Billing code
K038A — Long Term Care Application
Long-term care application form
Bill K038 for completing and submitting the long-term care health assessment form to Ontario Health atHome for a patient.
Watch for: Payable the same day as counselling by you; it's out of basket for FHO physicians.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $46.35 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- K038A
- Description
- Long Term Care Application
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Completing and submitting the Long-Term Care health assessment form to Ontario Health atHome for a patient applying to a long-term care home.
What it covers
K038 is the service of completing and submitting a health assessment form to Ontario Health atHome on behalf of a patient who is applying for admission to a long-term care facility (A60).
Billing rules
- Payable the same day as a counselling service by you, since K038 is on the counselling same-day list (GP58).
- FHO: out of basket (not on Agreement Schedule 2, p.79).
Often billed with
- K013 counselling the same day; K038 is one of the services allowed with counselling (GP58).
Related codes: K070, K071, K072, K124, K035
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Long-Term Care Health Assessment Form, page A60.
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