OHIP billing code for home care referral

Updated October 26, 2026

The OHIP billing code for a home care (CCAC) referral is K070A, completion of the home care referral form, $34.75, paid in addition to the visit. CCAC is now Ontario Health atHome. Advice to home care staff afterwards is K071A (first 8 weeks) or K072A (after that), $21.95 each.

Code	What it is	Fee	When to bill it
K070A	Completion of home care referral form	$34.75	You complete and submit the referral to Ontario Health atHome for a patient you care for. Once per home care admission.
K071A	Acute home care supervision	$21.95	Medical advice to home care staff in the first 8 weeks after admission.
K072A	Chronic home care supervision	$21.95	Medical advice to home care staff after the 8th week.

How to bill it

Bill the visit you provided (for example A007A) and add K070A for the referral form. K070 is paid in addition to the assessment fee (A58).

When you later give advice or direction to Ontario Health atHome staff about the patient, bill K071A during the first 8 weeks and K072A after that. Chart the date, the advice and, if given verbally, the staff member's name (A59).

Billing rules

K070 is paid to the most responsible physician for a patient you give ongoing care to (A58).
K070: one per Ontario Health atHome home care admission; not payable if the patient already receives home care (A59).
K070 pays nil if the form is completed in whole or in part by anyone other than you or your employee (A58).
K071: maximum 1 per patient per physician per week, and 2 per patient per week from all physicians, for 8 weeks (A59).
K072: maximum 2 per patient per physician per month, and 4 per patient per month from all physicians (A59).
K071 and K072 pay nil on the same day as a consultation or visit by you with the same patient, and nil without the required chart note (A59).
For palliative patients, K071 and K072 aren't payable in a week G512 is billed (J102).
FHO: K070, K071 and K072 are on the long-term care list (Schedule 2A) but not the community in-basket list (Schedule 2) (Agreement pp.79, 85).

Common rejections

V21: The claim had no diagnostic code. Add the code for the condition that needs home care and resubmit.

Questions

What is the OHIP billing code for home care referral?

Is CCAC still the name?

No. CCACs became Home and Community Care Support Services, and on June 28, 2024 those merged into Ontario Health atHome. The Schedule now uses that name (A58).

Can my staff fill in the home care referral form?

Your own employee can. If anyone else completes it in whole or in part, such as hospital or agency staff, K070 pays nil (A58).

Sources

All OHIP billing codes by service · See how APEX works · Pricing