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Ministry of Health Guidelines

Ministry of Health Out of Country Services Programs: Resource Guide

Each province has its own process for approving medically necessary services rendered outside Canada. It is the responsibility of the ordering physician/genetic counselor to obtain approval, from the appropriate Ministry of Health administering body, for Athena Diagnostics testing services. An MOH letter of approval is required before testing begins.

The table below is provided for reference only.

Province	Prior Approval?	Governing Body	Provincial Out of Country Services Program Information
Alberta	Yes	Out of Country Health Services Committee (OOCHSC)	The Out-of-Country Health Services Committee Info Sheet
British Columbia	Yes	Ministry of Health, Medical Services Plan (MSP)	Referring a Patient for Medical Services Outside of Canada
Manitoba	Yes	Manitoba Health, via the Out-of-Province Genetic Testing Committee	Contact the Winnipeg Sciences Centre. Only medical geneticists at the Winnipeg Health Sciences Centre may order molecular diagnostic testing services
New Brunswick	Yes	New Brunswick Medicare or the Regional Health Authorities	The Maritime Medical Genetics Service
Newfoundland & Labrador	Yes	Newfoundland Medical Care Program	Newfoundland Hospital Insurance Plan
Nova Scotia & Prince Edward Island	Yes	District Health Authorities & the IWK	The Maritime Medical Genetics Service
Ontario	Yes	Ministry of Health & Long Term Care (MOHLTC)	Form: Request for Prior Approval for Full Payment of Insured Out-of-Country (OOC) Health Services for Diagnostic Laboratory Testing Ontario Health Insurance Plan - Out of Country Services
Quebec	Yes	Régie de L’Assurance Maladie (RAMQ or Régie)	Services Covered Outside Québec Les services couverts à l'extérieur du Québec
Saskatchewan	Yes	Ministry of Health, Medical Services Branch	Out-of-Province & Out-of-Country Medical Coverage Only medical geneticists at the Royal University Hospital may order molecular diagnostic testing services.