNWT 1990, c S-20 , (Student Financial Assistance Act)

Workers’ Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut* http://www.wscc.nt.ca/

Minister Responsible for the Workers' Safety and Compensation Commission, Agency in Government of Northwest Territories

Workers' Compensation Act, SNWT 2007, c 21

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Table 7-D: Northwest Territories Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Alberta (and Northwest Territories when required) Equipment Loan Program http://www.alsab.ca/equipment-loan-program/ (Reg. charity)

Yes – Equipment loans are provided free of charge.

Examples are: walkers, manual wheelchairs, power wheelchairs, collars, bidets, lift chairs, ramps, porch lifts, iPads, voice amplifiers, hospital beds and mattresses.

Yes – Delivery and pickup is provided at no cost

Contact equipment loan program Health professional completes request form

(ALS Society of Alberta, 2016)

Multiple Sclerosis Society of Canada – Quality of Life Grants Alberta/Northwest Territories https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes - purchase, repair and/or permanent loan The maximum amount available per person is $1,000.00. Two or more price quotes for the good or services are needed

Bath aids (bath lifts, bath chairs, bath bench, handheld showers), Bracing & supports (orthotics, leg braces & splints), Broda chairs, CEP Computer Lease Commodes, Computer with adaptations, Electric hospital beds and mattresses, Environmental controls, Hearing Aids (MS specific), Floor to ceiling transfer poles, Grab bars, Home accessibility (porch lifts, automatic door

Yes - delivery, pick up, cleaning, safety check, repairs, batteries and tires

Diagnosis of MS from physician or MS Clinic, Residence within the regional/chapter/division catchment area, and declaration of financial need

Assessment or letter of support from an appropriate provider must be included, for example Occupational Therapist, Physician, or Physiotherapist

Last resort funding, meaning all other potential funding sources must be fully explored

(Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division, 2017a, 2017b)

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openers, stair glides, ramps), Kitchen aids (auto feeder, microwave, utensils), Lift chairs o Lift systems (ramp installations or repairs). Manual wheelchairs (tilt &non-tilt), Power wheelchairs (tilt & non-tilt), Prescribed orthopedic shoe/boot, Raised toilet seats, toilet safety frame & versa frames, Scooters (3 or 4 wheel) Transfer disk, belt or board, Trapeze bar

Table 7-E: Northwest Territories Other Resource Programs None found References Alberta Blue Cross. (2012). Alberta Blue Cross to administer medical supplies and equipment claims for Government of the Northwest Territories clients Retrieved 07/14, 2016, from

https://www.ab.bluecross.ca/pdfs/82924_gnwt_medsupp_info.pdf

Alberta Blue Cross (2016). [Personal communication, Northwest Territories Metis and Extended Health Benefits, 1-800-661-6995 (July 18, 2016)].

ALS Society of Alberta. (2016). Equipment Loan Program Retrieved 05/18, 2016, from http://www.alsab.ca/equipment-loan-program/

Government of Northwest Territories. (2016). Learning Support for Persons with Disabilities - Program Guidelines and Application 2015-2016 Retrieved Feb 23, 2017, from http://www.nwtdc.net/wp-content/uploads/2014/04/Learning-

Support-for-Individuals.pdf

Government of the Northwest Territories. (2016). Student Financial Assistance Policy and Procedures Manual Retrieved Jun, 2017, from https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/sfa_-

_policy_and_procedures_manual_-_august_2016.pdf

Government of the Northwest Territories. (2017a). Health and Social Services - Supplementary Health Benefits Retrieved Feb 23, 2017, from http://www.hss.gov.nt.ca/en/services/supplementary-health-benefits

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Government of the Northwest Territories. (2017b). Health and Social Services - Supplementary Health Benefits - Extended Health Benefits for Specified Disease Conditions Retrieved Feb 23, 2017, from

http://www.hss.gov.nt.ca/health/nwt-health-care-plan/extended-health-benefits-specified-disease-conditions

Government of the Northwest Territories. (2017c). Health and Social Services - Supplementary Health Benefits - Extended Health Benefits Seniors’ Program Retrieved Feb 28, 2017, from http://www.hss.gov.nt.ca/health/nwt-health-

care-plan/extended-health-benefits-seniors-program

Government of the Northwest Territories. (2017d). Health and Social Services - Supplementary Health Benefits - Métis Health Benefits Retrieved Feb 23, 2017, from http://www.hss.gov.nt.ca/health/nwt-health-care-plan/metis-health-

benefits

Government of the Northwest Territories. (2017e). Student Financial Assistance Retrieved Jun, 2017, from https://www.ece.gov.nt.ca/en/services/aide-financiere-aux-etudiants/program-information

Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017a). Programs and Services Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/123/quality-of-life-grants-

equipment-ab-nwt-division

Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017b). Quality of Life - Equipment Community Fund Retrieved Jun, 2017, from

https://mssociety.ca/library/document/0rIeG2HSRgTDO6ZBqthY5n7M8CUWc4as/original.pdf

Northwest Territorries Disabilities Council (2016). [Personal communication, Information, Referral and Support Coordinator 1-800-491-8885 (July 12, 2016)].

Northwest Territorries Disabilities Council. (2017). Learning Support for Persons with Disabilities Fund (Brochure) Retrieved Feb 23, 2017, from

https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/learning_support_for_persons_with_disabilities_brochure.pdf

Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut. (2016). Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut - Policy Manual Retrieved Feb

23, 2017, from http://www.wscc.nt.ca/sites/default/files/documents/Policy%20Manual%20-%20Updated%20December%201%2C%202016.pdf

Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut. (2017). Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut Retrieved Feb 23, 2017, from

http://www.wscc.nt.ca/

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Table 8-A: Government of Nova Scotia Programs Table 8-B: Nova Scotia Government Legislated Insurance Programs Table 8-C: Nova Scotia Legislation Governing Programs Table 8-D: Nova Scotia Charitable Organization Programs Table 8-E: Nova Scotia Other Resource Programs References Table 8-A: Government of Nova Scotia Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Community Services – Disability Support Program http://novascotia.ca/coms/disabilities/

Yes – Devices are funded

Special request devices (e.g. special clothing for mobility needs, orthotics, hearing aids and batteries) Prosthetics and wheelchairs for those who are not covered through the Easter Seals or the Senior’s loan programs are covered as a special needs device.

Yes Assessment Assistance with purchase/rental of approved equipment at the actual cost of the most economical option

Applicants must have a valid Nova Scotia health card. 19 years or older (with 16-19 age exceptions) A financial assessment of need is required. They must also have an intellectual disability, an acquired brain injury, a long term mental illness or a significant long term physical disability.

Medical assessment must be filled out by a physician or nurse practitioner. Documentation from a health care provider is needed. A care coordinator from the Ministry of Community Services is responsible for the functional and financial assessments. For special needs devices; care coordinator may refer to second physician or health care provider to determine need for devices.

Demonstration of the most economical option based on two cost estimates

(Nova Scotia Department of Community Services, 2016)

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Department of Community Services – Disability Support Program – Wheelchair Recycling Program Administered by Abilities Foundation of Nova Scotia at Easter Seals Nova Scotia http://novascotia.ca/coms/disabilities/WheelchairRecycling.html http://www.easterseals.ns.ca/wheelchairs

Yes – Wheelchairs are loaned for as long as needed

Wheelchairs and seating equipment

Yes Assessment, equipment repair program (through Easter Seals Nova Scotia)

Applicants must have a valid Nova Scotia health card. Under 65 They must also have an intellectual disability, an acquired brain injury, a long term mental illness or a significant long term physical disability. For the wheelchair recycling program applicants must be under 65 years of age. Family income must fall within program guidelines (below $25,000) Eligibility and funding assessed by Easter Seals

A care coordinator from the Ministry of Community Services is responsible for the functional and financial assessments. Medical prescription for wheelchair from health care professional.

No Wheelchairs provided by Easter Seals loan bank

(Easter Seals Nova Scotia, 2017; Nova Scotia Department of Community Services, 2017b)

Department of Community Services – Employment Support and Income Assistance – Employment Support Services – Labour Market Agreement for Persons with Disabilities Program, Workplace Support Program Joint funded by both the Province of Nova Scotia and the Government of

Yes – Devices are funded, different approval levels If assistance is available through another program, must seek support through other program This is an income tested program and to be eligible for support, an individual must have a net income of $54,000 or less annually.

Technical and assistive aids Appliances for visual impairments Appliances for hearing impairments up to a maximum of $1,600 per unit every 4 years Computer software (writing aids, magnification, screen reading, dictation, software to support

Yes Wheelchair repairs

Have a disability (physical, mental health, learning, cognitive, intellectual) “Realistic possibility” of working as result of program funding Resident of Nova Scotia, at least 16 years of age, not attending provincial public school Canadian citizen or

Assessment and recommendation from a qualified medical/clinical practitioner

Two cost estimates, most economical option

(Nova Scotia Department of Community Services, 2017a)

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Canada under Labour Market Agreement for Persons with Disabilities https://novascotia.ca/coms/employment/employment_services/docs/Guidelines%20for%20Workplace%20Support%20Program%20Version%201_3.pdf (No funding since March 31, 2016, program not renewed)

learning disabilities) Voice-Activated Telephones – for telephone purchase only – does not support monthly phone bills Speech Recognition Software Optical Character Recognition (OCR) Software Visual and Graphic Organizers Automated Stamper Power tilt/recline seating Office furniture modifications

landed immigrant who is a resident of Nova Scotia. Not eligible: Made a claim under the Worker’s Compensation Act, Veteran’s Rehabilitation Act (Canada), Canada Pension Plan, or private insurance companies; Seeking supports for health-related expenses, medical treatment Must work a minimum of 20 hours per week.

Department of Labour and Advanced Education - Post Secondary Disability Services – Nova Scotia Grant for Services and Equipment Canada Student Grant for Services and Equipment for Students with Permanent Disabilities Federal and/or Labour Market Agreement Permanent Disability (LMAPD) government grant

Yes – up to $8000

Equipment - Assistive technology -computer, software, dragon, jaws) - Alternate format

Yes - Reimbursement for learning disability assessments

Nova Scotia resident attending a university, community college or private career college Registered through Nova Scotia Student Loans, Approved as student with a permanent disability

Discuss needs with school’s disability coordinator Apply with form Services and Equipment Grant for Post-Secondary Students with Permanent Disabilities Include 1 quote or paid invoice

Maximum of $2000 for computer, printer and general software

(Nova Scotia Labour and Advanced Education, 2017a, 2017b)

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Department of Health and Wellness - Continuing Care – Seniors Community Wheelchair Loan Program https://novascotia.ca/dhw/ccs/wheelchair-loan-program.asp https://novascotia.ca/dhw/ccs/FactSheets/Seniors-Community-Wheelchair-Loan-Program.pdf (No funding since January 2016)

Yes – Recycled wheelchairs are loaned for as long as needed, or new wheelchair is funded

Wheelchairs - new and recycled wheelchairs (manual and/or electric) and seating equipment

Yes Assessment, maintenance costs and general repairs, no fees

Resident of Nova Scotia with valid Nova Scotia health card.

65 years of age or older at

the time of application Must require assistance because of a long term disability, chronic illness or terminal illness. Seniors living at home.

Agree to sign a consent

form for the safe and proper use of your wheelchair

Are considered low-

income (have a net annual income of $22,125 or less if single or $37,209 or less if married),

Not covered by other

programs such as private insurance or other publicly funded organizations.

An assessment is required by an authorized health care provider (Occupational Therapist or Physiotherapist

Recycled seating and mobility systems. If moving to long term care facility the wheelchair will remain with user and referral for reassessment will be initiated. Transition to get wheelchair through Specialized Equipment Program in long term care

(Nova Scotia Department of Continuing Care, 2016) (Nova Scotia Department of Continuing Care, 2013b)

Department of Health and Wellness - Continuing Care – Personal Alert Service https://novascotia.ca/dhw/ccs/personal-alert-

Yes – Rental fees are cost shared Reimburses up to $480/year towards the service price

Personal Alert Device Personal alert emergency response system (i.e. LifeLine, Project Lifesaver)

Yes Assessment, 24 hour emergency support and alarm system Approved cost includes

Must be over age 65 Be a Nova Scotia resident

with valid Health Card. Must live alone Must have a recent history of fall and use a mobility

Must be authorized by a care coordinator from the Department of Continuing Care.

No Various suppliers, some listed in the Department of Seniors’ Programs for Positive Aging.

(Nova Scotia Department of Continuing Care, 2013a)

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service.asp https://novascotia.ca/dhw/ccs/policies/Personal-Alert-Assistance-Program-Policy.pdf

start-up fees and monthly maintenance (e.g. batteries).

aid.

Low income - annual net income of less than $22,125.

Requirement for Home

Care Services that will extend beyond 90 days.

Sign agreement with

Department of Health and Wellness.

First Nation individuals on Reserve eligible for program if not receiving Income Assistance (Aboriginal Affairs Northern Development Canada)

Department of Health and Wellness -Continuing Care and Canadian Red Cross Nova Scotia - Health Equipment Loan Program (HELP) - Bed Loan Program Administered by Red Cross https://novascotia.ca/dhw/ccs/policies/HELP_Program_Policy.pdf

Yes – Devices are loaned until no longer needed, no cost

Fully electric hospital type bed Foam pressure reduction mattress Full bed rail

Yes Delivery, pick up and installation/assembly

A resident of Nova Scotia with valid Nova Scotia health card Needs this equipment to safely live at home (assessed by Continuing Care) Willing to take responsibility for equipment in home (or other individual willing to do so) First Nation individuals on

Assessed by Continuing Care representative to meet program requirements, referral for Red Cross made

Devices are those available within the equipment loan pool

(Red Cross Canada, 2016) (Nova Scotia Department of Continuing Care, 2008a)

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http://www.redcross.ca/in-your-community/nova-scotia/health-equipment-loans/bed-loan-program

Reserve can access this program

Department of Health and Wellness -Continuing Care and Canadian Red Cross Nova Scotia - Health Equipment Loan Program (HELP) - Specialized Equipment Program https://novascotia.ca/dhw/ccs/policies/policyManual/Guidelines_Specialized_Equipment_Program.pdf

Yes – Devices are loaned, may need to pay monthly fee, depending on income. Fee charged - monthly flat rate charge and an amount associated with the particular type of equipment Publicly assisted residents are exempt from fees If residents upgrade or choose other equipment, they pay in full including labour/maintenance to install upgraded items

Specialized mattresses and accessories Resident specific, specialized bariatric beds Power and manual wheelchairs, plus accessories Resident specific specialized transfer aids (i.e.: sliding sheets, trapeze bars) Basic positioning chairs Customized 2 wheeled walker with glide tips/skis and rollator walkers, plus accessories Resident specific slings Bariatric commodes

Yes Customized to specifications, deliver, set up, maintain, pick up and recycle equipment

Regular bed resident of a Department of Health and Wellness licensed or approved long term care facilities Requires equipment on Covered Equipment list Assessed by an Occupational Therapist or Physiotherapist as requiring equipment Reviewed and approved by Continuing Care User pays monthly rental fee

Professional assessment conducted by a Physiotherapist or an Occupational Therapist Approval by Continuing Care

Specialized equipment provided is minimum required to meet basic identified need (i.e. if able to move manual wheelchair inside for 10m one is ineligible for power) Substitutions must be identified by assessing health care professional. If items are unavailable Red Cross will purchase for their pool

(Red Cross Canada, 2016) (Nova Scotia Department of Continuing Care, 2009) (Nova Scotia Department of Continuing Care, 2014)

Department of Health and Wellness -Continuing Care –Medication Dispenser Assistive Technology Program http://0-nsleg-edeposit.gov.ns.ca.legcat.gov.ns.ca/deposit/b1065981x.pdf

Yes – Partially Funded Up to $499/year

In-home automated medication dispenser

No Must be 65 years or older, be low income (have a net annual income of $22,003 or less if single / $37,004 or less if married). Require prescription medication for more than 90 day, reminders and/or active monitoring of the medication and agree to take the medication.

A medication review is needed

Other medication management options must be explored prior to applying to this program

(Nova Scotia Department of Continuing Care, 2017)

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Department of Health and Wellness -Continuing Care - Special needs for Long Term Care http://novascotia.ca/dhw/ccs/policies/policyManual/Special%20Needs%20Policy.pdf

Yes- Funded amounts vary dependant on device For example certain orthotics are funded max $300-$400

Wheelchair batteries, tires and low-cost items such as arm pads for resident specific equipment that is not provided through the Specialized Equipment Program, may be funded as a special need. This also includes hearing aids, vision aids and orthotics

No Must reside in a Department of Health long term care facility and does not have the resources to cover the device needed

Requests must be submitted to the Care Coordinator on the approved Special Need Request and Authorization Form, and the Care Coordinator must approve the request.

Items not specifically referenced or identified in this policy are not available for funding as a special need.

(Nova Scotia Department of Continuing Care, 2008b)

Table 8-B: Nova Scotia Government Legislated Insurance Programs

Workers’ Compensation Board (WCB) of Nova Scotia http://www.wcb.ns.ca/

Yes – Devices are at no cost and are offered either on a short term or long term basis depending on the need. Needs to be most cost-effective.

Varies, depends on claim Yes Assessment, repair, replacement, modification, delivery

Work related injury or illness in Nova Scotia

A medical report by an appropriate WCB approved health care provider needs to be submitted.

No (Workers' Compensation Board of Nova Scotia, 2016b) (Workers' Compensation Board of Nova Scotia, 2016a)

* WCB Nova Scotia - provincial provider insurance Table 8-C: Nova Scotia Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Disability Support Program

Department of Community Services Social Assistance Act, RSNS 1989, c 432 Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act) http://novascotia.ca/coms/disabilities/SPDProgramPolicy.html

Disability Support Program – Wheelchair Recycling Program http://novascotia.ca/coms/disabilities/WheelchairRecycling.html

Department of Community Services Social Assistance Act, RSNS 1989, c 432 Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act)

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Labour Market Agreement for Persons with Disabilities Program, Workplace Support Program https://novascotia.ca/coms/employment/employment_services/docs/Guidelines%20for%20Workplace%20Support%20Program%20Version%201_3.pdf

Department of Community Services – Employment Support and Income Assistance – Employment Support Services Joint funded by both the Province of Nova Scotia and the Government of Canada under Labour Market Agreement for Persons with Disabilities

Social Assistance Act, RSNS 1989, c 432 Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act)

Seniors Community Wheelchair Loan Program https://novascotia.ca/dhw/ccs/wheelchair-loan-program.asp

Department of Health and Wellness - Continuing Care

Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6) http://novascotia.ca/coms/disabilities/SPDProgramPolicy.html

Personal Alert Service Program

Department of Health and Wellness - Continuing Care Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6) https://novascotia.ca/dhw/ccs/policies/Personal-Alert-Assistance-Program-Policy.pdf

Health Equipment Loan Program (HELP) - Bed Loan Program http://www.redcross.ca/in-your-community/nova-scotia/health-equipment-loans/bed-loan-program

Department of Health and Wellness -Continuing Care and Canadian Red Cross Nova Scotia Administered by Red Cross

Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6) https://novascotia.ca/dhw/ccs/policies/HELP_Program_Policy.pdf

Health Equipment Loan Program (HELP) - Specialized Equipment Program https://novascotia.ca/dhw/ccs/policies/policyManual/Guidelines_Specialized_Equipment_Program.pdf

Department of Health and Wellness -Continuing Care and Canadian Red Cross Nova Scotia

Homes for Special Care Act, RSNS 1989, c 203 Homes for Special Care Regulations, NS Reg 127/77

Medication Dispenser Assistive Technology Program

Department of Health and Wellness -Continuing Care Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6)

Special needs for Long Term Care

Department of Health and Wellness -Continuing Care Homes for Special Care Act, RSNS 1989, c 203 Homes for Special Care Regulations, NS Reg 127/77 https://novascotia.ca/dhw/ccs/policies/policyManual/Special%20Needs%20Policy.pdf

APPENDIX 8: NOVA SCOTIA PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 9 of 15

Worker's Compensation Board http://www.wcb.ns.ca/

Worker's Compensation Board of Nova Scotia Workers' Compensation Act, SNS 1994-95, c 1 Workers' Compensation General Regulations, NS Reg 22/96 , (Workers' Compensation Act) Chronic Pain Regulations, NS Reg 187/2004 Firefighters' Compensation Regulations, NS Reg 140/2003

Table 8-D: Nova Scotia Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Health and Wellness - Continuing Care and Canadian Red Cross Nova Scotia – Health Equipment Loan Program (HELP) - Bed Loan Program Health Equipment Loan Program (HELP) - Specialized Equipment Program Administered by Red Cross (Reg. charity)

Refer to government program for details.

Canadian Red Cross Nova Scotia – Health Equipment Loan

Yes – short term loans

Wheelchairs Walkers Bath seats and benches

No Referral from a registered health care professional is needed

(Canadian Red Cross - Nova Scotia, 2017)

APPENDIX 8: NOVA SCOTIA PROGRAMS

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Program (HELP) – Short Term Loan Program – (Reg. charity)

Commodes and toilet seats Crutches and canes Bed handles Other durable medical equipment

Department of Community Services – Disability Support Program – Wheelchair Recycling Program Administered by Abilities Foundation of Nova Scotia at Easter Seals Nova Scotia http://novascotia.ca/coms/disabilities/WheelchairRecycling.html http://www.easterseals.ns.ca/wheelchairs (Reg. charity)

Refer to government program for details.

Easter Seals Nova Scotia - Assistive Devices (separate program to government one) http://www.easterseals.ns.ca/wheelchairs (Reg. charity)

Yes – Devices are loaned for as long as needed For devices valued over $1000 there is an income test.

Refurbished devices such as Wheelchairs and seating inserts Walkers Home safety equipment Lifts Orthotic/orthopaedic devices

No Must provide notice of income

Referral is needed form an occupational therapist, physical therapist or another health professional knowledgeable of home health equipment.

Availability depends on what devices were donated User is responsible for cleaning equipment

(Easter Seals Nova Scotia, 2015)

APPENDIX 8: NOVA SCOTIA PROGRAMS

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Amyotrophic Lateral Sclerosis (ALS) Society of New Brunswick and Nova Scotia –Equipment Loan Program (Reg. charity)

Yes Equipment is loaned free of charge

Bathroom Aids, Beds & Accessories, Communication Devices, Lifts, Walkers, Power Wheelchairs, and Miscellaneous Equipment

Yes Delivery is free of charge. Service due to regular wear and tear is provided at no cost. May be minor set up and fees to do personal adjustments.

Equipment must be recommended by a physiotherapist or an occupational therapist

No modifications are to be made to any of the equipment provided without written consent

(ALS Society - New Brunswick and Nova Scotia, 2017a, 2017b)

Canadian National Institute for the Blind – Nova Scotia and PEI Note: CNIB AT program seems only to be in PEI Vision Loss Rehabilitation – Nova Scotia (Reg. charity)

No None specified Yes Vision Loss Rehabilitation program provides: Education, training, device recommendations

(Canadian National Institute for the Blind - Nova Scotia and PEI, 2017; Vision Loss Rehabilitation - Nova Scotia, 2017)

Society of the Deaf and Hard of Hearing Nova Scotians (Reg. charity)

Yes – Loan program Loans equipment prior to purchase, or borrow it to make their home accessible for visiting friend or family member

Alerting Systems, Assistive Listening Accessories, Clocks, Personal Amplification Devices, Sound Conditioners, Add-on Amplifier/Ringers, Amplified Phones, Smoke and Carbon, Detectors, TTYs, Vibrating Watches, Voice Carryover Phones, Accessories for TTYs/TDDs

Yes Services to select devices

(Society of Deaf and Hard of Hearing Nova Scotians, 2014)

Tetra Society of North America - Assistive Devices Program

Yes – Devices are supplied, volunteer services

Customized assistive devices by volunteers such as technologists,

Yes Assessment and custom services

None Complete request form through Tetra

Custom services (Easter Seals Nova Scotia, 2016)

APPENDIX 8: NOVA SCOTIA PROGRAMS

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(Halifax Chapter) and Easter Seals Nova Scotia (Easter Seals administers program) http://www.easterseals.ns.ca/uploads/571e63aaf41efrelease,%20Tetra%20Apr%202016.pdf

technicians, engineers, and tradespeople

Multiple Sclerosis Society of Canada – Quality of Life Grants Atlantic Division https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes - Program funds maximum of $450 per applicant toward purchase equipment Two price quotes are needed

Types of equipment include: Mobility and assistive devices, Minor home modifications, Bathroom equipment (accessibility and safety devices)

Yes – Repair

Confirmation of MS diagnosis

A written recommendation is required by an occupational therapist for minor home renovations or for all other equipment by an occupational therapist, a physical therapist, or a physiatrist.

Once funds have been depleted, the program will close until the following fiscal year. Year runs from January through December.

(Multiple Sclerosis Society of Canada - Atlantic Division, 2017)

Muscular Dystrophy Canada - Equipment Program- -Atlantic Provinces (Reg. charity)

Yes – Cost Sharing Equipment and repairs costing less than $200.00 will not be considered

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting

Yes - Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Letter of medical necessity for equipment, signed by health care professional (OT, PT, Orthotist) Approval or denial letter from insurance company (if applicable) Is needed

Lawtons Home HealthCare is the preferred vendor, though 2 quotes required Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017b)

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device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Canada – Community Services Fund- Atlantic Canada (Only chapters in New Brunswick and Nova Scotia) (Reg. charity)

Yes maximum funding amount of $1,000 per item Quotes from 2 different equipment vendors for the requested item

Life Line Services Adaptive Technologies/ Environmental Control Units

Yes Equipment repair

For the Chapters of Central New Brunswick, Fundy, Halifax, Southeastern New Brunswick Mighty Drivers, Sunny Trail Must be a registered client of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Prescription/letter from professional including Physician/ OT/ PT outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed

(Muscular Dystrophy Canada, 2017a) http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf

APPENDIX 8: NOVA SCOTIA PROGRAMS

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Table 8-E: Nova Scotia Other Resource Programs None found. References ALS Society - New Brunswick and Nova Scotia. (2017a). Equipment Loan Program Retrieved Jun, 2017, from http://alsnbns.ca/en/service/equipment-loan-program/

ALS Society - New Brunswick and Nova Scotia. (2017b). Prescription Form Retrieved Jun, 2017, from http://alsnbns.ca/wp-content/uploads/PrescriptionFormRevisedOct16WORD.pdf

Canadian National Institute for the Blind - Nova Scotia and PEI. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ns-pei/programs-services/Pages/default.aspx

Canadian Red Cross - Nova Scotia. (2017). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/nova-scotia/health-equipment-loans/short-term-loan-program

Easter Seals Nova Scotia. (2015). Assistive Devices Donated Equipment application Retrieved 08/26, 2016, from

http://www.easterseals.ns.ca/uploads/5772cc636b7e32015%20ES%20Assistive%20Devices%20Donated%20Equipment%20%20application.pdf

Easter Seals Nova Scotia. (2016). TETRA Retrieved 02/22, 2017, from http://www.easterseals.ns.ca/uploads/571e63aaf41efrelease,%20Tetra%20Apr%202016.pdf

Easter Seals Nova Scotia. (2017). Wheelchairs and Mobility Equipment Retrieved 02/22, 2017, from http://www.easterseals.ns.ca/wheelchairs

Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl

Muscular Dystrophy Canada. (2017a). Community Services Fund: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-

fund-atlantic-canada/

Muscular Dystrophy Canada. (2017b). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/

Nova Scotia Department of Community Services. (2016, 2016/08/16/17:15:29). SPD_Public_Policy.pdf, from http://novascotia.ca/coms/disabilities/documents/SPD_Public_Policy.pdf

Nova Scotia Department of Community Services. (2017a). Employment Support Services Retrieved 02/22, 2017, from

https://novascotia.ca/coms/employment/employment_services/docs/Guidelines%20for%20Workplace%20Support%20Program%20Version%201_3.pdf

Nova Scotia Department of Community Services. (2017b). Wheelchair Recycling Retrieved 02/22, 2017, from http://novascotia.ca/coms/disabilities/WheelchairRecycling.html.html

Nova Scotia Department of Continuing Care. (2008a). Bed Loan Program Policy Retrieved 02/22, 2017, from https://novascotia.ca/dhw/ccs/policies/HELP_Program_Policy.pdf

Nova Scotia Department of Continuing Care. (2008b). LTC Special Needs Retrieved 02/22, 2017, from http://novascotia.ca/dhw/ccs/policies/policyManual/Special%20Needs%20Policy.pdf

Nova Scotia Department of Continuing Care. (2009). Specialized Equipment Program Policy Retrieved 02/22, 2017, from https://novascotia.ca/dhw/ccs/policies/policyManual/Specialized_Equipment_Policy.pdf

Nova Scotia Department of Continuing Care. (2013a). Personal Alert Assistance Program Policy Retrieved 08/16, 2016, from http://novascotia.ca/dhw/ccs/policies/Personal-Alert-Assistance-Program-Policy.pdf

Nova Scotia Department of Continuing Care. (2013b). Senior’s Community Wheelchair Loan Program Retrieved 02/22, 2017, from http://0-nsleg-edeposit.gov.ns.ca.legcat.gov.ns.ca/deposit/b10680925.pdf

APPENDIX 8: NOVA SCOTIA PROGRAMS

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Nova Scotia Department of Continuing Care. (2014). HELP-Specialized Equipment Program Guidelines Retrieved 02/21, 2017, from

https://novascotia.ca/dhw/ccs/policies/policyManual/Guidelines_Specialized_Equipment_Program.pdf

Nova Scotia Department of Continuing Care. (2016). Wheelchair Loan Program Retrieved 08/16, 2016, from http://novascotia.ca/dhw/ccs/wheelchair-loan-program.asp

Nova Scotia Department of Continuing Care. (2017). Medication Dispenser Assistive Technology Retrieved 02/22, 2017, from http://0-nsleg-edeposit.gov.ns.ca.legcat.gov.ns.ca/deposit/b1065981x.pdf

Nova Scotia Labour and Advanced Education. (2017a). Information and Guidelines - Service and Equipment Grant for Post-Secondary Students with Permanent Disabilities Retrieved Jun, 2017, from http://novascotia.ca/PSDS/PSDS-

grant-application-form.pdf

Nova Scotia Labour and Advanced Education. (2017b). Post-Secondary Disability Sevices - Grants Retrieved Jun, 2017, from https://novascotia.ca/PSDS/grants.asp

Red Cross Canada. (2016). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program

Society of Deaf and Hard of Hearing Nova Scotians. (2014). Assistive Devices Sales Program Retrieved Jun, 2017, from http://sdhhns.org/communication-devices-sales-program/

Vision Loss Rehabilitation - Nova Scotia. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://ns.visionlossrehab.ca/en

Workers' Compensation Board of Nova Scotia (2016a). [Personal communication, 902-491-8999 (Aug 16, 2016)].

Workers' Compensation Board of Nova Scotia. (2016b). Policy Manual Retrieved 08/25, 2016, from http://www.wcb.ns.ca/About-Us/Policy/Policy-Manual.aspx

APPENDIX 9: NUNAVUT PROGRAMS

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Table 9-A: Government of Nunavut Programs Table 9-B: Nunavut Government Legislated Insurance Programs Table 9-C: Nunavut Legislation Governing Programs Table 9-D: Nunavut Charitable Organization Programs Table 9-E: Nunavut Other Resource Programs References Table 9-A: Government of Nunavut Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Family Services - Nunavut Solutions Grant http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant

Yes – Devices are funded, fully or cost-shared Full pay or partial pay, depending on request, and how much money is in the budget (e.g. $20,000 for each year for all of Nunavut).

Mobility aids – e.g. wheelchairs, lifts

Yes Has funded cost of programs and services to improve quality of life for individuals with mobility-related disabilities e.g. shipping of devices?

A resident of Nunavut that has a physical mobility disability.

A letter of support from an appropriate health care provider is recommended Program administered by Nunavummi Disabilities Makinnasuaqtiit Society

Devices and services for mobility-related disability

(Government of Nunavut, 2015, 2016b; Nunavummi Disabilities Makinnasuaqtiit Society, 2016)

Department of Health – Extended Health Benefits- Specified Conditions http://gov.nu.ca/health/information/extended-health-benefits-ehb-specified-conditions

Yes – Devices are funded, fully

All devices that the Canada’s Non-Insured Health Benefits (NIHB) program provide. (Examples include walkers, wheelchairs, orthotics, prosthetics, and hearing aids. Full list in references.) ** Note, the NIHB provides

Yes Shipping and fitting

Must be enrolled in the Nunavut Health Care Plan and be a non-indigenous residents with one of specified conditions listed on website (list in references) and be under age 65.

A statement from a nurse practitioner or medical specialist verifying the listed condition as well as a prescription from an health care provider is needed.

Devices must come from approved vendors

(Government of Nunavut, 2016a, 2017b, 2017c; Non Insured Health Benefits (NIHB), 2017)

APPENDIX 9: NUNAVUT PROGRAMS

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national service for indigenous residents

Department of Health – Extended Health Benefits- Seniors Coverage http://www.gov.nu.ca/health/information/extended-health-benefits-ehb-seniors-coverage

Yes – Devices are funded, fully

All devices that the Canada’s Non-Insured Health Benefits (NIHB) program provide. (Examples include walkers, wheelchairs, orthotics, prosthetics, and hearing aids. Full list in references.) ** Note, the NIHB provides national service for indigenous residents

Yes Shipping and fitting

Must be enrolled in the Nunavut Health Care Plan and be a non-indigenous residents who are Seniors, age 65 and older

A prescription from health care provider is needed.

Devices must come from approved vendors

(Government of Nunavut, 2016a, 2017a; Non Insured Health Benefits (NIHB), 2017)

Department of Family Services - Grant for Students with Permanent Disabilities (Not part of federal program) http://gov.nu.ca/family-services/programs-services/financial-assistance-nunavut-students-fans

Yes Up to $8,000.00 per year for equipment and services directly related training or up to $1,000.00 for each full credit distance /correspondence course

Equipment directly related to the training

Canadian citizen or permanent resident; Resident of Nunavut (live in Nunavut) for at least 12 months before applying for FANS Enroll in program that is at least twelve weeks in duration at designated post-secondary institution; Full-time student (carry at least 60% of full course load) as defined by institution; Studying towards certificate, diploma or degree; Demonstrate satisfactory progress and attendance Must have a permanent disability

Provide medical or learning ability assessment by certified medical professional describing manner in which disability impacts on ability to participate in post-secondary studies

(Government of Nunavut, 2017d)

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Table 9-B: Nunavut Government Legislated Insurance Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Workers Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut* http://www.wscc.nt.ca/ * Arm’s length government agency, administers Workers Compensation Acts

Yes - Devices are funded, fully or rental fee is paid Devices are available on a temporary or permanent basis depending on need.

Various, depends on claim.

Yes Assessment, repair and replacement

Work related injury or illness in Nunavut or Northwest Territories.

A recommendation from a health care provider (a chiropractor, dentist, nurse, occupational therapist, optometrist, physical therapist, physician, psychologist or other class of persons whose qualifications to practice any of the healing professions are accepted by the Commission) is needed as well as supporting documentation of a medical need.

No (Workers Safety Compensation Committee (Northwest Territories and Nunavut), 2016)

Table 9-C: Nunavut Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Nunavut Solutions Grant - http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant-0

Ministry of Family Services, Department of Family Services

Could not find specific legislation on these; policy documents available, indicates that the administering non-profit receives funding, but does not specify beyond that Department of Family Services - Grants and Contributions Policy seems to provide funds to the non-profit that administers this http://www.gov.nu.ca/sites/default/files/fs_grants_and_contribution_policy.pdf

Extended Health Benefits - Specified Conditions-

Ministry of Health, Department of Health; Department of Family Services

Could not find specific legislation on these; policy documents available.

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http://gov.nu.ca/health/information/extended-health-benefits-ehb-specified-conditions

Department of Family Services Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(5).pdf Department of Health Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(6).pdf Department of Health Extension of Extended Health Policy http://www.gov.nu.ca/sites/default/files/extension_of_the_extended_health_benefits_policy.pdf

Extended Health Benefits - Seniors Coverage http://www.gov.nu.ca/health/information/extended-health-benefits-ehb-seniors-coverage

Ministry of Health, Department of Health; Department of Family Services

Could not find specific legislation on these; policy documents available. Department of Family Services Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(5).pdf Department of Health Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(6).pdf Department of Health Extension of Extended Health Policy http://www.gov.nu.ca/sites/default/files/extension_of_the_extended_health_benefits_policy.pdf

Grant for Students with Permanent Disabilities http://gov.nu.ca/family-services/programs-services/financial-assistance-nunavut-students-fans

Department of Family Services Student Financial Assistance Act, RSNWT 1988, c S-14 Student Financial Assistance Regulations, RRNWT 1990, c S-20

Worker's Safety and Compensation Comission - Northwest Territories and Nunavut http://www.wscc.nt.ca/about-wscc/policy-and-legislation/policy-manual

Ministry Responsible for Workers’ Safety and Compensation Commission

Workers' Compensation Act, SNu 2007,c.15

APPENDIX 9: NUNAVUT PROGRAMS

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Table 9-D: Nunavut Charitable Organization Programs

Program

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

Are devices funded or supplied? (Yes / No) How does the funding system work?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Nunavummi Disabilities Makinnasuaqtiit Society (Refer to Nunavut Solutions Grant information above)

. (Government of Nunavut, 2016c; Nunavummi Disabilities Makinnasuaqtiit Society, 2016)

Multiple Sclerosis Society of Canada – Quality of Life Grants Ontario and Nunavut https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes Financial assistance or equipment loans (permanent loan until no longer needed)

Wheelchairs and wheelchair supplies (both power and manual), Wheeled Walkers, Scooters, Hospital Beds, Lifts (i.e. stair glides, ceiling tracks, portable), Air Conditioners, Bathroom Modification Equipment, and other assistive devices.

Written confirmation of diagnosis of multiple sclerosis from family physician or neurologist and residence within local catchment area/chapter.

Written assessment by health care professional supporting need for equipment, including, where applicable: Functional ability, physical and cognitive, Psycho-social needs, Level of fatigue, How applicant/family will benefit from equipment being requested

Not funded: home renovations; exercise equipment; TENS units; therapy; drugs, food supplements. Note: Grants for central air conditioning are approved only once in a lifetime.

(Multiple Sclerosis Society of Canada - Ontario and Nunavut Division, 2017a, 2017b)

Muscular Dystrophy Canada – Equipment Program – Ontario and Nunavut http://www.muscle.ca/we-can-help/financial-assistance/equipment-

Yes – Cost Sharing Maximum per item: $2,640 Client minimum contribution: $200 Equipment costing less

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized

Yes Repair and modifications, batteries, mattress replacement

Registered client of Muscular Dystrophy Canada (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella,

Signed equipment prescription from appropriate licensed health care professional such as: occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist

Funding approvals are valid for 4 months

(Muscular Dystrophy Canada, 2017b)

APPENDIX 9: NUNAVUT PROGRAMS

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program-ontario-nunavut/ (Reg. charity)

than $200 not eligible Short term rentals

mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

Approval or denial letter from insurance company (if applicable) Is needed Quotes from 2 different equipment

Muscular Dystrophy Canada – Community Services Fund – Ontario and Nunavut http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-fund-ontario-nunavut/ (Reg. Charity)

Yes maximum funding amount of $1,000 per item

Life Line Services. Adaptive Technologies/ Environmental Control Units

Equipment repair Registered client of Muscular Dystrophy Canada and member of Muscular Dystrophy Canada Chapter (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

Prescription/letter from a professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed Quotes from 2 different equipment vendors for the requested item

(Muscular Dystrophy Canada, 2017a)

Table 9-E: Nunavut Other Resource Programs None found

APPENDIX 9: NUNAVUT PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 7

References Government of Nunavut. (2015). Nunavut Solutions Grant Retrieved 07/12, 2016, from http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant

Government of Nunavut. (2016a). Extended Health Benefits Policy 2 Retrieved 07/11, 2016, from http://gov.nu.ca/sites/default/files/revised_ehb_policy_v2_signed_by_premier.pdf

Government of Nunavut. (2016b). Nunavut Solutions Grant Retrieved 02/21, 2017, from http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant-0

Government of Nunavut. (2016c). Public Service Announcement - Nunavut Solutions Grant Retrieved 02/21, 2017, from http://www.gov.nu.ca/sites/default/files/2016-12_psa_fs_nunavut_solutions_grant-eng.pdf

Government of Nunavut. (2017a). EHB - Seniors Retrieved 02/22, 2017, from http://www.gov.nu.ca/health/information/extended-health-benefits-ehb-seniors-coverage

Government of Nunavut. (2017b). EHB - Specified Conditions Retrieved 02/22, 2017, from http://gov.nu.ca/health/information/extended-health-benefits-ehb-specified-conditions

Government of Nunavut. (2017c). Eligible Specified Conditions Retrieved 02/22, 2017, from http://gov.nu.ca/health/information/extended-health-benefits-ehb-eligible-specified-conditions

Government of Nunavut. (2017d). Financial Assistance for Nunavut Students (FANS) Retrieved Jun, 2017, from http://gov.nu.ca/family-services/programs-services/financial-assistance-nunavut-students-fans

Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017a). Programs and Services Financial Assistance - Ontario and Nunavut - Quality of Life Grants Retrieved Jun, 2017, from https://mssociety.ca/support-

services/programs-and-services/15/financial-assistance-ontario-nunavut-division

Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017b). Quality of Life Grants Guidelines Retrieved Jun, 2017, from https://mssociety.ca/library/document/rwp3JeYgonD56ISlUPQLRhOzdx41NkmC/original.pdf

Muscular Dystrophy Canada. (2017a). Community Services Fund: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-

services-fund-ontario-nunavut/

Muscular Dystrophy Canada. (2017b). Equipment Program: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-ontario-nunavut/

Non Insured Health Benefits (NIHB). (2017). Medical Equipment List Retrieved 02/22, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/provide-fournir/med-equip/criter/a-z_index-eng.php

Nunavummi Disabilities Makinnasuaqtiit Society (2016). [Personal communication, 867-979-2228 (July 12, 2016)].

Workers Safety Compensation Committee (Northwest Territories and Nunavut). (2016). Policy Manual, 07/11, from http://www.wscc.nt.ca/sites/default/files/documents/Policy%20Manual%20-

%20Updated%20December%201%2C%202016.pdf

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Table 10-A: Government of Ontario Programs Table 10-B: Ontario Government Legislated Insurance Programs Table 10-C: Ontario Legislation Governing Programs Table 10-D: Ontario Charitable Organization Programs Table 10-E: Ontario Other Resource Programs References

Table 10-A: Government of Ontario Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Ministry of Health and Long Term Care - Assistive Devices Program (ADP) http://www.health.gov.on.ca/en/pro/programs/adp/ https://www.ontario.ca/page/assistive-devices-program

Yes – Devices are cost shared Pay up to 75 per cent of cost of equipment such as artificial limbs, orthopaedic braces, wheelchairs Hearing aids ADP contributes fixed amount

Mobility aids Hearing aids and other devices Communication aids Visual aids Artificial eyes and facial prosthetics Custom orthotic braces, compression garments and lymphedema pumps Prosthetic breasts or limbs ADP covers over 8,000 pieces of equipment or supplies There are specific eligibility criteria which apply to each device category

Yes Does not cover repair costs Care and maintenance is client responsibility May contribute to cost of equipment replacement if status changes ADP uses replacement schedules for devices

Ontario resident with valid Ontario health card Have physical disability of six months or longer (income is not considered) Do not qualify: Does not pay for equipment available under Workplace Safety and Insurance Board or Group “A” veterans

Medical specialist or general practitioner provides diagnosis Authorizer assesses specific needs of person and prescribes appropriate equipment Vendor sells equipment or supplies to client Adult hearing aids or prosthetic devices - assessor also vendor Most devices must be authorized by qualified health care professional registered with program Program will only help pay for equipment that is

Yes Equipment cannot be required exclusively for sports, work or school List of equipment not covered, e.g. Mobility aids - commodes or commode chairs, non-wheeled walkers, recliner chairs, transport chairs, tricycles Hearing aids and other devices - closed caption television system Communication aids - anti-stuttering devices, call bells, environmental control units, telephones

(Government of Ontario - Ministry of Health Long-Term Care, 2016a, 2016b, 2017)

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purchased from registered vendors Client pays share of cost at time of purchase and vendor bills ADP balance

(regular or adaptive) Visual aids - braille watches, GPS systems, talking clocks and calculators Orthotic braces, compression garments and lymphema pumps - arch supports, carbon-fibre braces, nighttime-use-only orthoses, orthopaedic shoes, treatment machines, such as transcutaneous electrical nerve stimulation (TENS) or continuous passive motion (CPM) Prosthetic breasts or limbs - swim prosthesis Miscellaneous - bath and shower aids (e.g. benches, chairs, bath lifts), batteries (even for devices originally purchased through ADP), cellphones, including smartphones, chair lift, or any lifting devices, grab-bars, hospital beds and mattresses, life-alert systems, raised toilet seat, stair lift

Ministry of Community and Social Services - Ontario Disability Support Program (ODSP) – Disability

Yes Devices are cost shared with ADP program or fully funded or rental fees paid

May cover ADP devices as well as some non ADP devices (bathroom aids, computer access devices, high technology

Yes May cover assessment fee not covered by Assistive Devices Program, if no

At least 18 years old Ontario resident Financial need Meet program’s definition of person

ADP authorizer Yes if it is an ADP device No for non ADP devices

(Government of Ontario - Ministry of Community and Social Services, 2016a, 2016c, 2017a, 2017c, 2017d, 2017e)

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Related- Benefits and Extended Health Benefits http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/ http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/benefits/odsp_Relate.aspx http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_device.aspx http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_extend.aspx http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/PrescribedClasses.aspx

for non ADP devices

communication devices) May cover costs that are not covered by the Assistive Devices Program. Program also allows for approved non ADP disability-related items and services such as Lease Payments for High Technology Communication Devices Category examples covered: Mobility devices, such as wheeled walkers and wheelchairs Visual aids, such as magnifiers Hearing aids Orthotic or prosthetic devices Speech devices, such as teletypewriters

May help with equipment outside of ADP, if no other funding available Alerting system (e.g. visual smoke alarm) Repairing hearing aid Replacing battery for hearing aid or device. Batteries and repairs

other source of funding ODSP also covers upgrades, repairs/maintenance, batteries, and insurance

with disability, or be member of Prescribed Class Financial need based on e.g. family composition, housing/shelter costs, expenses, household income and assets (*may still qualify for some Extended Health Benefits if there is income and no longer qualify for income support) Person with disability: Substantial mental or physical impairment that is continuous or recurrent, and is expected to last one year or more Impairment directly results in substantial restriction in ability to work, care for yourself, or take part in community life Impairment, its duration and restrictions have been verified by approved health care professional Benefit can be for

Pre-approval is needed for purchases or repairs To have assessment fee covered, need approval from Assistive Devices program before purchase, and pre-approval from ODSP for fee over $500

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for mobility devices manual or electric wheelchairs, scooters, walkers, lifting devices

person with disability, spouse and dependents

Ministry of Community and Social Services - Ontario Disability Support Program (ODSP) –Employment Supports http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/ http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/employment_support/index.aspx

Yes Devices are cost shared with ADP program or fully funded or rental fees paid for non ADP devices Does not provide supports that are available through other public or private organizations (e.g. Workplace Safety and Insurance Board, other government programs, private insurance) Need to look at above options first.

Software and mobility devices that can assist with job Assistive devices Tools and equipment for job

Yes Training for assistive devices or computers for job

At least 16 years old Ontario resident Legally allowed to work in Canada Substantial physical or mental disability that is expected to last year or more, and makes it hard to find or keep job Do not have to be receiving income support from ODSP to be eligible for employment supports

Submit application form, verification of disability/impairment (completed by approved, health care professional to explain how it impacts ability to find and keep work

(Government of Ontario - Ministry of Community and Social Services, 2017b, 2017f)

Ministry of Community and Social Services - Ontario Works – Health Benefits http://www.mcss.gov.on.ca/en/mcss/programs/social/ow/index.aspx

Yes Devices are cost shared with ADP program Coverage for remaining 25% of costs not covered by ADP

ADP devices e.g. Mobility devices (e.g. wheeled walkers and wheelchairs) Visual aids Hearing aids Orthotics/prosthetics Speech devices (e.g. teletypewriters)

Yes May help with cost of assessment for assistive device

Live in Ontario Financial need (Household does not have sufficient financial resources to meet basic living expenses, family size, income, assets, housing costs) Willing to make reasonable efforts to find, prepare for and keep a job (unless you

Apply online, by phone or in person, Ontario Works caseworker will contact to schedule meeting. Verify: personal information; information about members of household; household’s financial needs, household’s income and assets, other information

Yes though ADP (Government of Ontario - Ministry of Community and Social Services, 2016b, 2016d)

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have specific circumstances that temporarily prevent you from doing so, such as an illness or caregiving responsibilities) Other adult members of your household must also agree to participate in employment assistance activities.

collected to determine if qualify for assistance

Ministry of Advanced Education and Skills Development (formerly Ministry of Training, Colleges, and Universities) – Ontario Student Assistance Program (OSAP) – Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (combined application with Bursary for Students with Disabilities)

Yes - up to $8,000 per academic year Computer package (once every 4 years) – desktop or laptop, MS office, warranty, tablet (not both computer or tablet); hard drive, computer accessories; assistive software, assistive equipment – e.g. reading pens/accessories, headphones, digital recorders, equipment repair, ergonomic aids Equipment and/or software receipts: must be provided no later than 30 days after you receive your funding

Disability-related equipment and software purchased

Yes – Costs for psycho-educational assessments performed up to 6 months prior to your study period start date

Must have a permanent disability. For OSAP – functional limitation cause by physical or mental impairment that restricts ability to perform daily activities to participate in studies at postsecondary level or in labour for, expected to be lifelong Must be eligible and have applied to funding from OSAP (Ontario Student Assistance Program) for Full-Time Students and have at least $1 in calculated provincial need; or OSAP (Ontario Student Assistance Program) for Part-Time Students and

Verification of disability required once by Ministry (though additional documentation may be requested) Learning disability - provide psycho-educational assessment conducted by registered psychologist or psychological associate, assessment must have been completed when at least 18 years of age or within past 5 years; or contact school’s Office for Students with Disabilities for e.g. disability verification form; if private postsecondary school in Ontario or any postsecondary school outside of Ontario complete OSAP Disability

All approved purchases MUST be made before the end of your study period. Completed application must be received no later than 60 days before the end of your study period. All supporting documentation must be received no later than 40 days before the end of study period. Any approved funds cannot be released until school has confirmed enrolment. Equipment or software purchased 60 days before study period start not eligible.

(Government of Ontario, 2017a, 2017c)

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are receiving an Ontario Part-Time Grant; or The Institution-Funded Special Bursary.

Verification Form or provide documentation from your physician or other regulated health care professional

Ministry of Advanced Education and Skills Development – – Ontario Student Assistance Program (OSAP) Bursary for Students with Disabilities Bursary for students with Disabilities application is combined with Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities.

Up to $2,000 per academic year Computer package (once every 4 years) – desktop or laptop, MS office, warranty, tablet (not both computer or tablet); hard drive, computer accessories; assistive software, assistive equipment – e.g. reading pens/accessories, headphones, digital recorders, equipment repair, ergonomic aids Equipment and/or software receipts: must be provided no later than 30 days after you receive your funding

Disability-related equipment and software purchased

Yes – Costs for psycho-educational assessments performed up to 6 months prior to your study period start date

Must self-identify as having a permanent or temporary disability. Must have disability related educational costs that are not covered by another agency or service. For OSAP – functional limitation cause by physical or mental impairment that restricts ability to perform daily activities to participate in studies at postsecondary level or in labour for, expected to be lifelong Must be eligible and have applied to funding from OSAP (Ontario Student Assistance Program) for Full-Time Students and have at least $1 in calculated provincial need; or OSAP (Ontario Student Assistance Program) for Part-Time Students and are receiving an Ontario Part-Time Grant; or The Institution-Funded Special Bursary.

Verification of disability required once by Ministry (though additional documentation may be requested) Learning disability - provide psycho-educational assessment conducted by registered psychologist or psychological associate, assessment must have been completed when at least 18 years of age or within past 5 years; or contact school’s Office for Students with Disabilities for e.g. disability verification form; if private postsecondary school in Ontario or any postsecondary school outside of Ontario complete OSAP Disability Verification Form or provide documentation from your physician or other regulated health care professional

Applications must be received later than 60 days before end of study period. All required documents must be received no later than 40 days before end of study period. Receipts for equipment must be received no later than 30 days bursary funding. Equipment or software purchased 60 days before study period start not eligible. If purchase price was less than amount of funding approved, unused bursary money must be returned. If unable to provide valid receipts, the bursary money must be returned.

(Government of Ontario, 2017a, 2017b, 2017c)

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Table 10-B: Ontario Government Legislated Insurance Programs

Workplace Safety and Insurance Board (WSIB)* – Prosthetics and Assistive Devices Program and Independent Living Device Program http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000505&_adf.ctrl-state=d973xqydo_778&_afrLoop=1398056814870000&_afrWindowMode=0&_afrWindowId=null#%40%3F_afrWindowId%3Dnull%26_afrLoop%3D1398056814870000%26_afrWindowMode%3D0%26fGUID%3D835502100635000505%26_adf.ctrl-state%3D17f3flvsop_30 http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000512 http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=83550

Yes – Devices are fully funded Devices must be approved by WSIB first for reimbursement. Amount is dependent on device. For assisted living devices the devices must cost more than $250. If less then they fall under the assisted living allowance.

Power wheels, Standers, Manual and electric wheelchairs, Easy lift chairs, bath aids, pressure redistribution mattresses; adjustable hospital beds; eyewear, hearing devices; prosthetics and orthotics, communication devices, and environmental controls

Yes Assessment. May cover maintenance, normal inspection, repair, and replacement of devices unless damage is from misuse.

Work related injury or illness in Ontario. There is a type and length of injury requirement for each type of device.

For most devices prescription is needed from a health care professional. This must not be the same person as the vendor. Device then needs to be approved by WSIB.

Yes, there is an authorized vendor list for most devices. Exceptions are made for those under special circumstances.

(Workplace Safety and Insurance Board (WSIB), 2016a, 2016b, 2016c) Note: For Personal communication, multiple tries and avenues attempted, received no information.

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2100635000511

Independent trust agency that administers compensation and no-fault insurance for workplaces

Table 10-C: Ontario Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Assistive Devices Program (ADP) Ministry of Health and Long Term Care (Direct Services Division)

Ontario Disability Support Program Act, 1997, SO 1997, c 25, Sch B General, O Reg 222/98 , (Ontario Disability Support Program Act, 1997) Employment Supports, O Reg 223/98 , (Ontario Disability Support Program Act, 1997) Ministry of Health and Long-Term Care Act, RSO 1990, c M.26 No regulations specifying ADP, but ADP manual indicates this act governs program

Ontario Disability Support Program (ODSP) Ministry of Community and Social Services Ontario Disability Support Program Act, 1997, SO 1997, c 25, Sch B General, O Reg 222/98 , (Ontario Disability Support Program Act, 1997) Employment Supports, O Reg 223/98 , (Ontario Disability Support Program Act, 1997) Regulation 225/98 - Administration and Cost Sharing Regulation 562/05 - Prescribed Policy Statements

Ontario Works

Ministry of Community and Social Services Ontario Works Act, 1997, SO 1997, c 25, Sch A General, O Reg 134/98 , (Ontario Works Act, 1997) Regulation 135/98 - Administration and Cost Sharing Regulation 136/98 - Designation of Geographic Areas and Delivery Agents Regulation 564/05 - Prescribed Policy Statements

Canada student grant for services and equipment for students with permanent disabilities

Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28

Bursary for Students with Disabilities

Ministry of Advanced Education and Skills Development (formerly Ministry of Training, Colleges, and Universities)

Unable to find specific legislation

Workplace Safety and Insurance Board (WSIB) Prosthetics and Assistive Devices Program and

Workplace Safety and Insurance Act, 1997, SO 1997, c 16, Sch A

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Independent Living Device Program

Table 10-D: Ontario Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Canada – Equipment Program- Loan Equipment Pool Program (serving Ontario) ALS Canada operates with provincial partners, but also operates the society in Ontario (Reg. charity)

Yes– loan pool Devices are loaned for as long as needed. There is no income requirement.

Bathroom aids – commodes, bath lifts Mobility aids – wheelchairs – manual/power, scooters Lifts – mechanical or power lift, ceiling track lifts Others – lift chair, hospital beds, pressure relief surfaces, portable ramps If item from this list is not available and is considered basic and essential, ALS Canada may provide funding assistance for purchase/lease/rental cost

Yes – some coverage One set of batteries per motorized device per applicant Repairs Will cover cost to return equipment to loan pool Not covered - Client pays delivery cost to vendor, and installation cost

Proof of diagnosis of ALS, PLS and/or Motor Neuron Disease Registered with ALS Canada Accessed all other sources of financial assistance through private insurance Accessed Assistive Devices Program (ADP) and other government and non-government sources before applying for this program Does not require financial information

Assessment must be performed by registered healthcare professional (Occupational Therapist, Physiotherapist or Registered Nurse) Submit request form

Patient elevating devices such as Porch Lifts and elevators will not be funded Will not fund as available in loan pool, including but not limited to: walkers, transport chairs, bath chairs, transfer bench, over bed table, versa frame, raised toilet seats, etc.

(ALS Society of Canada, 2017a, 2017b)

Amyotrophic Lateral Sclerosis (ALS) Canada –Equipment Program - Rental Funding Program (Serving Ontario)

Yes – funding for rental ALS Canada will cost share client’s portion, if eligible, amount funded is

Straight stair glide/lift Yes – some coverage Repairs Will cover cost to return

Proof of diagnosis of ALS, PLS and/or Motor Neuron Disease Registered with ALS Canada

Assessment must be performed by a registered healthcare professional (Occupational Therapist, Physiotherapist or

Does not include curved stair glide/lifts. Funding is only provided for one stair glide/lift.

(ALS Society of Canada, 2017a, 2017b)

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ALS Canada operates with provincial partners, but also operates the society in Ontario (Reg. charity)

income dependant.

equipment to loan pool Not covered - Client pays delivery cost to vendor, and installation cost

Accessed all other sources of financial assistance through private insurance Accessed Assistive Devices Program (ADP) and other government and non-government sources before applying for this program

Registered Nurse) and they must submit form

Amyotrophic Lateral Sclerosis (ALS) Canada – Equipment Program Lease Funding Program -Communication Devices (Centralized Equipment Pools for ADP devices) (Ontario ALS Canada operates with provincial partners, but also operates the society in Ontario (Reg. charity)

Yes – equipment pool leasing program, funded by Ontario ADP, cost-shared with client Client responsible for yearly lease fee of up to $800.00. ALS Canada will cost share client’s portion. Amount funded is income dependant. The government provides funding towards purchase and repairs of devices

Communication Devices Yes – some coverage Repairs Will cover cost to return equipment to loan pool Not covered - Client pays delivery cost to vendor, and installation cost

Proof of diagnosis of ALS, PLS and/or Motor Neuron Disease Registered with ALS Canada Accessed all other sources of financial assistance through private insurance Accessed Assistive Devices Program (ADP) and other government and non-government sources before applying for this program

Assessment must be completed by a speech language pathologist and he/she sends request form Pool operated by Holland Bloorview Kids Rehabilitation Hospital

(ALS Society of Canada, 2017a, 2017b)

Amyotrophic Lateral Sclerosis (ALS) Canada – Equipment Program Lease Funding Program -High-Technology Wheelchairs – Power

Yes – new and recycled equipment, funded by Ontario ADP, ALS Canada will cost share client’s portion, Amount funded is income dependant

High-Technology Wheelchairs – Power wheelchairs Power tilt/recline

Yes – some coverage Repairs Will cover cost to return equipment to loan pool

Proof of diagnosis of ALS, PLS and/or Motor Neuron Disease Registered with ALS Canada Accessed all other sources of financial

Assessment by Occupational Therapist or Physiotherapist – for funding consideration recycled power bases are to be requested by assessing therapists

(ALS Society of Canada, 2017a, 2017b)

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wheelchairs (Centralized Equipment Pools for ADP devices) (Ontario) ALS Canada operates with provincial partners, but also operates the society in Ontario (Reg. charity)

Devices acquired from pool are purchased and owned by pool Must have accessed other sources of funding first – e.g. Personal insurance

Not covered - Client pays delivery cost to vendor, and installation cost

assistance through private insurance Accessed Assistive Devices Program (ADP) and other government and non-government sources before applying for this program

Pool operated by Motion Specialties, under contract with Ontario ADP Provides rebate on client's costs once equipment returned to pool

Canadian National Institute for the Blind – Vision Loss Rehabilitation Ontario Vision Loss Rehabilitation Ontario (Operated by CNIB and funded by the Ontario Ministry of Health and Long Term Care) https://on.visionlossrehab.ca/en (Reg. charity)

No Yes CNIB Foundation Programs and Services – split into regions: East and West: no AT services Greater Toronto Area: Accessible Technology Support – e.g. education on accessible technology, smart phone apps, peer teaching, virtual reality testing of new technologies, 1:1 and group sessions North: same as Greater Toronto Vision Loss Rehab program – Assistive technology services –

(Canadian National Institute for the Blind - Ontario, 2017; Vision Loss Rehabilitation - Ontario, 2017)

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Education/teaching on use of technology, assess/recommend, advice on funding programs

March of Dimes Canada - Assistive Device Program http://www.marchofdimes.ca/EN/programs/adp/Pages/Adp.aspx (Reg. charity)

Yes – Devices are either cost shared with Ontario ADP or fully funded Buy, repair and maintain wide variety of mobility or assistive equipment Top up of ADP for ADP devices, full funding for bath and home aids.

Some devices that may qualify for funding include: Manual and Power Wheelchairs Scooters Walkers Knee Ankle Foot Orthosis Ankle Foot Orthosis Home and Bath Aids Floor Patient Lifts Basic Aids for Daily Living

Yes Repairs to Existing Devices Replacement Batteries Contact information or resources to assist in locating additional funding sources for disability management and return to work programs

19 years of age or older Permanent resident of Ontario Ongoing physical disability that requires use of assistive device In financial need (refer to the income chart) Maximum allowable income may change based on family size (Calculated using after-tax household income at or below Statistics Canada Low-Income Measure + 15%)

Application package, includes quote, assessment from therapist For ADP devices, it goes through ADP providers, otherwise it is through an occupational therapists or physical therapists, etc. If Ministry of Health ADP program, for mobility devices, include letter of approval or denial.

Yes for devices through ADP, otherwise no Not funded e.g.: Hearing aids, Vision aids, Prosthetic devices, TENS, Computers and electronics, except as part of augmentative communications aid for face-to-face communication devices for non-verbal adults or environmental controls, devices for exercise purposes, Devices for treatment or prevention purposes, Foot Orthotics and/or custom footwear other than part of an AFO (ankle foot orthosis), KAFO (knee ankle foot orthosis) or for individuals with club foot, claw foot, leg length discrepancy or polio, renovations, recreation devices, Leisure devices, Hospital beds, Mattresses

(March of Dimes Canada, 2015, 2016a)

March of Dimes Canada – DesignAbility

Yes – Devices are cost shared

Custom-built solutions and modifications for people

Yes

Any age

Devices are authorized by the DesignAbility program

No (March of Dimes Canada, 2016b, 2016c)

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http://www.marchofdimes.ca/EN/programs/Designability/Pages/Designability.aspx (Reg. charity)

Devices are built by volunteers Building materials are paid for by consumers.

with mobility issues Needs solution or product to increase independence that cannot be found on market

Devices are built by volunteers Repairs and Maintenance

coordinator

Multiple Sclerosis Society of Canada – Quality of Life Grants Ontario and Nunavut https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes Financial assistance or equipment loans (permanent loan until no longer needed) (?grants depend on funds available in each region)

Wheelchairs and wheelchair supplies (both power and manual), Wheeled Walkers, Scooters, Hospital Beds, Lifts (i.e. stair glides, ceiling tracks, portable), Air Conditioners, Bathroom Modification Equipment, and other assistive devices.

Written confirmation of diagnosis of multiple sclerosis from family physician or neurologist and residence within local catchment area/chapter.

Written assessment by health care professional supporting need for equipment, including, where applicable: Functional ability, physical and cognitive, Psycho-social needs, Level of fatigue, How applicant/family will benefit from equipment being requested

Not funded: home renovations; exercise equipment; TENS units; therapy; drugs, food supplements. Note: Grants for central air conditioning are approved only once in a lifetime.

(Multiple Sclerosis Society of Canada - Ontario and Nunavut Division, 2017a, 2017b)

Muscular Dystrophy Canada – Equipment Program – Ontario and Nunavut http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-ontario-nunavut/ (Reg. charity)

Yes – Cost Sharing Maximum per item: $2,640 Client minimum contribution: $200 Equipment costing less than $200 not eligible Short term rentals

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer

Yes Repair and modifications, batteries, mattress replacement

Registered client of Muscular Dystrophy Canada (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

Signed equipment prescription from appropriate licensed health care professional such as: occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist Approval or denial letter from insurance company (if applicable) Is needed Quotes from 2 different equipment

Funding approvals are valid for 4 months

(Muscular Dystrophy Canada, 2017b)

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aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Canada – Community Services Fund – Ontario and Nunavut http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-fund-ontario-nunavut/ (Reg. charity)

Yes maximum funding amount of $1,000 per item

Life Line Services. Adaptive Technologies/ Environmental Control Units

Yes Equipment repair

Registered client of Muscular Dystrophy Canada and member of Muscular Dystrophy Canada Chapter (To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

Prescription/letter from a professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company (if applicable) is needed Quotes from 2 different equipment vendors for the requested item

(Muscular Dystrophy Canada, 2017a)

Spinal Cord Injury Ontario (Reg. charity)

No Available devices varies as they are listed by users on forum

Yes Assistive devices buy and sell community forum

Must be person with spinal cord injury

N/A No (Spinal Cord Injury Ontario, 2016)

Ontario Federation of Cerebral Palsy (Reg. charity, as Ontario

Yes – Devices are cost shared Level of funding varies

ADP devices as well as some non ADP devices e.g.

No Must be a person with cerebral palsy and have a valid Ontario health card

Health professionals (i.e.: occupational or physiotherapist). ADP approval documentation

They will only fund items on its current list of approved items, not restricted to specific

(Ontario Federation of Cerebral Palsy, 2015) (Ontario Federation of Cerebral Palsy, 2016)

APPENDIX 10: ONTARIO PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 20

Federation the Cerebral Palsied)

based on cost of item and funds availability One piece of equipment per funding year, not to exceed 25% of item (up to $2,500). Leased Augmentative Communication Equipment Items - Annual Maximum up to $200 per year per person not to exceed 25% of the leased item Limited amount of total funding for each year.

Communication & Writing/Reading Aids Orthotic Devices Wheelchairs, Positioning and Ambulation Aids Home Accessibility Aids Bathroom & Washroom Aids Modifications to Electronic Aids for Daily Living

Member of Ontario Federation of Cerebral Palsy Other sources that have been accessed/denied to be documented

required for ADP devices vendors Request must be submitted prior to order/purchase

Cancer Assistance Program (CAP) – Home Health Equipment Loans and Personal Care and Comfort Products (Reg. charity)

Yes Devices are primarily offered on loan basis, some offered at no cost Individuals can borrow free of charge as many items as required and exchange them as necessary, at any point that personal needs change.

Raised toilet seats, bathtub transfer benches, commodes, bath chairs, wheelchairs, transfer chairs, versa frames, rollators, walkers, bed rails, canes. Products such as wigs and breast prosthesis offered at no cost.

Yes Equipment servicing (sanitization and safety testing before issued)

Cancer patients in Greater Region of Hamilton and surrounding communities

None Person borrowing equipment must attend office in person.

No (Cancer Assistance Program, 2016a, 2016b)

For The Needy - Not The Greedy (Reg. charity)

Yes Refurbished donated devices are provided, cost shared with client

Mobility devices (wheelchair, walkers), home aids and communication devices

No Equipment servicing (sterilization, refurbishing)

Serves Niagara region, Ontario, otherwise no restrictions

None N/A (For the Needy Not the Greedy, 2016)

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(by donation, no cost)

Independent Living Services (ILS) of Simcoe County – Assistive Device Exchange Program (Reg. charity)

No Varies – depends on what users post

Yes Exchange forum where users individually post their used assistive devices for sale or free of charge. The system is buyer beware with no guarantees or warranty.

None, but system was designed to help residents of Simcoe County and District of Muskoka who have physical disabilities.

None Devices must be listed by users on the exchange forum

(Assistive Device Exchange, 2016)

Canadian Hemophilia Society - Hemophilia Ontario http://www.hemophilia.ca/en/provincial-chapters/ontario/ (Reg. charity, as Hemophilia Ontario)

Yes – Devices are cost shared Requests under $1,000 will be made by the executive director, requests over $1,000 are made by the financial committee Payer of last resort, must have attempt to have costs covered by other agencies and government

Assistive devices Mobility aids and Orthotics

No Must be member of Hemophilia Ontario Be in financial need

Requests must be made to the regional service coordinator, who then makes a recommendation to the Executive Director.

No (Canadian Hemophilia Society, 2017; Hemophilia Ontario, 2016a, 2016b)

Canadian Hearing Society – Educational Support Services Direct services only in Ontario (advocacy and partnerships with other organizations across Canada) (Reg. charity)

Yes Funding to part-time students (full time funded by colleges and universities Ineligible to receive support services from other funding sources

Personal amplification system Personal FM system

Yes Assess specific needs of registered student Determine if student is eligible for support make recommendations manage provision of any appropriate accommodations

Culturally Deaf, oral deaf, deafened or hard of hearing, and: Registered as part-time post-secondary student (60% course load or less) Registered in credit course at approved institution Only be funded for one course per term, apprenticeship programs

Meet with counsellor to discuss supports at institution, complete form for Educational Support Services

(Canadian Hearing Society, 2017a)

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not eligible

Canadian Hearing Society – Communication Devices Direct services only in Ontario (advocacy and partnerships with other organizations across Canada) (Reg. charity)

Yes One month trial loan Items are purchased at full price however there is a 30 day free trial available (they refund monies if client decides not to purchase the device)

TTYs (text telephones) Emergency notification systems Amplified telephone Alerting systems Portable “type and read” devices Assistive listening systems such as counter loop systems, FM systems and infrared systems Visual smoke alarms Baby monitors Alarm clocks Amplified phones

Yes Support and advice Consultation, selling (proceeds return to programs), installation, training Assistance with funding programs (government, Workplace Safety, private insurance Catalogue of devices and online store

Culturally Deaf, oral deaf, deafened or hard of hearing Any age

(Canadian Hearing Society, 2016)

Canadian Hearing Society – Hearing Aid Donation Program Direct services only in Ontario (advocacy and partnerships with other organizations across Canada) (Reg. charity)

Yes Donated hearing aids Financial need Consult audiologist of Canadian Hearing Society

(Canadian Hearing Society, 2017b)

Table 10-E: Ontario Other Resource Programs

Assistive Technology Clinic (Bridges) http://assistivetechnologyclinic.ca/

No For most devices Yes Only Alternative and

Seating and mobility equipment – canes, walkers, rollators, manual wheelchairs, powered wheelchairs, scooters,

Yes Assessment and training, help with applying to programs for funding

None Patients referred from across province and sometimes from across country from acute care hospitals, rehabilitation

Yes if they are funded by another source such as ADP otherwise no

(Assistive Technology Clinic- EADL, 2016; Assistive Technology Clinic – AAC, 2016; Assistive Technology

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Located at Baycrest and Sunnybrook Centres (Partially funded by Ontario Ministry of Health and Long Term Care, contracts with public institutions and grants)

augmentative communication technology are provided through a cost shared rental Must be in financial need for communication aid funding.

high tech seating Electronic aids to daily living program – Accessible solutions from wheelchair or bed, TV and media, bed controls, call bells, door openers, lights, appliances, phones, others Alternative and augmentative communication technology - Gait technology and Robotics

facilities, and community service providers or directly from family physician or home care allied health professional Funded to provide care for people with ALS, MS, Parkinsons and Stroke, but will provide service to anyone with neurological condition

Clinic – Mobility, 2016; Assistive Technology Clinic, 2016, 2017)

References

ALS Society of Canada. (2017a). ALS Canada Equipment Program Overview and Information Retrieved Jun, 2017, from https://als.ca/wp-content/uploads/2016/12/Equipment-Program-Overview-.pdf

ALS Society of Canada. (2017b). Support and Services - Equipment Retrieved Jun, 2017, from https://www.als.ca/support-services/inside-of-ontario/equipment/

Assistive Device Exchange. (2016). About the Assistive Device Exchange Final2 Retrieved 05/19, 2016, from http://docs.communityconnection.net/ILS/About%20the%20Assistive%20Device%20Exchange%20Final2.pdf

Assistive Technology Clinic- EADL (2016). [Personal communication, (Toronto, Ontario) 416-784-3600 (Jan 14-15, 2016)].

Assistive Technology Clinic – AAC (2016). [Personal communication, (Toronto, Ontario) 416-480-5756 (Jan 14, 2016)].

Assistive Technology Clinic – Mobility (2016). [Personal communication, Toronto, Ontario) 416-784-3600 (Jan 14, 2016)].

Assistive Technology Clinic. (2016). Assistive Technology Clinic Services Retrieved 04/18, 2016, from http://www.assistivetechnologyclinic.ca/services.html

Assistive Technology Clinic. (2017). Assistive Technology Clinic Retrieved 03/14, 2017, from http://assistivetechnologyclinic.ca/

Bridges. Assistive Technology Services Retrieved 04/18, 2016, from http://www.bridges-canada.com/assistive-technology-services.aspx

Canadian Hearing Society. (2016). Communication Devices Retrieved 04/18, 2016, from http://www.chs.ca/services/communication-devices

APPENDIX 10: ONTARIO PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 19 of 20

Canadian Hearing Society. (2017a). Educational Support Retrieved 03/14, 2017, from http://www.chs.ca/services/educational-support-students-post-secondary#classroom

Canadian Hearing Society. (2017b). Financial Resources Retrieved 03/14, 2017, from http://hearinghealthcare.chs.ca/financial-resources

Canadian Hemophilia Society. (2017). Ontario Chapter - Financial Assistance Retrieved 03/16, 2017, from http://www.hemophilia.ca/en/provincial-chapters/ontario/financial-assistance/

Canadian National Institute for the Blind - Ontario. (2017). CNIB Foundation Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ontario/Pages/default.aspx

Cancer Assistance Program. (2016a). Home Health Equipment Loans Retrieved 04/18, 2016, from https://cancerassist.ca/services/home-health-equipment-loans/

Cancer Assistance Program (2016b). [Personal communication, 905-383-9797 (Jan 26-Mar 10,2016)].

For the Needy Not the Greedy (2016). [Personal communication, 289-296-8079 (Feb 3, 2016)].

Government of Ontario - Ministry of Community and Social Services. (2016a). Disability-related benefits: Coverage for assistive devices Retrieved 04/18, 2016, from

http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_device.aspx

Government of Ontario - Ministry of Community and Social Services. (2016b). How Ontario Works can help you: Health benefits Retrieved 04/18, 2016, from

http://www.mcss.gov.on.ca/en/mcss/programs/social/ow/help/benefits/health_benefits.aspx

Government of Ontario - Ministry of Community and Social Services (2016c). [Personal communication, ODSP program )(Toronto, Ontario office): 416-314-5700 (Jan 25, 2016)].

Government of Ontario - Ministry of Community and Social Services (2016d). [Personal communication, Ontario Works Program (Toronto, Ontario Office) (April 11-12, 2016)].

Government of Ontario - Ministry of Community and Social Services. (2017a). ODSP - Assistive Devices Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_6.pdf

Government of Ontario - Ministry of Community and Social Services. (2017b). ODSP - Employment Support Retrieved 03/14, 2017, from V=http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/employment_support/index.aspx

Government of Ontario - Ministry of Community and Social Services. (2017c). ODSP - Extended Health Benefits Retrieved 03/14, 2017, from

http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_10.pdf

Government of Ontario - Ministry of Community and Social Services. (2017d). ODSP - Hearing Aids Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_11.pdf

Government of Ontario - Ministry of Community and Social Services. (2017e). ODSP - Mobility Devices Batteries and Repairs Retrieved 03/14, 2017, from

http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_13.pdf

Government of Ontario - Ministry of Community and Social Services. (2017f). Ontario Disability Support Program Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/

Government of Ontario - Ministry of Health Long-Term Care. (2016a). Assistive Devices Program- Public Retrieved 04/18, 2016, from http://www.health.gov.on.ca/en/public/programs/adp/

Government of Ontario - Ministry of Health Long-Term Care. (2016b). Assistive Devices Program - Health Care Professionals Retrieved 04/18, 2016, from http://www.health.gov.on.ca/en/pro/programs/adp/

Government of Ontario - Ministry of Health Long-Term Care. (2017). OHIP eligibility Retrieved 03/14, 2016, from http://www.health.gov.on.ca/en/public/publications/ohip/ohip_eligibility.aspx

Government of Ontario. (2017a). OSAP - 2016-2017 Ontario Bursury for Students with Disabilities (BSWD) and Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (CSG-PDSE) Retrieved Jun,

2017, from https://osap.gov.on.ca/prodconsumption/groups/forms/documents/forms/prdr015230.pdf

APPENDIX 10: ONTARIO PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 20 of 20

Government of Ontario. (2017b). OSAP - Bursury for Students with Disabilities (BSWD) Retrieved June, 2017, from https://osap.gov.on.ca/OSAPPortal/en/A-ZListofAid/PRDR015050.html

Government of Ontario. (2017c). OSAP - Bursury for Students with Disabilities (BSWD) and Canada Student Grant for Services and Equipment for Persons with Disabilities (CSG-PDSE) Retrieved June, 2017, from

https://osap.gov.on.ca/OSAPPortal/en/A-ZListofAid/WEBUCONT033210.html

Hemophilia Ontario (2016a). [Personal communication, 416-972-0641 (Sep 9-16, 2016)].

Hemophilia Ontario. (2016b). Updated Financial Assistance Request Form Retrieved 09/09, 2016, from http://www.hemophilia.ca/files/Updated%20Financial%20Assistance%20Request%20Form%202016.pdf

March of Dimes Canada (2015). [Personal communication, AccessAbility Services (Nov. 25, 2015)].

March of Dimes Canada. (2016a). Assistive Devices Program Retrieved 04/18, 2016, from http://www.marchofdimes.ca/EN/programs/adp/Pages/Adp.aspx

March of Dimes Canada. (2016b). DesignAbility® Program Retrieved 04/18, 2016, from http://www.marchofdimes.ca/EN/programs/Designability/Pages/Designability.aspx

March of Dimes Canada (2016c). [Personal communication, DesignAbility (Feb 2, 2016)].

Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017a). Programs and Services Financial Assistance - Ontario and Nunavut - Quality of Life Grants Retrieved Jun, 2017, from https://mssociety.ca/support-

services/programs-and-services/15/financial-assistance-ontario-nunavut-division

Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017b). Quality of Life Grants Guidelines Retrieved Jun, 2017, from https://mssociety.ca/library/document/rwp3JeYgonD56ISlUPQLRhOzdx41NkmC/original.pdf

Muscular Dystrophy Canada. (2017a). Community Services Fund: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-

services-fund-ontario-nunavut/

Muscular Dystrophy Canada. (2017b). Equipment Program: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-ontario-nunavut/

Ontario Federation of Cerebral Palsy. (2015). ADP Equipment List Retrieved 04/18, 2016, from http://ofcp.ca/wp-content/uploads/2015/09/2015-ADFP-EQUIPMENT-LIST.pdf

Ontario Federation of Cerebral Palsy. (2016). Assisted Devices Program Retrieved 04/18, 2016, from http://ofcp.ca/programs/funding/assisted-devices/

Spinal Cord Injury Ontario. (2016). Buy and Sell Retrieved 04/18, 2016, from http://www.sciontario.org/forum/community/classified

Vision Loss Rehabilitation - Ontario. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://on.visionlossrehab.ca/en

Workplace Safety and Insurance Board (WSIB). (2016a). Independent Living Retrieved 04/18, 2016, from

http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000511&_afrLoop=1998625833628182&_afrWindowMode=0&_afrWindowId=11xi8quwj6_140#%40%3F_afrWindowId%3D11xi8quwj6_14

0%26_afrLoop%3D1998625833628182%26_afrWindowMode%3D0%26fGUID%3D835502100635000511%26_adf.ctrl-state%3D11xi8quwj6_156

Workplace Safety and Insurance Board (WSIB) (2016b). [Personal communication, (Toronto, Ontario) 416-344-1000 (Feb 02-Mar 14, 2016) ].

Workplace Safety and Insurance Board (WSIB). (2016c). Prosthetic and Assistive Devices Retrieved 04/18, 2016, from

http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000512&_afrLoop=1998549163792182&_afrWindowMode=0&_afrWindowId=11xi8quwj6_119#%40%3F_afrWindowId%3D11xi8quwj6_11

9%26_afrLoop%3D1998549163792182%26_afrWindowMode%3D0%26fGUID%3D835502100635000512%26_adf.ctrl-state%3D11xi8quwj6_143

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Table 11-A: Government of Prince Edward Island Programs Table 11-B: Prince Edward Island Government Legislated Insurance Programs Table 11-C: Prince Edward Island Legislation Governing Programs Table 11-D: Prince Edward Island Charitable Organization Programs Table 11-E: Prince Edward Island Other Resource Programs References Table 11-A: Government of Prince Edward Island Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Department of Family and Human Services – Disability Support Program https://www.princeedwardisland.ca/en/information/family-and-human-services/disability-support-program

Yes – Devices are funded, cost shared Recycled devices considered before new devices are funded. If a recycled device is not available then two quotes are needed. There are limits to the frequency of purchases of the devices. The program is co-paid by the client based on level of income and level of functioning. There is also a funding limit which is based on level of functioning.

Mobility aids - wheelchair, positioning and ambulatory aids Bathroom aids Bedroom aids Household aids Communication devices Hearing aids Prosthetics and orthotics Visual aids Feeding equipment supplies

Yes Repair

A resident of PEI, under age 65, and is disabled (the person has a substantial physical, intellectual or neurological impairment that is continuous or recurrent and is expected to last for at least one year; and impairs the person’s ability participate in activities of daily living).

A health care practitioner must submit a needs assessment and a recommendation to the disability support worker. Practitioners include occupational therapists, speech language pathologists, physiotherapists, nurses or physicians

Must be from list of approved vendors

(PEI Disability Support Program, 2016a, 2016b, 2016c, 2016d)

Government of PEI - Department of

Yes

Assistive technology

Yes Learning disability

Enrolled in course which is 12 weeks or greater at

Copy of current Student Assistance Explanation of

Maximum allowed for computer, printer, basic

(PEI Department of Workforce and Advanced

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Workforce and Advanced Learning - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities

Up to $8,000 per academic year Two cost estimates for each item are needed

assessments Reimbursement of 75% of cost of a psychological assessment for learning disabilities (to maximum of $1,200 per loan year) is an eligible educational expense. The $1,200 is included in maximum grant of $8,000.

approved post-secondary institution Taking at least 40% of full course load Eligible to apply for Canada Student Loan through Prince Edward Island Student Financial Services Assessed financial need of at least one dollar Have permanent disability that limits ability to perform daily activities necessary to participate fully in post-secondary studies or in labour force

Assessment or Certificate of Eligibility and Canada Student Loans Agreement Statement of disability (medical certificate or learning disability assessment or document confirming provincial or federal disability assistance)

software is $2000 Learning, No date-a, No date-b)

Table 11-B: Prince Edward Island Government Legislated Insurance Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Worker’s Compensation Board (WCB) of PEI* http://www.wcb.pe.ca/ Independent, non-profit organization funded entirely by employers

Yes – Devices are either fully funded or the rental price is funded

Prosthetics and orthotics, mobility aids, and other devices as needed.

Yes Assessment, repair and replacement (except when under warranty).

Must result from a workplace illness or injury in PEI.

An assessment and recommendation is needed from an approved healthcare provider. WCB will determine which assistive device will be purchased or rented

No (Workers Compensation Board PEI, 2016)

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Table 11-C: Prince Edward Island Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Disability Support Program https://www.princeedwardisland.ca/en/information/family-and-human-services/disability-support-program

Department of Family and Human Services Rehabilitation of Disabled Persons Act, RSPEI 1988, c R-12 Social Assistance Act, RSPEI 1988, c S-4.3 General Regulations, PEI Reg EC396/03 , (Social Assistance Act)

Worker's Compensation Board http://www.wcb.pe.ca/

Worker's Compensation Board of PEI Workers Compensation Act, RSPEI 1988, c W-7.1 General Regulations, PEI Reg EC831/94 (Workers Compensation Act) Blind Workers' Compensation Act, RSPEI 1988, c B-4

Table 11-D: Prince Edward Island Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Canadian Red Cross – Health Equipment Loan Program (HELP) – Short Term Loan Program PEI (Reg. charity)

Yes – Short term loans

Wheelchairs, Walkers Bath seats and benches, Commodes and toilet seats, Crutches and canes Bed handles, Other durable medical equipment

(Canadian Red Cross - Prince Edward Island, 2017b)

Canadian Red Cross – Health Equipment Loan

Yes - Loans Home-use hospital beds Yes - delivery, pick up and installation

PEI residents (Canadian Red Cross - Prince Edward Island,

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Program (HELP) – Bed Loan Program PEI (Reg. charity)

2017a)

Amyotrophic Lateral Sclerosis (ALS) Society of PEI- Equipment Loan Program (Reg. charity)

Yes Equipment loans and equipment purchases. Funding not available for items costing less than $100, although some items might be available for loan Max of amount funded per each equipment: Walker $500.00 Manual wheelchair (except tilt-in-space) $2000.00 Wheelchair cushion $600.00 Fully Electric Hospital Bed with mattress and rails $2000.00 Transfer disc $150.00 Power lift chair $1500.00 Commode $1300.00 Bath-lift or bath bench $1200.00 Portable ramping $600.00 Ceiling Patient Lift with sling $3100.00

Hospital beds, wheelchairs, ceiling track lifts, specialized seating cushions, bath benches, commodes, etc

Yes – Referral to an appropriate community agency for help with funding Repair and maintenance of loaned equipment Shipping

Have a diagnosis of ALS; Be registered with the ALS Society of Prince Edward Island; Have a valid Personal Health Number; Reside in Prince Edward Island.

Must have assessment by registered health care professional for training Prescription/assessment must describe equipment in detail Wheelchair assessments must include measurements. The Equipment Program Coordinator approves all equipment purchases prior to purchase Doctor’s prescription will be requested to eliminate GST on any medical equipment that is purchased. Equipment more than $500, recommend at least 2 vendor quotes

Society owns equipment if Society contributed largest portion of cost towards purchase, equipment was on loan from equipment pool; previous owner donates equipment to Society. If client requests item that is more expensive than maximum funding limit and there is no medical rationale for added expense, client pays price difference The cost of major modifications to equipment may be made on cost-sharing basis as per Society guidelines Equipment only provided/purchased when funding/equipment is not available from any other sources. For equipment on loan if it is not available, there is a

(ALS Society - PEI, 2017; ALS Society of PEI, 2016)

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waitlist.

Canadian National Institute for the Blind – Vision Loss Rehabilitation Nova Scotia and PEI Vision Loss Rehabilitation PEI is operated by CNIB and partially funded by the Government of PEI (Reg. charity)

No Assistive technology sales: magnifiers; talking watches, timers and scales; large-button phones; and colour identifiers, braille board games, tactile dice, TV magnifiers and large-print playing cards, white canes, pocket magnifiers, specialty sunglasses and talking pedometers, high-contrast, large-print keyboards; braillers; signature guides; and talking calculators

Yes Assessment and recommendations, education, advice on financial supports, networking groups

(Canadian National Institute for the Blind - Nova Scotia and PEI, 2017; Vision Loss Rehabilitation - PEI, 2017)

Multiple Sclerosis Society of Canada – Quality of Life Grants Atlantic Division https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Yes - Program funds maximum of $450 per applicant toward purchase equipment Two price quotes are needed

Types of equipment include: Mobility and assistive devices, Minor home modifications, Bathroom equipment (accessibility and safety devices)

Yes – Repair

Confirmation of MS diagnosis

A written recommendation is required by an occupational therapist for minor home renovations or for all other equipment by an occupational therapist, a physical therapist, or a physiatrist.

Once funds have been depleted, the program will close until the following fiscal year. Year runs from January through December.

(Multiple Sclerosis Society of Canada - Atlantic Division, 2017)

Muscular Dystrophy Canada - Equipment Program- -Atlantic Provinces (Reg. charity)

Yes – Cost Sharing Equipment and repairs costing less than $200.00 will not be considered

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and

Yes Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada Must have a confirmed diagnosis of neuromuscular disorder under the Muscular

Letter of medical necessity for equipment, signed by health care professional (OT, PT, Orthotist) Approval or denial letter from insurance company (if applicable) Is needed

Lawtons Home HealthCare is the preferred vendor, though 2 quotes required Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017)

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electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Dystrophy umbrella, signed by a physician or a health professional. Canadian citizen, landed immigrant, or refugee resident in Canada

Table 11-E: Prince Edward Other Resource Programs None References ALS Society - PEI. (2017). Support Services Retrieved Jun, 2017, from http://alspei.ca/support/

ALS Society of PEI. (2016). Equipment program policies and procedures Retrieved 08/09, 2016, from http://www.alspei.ca/forms/supportservices/equipment_program_policies_and_procedures.pdf

Canadian National Institute for the Blind - Nova Scotia and PEI. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ns-pei/programs-services/Pages/default.aspx

Canadian Red Cross - Prince Edward Island. (2017a). Bed Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/prince-edward-island/health-equipment-loans/bed-loan-program

Canadian Red Cross - Prince Edward Island. (2017b). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/prince-edward-island/health-equipment-loans/short-term-loan-program

Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl

Muscular Dystrophy Canada. (2017). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/

PEI Department of Workforce and Advanced Learning. (No date-a). Canada Student Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from http://www.gov.pe.ca/forms/pdf/2075.pdf

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PEI Department of Workforce and Advanced Learning. (No date-b). Canada Student Loans Program - Application for the Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from

https://www.princeedwardisland.ca/sites/default/files/forms/pd_services_and_equipment_app.pdf

PEI Disability Support Program. (2016a). CSS DSP_GEa Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/CSS_DSP_GEa.pdf

PEI Disability Support Program. (2016b). CSS POL_DSP8.1 Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/CSS_POL_DSP8.1.pdf

PEI Disability Support Program. (2016c). DSP CCPOL Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/DSP_CCPOL.pdf

PEI Disability Support Program. (2016d). DSP FSPOL Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/DSP_FSPOL.pdf

Vision Loss Rehabilitation - PEI. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://pe.visionlossrehab.ca/en

Workers Compensation Board PEI. (2016). pol30 orthoses prostheses and assistive devices Retrieved 07/04, 2016, from http://www.wcb.pe.ca/DocumentManagement/Document/pol30_orthosesprosthesesandassistivedevices.pdf

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Table 12-A: Government of Quebec Programs Table 12-B: Quebec Legislation Governing Programs Table 12-C: Quebec Government-Legislated Insurance Programs Table 12-D: Quebec Charitable Organization Programs Table 12-E: Quebec Other Resource Programs References Table 12-A: Government of Quebec Programs

Program Sub-program Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Ministère de la Santé et Services sociaux (MSSS) – Aides techniques https://www.msss.gouv.qc.ca /sujets/groups/ personnes_handicapees /index.php?aides_techniques

Program for the attribution of walkers (Programme d’attribution des ambulateurs)

Yes – Devices are lent to the individual. No rental costs, is a ‘no fee to the user’ system.

The program covers walkers. There is a list of mandatory characteristics that the walkers must have (see restrictions column)

Yes The cost of repair for a device must be sent to the proxy. The proxy may or may not grant the authorization to pursue with repair. If the device was provided by the user or by another organization, the repair are under the individual’s responsibility as long as the equipment is under the program’s ownership. In situations where the walker needs to be replaced, appropriate documentation must be

The individuals must be over 18 years old, have a disability in any organic system that will result in a significant and persistent impairment. The individual must have a locomotion impairment. They must have sufficient strength in the upper limb to use the breaks effectively. They must reside in the territory served by the proxy. They must also be autonomous in order to safely use the walker (including handling and storage). Individuals are not admissible if they are covered by other programs, if they have severe balance issues when they walk, if they have previously received locomotion help (guide dog, wheelchair, etc.), if they are

The individual must provide a medical assessment and a signed request form indicating the reasons for requesting a walker to the requesting institution. The proxy must then receive the following from the requesting institution: medical summary attesting the disabilities, a functional and physical evaluation from an occupational or physical therapist and a form titled Sélection et recommendation d’un ambulateur. The proxy reviews the request and takes the appropriate decision.

Yes There is a list of mandatory characteristics that the walkers must have:

2 pivoting front wheels

2 unidirectional back wheels

Breaks with external cables

Height-adjustable handles

Seat

Rigid and stuffed back support

Labelling (provider, model or serial number)

(MSSS, 2010; 2017a)

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provided and an agreement must be made between the individual and the proxy.

already covered by the health and social services law, if they have received another ambulation device from RAMQ, if they are living in a publicly funded residence.

Program for the attribution of orthotic footwear and footwear gear

Yes Depending on the needs, some fees may apply: Orthotic shoe: 75$ deductible Commercial shoe adaptation/modification: Shoe fees to be covered by the user Adapted footwear cover: No deductible

The program covers footwear and feet orthotics fabricated from measurements of the ankle-foot complex or from a moulding of this area. The program covers the following: - Moulded shoe , sandal or boot - Adapted footwear cover The orthotic may also include optional components such as a safety toe cap, a steel soleplate, a sheepskin lining and any other component judged necessary by the rehabilitation team

Yes An adult is allowed 2 pairs of shoes on their first request. They may replace the footwear along with the adapted footwear cover every 2 years. For children, the same process applies but the footwear may be changed according to the child’s growth.

The individuals must have a disability and have congenital or growth abnormalities, or traumatic or pathological sequelae or secondary deformities as the result of an organic or neurological disease. These disabilities must result in a significant walking impairment that can only be accommodated with the daily use of a orthotic shoe. Individuals are not admissible if they are covered by other programs.

To be admissible, individuals must obtain a medical note stating their disability and potential need for orthotic footwear. Afterwards, a rehabilitation specialist must evaluate the extent of the impairment and suggest ways by which it can be improved. The authorizers then evaluate the request and proceed with their decision.

No, but the orthotic must be necessary to accommodate a significant walking impairment.

(MSSS, 2011a, 2017b)

Program for aids of daily living

Yes Devices are lent to the users. No rental costs, is a ‘no fee to the user’ system

The program covers various devices listed under different categories:

Devices used in the bedroom

Devices used in the washroom

Yes Repair and adjustment service are available. Whether or not a device is repaired or adjusted depends on its lifespan and wear and

The individuals must have a motor, organic, intellectual or significant and persisting disabilities. Individuals are not admissible if they are covered by other programs or if they live in

The providers/authorizers include:

MSSS

Agence de développement de réseaux locaux de services de santé et de services sociaux

There are various criteria that must be met in order for an individual to be attributed a certain device. The full list of devices and criteria are listed in section 10.2 of the program’s guidelines.

(MSSS, 2004; 2017c)

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Devices used in the kitchen

Devices used in various spaces

Devices worn by the individual

tear. publicly funded residences. Palliative patients are also excluded.

(ADRLSSSS)

Program trustee

Program institution To be admissible, individuals must obtain a medical note stating their disability. Afterwards, a rehabilitation specialist, occupational therapist or health professional must evaluate the extent of the impairment and suggest ways by which it can be improved. The authorizers then evaluate the request and proceed with their decision.

Program for the attribution of three and four wheeled scooters (Programme d’attribution des triporteurs et des quadriporteurs)

Yes .

Since there is a wide range of equipment offered on the market, there are no lists of the covered devices.

Yes Repair and adjustment service are available. Whether or not a device is repaired or adjusted depends on its lifespan and wear and tear.

The individuals must be over 18 years old, have a significant and persistent disability that impairs walking and getting around in a manual wheelchair. Must have the ability to get to the scooter as well as to store it and to remove it from wherever it is stored; must live at home or in a group home. Individuals are excluded if they reside in a facility having more than 9 residents. Individuals must not be able to walk more than 30 meters, must be able to transfer independently, must have the visual, perceptual, cognitive and

To be admissible, individuals must first fill out a request for the scooter, have an evaluation by a physiotherapist or occupational therapist that demonstrates that only a scooter can meet their need, have a trial of the device and again be evaluated to ensure the safety of operation of a specific make and model. This make and model will then be ordered by the evaluating therapist. The request must include:

Medical note attesting disability

Yes The device must:

Adequately compensate an individual’s motor impairments

Make the individual more autonomous

Be necessary to rehabilitation, inclusion, evolution or maintenance of a person’s lifestyle

(MSSS 2011b, 2017d)

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physical capacity to drive the scooter, must not require a specialized cushion and the condition must be permanent. Individuals are not admissible if they a walker, a motorized wheelchair or a 3 or 4 wheeled scooter; are covered by other programs. If individuals are partially covered by private insurances, the program may cover the remaining fees as long as the user takes all the requisite steps.

Functional assessment by an occupational therapist.

Written recommendation including type of equipment (and model number) recommended

Confirmation of the person’s ability to use the scooter

The proxy makes the decision after revision of the documents provided.

Ministère du Travail, de l’Emploi et de la Solidarité sociale (MTESS) - Assistance for Persons with Disabilities - Special Benefits Program https://www.mess.gouv.qc.ca/Index_en.asp http://www.emploiquebec.gouv.qc.ca /citoyens/integrer-un-emploi/programmes-/ dintegration-a-lemploi/aide-aux-personnes-handicapees/

Yes – Devices are fully funded or rental price is paid The cost of purchasing or renting the assistive device may be reimbursed under the Special Benefits Program.

Mobility aids, prosthetics and orthotics, hospital beds, bathroom aids Reviewers stated there is a specific list of products and prices, however, this could not be confirmed in the online information.

Yes Batteries for hearing aids

Must have a persistent disability resulting in significant limitations on your ability to perform everyday activities. Must be able to work between 12 and 40 hours a week.

With some exceptions, in general, need authorization from Local Employment Centre (CLE) Prescription from a health professional as well as proof that you need the product or service

No (Emploi Québec, 2013, 2017; MSSS, 2016)

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Ministère de Éducation et Enseignment supérieur Québec- Allowance for Special Needs Program-Adults http://www.education.gouv.qc.ca/

Yes – Amount funded varies Items funded must be related to the effects of a disability and must be required to pursue studies in an educational institution. Must not be covered by other programs.

Specialized software, computer access devices, communication aids, as well as services such as readers, note-takers, transcribers, interpreters, attendants (with specific hourly rates for each). If must purchase a computer, could be entitled to additional $2,000 allowance (taxes included).

Yes Repair and replacement but there are limitations (e.g. only one repair or replacement in per student ever, must receive approval for repair or replacement first, repair must not be more than 60% of original cost, )

Must be a Canadian citizen, a permanent resident, a refugee or a protected person. Must be residing in Québec. Must be admitted to a designated post-secondary educational institution. Must receive a minimum of six credits or 76 hours of instruction per period of study or a minimum of 20 hours of instruction per month. Must be suffering from a recognized major functional disability or another recognized disability. Must not be receiving financial assistance from another organization for the same types of assistance.

Each type of device to must be recommended by the person responsible for integrating disabled students at the educational institution. If that person deems it appropriate, he or she may consult a health professional who specializes in the specific disability. Must obtain and keep a quote for the cost.

Yes NOT tablets, furniture or touchscreen devices (e.g. mp3 player, smartphone),

(Ministère de l'Éducation, et Enseignement Supérieur, (MEES, 2016a, 2016b)

Indemnisation des victimes d’actes criminels (IVAC) http://www.ivac.qc.ca/

Yes – Devices are fully funded IVAC will reimburse all expenses that are approved.

All care, treatment or equipment that the person needs as long as you can prove that it is related to the criminal act. Need a physician’s report to originally document the injury or disease and impairments. Following this, as long as it can be shown that the equipment is required for compensation of deficits related to the injury or disease, it will be covered. Exception of

Yes Assessment, maintenance, repair, and replacement.

Assistive device must be related to the after-effects of the criminal act. To be eligible a victim must: -be injured during the commission of a crime -helping a peace officer who is making an arrest or attempting to prevent an offence -arresting or attempting to arrest the offender; -preventing or attempting to prevent an offence.

A physician or recognized health care provider must fill out the appropriate Rapport Medical or Attestation Medical. This must include proof of injury, diagnosis, and prescription information.

Yes (Indemnisation des Victimes d’Actes Criminels (IVAC), 2016a, 2016b)

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wheelchairs, which are covered under RAMQ instead.

Table 12-B: Quebec Government Legislated Insurance Programs

Program

Sub-program Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Régie de l`assurance maladie Québec-Aid Programs (RAMQ) http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/Pages/aid-programs.aspx

Appareils suppléant à une déficience physique

Yes – Devices are fully funded or rental price is paid Devices are either on loan or fully purchased. There are maximum coverage amounts listed for each device or service. When the device is no longer being used, must be returned to the régie.

Mobility aids including walking aids, standing aids, locomotor assists and posture assists as well as their component, supplies and accessories, orthotics and prosthetics. Purchase of 3-4 wheeled scooters is not covered, but repairs are covered.

Yes Repair, adjustment and replacement, but if it is due to a change in condition, need a new prescription. If appropriate, the repair or replacement has to be under the manufacturers’ warranty. If the device is lost, stolen or damaged through negligence, is not covered.

Quebec resident (or other) who is insured under the Quebec Health Insurance Plan and who has some form of physical or mental disability that requires some form of assistive device and who meet the program’s eligibility requirements

A health professional or specialist must provide needs assessment and recommendation or a prescription for the appropriate assistive device. In some cases, these need to be prescribed by a physician specialist.

Yes there is an approved vendor/service provider list Ambulation aids are covered only if they are made available through a rehab process and are used every day for at least one year. Orthotics are covered only if work every day for at least 6 months (for lower limb), 3 months (for trunk) or 1 month (for upper limb). Orthotics for sports are not covered. Orthopedic shoes are not covered.

(Québec, 2017a; RAMQ, 2016a, 2016b)

Aides visuelles

Yes – devices are made available on

Reading aids, such as digital readers, closed-

The cost of replacement if lost, stolen, destroyed or

Quebec resident (or other) who is insured

Need to: Apply at

Not found. (Québec, 2017b;

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loan. When the device is no longer being used, must be returned to the régie. $210 is granted for the cost of acquiring a guide dog and $1,028 per year is provided for the care of the dog.

circuit television systems, optical systems and calculators; writing aids such as braillers; mobility aids such as white canes, electronic obstacle detectors, night vision goggles. Students and workers may also qualify for computer-compatible closed-circuit television systems, computers, braille displays and printers, satellite GPS.

used negligently is not covered.

under the Quebec Health Insurance Plan and has a visual impairment such that they are permanently unable to read, write, move around in an unfamiliar environment or carry out activities in keeping with their lifestyle or social roles. Visual acuity of less than 6/21; equal to or less than 6/18 if have degenerative visual problem, visual impairment, physical deficiency or an intellectual disability; a continuous visual field of less than 60; complete hemianopia. To qualify as student and worker must be pursuing full-time studies leading to diploma, certificate or other attestation, attend training to enter professional order or training offered by Emploi-Quebec, take steps to enter the labour market, require visual devices to keep a job or accept a promotion.

accredited centres; present a valid health card, take training at an accredited centre.

RAMQ, 2016c, 2016d)

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Aides auditives

Yes – devices are made available on loan. When the device is no longer being used, must be returned to the régie.

Purchase and replacement cost of one hearing aid of the following types: analogue (in the ear, behind the ear , body and eyeglass); digitally controlled analogue (in the ear, behind the ear), and digital (in the ear and behind the ear) Purchase and replacement cost of assistive listening devices (decoder, teletypewriter, telephone amplifier, adapted alarm clock or ring detector). Persons under 19, who are visually impaired, or for whom improved hearing is essential to pursue recognized studies or hold paid employment or employment providing them with a benefit, may receive funding for a second hearing aid

Replacement is covered if: the person’s hearing has changed sufficiently to render the current device ineffective or that the person can no longer use the device; the device has work out prematurely because of perspiration, toxic vapours or excess dust pollution; the device is damaged accidentally; or during the first 6 years, the cost of repair exceeds 70% of the original cost, or after 6 years, the cost of repair exceeds 60% of the original cost. Replacement of a device that is lost, stolen, destroyed or used negligently is not covered. The initial cost of batteries is covered but replacement batteries, cleaning, testing and maintenance is not covered.

Certain restrictions for under 18. Eligible individuals include persons eligible for the Quebec health insurance plan who are 19 and over who have an average hearing loss of at least 25 decibels in one ear, and are pursuing studies leading to a diploma, certificate or attestation recognized by the minister of Education, Recreation and Sports; persons of any age having an average hearing loss of 35 decibels in their better ear; persons of any age who in addition to a hearing loss, have other functional limitations that hamper their integration into society, the school environment or the workplace.

Need to consult an ear, nose and throat specialist and obtain medical certificate attesting of permanent hearing loss, as well as indications and contraindications of hearing device; have specialist provide audiogram and attestation of need for device. If need a hearing aid, must consult a Quebec hearing aid acoustician; provide documents. If need an assistive listening device, must consult a distributor of devices, provide required documents.

See list of devices and prices at RAMQ (2009)

(Québec, 2017c; RAMQ, 2016e)

Société de l`assurance automobile (SAAQ) https://saaq.gouv.qc.ca/en/CNN

Yes – Devices are fully funded or rental price is paid

Varies depending on claim

Yes Assessment, rental, purchase, and repair.

Devices must be related to injuries caused in an automobile accident. The devices must be to

A prescription from a physician is required. For devices over

No

(Société de l'Assurance Automobile du Québec

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Public automobile insurance, Crown corporation

Purchases under $500 do not need prior authorization. Repair of medical supplies or devices is reimbursed up to 80% of the initial cost of purchase. Two quotes from vendors are needed

preserve or restore health and increase independence.

$500, an SAAQ compensation officer is required to authorize the device.

(SAAQ), 2016)

Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST) http://www.csst.qc.ca/Pages/index.aspx

Yes – Devices are fully funded

All care, treatment or equipment that the person needs as long as you can prove that it is related to the workplace injury. Need a physician’s report to originally document the injury or disease and impairments. Following this, as long as it can be shown that the equipment is required for compensation of deficits related to the injury or disease, it will be covered.

Yes Assessment, maintenance, repair, and replacement.

Must result from a workplace illness or injury in Quebec.

A physician or recognized health care provider must fill out the CNESST Rapport Medical or Attestation Medical. This must include proof of injury, diagnosis, and prescription information.

Yes (CNESST, 2016)

Table 12-C: Quebec Legislation Governing Programs

Program name Ministry or department responsible

Statute, act, regulation, order

Ministère de la Santé et Services sociaux (MSSS) – Aides techniques

Ministère de la Santé et Services sociaux (MSSS

An Act Respecting Health Services and Social Services, CQLR c S-4.2

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Ministère de l’Emploi et de la Solidarité sociale (MESS) - Assistance for Persons with Disabilities- Special Benefits Program

Ministère de l’Emploi et de la Solidarité sociale (MESS)

Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST)

Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST)

An Act Respecting Industrial Accidents and Occupational Diseases, CQLR c A-3.001

Ministère de Éducation et Enseignment supérieur Québec- Allowance for Special Needs Program-Adults

Ministère de Éducation et Enseignment supérieur Québec

Act respecting financial assistance for education expenses Regulation Respecting Financial Assistance for Education Expenses, CQLR c A-13.3, r 1 , (Financial Assistance for Education Expenses)

Indemnisation des victimes d’actes criminels (IVAC)

Commission des normes, de l'équité, de la santé et de la sécurité au travail (CNESST)

Crime Victims Compensation Act, CQLR c I-6 An Act Respecting Assistance for Victims of Crime, CQLR c A-13.2 An Act to amend the Crime Victims Compensation Act Act to promote good citizenship and certain provisions of the Civil Code concerning prescription, SQ 2013, c 8

Régis de l`assurance maladie Québec-Aid Programs (RAMQ)

Régis de l'assurance maladie du Québec (RAMQ)

An Act Respecting Health Services and Social Services, CQLR c S-4.2 An Act Respecting Health Services and Social Services for Cree Native Persons, CQLR c S-5 Articles du Règlement d’application de la Loi sur les services de santé et les services sociaux pour les autochtones cris (R.R.Q., c. S-5, r.1) Individual and Family Assistance Act, CQLR c A-13.1.1 Individual and Family Assistance Regulation, CQLR c A-13.1.1, r 1 , (Individual and Family Assistance Act)

Société de l`assurance automobile (SAAQ)

Société de l'assurance automobile (SAAQ)

Automobile Insurance Act, CQLR c A-25 Highway Safety Code, CQLR c C-24.2 An Act Respecting the Société de l'Assurance Automobile du Québec, CQLR c S-11.011

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Table 12-D: Quebec Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Quebec - Equipment Loan Program (Reg. charity)

Yes – Loan or deductible payment ror equipment, rental 2 quotes for cost of renting or purchasing the required equipment are needed Payer of last resort.

Examples loan or deductible payment of self-raising chair; rental of wheelchair, and / or scooter; purchase or rental of technical assistance for communication, environmental control, bar Supporting, and / or bathing bench; Monthly medical alert/monitoring service fee

Registered with the ALS Society of Quebec

Request must be completed by a health professional from either the CLSC or other health establishment. The request must include two estimates for the cost of renting or purchasing the required equipment.

All requests must first be applied for by the appropriate funding government agency or organization, such as:

Assistive Devices for Daily Living (AVD/AVQ)

Régie de l’assurance maladie du Québec (RAMQ)

Scooter and wheelchair programs from the government of Quebec

Communication device programs

Income maintenance plan or private insurance, as the case may be

(ALS Quebec, 2017a, 2017b)

Canadian National Institute for the Blind – Quebec (Reg. charity)

No (Online assistive products store only)

Yes Computer training and support (e.g. screen magnifiers, screen readers, technical support) Computer training with CNIB trainers is available

(Canadian National Institute for the Blind - Quebec, 2017)

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in French only. CNIB has partnered with the Hadley School for the Blind to provide distance computer training to its English-speaking clients. Alternate format library resources

Muscular Dystrophy Canada - Equipment Program- Quebec (Reg. charity)

Yes - Short‐term, mid‐term or long‐term loans or contribution to the purchase cost of new devices.

Equipment costing less than $200 is not eligible for funding. Request a $200 contribution from our clients toward all equipment requests. A Health Care Professional may request that the fee be waived

Commode chair, bath bench, transfer bench, transfer board, toilet safety rails, tub grab bar, transfer disc, electric bath seat (Aquatec), electric bath lift (Levo‐tech) Manual and beach/all‐terrain wheelchair (Hippocampe or Landeez), cushions. Electric lift with casters and slings, track lift, manual lift for above ground pool (with frame and sling) or for in ground pool (with sling). Electric bed (single) with standard mattress and side rails, specialized mattress (rented, if possible), mattress pad, over‐bed table. Walker, rollator, homemaker cart, standing board, stander. Portable access ramps. Floor to ceiling pole with

Yes Shipping and delivery costs, as well as regular maintenance costs. Batteries.

Must be a registered client of Muscular Dystrophy Canada (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

Applicants must first apply to government programs, income security and/or insurance. The prescribing physician must confirm, in writing, that she/he has submitted or that she/he will submit such request. Letter of medical necessity for equipment, signed by health care professional (OT, PT, orthotis) is needed. Approval or denial letter from insurance company (if applicable) Is needed

Not covered: Grab bars, toilet seat. Double bed; waterbed. Cane, crutches. Long‐handled reacher, orthopedic pillow. Glasses and soft contact lenses. Vehicle modification. Battery replacement. For all purchases of new equipment, the funder who provides at least 51% of the funding owns the equipment;

(Muscular Dystrophy Canada, 2017c, 2017d, 2017e)

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crossbar. Ergonomic or Tripp Trapp chair, lift chair, ready racer, guitar, cart, Kimba Home Underframe (size small), Relax II Environmental Control Unit by Tash, etc Scooter/four‐wheeler (including 2 batteries) Indoor/outdoor platform lift, platform lift cover, ceiling track lift, automatic door opener, Orthopedic shoe/boot, orthotics, insoles or ankle brace not covered by the RAMQ or another funder: one pair of shoes or boots or orthotics or insoles or ankle braces every 2 years (applicant’s contribution: $40 for shoes, $60 for boots, $50 for orthotics and ankle braces). Maximum $300, taxes included Electric or geriatric wheelchair (may be rented).

Muscular Dystrophy Canada – Community Services Fund- Quebec (Reg. charity)

Yes Maximum funding amount of $1,000 per item Quotes from 2 different equipment vendors for requested item

Life Line Services, Adaptive Technologies/ Environmental Control Units

Yes Equipment repair

Must be registered client of Muscular Dystrophy Canada and member of Muscular Dystrophy Canada Chapter (To register, must have a confirmed diagnosis of a neuromuscular disorder

Prescription/letter from professional including Physician/ Occupational Therapist/Physiotherapist outlining medical necessity Approval or denial letter from insurance company

(Muscular Dystrophy Canada, 2017a, 2017b)

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under the Muscular Dystrophy umbrella, signed by a physician or a health professional. Must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

(if applicable) Is needed

Canadian Hemophilia Society- Quebec Chapter (CHSQ) (Reg. charity)

Yes – Devices are cost shared or rental prices are cost shared

Mobility aids (canes, crutches, wheelchairs, walkers, scooters, ramps, lifting devices etc.) 80% of costs up to $200 annually; and orthotics (specialized footwear, braces orthoses) 80% of costs up to $200 annually Items covered by other programs, sports equipment and expenses unrelated to the blood disorder are not covered.

No Must be resident of Quebec, be or become a member of CHSQ. Expenses must be related to inherited blood disease. Must provide 2 quotes from vendors, provide proof that there are no other funding options, and show that client is in need, be recognized as eligible by financial assistance approval committee.

A medical prescription is required. Financial assistance application must be approved by CHSQ’s Financial Assistance Committee.

No (Canadian Hemophilia Society; Canadian Hemophilia Society)

Table 12-E: Quebec Other Resource Programs None found. References ALS Quebec. (2017a). Programme d'aides techniques et financieres Retrieved Jun, 2017, from http://als-quebec.ca/support-and-services/healthcare-professional/services/

ALS Quebec. (2017b). Technical and Financial Aid Programs Retrieved Jun, 2017, from http://als-quebec.ca/support-and-services/healthcare-professional/services/

Canadian Hemophilia Society. (2016a). Financial Assistance Form. Retrieved from: http://www.hemophilia.ca/files/Financial_Assistance_Form.pdf

Canadian Hemophilia Society. (2016b). Programs Retrieved from: http://www.hemophilia.ca/en/provincial-chapters/quebec/programs/#c1396

Canadian National Institute for the Blind - Quebec. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/quebec/programs-services/Pages/default.aspx

APPENDIX 12: QUEBEC PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 16

Commission des Normes de l'Equité de la Santé et de la Sécurité du Travail (CNESST). (2016). Compensation and Reimbursement of Expenses. Retrieved from:

http://www.csst.qc.ca/en/workers/Pages/compensation_reimbursement_expenses.aspx#C

Emploi-Québec. (2013). Special benefits. Retrieved from: http://www.emploiquebec.gouv.qc.ca/publications/pdf/SR_dep_prestations_speciales_rens_generaux_en.pdf

Emploi Québec. (2017). Assistance for Persons with Disabilities. Retrieved from: http://www.emploiquebec.gouv.qc.ca/en/citizens/starting-a-new-job/employment-integration-programs/assistance-for-persons-with-disabilities/

Indemnisation des Victimes d’Actes Criminels (IVAC). (2016a). Crime Victims Compensation. Retrieved from: http://www.ivac.qc.ca/PDF/RESANG.pdf

Indemnisation des Victimes d’Actes Criminels (IVAC).(2016b). [Personal communication, 1-800-561-4822 (Sept 12, 2016)].

Ministère de l'Emploi et de la Solidarité Sociale du Québec (MESS).(2016). [Personal communication, 1-877-767-8773 (Sept 12, 2016)].

Ministère de l'Éducation et l’Enseignement Supérieur. (2016a). Eligibility requirements - Allowance for Special Needs Program. Retrieved from: http://www.mesrs.gouv.qc.ca/en/aide-financiere-aux-etudes/other-programs/allowance-for-

special-needs-program-adults/eligibility-requirements/

Ministère de l'Éducation et l’Enseignement Supérieur. (2016b). Types of assistance offered - Allowance for Special Needs Program Retrieved from: http://www.mesrs.gouv.qc.ca/en/aide-financiere-aux-etudes/other-

programs/allowance-for-special-needs-program-adults/types-of-assistance-offered/

Ministère de la Santé et des Services Sociaux. (2004). Programme sur les aides à la vie quotidienne et à la vie domestique. Retrieved from: http://www.centreinterval.qc.ca/client/guide_avq-avd_guide_de_gestion_oct03.pdf

Ministère de la Santé et des Services Sociaux. (2010). Programme d’attribution des ambulateur. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-07W.pdf

Ministère de la Santé et des Services Sociaux. (2011a). Programme d’attribution de chaussures orthétiques et d’appareillage de chaussures. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-05W.pdf

Ministère de la Santé et des Services Sociaux. (2011b). Programme d’attribution des triporteurs et des quadriporteurs. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-09W.pdf

Ministère de la Santé et des Services Sociaux. (2017a). Attribution des ambulateur. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-attribution-ambulateurs.aspx

Ministère de la Santé et des Services Sociaux. (2017b). Attribution de chaussures orthétiques et d’appareillage de chaussure. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-

handicapee/Pages/attribution-chaussures-orthetiques-appareillage.aspx

Ministère de la Santé et des Services Sociaux. (2017c). Aides à la vie quotidienne et à la vie domestique. Retrieved from: http://www4.gouv.qc.ca/FR/Portail/Citoyens/Evenements/personne-handicapee/Pages/aides-vie-quotidienne-

domestique.aspx

Ministère de la Santé et des Services Sociaux. (2017d). Programme d’attribution des triporteurs et des quadriporteurs. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/citoyens/programme-

service/Pages/Info.aspx?sqctype=sujet&sqcid=3061

Muscular Dystrophy Canada. (2017a). Community Services Fund: Quebec Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-fund-

quebec/

Muscular Dystrophy Canada. (2017b). Community Services Fund: Quebec Application Form Retrieved Jun, 2017, from http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf

APPENDIX 12: QUEBEC PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 16 of 16

Muscular Dystrophy Canada. (2017c). Equipment Loan and Financial Aid Programs Quebec Retrieved Jun, 2017, from http://www.muscle.ca/wp-content/uploads/2012/11/Aides-techniques-et-contributions-financi%C3%A8res-

offertes__EN-June-2016.pdf

Muscular Dystrophy Canada. (2017d). Equipment Loan and Financial Aid Programs Quebec - Application Form Retrieved Jun, 2017, from http://www.muscle.ca/wp-content/uploads/2012/11/EquipmentProgram17Form_Quebec-

Efill.pdf

Muscular Dystrophy Canada. (2017e). Equipment Program: Quebec Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-quebec/

Québec. (2017a).Appareils suppléant à une déficience physique. Retrieved from: http://www4.gouv.qc.ca/FR/Portail/Citoyens/Evenements/personne-handicapee/Pages/appareils-suppleant-deficience-physique.aspx

Québec. (2017b).Aides visuelles. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-aides-visuelles.aspx

Québec. (2017c).Aides auditives. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-aides-auditives.aspx

Régie de l'Assurance Maladie du Québec (RAMQ). (2009). Schedule I: Tariff for insured hearing aids nad related services. Retrieved from:

https://www.prod.ramq.gouv.qc.ca/DPI/PO/Commun/PDF/Listes_AT/Listes_AT/liste_at_aides_aud_mod_2016_07_01_en.pdf

Régie de l'Assurance Maladie du Québec (RAMQ). (2016a). Devices that Compensate for a Physical Deficiency Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/devices-compensate-physical-

deficiency/Pages/devices-compensate-physical-deficiency.aspx

Régie de l'Assurance Maladie du Québec (RAMQ). (2016b). Programme d’appareils suppléant à une déficience physique. Retrieved from: http://www.ramq.gouv.qc.ca/SiteCollectionDocuments/citoyens/fr/depliants/deficience-physique-

fr.pdf

Régie de l'Assurance Maladie du Québec (RAMQ). (2016c). Visual aids Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/visual-aids/Pages/visual-aids.aspx

Régie de l'Assurance Maladie du Québec (RAMQ). (2016d). Programme d’aides visuelles. Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/visual-aids/Pages/visual-aids.aspx

Régie de l'Assurance Maladie du Québec (RAMQ). (2016e). Hearing aids Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/hearing-aids/Pages/hearing-aids.aspx

Société de l'Assurance Automobile du Québec (SAAQ). (2016). Medical Supplies and Devices. Retrieved from: https://saaq.gouv.qc.ca/en/traffic-accident/public-automobile-insurance-plan/covered-how/medication-medical-supplies-

reports/medical-supplies-devices/

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Table 13-A: Government of Saskatchewan Programs Table 13-B: Saskatchewan Government-Legislated Programs Table 13-C: Saskatchewan Legislation Governing Programs Table 13-D: Saskatchewan Charitable Organization Programs Table 13-E: Saskatchewan Other Resource Programs References Table 13-A: Government of Saskatchewan Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms under 2 categories Universal Benefits -Prosthetics and orthotics program https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail

Yes – Devices are funded, cost shared or supplied Must not be eligible to receive service from any other government agency.

Orthotics – e.g. upper and lower extremity, custom helmets Prosthetics – conventional (and accessories), myoelectric, C-leg (microprocessor knee) Adaptive and specialized seating Adaptive and rehab equipment Standing frames Functional electrical stimulation for foot drop Craniofacial prostheses Palatial prostheses

Yes Maintenance and repair for all program-owned equipment is covered. Replacements as needed under certain conditions (e.g. not if result of abuse)

Be resident of Saskatchewan and possess valid Saskatchewan Health Services Number. Specific criteria for types of devices e.g. Orthotics /prosthetics: Must be prescribed by appropriate specialist (e.g. physiatry, orthopaedics) and depends on item and certain clinics; requires device for daily activities or prevention; case by case basis for items not listed Adaptive and Specialized Seating e.g. Referral by OT or PT,

Clients must be referred for service by authorized health care professional and service must be obtained in Saskatchewan. All equipment is referred and requisitioned by medical professional with appropriate authority. Types of eligible medical/health professionals are dependent on device. Specific providers (e.g. orthotics, or rehab centres) may be indicated with direct billing.

Least costly available to meet basic needs, otherwise pay fee in most cases Not a benefit: Ocular prostheses Breast prostheses Ear (auricular) prostheses Weighted items Compression vests Soft back braces, cervical collars, rib belts, hernia truss, off-the-shelf wrist or hand braces, back corsets, hand or finger splints Sit-to-stand lifts and/or standing frames Any base for standing frames that is not basic or

Government of Saskatchewan, 2016b)

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some items need special review/approval Adaptive and Rehabilitation Equipment **Be 17 years of age or younger. Standing Frames **children’s rehabilitation only Functional Electrical Stimulation (FES) for Foot Drop e.g. referred by appropriate specialist Upper motor neuron injury or disease or central nervous system involvement

is intended to move the child in the stander (e.g. wheels, pivot base, etc.) A second prosthesis for the same facial site Surgical costs associated with prostheses, including surgical implants and posts Travel or accommodation costs to iRSM FES devices for upper extremities FES costs such as batteries, replacement parts (other than electrodes), trial costs, shipping costs, extended warranties and private physical therapy services.

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms Universal Benefits -Mobility and Assistive Devices (Special Needs Equipment) Program https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail

Yes – Devices are loaned from a pool Must not be eligible to receive service from any other government agency.

Wheelchairs and accessories Cushions, including specialty Walkers Canes and crutches Bathroom accessories Transfer assists Hospital beds and accessories Pressure mattresses Reachers

Yes Maintenance and repair for all program owned equipment is covered. Neither Saskatchewan Health nor Saskatchewan Abilities Council install or fund installation of equipment in client’s residences.

Be a resident of Saskatchewan and possess a valid Saskatchewan Health Services Number. Depends on health coverage and program eligibility criteria Program benefits are provided to people residing in community. Personal Care Home and Special Care Home residents are eligible only

Clients must be referred for service by authorized health care professional and service must be obtained in Saskatchewan. Equipment must be requisitioned by medical professional with appropriate authority. Requisitioning authority depends on device – e.g. physiatrist, occupational therapist, physical therapist, home care nurse

Non-benefit items Medical alarm systems Four wheeled walkers with seats Scooters. Equipment will not be ordered with features that are not benefit of program (i.e. seats on walkers, environmental controls on wheelchairs or an elevated seat in a wheelchair). Clients cannot pay the difference in cost to have an additional feature added to a loan item.

Government of Saskatchewan, 2016b)

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Saskatchewan Health contracts with the Saskatchewan Abilities Council to operate this program http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_loan_program/Equipment-Manual/index.cfm.

for walkers, wheelchairs and cushions. (Individuals residing in a Personal Care Home (these are privately run) or a Long-Term Care Facility are NOT eligible for Special Needs Equipment loan program items.) Patients in acute care facility are not eligible for Special Needs Equipment benefits except as part of a definitive discharge plan. For some equipment, loan is restricted to those clients with coverage through Supplementary Health Program, Seniors Income Plan, or Family Health Benefits Program. (e.g. some canes, crutches, bathroom accessories)

(? May result in long wait times) (Justification letters required for specialized equipment.)

Specialized wheelchair and seating cushions (e.g. tilt, pressure relief air) must be approved by committee (? Few options available to select from - May have 1 type of standard manual chair with limited adjustability, standard aluminum walker, one air mattress; recycling program so dependent on what is available; may be long wait times for specialized equipment)

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms Special Benefits -Program Aids to the Blind program https://www.saskatchewan.ca/residents/health/acces

Yes – Devices are funded, cost shared or loaned Must not be eligible to receive service from any other government service.

Low vision eyewear Loan of braillers, white canes (identification, mobility and/or support), magnifiers and book playback machines

Yes Maintenance and repair for all program owned equipment is covered. Low vision rehabilitation CNIB - assessments of functional vision and, in consultation with health professionals (as required)

Be a resident of Saskatchewan and possess a valid Saskatchewan Health Services Number. Have a vision assessment that shows their vision to be 20/150∗ or worse in better eye with corrected lenses or with visual fields

Clients must be referred for service by an authorized health care professional and service must be obtained in Saskatchewan. Low vision eyewear must be requisitioned by one of Low Vision Clinics. Equipment may be

One device for each functional purpose Aids provided at most basic device required to complete ongoing daily visual tasks For purchased devised which are subsidized through SAIL,

Government of Saskatchewan, 2016b)

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sing-health-care-services/health-services-for-people-with-disabilities/sail In contract with Canadian National Institute for the Blind (CNIB) for many services.

and client, determine goals and objectives for low vision rehabilitation Assistance with purchase of talking or braille watches, talking scales, large button or talking phones, talking labellers, digital playback units and multifunctional electronic devices CNIB provides instruction on use of these items when initially loaned.

no greater than 20 degrees Be referred by an optometrist, a physician specializing in ophthalmology or by a Low Vision Clinic; and Require low vision aids or devices that are not exclusively for educational and/or employment purposes

supplied by any optometric or ophthalmic dispenser Loaned Low Vision Aids and Devices – purchased, housed, maintained, distributed at CNIB

maintenance, repair or batteries are not included.

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms Special Benefits -Program Paraplegia program https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail

Yes – Devices are funded, cost shared or supplied Must not be eligible to receive service from any other government service.

Specialized rehabilitation equipment (with prior approval) Also home access equipment e.g. loan of outdoor wheelchair lift

Yes Maintenance and repair for all program owned equipment is covered. (? may not cover purchase of replacement batteries, slings for lifts.)

Be a resident of Saskatchewan and possess a valid Saskatchewan Health Services Number. Have paralysis of all or most of lower limbs and trunk due to lesion or disease affecting spinal cord, and Referred to Paraplegia Program by physiatrist (or other specialist physician) associated rehab centre Adult criteria Amyotrophic Lateral Sclerosis / ALS Traumatic spinal cord injury

Clients must be referred for service by authorized health care professional and service must be obtained in Saskatchewan.

Requests for home access and vehicle modification benefits in writing by a physiatrist, occupational therapist, or physical therapist for prior approval.

Government of Saskatchewan, 2016b)

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Cerebral palsy with spastic quadriplegia or diplegia Multiple sclerosis in advanced stages Primary lateral sclerosis Not be on Paraplegia program and MS Drug program

Ministry of Health - Supplementary Health Benefits – Hearing Services https://www.saskatchewan.ca/residents/health/prescription-drug-plans-and-health-coverage/extended-benefits-and-drug-plan/supplementary-health-benefits

Yes – Devices are partially covered, but coverage is very limited May pay for replacement of lost or broken hearing aid on individual basis Replacement subject to a 30% co-payment for clients over age 20.

Hearing devices Yes - Batteries and repairs are free. Audiology services and hearing aids provided through Hearing Aid Plan in regions.

Government wards; Inmates of provincial correctional institutions; Residents of special care facilities who are eligible for Senior's Income Plan; Those enrolled in following income support programs: Saskatchewan Assured Income for Disability (SAID) Saskatchewan Assistance Program (SAP) Transitional Employment Allowance (TEA) Provincial Training Allowance (PTA)

Most of services require prior approval from Ministry of Health.

(Government of Saskatchewan, 2017b)

Ministry of the Economy, Labour Market Services – Workforce Development, People with Disabilities (WFD-PD) http://www.saskatchewan.ca/residents/jobs-working-

Yes – Devices are funded, funding varies Applicants are assessed on a case by case basis. Individuals may apply, but the program may also be delivered through

Adaptive equipment (Braille writers, low vision aids, ergonomic supports), Alternate format materials (audio, braille, large print) Electronic software (e.g. basic and specialized) Electronic hardware (e.g. computers, peripherals,

Yes Assessment

For an individual applicant, must be a resident of Saskatchewan over the age of 16. Must require extraordinary supports to prepare for, obtain or maintain employment because of a

All applicants need to fill out a labour market survey registration and workforce development application. Confirmation of disability and a description of the supports needed in an Individual Action Plan is

There is a list of approved devices, but requests can be made for devices not on the list. Applicants are assessed on a case by case basis. Funding supports are for

(Government of Saskatchewan, 2016) (Government of Saskatchewan, 2013) (Workforce Development - People with Disabilities, 2016)

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and-training/job-training-and-financial-support-programs/job-support-for-people-with-disabilities

community-based organizations.

sip and puff device) Technical aids (e.g. talking calculator, visual aids, organizer, personal digital assistants) There is a list of approved devices, but requests can be made for devices not on list

disability. Note: assistance to individuals, community-based organizations and employers to support education and employment for people with disabilities. Note: students must apply for funding through Student Financial Assistance before WFD-PD

needed. disability-related costs only

Student Services and Program Development Branch - Canada-Saskatchewan Grant for Services and Equipment for Students with Permanent Disabilities

Yes, up to $10,000 per program year

Specialized education-related assistive equipment, e.g. readers, alternative format, computer, software

Yes, Learning Disability assessment reimbursed is grant approved

Have permanent disability Qualify for full-time or part-time student loan Be enrolled in full-time or part-time program at designated post-secondary institution Have no outstanding receipts from previous services and equipment grant funding

Must have: Confirmation of Enrolment form for period of study identified for this school year. Form needs to be filled out by someone at school who has student loan signing authority. Proof of Permanent Disability - medical certificate completed by qualified medical practitioner OR Verification of Permanent Disability form (Ministry of Advanced Education) Documents must describe functional limitations of disability and impact it has

Confirmation of Need form for all disability-related services and/or equipment, including an estimate of what it will cost for these services and/or equipment (completed by school’s disability advisor and/or a recognized disability organization)

(Government of Saskatchewan, 2017a)

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on ability to perform daily activities necessary to participate in post-secondary studies. or Learning Disability Assessment (i.e., psycho-educational assessment), or summary report of assessment, completed within last five years by registered psychologist.. or Documentation proving receipt of federal or provincial disability assistance

Table 13-B: Saskatchewan Government-Legislated Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Saskatchewan Workers Compensation Board (WCB)* https://www.wcbsask.com/

Yes – Devices are funded, fully

Mobility aids Prosthetics and orthotics Hearing aids Other aids dependent on injuries

Yes Assessment, repair, replacement

Work-related injury or illness in Saskatchewan.

For most devices prescription is needed from a WCB authorized health care professional. A Claims Entitlement Specialist, Case Manager, or Vocational Rehabilitation Specialist of

No (Saskatchewan Workers Compensation Board, 2016)

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WCB is also required for authorization.

Saskatchewan Government Insurance (SGI) – Saskatchewan Auto Fund** https://www.sgi.sk.ca/ Public automobile insurance, Crown corporation

Yes – Devices are funded, fully

Varies, depends on claim Yes Assessment, maintenance, repair

Must be a resident of Saskatchewan Injured in an auto accident

A physician’s recommendation is needed. Decisions are made with the help of the physician, therapists, and SGI representatives. There are SGI approved therapists, but a client may go to non-approved therapists as well.

No (Saskatchewan Government Insurance (SGI), 2016)

* Sole provincial agency providing workplace insurance, legislated. Others industries not in the legislation can apply for coverage. ** SGI Saskatchewan Auto Fund non-profit, not government subsidized or pay dividends to government.

Table 13-C: Saskatchewan Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Saskatchewan Aids to Independent Living (SAIL) https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail

Ministry of Health The Health Administration Act, RSS 1978, c H-0.0001 formerly known as the Department of Health Act (which is still in the documents) The Saskatchewan Aids to Independent Living Regulations, 1976, Sask Reg 292/76 , (Health Administration Act) The Saskatchewan Assistance Plan Supplementary Health Benefits Regulations, Sask Reg 65/66 , (Health Administration Act) The Rehabilitation Act, RSS 1978, c R-17 The Rehabilitation Regulations, Sask Reg 265/72 , (Rehabilitation Act) Saskatchewan Assistance Act, The, RSS 1978, c S-8 The Saskatchewan Assured Income for Disability Regulations, 2012, RRS c S-8 Reg 11 , (Saskatchewan Assistance Act) The Saskatchewan Assistance Regulations, 2014, RRS c S-8 Reg 12 , (Saskatchewan Assistance Act) Public Health Act, 1994, SS 1994, c P-37.1 Paraplegia, Sask Reg 786/68 (Public Health Act)

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Ministry of Health - Supplementary Health Benefits

– Hearing Services

Ministry of Health The Health Administration Act, RSS 1978, c H-0.0001 formerly known as the Department of Health Act (which is still in the documents) The Saskatchewan Assistance Plan Supplementary Health Benefits Regulations, Sask Reg 65/66 , (Health Administration Act)

Workforce Development, People with Disabilities (WFD-PD) http://www.saskatchewan.ca/residents/jobs-working-and-training/job-training-and-financial-support-programs/job-support-for-people-with-disabilities

Ministry of the Economy Could not find specific legislation; policy documents available. Canada – Saskatchewan Labour Market Agreement for Persons with Disabilities

Canada-Saskatchewan Grant for Services and Equipment for Students with Permanent Disabilities

Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28

Ministry of Advanced Education Student Services and Program Development Branch

Post-Secondary Education and Skills Training Act, SS 2004, c P-16.11 Training Programs Regulations, RRS c D-22.01 Reg 1 , (Post-Secondary Education and Skills Training Act) Saskatchewan Assistance Act, The, RSS 1978, c S-8 The Saskatchewan Assistance Regulations, 2014, RRS c S-8 Reg 12 , (Saskatchewan Assistance Act)

Saskatchewan Workers Compensation Board (WCB) https://www.wcbsask.com/

Labour Relations and Workplace Safety The Workers' Compensation Act, 2013, SS 2013, c W-17.11 Workers' Compensation General Regulations, 1985, RRS c W-17.1 Reg 1 , (Workers' Compensation Act, 1979)

Saskatchewan Government Insurance (SGI) https://www.sgi.sk.ca/

The Saskatchewan Government Insurance Act, 1980, SS 1979-80, c S-19.1 The Automobile Accident Insurance Act, RSS 1978, c A-35 The Crown Corporations Act, 1993, SS 1993, c C-50.101

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Table 13-D: Saskatchewan Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS) Society of Saskatchewan- Equipment Loan Program (Reg. charity, as Saskatchewan ALS Foundation)

Yes- devices are loaned (May provide financial assistance)

Mobility devices such as wheelchairs, walkers, hospital beds, commodes, lifts, and other medical equipment

Yes – education, individual and family support (unclear what services are, indicates services developed based on gaps)

(ALS Society of Saskatchewan, 2017)

Amyotrophic Lateral Sclerosis (ALS) Society of Saskatchewan- Assistive Technology (Reg. charity, as Saskatchewan ALS Foundation)

Unclear Communication aids such as computers, environmental controls that allow the person with ALS to maintain communication (government does not fund this)

Unclear (ALS Society of Saskatchewan, 2017)

Canadian National Institute for the Blind (CNIB) In contract with CNIB for many services. Ministry of Health - Saskatchewan Aids to

See under government programs

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Independent Living (SAIL) – 14 Subprograms Special Benefits Program - Aids to the Blind program https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail

Canadian National Institute for the Blind – Manitoba and Saskatchewan Vision Loss Rehabilitation Saskatchewan (operated by CNIB and funded by donors and partially funded by the Government of Saskatchewan) (Reg. charity)

No Yes Assistive technology services - assessment and recommendations; education on use; course; advice on financial supports Career and employment education and advice on technology supports Outreach to rural communities to demonstrate technology

(Canadian National Institute for the Blind – Manitoba and Saskatchewan, 2017; Vision Loss Rehabilitation - Saskatchewan, 2017)

Saskatchewan Abilities Council – Special Needs Equipment Saskatchewan Health contracts with the Saskatchewan Abilities Council to operate this program

See under government programs

. (The Saskatchewan Abilities Council, 2016a) (The Saskatchewan Abilities Council, 2016b) (The Saskatchewan Abilities Council, 2016c)

APPENDIX 13: SASKATCHEWAN PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 14

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms Universal Benefits Mobility and Assistive Devices (Special Needs Equipment) Program https://www.saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_loan_program/Equipment-Manual/index.cfm.

Saskatchewan Deaf and Hard of Hearing Services – Discount Hearing Aid Battery Program http://sdhhs.com/discount-hearing-aid-battery-program/ (Reg. charity)

No

Yes Extra Advanced Zinc Air Hearing Aid Batteries Discount hearing aid battery prices: members pay $4.00 for a pack of 4, and non-members pay $5.00

(Saskatchewan Deaf and Hard of Hearing Services, 2017)

Kinsmen Foundation Saskatchewan- TeleMiracle (Reg. charity)

Yes – Devices are funded, fully or cost shared For access of equipment that would otherwise not be available. Items are either fully paid or co-

Mobility aids Communication aids

No Must be a resident of Saskatchewan

An assessment is required from an occupational therapist. All funding is decided by the Kinsmen Foundation

No (Kinsmen Foundation TeleMiracle, 2016) (TeleMiracle)

APPENDIX 13: SASKATCHEWAN PROGRAMS

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payed if other sources of funding are available (?unclear how frequently this is accessed)

Board (? Applications approved based on financial and medical need.)

Muscular Dystrophy Canada - Equipment Program- Western Canada (BC, Alberta, Manitoba, Saskatchewan) (Reg. charity)

Yes – Cost sharing Maximum per item: $3,000 Client minimum contribution: $200 Equipment costing less than $200 will not be eligible for funding Short term rentals

Access: door opener, stair lift, ramp Bathroom equipment: Commode/toileting device, Bathing/shower device, others Beds and mattresses: Hospital bed – manual and electric, specialized mattress, T-foam mattress and alternative pressure mattress (eligible for replacement funding after 1 year) Lifts: Hydraulic lifting device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Repair and modifications, batteries, mattress replacement

Must be a registered client of Muscular Dystrophy Canada (To register, you must have a confirmed diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

A signed equipment prescription from the appropriate licensed health care professional such as: an occupational therapist, physiotherapist, respiratory therapist, orthotist, physiatrist or podiatrist Approval or denial letter from insurance company (if applicable) Is needed Quotes from 2 different equipment vendors needed

Funding approvals are valid for 6 months

(Muscular Dystrophy Canada, 2017)

Table 13-E: Saskatchewan Other Resource Programs None found.

APPENDIX 13: SASKATCHEWAN PROGRAMS

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 14

References ALS Society of Saskatchewan. (2017). Programs and Services Retrieved Jun, 2017, from http://alssask.ca/en/programs-and-services

Canadian National Institute for the Blind – Manitoba and Saskatchewan. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/mb-sk/programs-services/Pages/default.aspx

Government of Saskatchewan. (2013). Eligible Disability Related Support Costs Retrieved 06/27, 2016, from http://publications.gov.sk.ca/documents/310/93435-Eligible-Disability-Related-Support-Costs.pdf

Government of Saskatchewan. (2016). Job Support for People with Disabilities Retrieved 06/27, 2016, from http://www.saskatchewan.ca/residents/jobs-working-and-training/job-training-and-financial-support-programs/job-support-for-

people-with-disabilities

Government of Saskatchewan. (2017a). Apply for Financial Help for Students with Permanent Disabilities Retrieved Jun, 2017, from https://www.saskatchewan.ca/residents/education-and-learning/scholarships-bursaries-grants/grants-

and-bursaries/canada-saskatchewan-grant-for-services-and-equipment-for-students-with-permanent-disabilities

Government of Saskatchewan. (2017b). Health - Supplementary Health Benefits Retrieved Jun, 2017, from https://www.saskatchewan.ca/residents/health/prescription-drug-plans-and-health-coverage/extended-benefits-and-drug-

plan/supplementary-health-benefits

Kinsmen Foundation TeleMiracle (2016). [Personal communication, 306-244-6400 (June 28, 2016)].

Muscular Dystrophy Canada. (2017). Equipment Program: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-western-canada/

Saskatchewan Deaf and Hard of Hearing Services. (2017). Discount Hearing Aid Battery Prorgram Retrieved Jun, 2017, from http://sdhhs.com/discount-hearing-aid-battery-program/

Saskatchewan Government Insurance (SGI) (2016). [Personal communication, Injury Department 1-800-667-9779 (June 29, 2016)].

Saskatchewan Workers Compensation Board. (2016). Policy Manual Retrieved 06/28, 2016, from https://www.wcbsask.com/wp-content/uploads/2016/02/policy-manual.pdf

TeleMiracle. TeleMiracle Retrieved 02/21, 2017, from http://www.telemiracle.com/index.cfm

The Saskatchewan Abilities Council. (2016a). Special Needs Equipment Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/index.cfm

The Saskatchewan Abilities Council. (2016b). Special Needs Equipment Items for Loan Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_requisition_items/index.cfm

The Saskatchewan Abilities Council. (2016c). Special Needs Equipment Loan Program Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_loan_program/index.cfm

Vision Loss Rehabilitation - Saskatchewan. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://sk.visionlossrehab.ca/en

Workforce Development - People with Disabilities (2016). [Labour Market Services Office Saskatchewan, Personal communication, 306-694-3699 (June 27-June 29, 2016) ].

APPENDIX 14: YUKON PROGRAMS

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Table 14-A: Government of Yukon Programs Table 14-B: Yukon Government Legislated Programs Table 14-C: Yukon Legislation Governing Programs Table 14-D: Yukon Charitable Organization Programs Table 14-E: Yukon Other Resource Programs References Table 14-A: Government of Yukon Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Health and Social Services - Chronic Disease Program http://www.hss.gov.yk.ca/chronicdisease.php

Yes – Devices are funded, cost shared There is a required yearly deductible of $250 per individual or $500 per family. Payer of last resort. All other funding sources must be sought prior to approval (e.g. funded under federal or territorial act or private or group insurance)

Mobility aids – manual wheelchair, walking aids Bathroom aids – grab bars, commodes Prosthetics Hospital beds - manual Other devices (Includes compression garments, orthotics) (Manual wheelchairs are only covered up to $5000). (Batteries for power wheelchairs are not covered). Other devices not listed must be approved by the Program Director.

No Does not include cost of installation/set up of medical equipment, prosthesis and appliance fittings or professional service charges related to the provision of goods

Must be a resident of Yukon with no more than 183 days per year absent. Must have a chronic disease or disability listed for coverage (Serious functional impairment and includes partial and complete paralysis, amputation, brain damage and intellectual disabilities. It does not include sensory impairment such as poor vision or hearing deficit)

Devices must be recommended by a qualified medical specialist (physician or community health nurse if physician unavailable). Assessment for some devices is through an OT or PT

All devices must come from approved vendors.

(Government of Yukon- Health and Social Services, 2016; Government of Yukon, 2016a)

APPENDIX 14: YUKON PROGRAMS

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Health and Social Services - Extended Health Care Benefits to Seniors http://www.hss.gov.yk.ca/extendedcare.php

Yes – Devices are funded, fully or cost shared Benefits are partial or full. All other funding sources must be sought prior to approval. Health insurance benefits from employer or 3rd party insurance must be accessed first.

Mobility aids – walking aids, manual wheelchairs Bathroom aids - commodes Prosthetics – limbs and eyes Hearing aids (not batteries) (Manual wheelchairs are only covered up to $5000). (Batteries for power wheelchairs are not covered).

Yes Repair and adjustment of hearing aids is allowed once every 6 months.

Must be registered with the Yukon Health Care Insurance Plan. Must be at least 65 years of age or aged 60 and married to a living Yukon resident who is at least 65 years of age. Must be a resident of Yukon with no more than 183 days per year absent.

Providers and authorizers not specified on website, but devices must be recommended by a qualified medical specialist Assessment for some devices is through an OT or PT

All devices must come from approved vendors Hearing aids can be purchased once every four years.

(Government of Yukon- Health and Social Services, 2016; Government of Yukon, 2016b)

Health and Social Services – Hearing Services http://www.hss.gov.yk.ca/hearingservices.php

Yes Assistive listening devices Yes Hearing assessments; Hearing aid consultations and fitting; Hearing aid repairs; Drop-in for basic hearing aid clean and check

Individuals can self-refer (Government of Yukon, 2016c)

Government of Yukon - Student Financial Assistance Advanced Education Branch – Grant for Services and Equipment for Students with Permanent Disabilities (Federal and territorial joint program)

Yes up to $8000 per loan year Detailed cost estimates from usually two sources are required.

Technical aids, computer, program software, other equipment

No Services unrelated to technology

Must have a permanent disability

Statement describing disability and whether it is expected to be permanent A medical certificate, OR - A learning disability assessment, OR - A document confirming that you receive federal and/or provincial disability assistance. Need for equipment completed by one of

(Government of Yukon, 2017a, 2017b)

APPENDIX 14: YUKON PROGRAMS

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Vocational Rehabilitation Services (VRS) case worker, OR official at centre for students with disabilities, guidance counselor or financial aid administrator at post-secondary institution

Table 14-B: Yukon Government Legislated Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Yukon Workers’ Compensation Health and Safety Board* https://wcb.yk.ca/

Yes – Devices are funded, fully if the individual has an accepted claim

Varies depending on need Yes Assessment, repair, maintenance, replacement

Accepted claim for a Work-related injury or illness in Yukon.

Must be prescribed by a licensed health professional in Yukon (e.g. physicians, specialists and other health care providers recognized under legislation) or other health care professionals on a case-by-case basis

No (Yukon Workers' Compensation Health and Safety Board, 2016) (Yukon Workers’ Compensation Health and Safety Board, 2016)

* Funding solely from Yukon employers. Organizations in Yukon must have coverage for employees. Optional coverage available for specific groups (e.g. self-employed persons, volunteers, casual employees). Table 14-C: Yukon Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Chronic Disease Program http://www.hss.gov.yk.ca/chronicdisease.php

Health and Social Services Health Act, RSY 2002, c 106 Chronic Disease and Disability Benefits Regulation, YOIC 1994/168 , (Health Act)

APPENDIX 14: YUKON PROGRAMS

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Hearing Services http://www.hss.gov.yk.ca/hearingservices.php

Health and Social Services Health Act, RSY 2002, c 106 Chronic Disease and Disability Benefits Regulation, YOIC 1994/168 , (Health Act)

Extended Health Care Benefits to Seniors http://www.hss.gov.yk.ca/extendedcare.php

Health and Social Services Health Care Insurance Plan Act, RSY 2002, c 107 Social Assistance Regulation, YOIC 2012/83 , (Social Assistance Act RSY 2002, c 205)

Canada student grant for services and equipment for students with permanent disabilities https://studentaidbc.ca/explore/grants-scholarships/canada-student-grant-services-and-equipment-students-permanent

Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28

Yukon Workers’ Compensation Health and Safety Board https://wcb.yk.ca/

Workers' Compensation Act, SY 2008, c 12

Table 14-D: Yukon Charitable Organization Programs

Program

Are devices funded or supplied? (Yes / No) How does the funding system work?

What devices are covered under the program?

Are services available and/or covered? (Yes / No) What services are available?

What are the program’s inclusion and exclusion (eligibility) criteria?

Who are the providers or authorizers? What is the process for provision or authorization?

Are there restrictions on the assistive technology devices that are funded or supplied? What are the restrictions?

References

Amyotrophic Lateral Sclerosis (ALS)Society of British Columbia- Equipment Loan Program - BC and Yukon (Reg. charity)

Yes – Equipment are loaned at no charge

Mobility, lift, bathroom, bedroom equipment and communication devices

Yes – Free delivery and return of all loaned equipment. Repair is also at no cost to the client.

Must have an ALS diagnosis by a qualified neurologist and reside in BC or the Yukon; Must have a valid Provincial Health Care Number; Must have completed the membership application provided by the ALS Society of BC. There is no fee to register.

For Communication devices: Equipment must be prescribed by a qualified healthcare professional, such as a Speech-Language Pathologist or in a rural area an Occupational Therapist or Family Physician.

There may be a wait list for certain items

(ALS Society of British Columbia, 2013, 2016)

APPENDIX 14: YUKON PROGRAMS

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For Bathroom Aids/Lifts/ Mobility/Misc./Beds and Mattresses: Equipment must be prescribed by a qualified health care professional, such as an Occupational Therapist, a Physiotherapist or in a rural area with limited resources, a Family Physician.

Canadian National Institute for the Blind (CNIB) –– Vision Loss Rehabilitation (operated by CNIB) BC and Northern Canada (Yukon) Vision Loss Rehabilitation Yukon is operated by CNIB and funded by donations and the Government of Yukon (Reg. charity)

No Assistive technology sales: desktop and portable video magnifiers, magnifying and screen reading software, text-to-speech devices and software, DAISY talking book players and more. An extensive range of equipment from brand name manufacturers at competitive retail prices.

Yes Assessment and recommendation; education; advice on financial support Specialized rehabilitation services and assistive technology solutions

Vision rehabilitation specialists

(Canadian National Institute for the Blind - BC and Northern Canada, 2017; Vision Loss Rehabilitation - Yukon, 2017)

Learning Disabilities Association of Yukon (Reg. charity)

No Assistive devices for learning disabilities

Yes Training, information, and orientation to assistive devices

A resident of Yukon of any age with a learning disability

N/A N/A (Learning Disability Association of Yukon, 2016; Learning Disability Association of Yukon (LDAY), 2017)

Red Cross British Yes – Devices are Hospital beds and patient Yes (Need password to access Referrals must come from Devices are those which (Canadian Red Cross - BC

APPENDIX 14: YUKON PROGRAMS

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Columbia and Yukon – Health Equipment Loan Program (HELP) – Customized Community Health Equipment Services HELP Plus http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

provided on a loan basis Items are loaned free of charge for as long as needed

lifts

Delivery and set up, some locations

forms and manuals) designated occupational or physical therapists Through 5 health authorities.

are available in the equipment bank.

and Yukon, 2017b, 2017c, 2017d)

Red Cross British Columbia and Yukon – Health Equipment Loan Program (HELP) – Customized Community Health Equipment Services Aids to Independent Living Program http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

Yes – Devices are provided on a loan basis Items are loaned free of charge for as long as needed Stock is new or used

Wheelchairs (manual and recliners, tilt-in-space) and specialty cushions Transfer aids, including lifts Bathing aids Toileting aids Beds and accessories (mattresses, rails) Walking aids (walkers, canes, crutches) Grab bars

YES Maintenance and repairs Installation of grab bars

Must reside in BC lower mainland (2 health authorities – Vancouver Coastal, and Fraser Health) Must have under $20,000 in savings and income of up to $20,000 per person with a disability or up to $26,000 per person with a spouse or child with a disability Seniors coping with long-term illness and injury No financial resources to purchase or rent medical equipment.

Referrals must come from designated occupational or physical therapists Therapist does home visit, and application made to program

Devices are those which are available in the equipment bank. There is a waiting list for some items

(Canadian Red Cross - BC and Yukon, 2017a, 2017b, 2017d)

APPENDIX 14: YUKON PROGRAMS

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Vancouver only (operates palliative care program)

Red Cross British Columbia and Yukon – Health Equipment Loan Program (HELP) – Short Term Loan Program http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx (Reg. charity)

Yes – Short term loan Bath boards Bath stools Bath transfer benches Bathtub safety rails Bed cradles Bed handles Canes – standard and quad Commodes - wheeled, stationary and shower Crutches – axilla and forearm I.V. poles Overbed tables Raised toilet seats Toilet safety frames Wheelchairs - standard and companion Walkers – frame, 2 wheeled, 4 wheeled

No Assist people coping with illness, injury or end-of-life at home

Referral from one of the following registered health care professionals listed below:

Doctor Chiropractor Licensed Practical Nurse Nurse Occupational Therapist Physical Therapist Respiratory Therapist

Devices are those which are available in the equipment bank.

(Canadian Red Cross - BC and Yukon, 2017b, 2017d)

Multiple Sclerosis Society of Canada – Quality of Life Grants BC/Yukon https://mssociety.ca/support-services/programs-and-services/financial-assistance (Reg. charity)

Provides equipment or financial assistance to acquire a new piece of equipment

Mobility Aids: manual wheelchairs, power wheelchairs, walkers, scooters Personal Care: shower chairs, bath lifts, bath transfer board, grab bars, safety rails Home Care: patient lifts, lift chairs, hospital beds, mattresses, air conditioners

Yes – repair

Be diagnosed with MS, Be a resident of BC or Yukon, Have limited or no other program eligibility and fall within the Low Income Cut Off as determined by Statistics Canada

Occupational Therapist, Physical Therapist, or other health professional must complete a needs assessment

(Multiple Sclerosis Society of Canada - British Columbia and Yukon Division, 2017)

APPENDIX 14: YUKON PROGRAMS

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Table 14-E: Yukon Other Resource Programs None References ALS Society of British Columbia. (2013). ELP Program Retrieved 08/09, 2016, from http://www.alsbc.ca/sites/default/files/files/2013%20ELP%20Program%20-%20email%281%29.pdf

ALS Society of British Columbia. (2016). Equipment Loan Program Retrieved 08/09, 2016, from http://www.alsbc.ca/services/equipment-loan-program

Canadian National Institute for the Blind - BC and Northern Canada. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/bc-yukon/programs-services/Pages/default.aspx

Canadian Red Cross - BC and Yukon. (2017a). Aids to Independent Living Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-aids-to-independent-living-program

Canadian Red Cross - BC and Yukon. (2017b). BC/Yukon Health Care Professional Applications and Referrals Retrieved Jun, 2017`, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc/yukon-health-

care-professional-applications-and-referrals

Canadian Red Cross - BC and Yukon. (2017c). Health Equipment Loan - Plus Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/british-columbia-and-yukon/health-equipment-loans/health-equipment-loan---plus

Canadian Red Cross - BC and Yukon. (2017d). Health Equipment Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx

Government of Yukon- Health and Social Services (2016). [Personal communication, 867-667-5777 (July 18, 2016)].

Government of Yukon. (2016a). Chronic disease program Retrieved 07/18, 2016, from http://www.hss.gov.yk.ca/chronicdisease.php

Government of Yukon. (2016b). Extended health care benefits to seniors Retrieved 07/18, 2016, from http://www.hss.gov.yk.ca/extendedcare.php

Government of Yukon. (2016c, 2016 Jun 20). Hearing services Retrieved Jun, 2017, from http://www.hss.gov.yk.ca/hearingservices.php

Government of Yukon. (2017a). Canada Student Loans and Grants Application for Students with Permanent Disabilities Retrieved Jun, 2017, from

http://www.education.gov.yk.ca/pdf/student_financial_assistance/schedule_d_csg_disability_final.pdf

Government of Yukon. (2017b). Canada Student Loans and Grants FAQs Retrieved Jun, 2017, from http://www.education.gov.yk.ca/loans-faq.html

Learning Disability Association of Yukon (2016). [Personal communication, 867-668-5167 (July 14, 2016)].

Learning Disability Association of Yukon (LDAY). (2017). Assistive Technologies Retrieved 02/21, 2017, from http://www.ldayukon.com/assistive-technology.html

Multiple Sclerosis Society of Canada - British Columbia and Yukon Division. (2017). Equipment Provision Program - Quality of Life Grants - BC and Yukon Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-

services/200/equipment-provision-program-bc-yukon

Vision Loss Rehabilitation - Yukon. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://yt.visionlossrehab.ca/en

Yukon Workers' Compensation Health and Safety Board. (2016). Policy HC-01 Retrieved 07/19, 2016, from https://wcb.yk.ca/Document-Library/Policies/Health-Care-Services/LIB0077.aspx

Yukon Workers’ Compensation Health and Safety Board (2016). [Personal communication, 867-667-5645 (July 18-19,2016)].