< Billing codes

Billing code

K056A — MCFSC Pregnancy, Breastfeeding Allowance Application Form

Pregnancy nutrition allowance form

Bill K056 for completing the Application for Pregnancy/Breast-feeding Nutritional Allowance, paid for the social services ministry rather than OHIP.

Watch for: Only for this form; the special diet allowance application is a separate code, K055.

Code

K056A

Description

MCFSC Pregnancy, Breastfeeding Allowance Application Form

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

Fee for completing the Application for Pregnancy/Breast-feeding Nutritional Allowance, an MCCSS form in Appendix F. Not an OHIP insured service.

What it covers

K056 is the fee for completing the Application for Pregnancy/Breast-feeding Nutritional Allowance, listed under the ODSP heading of Appendix F (AF1).

Appendix F is not part of the Schedule of Benefits and is reproduced for information only. Its services are not insured services under the Health Insurance Act; the Ministry of Health pays them as paying agent for the Ministry of Children, Community and Social Services (MCCSS) (AF1).

Billing rules

• The MCCSS forms are given to patients only by social services staff. Each fee code is specific to its form and can't be claimed for completing any other government document (AF2).
• The Application for Special Diet Allowance is a separate form and code, K055 (AF1).
• FHO Income Stabilization physicians, whose services in the FHO otherwise pay $0 as globally funded, may bill K056A at full fee-for-service value (FHO agreement p.99, Appendix J §3.4–3.6).

Often billed with

• A007A intermediate assessment, when the patient is also assessed at the visit. Appendix F's same-day restriction applies only to the eye examinations K065 and K066, not to the ODSP and Ontario Works form codes (AF1, AF2).

Related codes: K055, K054, K050, K053

Source: Schedule of Benefits (July 1, 2026), Appendix F (information only; not insured services), MCSS Ontario Disability Support Program (ODSP), page AF1; MCCSS forms note, page AF2

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing