Here are the important changes to RAMQ newsletter 036.
The Letter of Agreement 269 has officially ended on May 15, 2022.
However, several measures will be maintained until December 31, 2022:
- E-Consult communications and virtual dermatological exam
- Covid on-call duty for non traditional site (SNT)
- LA 269 designation for non traditional site (SNT)
- Remote death assessment in pre-hospital emergency services
- Remuneration of the MD acting as co-manager within a CHSLD as well as the MD who acts as coordinator within the framework of the regional geriatric medical coordination mechanism
- Medico-administrative activities on behalf of another establishment, for the MD with an hourly rate or in the mixed mode
Measures maintained until September 30, 2022:
- Modalities of compensation for isolation (if the situation justifies it, this may be extended until December 31, 2022, by the negotiating parties)
- Familiarization package for the HUB orchestrator
As for the premiums applicable to walk-in visits for MDs who have adhered to the HUB, they are no longer effective as of May 15, 2022.
A new agreement will soon replace these terms and conditions.
All services that could be provided by teleconsultation are maintained until further notice. These services include remote visits related to a patient in the context of CHSLD, emergency, external, clinic and UMF, these terms are currently being renegotiated.
All the other elements that had been suspended since the beginning of the LE 269 are effective again as of May 15, 2022:
- Capping of clinical intervention (180 minutes per day in all sectors, except for specific categories of patients)
- On-call COVID
- Cap on the number of telephone calls per trimester
- Collective and interdisciplinary exchanges billable in person only
- Capping of chieftaincy packages
- Remote examinations in the context of emergency and outpatient clinic no longer possible
