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Billing code

Q101A — Preventive care bonus, influenza 65%

Flu vaccine bonus, 65% tier

Bill Q101A at zero when 65% of your enrolled patients aged 65 or older got this season's flu vaccine by January 31.

Watch for: One influenza bonus claim a year: bill only the tier code for the coverage you actually reached.

Code

Q101A

Description

Preventive care bonus, influenza 65%

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Mar 1, 2005

Termination date

No end date

Explanation

Updated October 26, 2026

Zero-fee claim for the influenza preventive care bonus when 65% of enrolled patients aged 65+ got the season's flu vaccine by January 31.

What it covers

Q101A is the second tier of the influenza cumulative preventive care bonus: the service enhancement code claimed when 65% of the target population received the influenza vaccine (AQ5). The other tiers are Q100A (60%), Q102A (70%), Q103A (75%), Q104A (80%) (AQ5; Agreement p.65 §8.1).

The target population is enrolled patients aged 65 or older on December 31 of the fiscal year, and the vaccine must be the one for that influenza season, given by January 31 (OMA Q-codes guide p.15; Agreement p.65 §8.1). Appendix Q is information only, not part of the Schedule (AQ1).

Billing rules

• Bill at zero; the Ministry pays the bonus on the valid claim (AQ5; Agreement p.66 §8.2).
• One bonus a year per preventive care category (OMA Q-codes guide p.15); the FHO agreement allows one claim per year under the influenza heading, so claim only the tier code for the coverage reached (Agreement p.65 §8.1).
• FHO: calculated annually for each FHO physician individually (Agreement p.65 §8.1).
• Eligible: FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO and WHA physicians, and CCM and FHG physicians who meet the minimum roster size (AQ5). That minimum is 650 enrolled patients on March 31 of the bonus year, or 450 for new graduates in their first year in an FHG or CCM; FHO and FHN have no minimum (OMA Q-codes guide p.15).
• FHO: prorated for practices with fewer than 1,000 enrolled patients (Agreement p.66 §8.2).
• The Q130A tracking code identifies a patient as having received the flu vaccine, which helps determine the coverage level reached (OMA Q-codes guide p.17–18).

Related codes: Q100, Q102, Q103, Q104, Q130, G590

Source: Schedule of Benefits (July 1, 2026), Appendix Q (information only), Preventive Care Fees and Bonuses, page AQ5; OMA Q-codes guide p.15–18; FHO agreement p.65–66 §8.1–8.2

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