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Billing code

Q202A — Long-term care per-patient rostering fee

Long-term care enrolment code

Bill Q202A at zero when a long-term care patient enrols with you, using the date on the signed enrolment form as the service date.

Watch for: Use Q202A, not the general Q200A, for long-term care patients, and keep the enrolment form in your office.

Code

Q202A

Description

Long-term care per-patient rostering fee

FHO+ basket

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

Effective date

Jun 1, 2015

Termination date

No end date

Explanation

Updated October 26, 2026

Zero-fee code that triggers enrolment of a long-term care patient with the physician. The service date is the date on the signed enrolment form.

What it covers

Q202A is the long-term care per-patient rostering fee code. It is billed at zero, and submitting it triggers the LTC patient's enrolment in the Ministry's system (OMA Q-codes guide p.10). Appendix Q lists it for GHC, FHN and FHO (AQ3); the 2020 OMA guide says FHN and FHO only (OMA Q-codes guide p.10).

The FHO agreement doesn't name Q202A. For an Enrolled Long-Term Care Patient, meaning an enrolled patient who lives in a long-term care facility, it pays an annual LTC base rate payment for the Schedule 2A core services, conditional on extra obligations: a medication review every three months, conducting discussions about the patient with the facility's care staff, taking the facility's calls about the patient during regular weekday office hours, and on average two assessments per patient per month (Agreement p.57 §1.1(c), p.59 §4.5, p.60 §4.7).

Appendix Q is information only and not part of the Schedule (AQ1).

Billing rules

• Submit Q202A when a long-term care patient enrols with the physician (OMA Q-codes guide p.10).
• Bill it at zero (AQ3; OMA Q-codes guide p.10).
• The service date must be the date on the Patient Enrolment and Consent to Release Personal Health Information (E/C) form (OMA Q-codes guide p.10).
• Since February 1, 2013, the E/C form is kept in the office for your records, not sent to the Ministry (OMA Q-codes guide p.10).
• Q200A is the general per-patient rostering fee code; Q202A is the one submitted when a long-term care patient is enrolled (AQ3; OMA Q-codes guide p.9-10).

Related codes: Q200, Q201, Q023, W102, W104

Source: Schedule of Benefits (July 1, 2026), Appendix Q (information only), Rostering Fees, page AQ3; OMA Primary Care Q-Codes Quick Reference Guide (November 2020), pages 9-10; FHO Agreement 2026-04 p.57 §1.1(c) and pp.59-60 §4.5-4.7

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