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8.

Solid Organ Transplants

Applications for solid organ transplants must be made directly to the British Columbia Transplant Society (BCTS). MSP funds physician services in connection with solid organ transplants by agreement with the BCTS. Out of country facility* charges are funded by the BCTS.

  • 9.

    Elective Medical Psychotherapy and/or Addiction Treatment Services

    • a)

      Generally, elective medical psychotherapy and/or addiction treatment services are not eligible for out of country funding because treatment services are available in BC.

The determination of whether treatment services are available in BC may be made in consultation with the appropriate health authority, Mental Health and Addictions Director. Exceptions may be funded pursuant to these Guidelines.

  • b)

    Applications for out of country funding for elective medical psychotherapy and/or addiction treatment services require the following information to be submitted by the appropriate specialist involved in the beneficiary’s care:

    • (i)

      details of the referring physician’s attempts to locate appropriate medical care within Canada;

    • (ii)

      a written treatment plan and transfer protocol*;

    • (iii)

      proof of accreditation of the proposed facility; and

    • (iv)

      approximate length of stay for the treatment plan and an undertaking by the out of country treating physician to provide MSP and the referring specialist with monthly follow-up reports on the outcomes of the treatment program.

  • c)

    If funding is approved under this provision, payment will be at the negotiated U&C* or contract rate.

  • 10.

    Eating Disorders

    • a)

      Generally, eating disorder treatment services are not eligible for out of country funding because treatment services are available in BC. Exceptions may be funded pursuant to these Guidelines.

  • b)

    Applications for out of country funding for treatment of eating disorders outside of Canada require the following information to be submitted by the appropriate specialist involved in the beneficiary's care:

    • (i)

      a written recommendation based on an assessment by the Director of the St. Paul’s Hospital Eating Disorders Program (located at St. Paul's Hospital in Vancouver) following assessment and referral from a BC tertiary eating disorder program (for adults, St. Paul's Hospital Eating Disorders Program, for children, B.C. Children's Hospital Eating Disorders Program);

    • (ii)

      details of the referring physician’s attempts to locate appropriate medical care within Canada;

    • (iii)

      a written treatment plan and transfer protocol*;

    • (iv)

      proof of accreditation of the proposed facility; and

    • (v)

      approximate length of stay for the treatment plan and an undertaking by the out of country treating physician to provide MSP and the referring specialist with monthly follow-up reports on the outcomes of the treatment program.

    • c)

      If funding is approved under this provision, payment will be at the negotiated U&C* or contract rate.

  • *

    Terms with an asterisk are defined in Appendix 1

_________________________________________________________________________________________________________

Medical Services Commission Out of Country Funding Guidelines January 19, 2011

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