Access to Assistive Technology in Canada: a Jurisdictional Scan of Programs

Aging Gracefully across Environments using Technology to Support Wellness, Engagement and Long Life

Workpackage 8 – ETHICS-TECH

Project 8.2: Aging, Disability and Technology – Understanding and Advancing Canadian Policies for Technology Access

Access to Assistive Technology in Canada: A Jurisdictional Scan of Programs

June 30, 2017

(FINAL)

CONTENTS

PREFACE ______3 CONTRIBUTORS ______5 Primary Authors ______5 Contributing Authors ______5 Contributors ______5 Acknowledgements ______5 1. EXECUTIVE SUMMARY ______6 2. INTRODUCTION ______7 Purpose ______7 Background ______7 Disability in Canada ______7 Assistive Technology ______8 Unmet Needs for Assistive Technology ______8 3. METHODS ______9 Overview ______9 Research Question ______9 Scope of Jurisdictional Scan ______10 Key Questions ______10 Data Searches and Charting ______11 Summary of Findings and Analysis ______11 4. RESULTS ______14 Appendices – Data Tables by Jurisdiction ______14 Planned Data Analyses and Analyses in Progress ______14 5. DISCUSSION ______14 Overview of Some Preliminary Findings ______14 Strengths and Limitations ______16 6. SIGNIFICANCE AND CONCLUSIONS ______16 7. REFERENCES ______17 8. APPENDICES ______18

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 2 PREFACE

AGE-WELL NCE (Aging Gracefully across Environments using Technology to Support Wellness, Engagement and Long Life Network of Centres of Excellence, Incorporated) is a Canadian government-funded network that launched in 2015. AGE-WELL NCE focuses on technologies and services that can benefit older adults and caregivers by promoting independence and contributing to health and quality of life. Research within AGE-WELL NCE encompasses eight Workpackages and four Crosscutting Activities.

This jurisdictional scan report is part of Workpackage 8 ETHICS-TECH, specifically Project 8.2: Aging, Disability and Technology (ADT) - Understanding and Advancing Canadian Policies for Technology Access. The project is a collaboration between AGE-WELL NCE investigators and the network partner March of Dimes Canada. The focus of the project is to examine ethical concerns (e.g. equity of distribution) in the availability of technology and services for Canadians. The project also addresses the need for equitable access to assistive technology in Canada in order to respect human rights and meet individuals’ needs, including those of persons aging without disability, acquiring disability as they age, or aging with disability.

To examine access, the project includes a survey or scan of current assistive-technology programs offered by governments as well as charity organizations across Canada. The scan covers 14 federal, provincial, and territorial jurisdictions. As a snapshot of current programs across Canada, the scan presents an overview of:

 programs providing assistive devices;  devices and services that are provided;  funding or services that are offered;  eligibility criteria;  service providers;  processes for acquiring devices or services; and  restrictions about what devices or services are provided.

Though the report is intended to be as comprehensive as possible at the time of its completion, the scan results tables need to be viewed as living documents requiring updates as programs change and additional information or omissions are identified. The information included is not intended to substitute up-to-date information posted on the programs’ websites or program-specific advice directly provided by the relevant organizations. While potentially useful, no plans have yet been made to develop a searchable database using the contents of this report or to establish mechanisms to ensure that such a database is maintained.

This report is likely to be valuable to a number of stakeholders, including government policymakers; non-profit or charitable organizations; academic researchers; assistive technology manufacturers, distributors or vendors; healthcare planners and providers; advocacy groups; and consumers. Analysis of the scan findings will inform more in-depth exploration of approaches to bridge gaps, and contribute to efforts to address access issues with changes in government policy, program and service planning, as well as systematic coordination across sectors. The scan findings can also guide research agendas to evaluate evidence for the effectiveness of assistive devices that are commercially available, but are not funded through existing programs. Research and development of innovative solutions for devices or services to address unmet needs can also be stimulated. Finally, a consolidated list of existing programs across Canada (as is found in this report) can assist healthcare providers and consumers to better

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 3 navigate complex assistive technology funding systems and services, and may ultimately inspire greater advocacy efforts. However, to be most useful, the information contained in this report will need to be continually updated and made available in a way that is easily accessible by healthcare providers and consumers.

We hope that you will find this report useful and we welcome any feedback and comments to further the discussion on assistive technology access in Canada.

Rosalie Wang, PhD, OT Reg. (Ont.) Michael Wilson, PhD University of Toronto McMaster Health Forum [email protected] [email protected]

WP 8.2 Project Co-Leads

Contents may only be reproduced with written permission from AGE-WELL.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 4 CONTRIBUTORS

Primary Authors

Daphne Schreiber, MSc, March of Dimes Canada Rosalie H. Wang, PhD, OT Reg. (Ont.), University of Toronto

Contributing Authors

Evelyne Durocher, PhD, OT Reg. (Ont.), University of Toronto Michael G. Wilson, PhD, McMaster University

Contributors

Hajer Chalghoumi, PhD, University of Ottawa Amélie Gauthier-Beaupré, MSc (c), University of Ottawa Madalina Oancea, MSc. (OT) (c), University of Toronto

Funding

The project was funded by AGE-WELL NCE with in-kind contributions from March of Dimes Canada.

Acknowledgements

The authors wish to thank the following AGE-WELL NCE members for their assistance in reviewing the report and providing their invaluable feedback: Jerome Bickenbach, Andria Spindel, Paul Stolee, Don Juzwishin, and Thomas Hadjistavropoulos. The authors gratefully acknowledge Claudine Auger, Virginie Cobigo, Maxine Perrin, and Crislee Dignard for their assistance.

The following content experts are also acknowledged for their assistance in reviewing programs within their jurisdictions: Emma Smith, Ben Mortenson, Cherry Nixdorf, Ed Giesbrecht, Kim Adams, Jennifer Fahey, Joanne Hanlon, Cher Smith, Pearl Gryfe, Karen Hall, Andrew Campbell, Stephen Chan, Claudine Auger, Michelle Plante, Dominique Gelinas Bronsard, and Pam Becker.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 5 1. EXECUTIVE SUMMARY

Assistive technology can contribute to enabling individuals living with a disability to engage or participate in valued activities (e.g. personal daily activities, communication, mobility, employment). However, in Canada, unmet needs for assistive devices persist and multiple barriers have been reported by individuals in accessing needed assistive devices. To examine patterns and gaps in assistive technology programs and ultimately to identify approaches to support more equitable access, we conducted a detailed cross-Canada jurisdictional scan of current assistive technology programs that are offered by government as well as charity organizations.

To ensure a systematic approach in identifying, documenting, and synthesizing information in the scan, we used established frameworks for scoping reviews to guide the conduct of our jurisdictional scan. We collected data from government and charity organizations in 14 jurisdictions (10 provinces, 3 territories and Canada-wide). We documented the following information: names and jurisdictions of the government and charity organization programs; assistive technology devices covered under the program; funding availability for assistive technology devices and how the funding system works; availability and nature of assistive technology services; the eligibility criteria for the program; the providers or authorizers for the funding and/or services; and the restrictions on the assistive technology devices that are provided.

Additional analyses are planned using the data generated through this scan and will examine patterns and gaps in assistive technology programs with respect to access; justice and equity in Canadian programs governing access and funding of assistive technology devices and services; and variations in the definitions of disability and assistive technology that are used in legislation and the implications for policies, programs and access.

A comprehensive jurisdictional scan of funding and service programs for assistive technology across Canada has not been previously completed. The findings from this jurisdictional scan will have implications for Canadians living with disability, older adults, caregivers, government policymakers, charity organizations, researchers, industry and others who have a stake in enhancing equitable access to assistive technologies for Canadians. The outcomes of this jurisdictional scan can inform efforts to better align programs and services with the societal values of Canadians to improve assistive technology access through policy implementation.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 6 2. INTRODUCTION

Purpose

The purpose of this jurisdictional scan is to survey current assistive technology programs that are offered by government as well as charity organizations across Canada. We include all programs that provide assistive technology devices and services to such devices in order to examine patterns and gaps in programs and ultimately to identify approaches to support more equitable access.

Background

The demographics in Canada are rapidly changing as the proportion of individuals over the age of 65 increases. The change in the number of seniors is primarily due to the aging of the baby boomer generation (those born between 1946-1965), increased life expectancy, and trends towards families having fewer children (Statistics Canada, 2015a). In 2015, approximately one in six Canadians were aged 65 years and older (Statistics Canada, 2015a). It is estimated that by 2030, one in four Canadians will be aged 65 years and older (Statistics Canada, 2014).

Disability in Canada

Though definitions of disability vary within Canadian legislation and policy, the Government of Canada advises use of the definition set out by the United Nations Convention on the Rights of Persons with Disabilities (UN-CRPD) (United Nations (UN), 2006). According to the CRPD, disability is viewed as dynamic and “results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others” (p.1) (United Nations (UN), 2006). Further, “persons with disabilities include those who have long-term physical, mental, intellectual, or sensory impairments, which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others” (p.4) (United Nations (UN), 2006).

While many Canadians are living longer and remaining healthy and active as they age, the likelihood of having multiple chronic health conditions that can result in disability rises with age (Public Health Agency of Canada, 2010). According to the 2012 Canadian Survey on Disability, 14% of community- dwelling Canadians (15 years and older) reported living with a disability (Statistics Canada, 2017a). The prevalence of disability increased from 4% in young adults to 33% in those aged 65 years and older, with an average age of onset of 43 years (Statistics Canada, 2017a). The ten most commonly reported disability types reported in the survey, in order of prevalence, included difficulties with pain, flexibility, mobility, mental health, dexterity, hearing, seeing, learning, memory, and developmental concerns (Statistics Canada, 2017a). Using the disability types delineated in the survey, 75% of Canadians living with disability reported having more than one disability type.

Beyond potential consequences for health and well-being, disability can have multiple socio-economic implications for individuals (e.g. educational attainment, employment, income) and for society in terms of potential resources and supports that are needed for individuals to fully participate in and contribute to their communities. Further, with the aging of the baby boomer generation, a cohort that tends to have greater education levels and income in comparison to previous cohorts, it is expected that the number of potential healthcare service users will increase, as will demands for higher-quality services (Canadian Medical Association, 2014; Statistics Canada, 2009, 2015b). With pressures to minimize the impact of disability on individuals while ensuring sustainability in health and social services, a

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 7 significant role can be played by modifying tasks or activities and environmental factors, which can often be achieved through the use of assistive technology.

Assistive Technology

Assistive technologies can contribute to enabling individuals living with a disability to engage or participate in valued activities (e.g. personal daily activities, communication, mobility, employment). In Canada, 81% of individuals living with a disability reported using at least one aid or device to assist them to more fully participate in society (Statistics Canada, 2017a). The Canada Health Act 1985 generally states that health care policy in Canada aims to “protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers” (Government of Canada, 1985). Notably, Canada does not have federal universal legislation specific to assistive technology funding and services, and leaves legislation, if any, to the provinces. The terms used for assistive technology and definitions for these terms vary between pieces of legislation, policies, and programs across jurisdictions. A definition commonly used by assistive technology specialists comes from the United States of America Assistive Technology Act 2004 (Public Law 108-364) (Congress United States of America Government, 2004). The Act defines an assistive technology device as “any item, piece of equipment, or product system, whether acquired commercially, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” (29 USC 3002 (4)). The Act further defines assistive technology services as “any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” (29 USC 3002 (5)).

Technological innovation can greatly assist individuals living with disability. Notably, the development of information and communication technology, sensors, robotics and artificial intelligence have advanced rapidly over the last several decades, and users are finding new applications in consumer technologies (e.g. tablet computers, smart home systems) and healthcare technologies (e.g. surgical and rehabilitation robotics, artificial intelligence based medical diagnosis). Devices and systems designed specifically to support function in individuals living with various disabilities are also increasingly being researched and developed.

Unmet Needs for Assistive Technology

In spite of rapid growth in innovation, unmet needs for assistive devices persist. As reported in the 2012 Canadian Survey on Disability, approximately 27% of users of aids or assistive devices indicated needing at least one other aid or device that they did not have (Statistics Canada, 2017a). In addition, unmet needs for aids and assistive devices increased with severity of disability, where severity of disability was defined in relation to the number of disability types the person has, the degree of difficulty experienced, as well as the frequency of activity limitations. For those with severe disability, 44% reported having unmet assistive device needs.

Multiple barriers to efforts to obtain needed assistive technology devices have been reported in Canada. The cost of aids and assistive devices was cited as the most common reason for not having a needed assistive device (Statistics Canada, 2017a). Government-funded programs do not always cover the full cost of devices and often do not cover repairs and maintenance, necessitating consumers to pay the remainder of the costs (Gordon, Kerzner, Sheldon, & Hansen, 2007). As the median income of adults with a disability is $10,000 less per year than for adults without a disability, the lack of full funding from government programs has a greater impact on persons living with disability who are already socio-economically vulnerable (Human Resources Development Canada, 2000; Statistics Canada,

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 8 2017a). Further, as the likelihood of experiencing disability rises with age, funding for assistive devices is critical for seniors. About 14% of Canadians aged 65 and older were also living under low-income conditions in 2015 (Statistics Canada, 2017b) Without properly maintained or repaired devices, consumers are at risk for managing without needed functional devices or are compelled to use devices that are ineffective or unsafe (Gordon, et al., 2007).

A lack of availability of devices creates barriers to participation in needed (or chosen) activities, and can result in exclusion, stigma and further marginalization (Gordon, et al., 2007). Consumers can also experience potential health risks associated with long wait times to obtain or replace assistive technology. Government-funded programs may also limit access to various device options that could meet the needs of consumers, or may restrict the number of vendors providing the equipment (Gordon, et al., 2007). These practices restrict consumer choices and can result in consumers making compromises that do not adequately meet their needs or requirements. Such compromises can further result in decreased functionality or even device abandonment.

A comprehensive jurisdictional scan of funding and service programs for assistive technology across Canada, including government and charity organizations in 14 jurisdictions (10 provinces, 3 territories and Canada-wide) has not (at least to our knowledge) been previously completed. We aimed to fill this gap by conducting a detailed cross-Canada examination that describes disparities in access to funding and services between jurisdictions and population groups. The findings from this jurisdictional scan will have implications for Canadians living with disability, older adults, caregivers, government policymakers, non-profit and charity organizations, researchers, industry and others who have a stake in enhancing equitable access to assistive technologies for Canadians. The outcomes of this jurisdictional scan can inform efforts to better align programs and services with the societal values of Canadians to improve assistive technology access through policy implementation.

3. METHODS

Overview

To ensure a systematic approach in identifying, documenting, and synthesizing information in the scan, we used established frameworks for scoping reviews (Arksey & O'Malley, 2005; McColl, Robert, Miller, & Smith, 2015; Peters et al., 2015) to guide the conduct of our jurisdictional scan. Our approach included:

1. identifying the research question; 2. identifying the scope of the scan using the research question as a guide; 3. identifying the key questions directed by the research question and the scope of the scan; 4. collecting and charting the data according to the key questions; and 5. summarizing the findings and analyzing patterns within the data.

Research Question

What is the nature and scope of coverage of the current assistive technology programs that are offered by government as well as charity organizations across Canada?

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 9 Scope of Jurisdictional Scan

The programs included in the scan are those that provide direct funding and/or services related to supporting the use of assistive technologies. As the focus of AGE-WELL is on older adults, the scan is limited to programs that serve adults rather than children. Our scope includes adults aging into and those aging with a disability. ‘Aging into a disability’ refers to persons acquiring a disability in their later years whereas ‘aging with a disability’ refers to persons who have a disability before reaching their later years. Many programs are not limited to older adults but are available to adults of all ages. We have restricted the scan to include devices and services used primarily by a person with a disability, as opposed to devices primarily used by caregivers.

The scan is limited to programs offered by government, registered charity organizations as they supply the majority of funding and service programs to persons living with disabilities in Canada. Programs offered by private insurance companies are excluded because not everyone is eligible or able to pay into these programs. Also excluded are various government programs that offer disability or wage-loss income support because they are not specific to assistive technology. Tax credits offered by government programs toward the purchase of devices or services are also excluded.

While many terms and definitions have been used to describe and define technology that can contribute to health, independence and participation, consensus on terms and definitions has not yet been achieved. For the purposes of this scan, the terms assistive technology device and service will be used as defined by the United States of America Assistive Technology Act 2004 (Public Law 108-364) (Congress United States of America Government, 2004). (Refer to Table 1 for definitions of the terms as used in this report).

The types of devices covered in this jurisdictional scan include devices to support mobility, communication, sensation (vision and hearing), cognition, and psychological and mental health. Examples of included devices are wheelchairs, walkers, communication boards, speech generating devices, hearing aids, visual fire alarms, FM amplifiers, white canes, magnifiers, computer access aids, specialized software, location aids, and memory aids. Devices that are therapeutic (e.g. exercise equipment, transcutaneous nerve stimulation devices) or medical (e.g. respiratory equipment) in nature, as well as glasses that correct vision (considered a consumer product) are not included, nor are building, home and vehicle modifications.

Key Questions

The key questions and data sought to address the overall research question include the following:

1. What are the names and jurisdictions of the government and charity organization programs in Canada? For government programs, which legislation (statutes, acts, regulations or orders) govern these programs? 2. What assistive technology devices are covered under the program? 3. Is funding provided for assistive technology devices and if so, how does the funding system work? 4. Are assistive technology services provided and, if so what services are available? 5. If funding and/or services is/are provided, what are the program’s inclusion and exclusion (eligibility) criteria? 6. Who are the providers or authorizers for funding and/or services and what is the process? 7. Are there restrictions on the assistive technology devices that are funded or supplied, and if so, what are the restrictions?

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 10

Data Searches and Charting

In Table 2, the key questions and sub-questions guiding the data collection are outlined. Data sources included: government and charity organization websites, program description and policy documents, the Canadian Legal Information Institute website (CanLII) (www.canlii.org/en/), as well as personal communications with representatives from selected programs and content experts from across Canada.

An Internet search (using google.ca) was conducted to complete the data collection forms for each jurisdiction. An Internet search (using combinations of terms such as “assistive technology”, “assistive device”, disability, equipment, funding, Canada, and specific provinces or territories) identified existing program lists created by charities, government, or other organizations in Canada. The identified programs from these lists were then searched to collect data related to our key questions. The program lists were used as leads to guide further searches throughout the jurisdictions. Government websites were searched for relevant programs. When program websites referred to other programs, those were searched. A hand search of the Internet for additional programs was also conducted. If program information was unclear or missing, program representatives were contacted by telephone or e-mail. Program representatives were asked if they knew of any other programs in their jurisdiction. The latest versions of government legislation on the CanLII website were searched using the key terms (disability or injury) and (exact (aid) or equipment or device or service). Identified pieces of legislation were matched with the government programs where possible. Where legislation referred to a potential program that was not already included in the data tables, a further internet search was conducted to identify any missing programs. All data collection forms were verified by at least one other researcher. Content experts from each jurisdiction (e.g. health care professional providers such as occupational therapists) were contacted to independently review the collected information.

Summary of Findings and Analysis

Summarization and analysis of the findings for patterns within the data is in progress.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 11 Table 1: Definitions of terms

TERM DEFINITION

Disability (From the Convention on the Rights of Persons with Disabilities) Preamble, p.1 “disability is an evolving concept”, “ disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinders their full and effective participation in society on an equal basis with others” (United Nations (UN), 2006)

Article 1 Purpose, p.4 “Persons with disabilities include those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others” (United Nations (UN), 2006)

Assistive technology (From the United States of America Assistive Technology Act 2004 (Public Law 108-364), device Section (29 USC 3002 (4)) “any item, piece of equipment, or product system, whether acquired commercially, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities.” (Congress United States of America Government, 2004)

Assistive technology (From the United States of America Assistive Technology Act 2004 (Public Law 108-364), device service Section (29 USC 3002 (5)) “any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device.” (Congress United States of America Government, 2004)

Assistive technology Program that provides individuals with assistive technology devices through provision of funds device program for purchase, leases or loans of devices and provides services related to these devices.

Registered charity (From the Canada Revenue Agency) “Registered charities are charitable organizations, public foundations, or private foundations that are created and resident in Canada. They must use their resources for charitable activities and have charitable purposes that fall into one or more of the following categories: the relief of poverty, the advancement of education, the advancement of religion, and other purposes that benefit the community.” (Canada Revenue Agency, 2017)

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 12 Table 2: Data collection descriptions

KEY QUESTIONS DATA AND DESCRIPTION

1. What are the government Program and charity organization  Name of program (in full) programs available in  Acronym if available Canada?  Links to program webpage

For government programs, Legislation under which legislation  List of statutes, acts, regulations and orders governing the program (statutes, acts, regulations  Links to the legislation or orders) do these programs belong?

2. What assistive technology What devices are covered under the program? devices are covered under  List of devices that are covered (use their terminology, where possible) the program?  See definition of devices used in this project to see what is included.

3. Is funding provided for Are devices funded or supplied? (Yes / No) assistive technology devices and if so, how does the How does the funding system work? funding system work?  Whether or not the devices are funded (paid for) or supplied (e.g. provided from a pool of existing devices)  Details of funding and how the system works (e.g. co-payments)

4. Are assistive technology Are services available and/or covered? (Yes / No) services provided and, if so what services are What services are available? available?  Whether or not services are available and/or covered (use their terminology, where possible)  List of services that are available and/or covered (e.g. assessment, training, prescription, set up, maintenance, support services)  See definition of services used in this project to see what is included

5. If funding and/or services What are the program’s inclusion and exclusion (eligibility) criteria? are provided, what are the  Details of the program’s criteria – e.g. population groups, age, diagnosis, disability program’s inclusion and type (use their terminology, where possible) exclusion (eligibility) criteria?

6. Who are the providers or Who are the providers or authorizers? authorizers for funding and/or services and what is What is the process for provision or authorization? the process?  Details of who (e.g. health care providers) is able to provide or authorize services  Whether a prescription is required and from whom  Whether an assessment needs to be completed by a provider or authorizer

7. Are there restrictions on the Are there restrictions on the assistive technology devices that are funded or assistive technology supplied? devices that are funded or supplied, and if so, what are What are the restrictions? the restrictions?  Describe lists or coding systems (e.g. for groups of devices) used to define what is funded or supplied  Describe any restrictions on which devices can be approved, funded or supplied

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 13 4. RESULTS

Appendices – Data Tables by Jurisdiction

Appendices 1-14 detail the data collected for each jurisdiction, which are comprised of the federal government; each of the governments for the 10 provinces and three territories; and national, provincial and territorial charity organizations. Each appendix includes separate tables for the following information:

1. Government Programs 2. Government-Legislated Insurance Programs 3. Legislation Governing the Programs, and 4. Charitable Organization Programs.

Planned Data Analyses and Analyses in Progress

Additional analyses are planned using the data generated through this scan and will examine the following:

1. patterns and gaps in assistive technology programs with respect to access to assistive technology and whether Canada is adequately addressing the UN-CRPD in its programs; 2. justice and equity in Canadian programs governing access and funding of assistive technology; 3. variations in the definitions of disability and assistive technology that are used in legislation and the implications for policies, programs and access; 4. review of the evidence for commercially-available technology that addresses mental health concerns; and 5. access to assistive technology that addresses cognitive concerns.

5. DISCUSSION

Overview of Some Preliminary Findings

While detailed discussion on the analyses and interpretation of the data will be included in future analyses, a few preliminary observations may be noted. Federal, provincial and territorial governments offer numerous programs to provide assistive technology devices and services to Canadian adults. Disparities are evident in multiple dimensions and these require further exploration. The most commonly funded and serviced devices address mobility issues and ranged from wheeled walkers to powered mobility devices. Device funding from the government for communication, vision and hearing issues is inconsistent across provincial and territorial programs, ranging from full funding to none at all. Service programs, however, are available to support acquisition of required devices. Little to no funding is offered in government programs for assistive technology devices to address cognitive or mental health concerns. Programs that support post-secondary education and employment training may fund electronic and computer-based assistive technology devices and related software. The eligibility criteria to receive device funding and services for similar technologies addressing similar limitations or disabilities were highly variable between jurisdictions and programs.

A previous report focusing mainly on the province of Ontario and some national government funding programs concluded that programs are a highly fragmented, overlapping and poorly coordinated

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 14 patchwork that is challenging for consumers to navigate (Gordon, et al., 2007). Gordon and colleagues found that access was inequitable as a result of different funding and service-delivery mechanisms between provincial and territorial government programs. Similar findings were described in another report focused on government policies related to funding for wheelchairs and scooters across Canada, which identified wide variations in funding across the country, ranging from no funding to full funding by provincial or territorial health plans (McColl, et al., 2015; Smith, Roberts, McColl, Martin Ginis, & Miller, in press). In particular, some provincial programs do not provide wheelchair or scooter funding for people who reside in residential or long-term care settings despite 50% of individuals in these environments requiring a wheelchair for mobility.

Barriers to accessing assistive technology devices and services can arise when programs are highly variable and complex. In Canada, programs can be offered by federal, provincial or territorial governments, legislated or private insurance, or charity organizations. Many government programs are the payer of last resort, meaning that other programs such as private and workers’ insurance need to be accessed prior to seeking funding from those programs. Charity organizations also play numerous important roles in device funding and service provision. National and provincial/territorial charity organizations collaborate with governments to provide assistive technology devices. These collaborations may involve operating purchase or loan programs supported by government and charitable funding. Other charities may deliver services for assistive technology devices and provide assistance to obtain government or other funding for devices. Some charities operate loan programs for selected types of devices while others offer grant funding to purchase devices that are not funded by government or other programs. The availability of grant funding is dependent on the service group and mandate of the charity organization. From a consumer perspective, navigating through assistive technology programs to obtain what is needed can be confusing and time-consuming, and can necessitate substantial knowledge and advocacy efforts.

Canada has an obligation as a signing and ratifying state of the UN-CRPD to make assistive technology available and affordable, and to support use of assistive technology that can promote and protect the human rights and fundamental freedoms by all persons with disabilities (Article 4) (United Nations (UN), 2006) (Government of Canada, 2014). Canada does not, however, have federal legislation that stipulates universal access to assistive technology devices and services. Specific subsets of Canadians (e.g. veterans, refugees, Indigenous peoples) have federal provisions for assistive technology devices and services, though these provisions are variable. Legislation, policies, and programs providing for the remainder of Canadians through the provinces and territories are also highly variable. Issues of inequity of access to assistive technology and the resultant inequality of opportunity for persons with disabilities within a resource-limited system of health and social care will require committed effort on the part multiple stakeholders in order to rectify.

The focus of this jurisdictional scan was on funding and services for currently-available assistive technology. In exploring legislation, policy, and program changes to support equitable access to assistive technology we need also to be cognizant of rapidly emerging technologies designed both for persons with disabilities and for the general consumer. The increasing availability of these technologies such as robotic exoskeletons, robotic assistants, autonomous vehicles, the Internet of things, and virtual reality may create substantial opportunities for persons with disabilities to more fully participate in life and society. However, the expense and complexity of new technologies may create further obstacles to access and deepen inequalities. Creating legislation, policies, programs that address existing and new issues of equitable access while optimizing the opportunities offered by new technologies will be a sustained challenge.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 15 Consultations with Canadians to solicit their values and preferences, research evidence, guiding ethical rationale, and insights from successful and unsuccessful policy and program models within Canada and internationally will help to inform change. The convening of stakeholders, such as policymakers, charity organizations, service provider organizations, industry representatives, among others will be required to discuss opportunities for legislation and policy change.

Strengths and Limitations

There are several notable strengths to this jurisdictional scan of assistive technology programs. Primarily, it is the first comprehensive pan-Canadian survey of government and charity organization programs that provide funding and services for assistive technologies. Secondly, the survey applied a systematic and transparent approach to collecting and documenting the data. Finally, the data provides many opportunities for additional analyses and is well-positioned to be used by the AGE-WELL NCE and others to support evidence-informed policy development.

Limitations related to the methods and data collection need to be outlined. During data collection, it was apparent that publicly-available program information (e.g. on websites) was not always available in the level of detail that was required. During the data collection and verification phases it was noted that programs were updated and some even became inactive, as such, carrying out the same procedures later in time likely will yield different findings. In some instances the available information did not match what was carried out in the programs. That is, information from personal communications and content experts indicated that in practice, many areas of the programs were open to interpretation. We have made attempts to obtain clarification through the use of multiple sources (e.g. content experts) and to document discrepancies where possible. Also, because definitions of disability and assistive technology devices varied from program to program, it was not always possible to obtain comparable information. We have used the terminology that the programs use in order to minimize interpretation during data collection. We excluded building, home, and vehicle modifications in the scan in order to manage the scope of the jurisdictional scan. We recognize that these modifications are needed to comprehensively address activity and participation barriers, and thus examining these technologies will be necessary in the future. We have also excluded devices and services that are available only for research purposes (e.g. some robotic exoskeletons). For some of the programs, especially with charities, it was difficult to ascertain the size of the program and how much funding or service are provided (e.g. if only one powered wheelchair is provided per year compared to several). Where the information was available, we have documented the maximum funding per year. Another limitation is that we have not included private insurance programs, and as such do not have a complete picture of all sources of assistive technology. Finally, at the program navigation level it is unclear which funding sources would be approached first in practice and how each individual consumer might be covered by a combination of programs.

6. SIGNIFICANCE AND CONCLUSIONS

This jurisdictional scan provides comprehensive information about the current assistive technology programs that are offered by government as well as charity organizations across Canada, and includes an examination of the nature and scope of device funding and services. We anticipate that the jurisdictional scan findings will help to inform more in-depth exploration of approaches to bridge program gaps, and contribute to efforts to address access issues with changes in government policy, program and service planning, as well as systematic coordination across sectors.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 16

7. REFERENCES

Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. doi: 10.1080/1364557032000119616

Canada Revenue Agency. (2017). What is the difference between a registered charity and a non-profit organization? Retrieved Mar 1, 2017, from http://www.cra-arc.gc.ca/chrts-gvng/dnrs/rgltn/dffrnc- rc-np-eng.html

Canadian Medical Association. (2014). 14th Annual National Report Card on Health Care: Seniors Health Issues and the Impact of an Ageing Population, from https://www.cma.ca/En/Lists/Medias/2014_Report_Card-e.pdf

Congress United States of America Government. (2004). Assistive Technology Act, Public Law 108- 364. Congress U. S. Government Retrieved from https://www.gpo.gov/fdsys/pkg/PLAW- 108publ364/html/PLAW-108publ364.htm.

Gordon, P., Kerzner, L., Sheldon, T., & Hansen, E. (2007). Assistive Devices in Canada: Ensuring Inclusion and Independence. ARCH Disability Law Centre, Toronto, Ontario.

Government of Canada. (1985). Canada Health Act (R.S.C., 1985, c. C-6). Canada: Retrieved from http://laws-lois.justice.gc.ca/eng/acts/c-6/.

Government of Canada. (2014). Convention on the Rights of Persons with Disabilities: First report of Canada.

Human Resources Development Canada. (2000). In Unison: A Canadian Approach to Disability Issues. Federal/Provincial/Territorial Ministers Responsible for Social Services Retrieved Oct 31, 2016, from http://www.ccdonline.ca/en/socialpolicy/poverty-citizenship/income-security-reform/in- unison-2000

McColl, M. A., Robert, L., Miller, B., & Smith, E. (2015). Policy Governing Support for Mobility Aids for People With Disabilities in Canada: Canadian Disability Policy Alliance.

Peters, M. D. J., Godfrey, C. M., McInerney, P., Soares, C. B., Khalil, H., & Parker, D. (2015). The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI scoping reviews: The Joanna Briggs Institute.

Public Health Agency of Canada. (2010). The Chief Public Health Officer’s Report on the State of Public Health in Canada 2010: Growing Older – Adding Life to Years, from http://www.phac- aspc.gc.ca/cphorsphc-respcacsp/2010/fr-rc/pdf/cpho_report_2010_e.pdf

Smith, E. M., Roberts, L., McColl, M., Martin Ginis, K., & Miller, W. C. (in press). A national evaluation of the policies governing funding for wheelchairs and scooters in Canada. Canadian Journal of Occupational Therapy.

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 17 Statistics Canada. (2009). Educational Attainment - Population 15 years and over by highest certificate, diploma or degree, by age groups (2006 Census) (45 to 54 years, 55 to 64 years, 65 to 74 years, 75 years and over), from http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/educ43b- eng.htm

Statistics Canada. (2014). Population projections: Canada, the provinces and territories, 2013 to 2063.

Statistics Canada. (2015a). Annual Demographic Estimates: Canada, Provinces and Territories: Section 2: Population by age and sex Retrieved 09/21, 2016, from http://www.statcan.gc.ca/pub/91-215- x/2015000/part-partie2-eng.htm

Statistics Canada. (2015b). Economic Well-Being - Table 2 Average total income of women and men, by age group, 2008.

Statistics Canada. (2017a). Canadian Survey on Disability: A profile of persons with disabilities among Canadians aged 15 years or older, 2012 Retrieved Feb 24, 2017, from http://www.statcan.gc.ca/pub/89-654-x/89-654-x2015001-eng.pdf

Statistics Canada. (2017b, 2017 May 26). Table 206-004 Low income statistics by age, sex and economic family type, Canada, provinces and selected census metropolitan areas (CMAs) Retrieved Jun, 2017, from http://www5.statcan.gc.ca/cansim/a26?lang=eng&retrLang=eng&id=2060041&&pattern=&stByV al=1&p1=1&p2=31&tabMode=dataTable&csid=

United Nations (UN). (2006). Convention on the Rights of Persons with Disabilities.

8. APPENDICES

AGE-WELL Project 8.2: Aging, Disability and Technology – Understanding and advancing Canadian policies for technology access – 2017 June 18 APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

Table 1-A: Federal Government of Canada Programs Table 1-B: Federal Government of Canada Legislation Governing Programs Table 1-C: National Charitable Organization Programs References

Table 1-A: Federal Government of Canada Programs

Veteran Affairs Canada – Yes – Devices are fully Substantial list with Yes Must have a Veteran Process varies for each Yes (Veteran Affairs Canada, Services – Treatment or partially funded different eligibility criteria Batteries, maintenance Affairs health identification type of equipment. 2016a, 2016b, 2016c, Benefits – Programs of under each and repairs. card Devices need to be listed 2017) Choice Program is administered A prescription from a on benefits grid, however through a third party - Aids for daily living (e.g. May reimburse travel to Coverage varies qualified health items off grid may be http://www.veterans.gc.ca/ http://www.veterans.gc.ca/ Medavie Blue Cross. walking aids, self-help receive treatment benefits dependent on being in professional is needed. requested if it is justified in eng/services/health/treatm eng/about- aids, bathroom aids) Group A (devices related The type of health the prescription. ent-benefits/tb-common- us/policy/category/29 There are frequency and Many services associated to the condition for which professional needed is terms dollar limits which are Audio (hearing) services with provision of devices are granted disability dependent on the Prescriptions from health http://www.veterans.gc.ca/ detailed in the benefits (e.g. hearing devices/aids) (e.g. occ. therapy, entitlement). equipment. A care professionals are http://www.veterans.gc.ca/ eng/services/health/treatm grid physiotherapy, speech recommendation from valid for one year from the eng/services/health/treatm ent-benefits/poc Prosthetics and orthotics language pathology, low or Group B (devices for another healthcare date it is written ent- (e.g. artificial limbs, vision evaluation) any medical conditions professional may also be benefits/poc/poc_search braces) with a demonstrated needed. health need) http://www.veterans.gc.ca/ Special equipment (e.g. Requests must be public/pages/publications/ wheelchairs, walkers, Royal Canadian Mounted approved and have system-pdfs/vac-health- powered mobility devices, Police (RCMP) preauthorization from vip-2015.pdf lifts, hospital equipment, supplemental health Veterans Affairs Canada. ergonomic equipment) benefits are also provided Most items only need to under this program. be preauthorized once, Vision (eye) care (e.g. low but some require

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APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

vision aids) preauthorization per each request.

Details on what is needed for each device are in the benefits grid.

Immigration, Refugees Yes - Devices are fully Assistive devices, medical Yes Resettled refugee Only available until qualify Devices need to be listed (Blue Cross, 2017; and Citizenship Canada funded, or rental fees supplies and equipment – Protected persons for provincial or territorial on a benefits grid Government of Canada - - Interim Federal Health From benefits grid: Hearing aid services, Refugee claimants coverage. Citizenship and Program (IFHP) Program is administered repairs, supplies Victims of human (Long list of exclusions) Immigration, 2016a, through a third party - Hearing aids trafficking Registered health care 2016b; Medavie Blue http://www.cic.gc.ca/englis Medavie Blue Cross. Low vision glasses Occ. , physio and speech Detainees providers must prescribe Cross, 2016) h/refugees/outside/summa (separate to vision care) therapy device and submit claim ry-ifhp.asp Prior approval from IFHP Bathing and toileting aids on behalf of the client. is required. Aids for personal mobility Does not cover (even in (manual wheelchair, part) products/services Does not cover (even in powered wheelchair, covered under public or part) products/services seating systems, walking private health insurance. covered under public or aids, electronic obstacle Does not coordinate with private health insurance. detectors, lifts, slings, bath other programs, so no co- Does not coordinate with lift, hospital beds, payments possible. other programs, so no co- mattresses) payments possible. Orthopedic and prosthetic equipment (e.g. artificial limbs, supplies, braces, orthotics) Mobility aids

Health Canada - First Yes - Devices are fully General medical supply Yes Resident of Canada Prior approval is required Yes, each item has a (Non-Insured Health Nations and Inuit Health- funded or rentals funded and equipment: Delivery, maintenance, First nations person except under special unique benefit code. Benefits (NIHB), 2016, Non-Insured Health Bathing and toileting aids replacement (with registered under Indian circumstances. There are approved 2017a, 2017b, 2017c) Benefits (NIHB) All other public or private Dressing aids guidelines) and repair Act, or providers. benefit plans must be Feeding aids Inuk recognized by Inuit Must be prescribed by https://www.canada.ca/en/ applied to before Lifting and transfer aids land claim organization, or health professional (e.g. Exclusions for general health- consideration (e.g. federal, Low vision aid Infant under 1 year whose physician or nurse supplies: AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 15

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS canada/services/non- provincial, territorial, Mobility aids –e.g. walking parent is registered (need practitioner) Items used exclusively for insured-health-benefits- private insurance) aids, wheelchairs, to apply for child’s Provided by recognized sports, work or school first-nations-inuit.html cushions registration) NIHB pharmacy or Items for cosmetic Misc. supplies and recognized NIHB medical purposes equipment For some clients, self- supplies and equipment Experimental equipment government or First provider Therapy treatment (e.g. Audiology Nations or Inuit health Occupational Therapy, authority is responsible for Equipment suppliers Physiotherapy, Speech Orthosis and prosthetics health benefits primarily directly bill the Therapy, Chiropractic and program for Massage Therapy) Some items may be reimbursement, if they Therapy equipment (e.g. included on a case by don’t then clients pay the treadmills, exercise balls); case basis (unless on full price and apply for Household items/products; exclusion list) reimbursement. Requests Home renovations (e.g. for reimbursements must ramps, stair lifts). Some benefits have own be made within one year specific criteria for from the date of service or No lift chairs or scooters provision, type, purchase. replacement

Correctional Services Yes - Devices are fully Wheelchairs (electric, Yes Must be an inmate at a If an item is through the Yes, there is a list of items (Correctional Services Canada – Health funded manual) correctional facility approved list, no special which can be accessed Canada, 2015; Office of Services Motorized scooters Assessment, batteries and authorization is required. with or without special the Correctional Walking aids – walkers, repair for hearing aids approval. Investigator of Canada, http://www.csc- canes, crutches) Certain items require 2016) scc.gc.ca/lois-et- Orthoses – back, knee, approval by the manager reglements/800-cd- ankle braces, elbow and of clinical serves and eng.shtml#s2a wrist supports, foot recommended by the orthotics) institutions physician. https://buyandsell.gc.ca/cd Prosthetics and orthosis s/public/2017/01/23/8921a Hearing aids (and 69b8c06457ea41ee196bf supplies) b7b495/annex_f_- _national_essential_health _services_framework_- _bilingual.pdf

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National Defense and Yes - Devices are fully Mobility aids, prosthetics Yes Must be a Regular Force A prescription from a No (Government of Canada - Canadian Armed Forces funded and orthotics, vision aids, Repairs and replacement. (REG F) personnel in regulated health care National Defence, 2016a, – Health Services Items are fully funded, but hearing aids Fees for forms filled out by Canada or abroad. provider is required. 2016b; National Defense there are limits specific to health care providers are Reserve Force (RES F) and Canadian Armed http://www.forces.gc.ca/en each devices such as cost covered may be covered during Forces, 2016) /caf-community-health- limits or devices/year certain periods depending services/index.page allowed. A Base Surgeon on their duty status. is given authority to prescribe immediate assistive devices to a maximum of $15,000 per year. Employment and Social Yes – Devices are Hearing, vision and No Must be a Canadian Proof of disability is No (Government of Canada, Development Canada - funded up to a maximum communication devices citizen or permanent needed from a medical 2016) Canada Student Grant Grants for equipment is resident of Canada. Must certificate, a psycho- for Services and maxed at $8,000 each be in a full time or part educational assessment Equipment for Students school year (August 1 to time program at or proof of recipient of with Permanent July 31) for each year of designated post- federal or provincial Disabilities studies. secondary institution and permanent disability be a recipient of student assistance. https://www.canada.ca/en/ financial assistance. Must Written confirmation is employment-social- have a severe permanent required of the equipment development/services/stud disability caused by a needed and the cost of the ent-financial-aid/student- physical or mental equipment from a person loan/student- impairment that prevents qualified to determine grants/csg/disabilities- working and participating such need. service-equipment.html in post-secondary school studies for the rest of life. Offered jointly with the provinces and territories, except Quebec, Nunavut, and Northwest Territories where they have their own programs

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Canada Post - Literature No N/A Yes None N/A N/A (Canada Post, 2016) for the Blind Program Literature for the blind can The following items, can be mailed free of postage be mailed free of postage https://www.canadapost.c as Literature for the Blind: a/common/tools/pg/manua matter or plates impressed l/PGlitblind-e.asp in braille or similar raised type as well as tapes, records, CDs and other sound recordings posted by the blind in Canada or addressed to a recognized institution for the blind.

Table 1-B: Federal Government of Canada Legislation Governing Programs

Program name Ministry or department Statute, act, regulation, order responsible Health Treatment Benefits - Ministry of Veterans Affairs Department of Veterans Affairs Act, Veterans Health Care Regulations, Canadian Forces Members and Canadian Forces Members and

Programs of Choice RSC 1985, c V-1 SOR/90-594 Veterans Re-establishment and Veterans Re-establishment and

http://www.veterans.gc.ca/eng/servic Compensation Act, SC 2005, c 21 Compensation Regulations,

es/health/treatment-benefits/poc SOR/2006-50 Interim Federal Health Program Ministry of Immigration, Refugees Immigration and Refugee Protection Order Respecting the Interim Interim Federal Health Program (IFHP) and Citizenship Act, SC 2001, c 27 Federal Health Program, 2012, Policy

http://www.cic.gc.ca/english/refugees http://canlii.ca/t/7vwq SI/2012-26 http://canlii.ca/t/5212v http://www.cic.gc.ca/english/depart

/outside/summary-ifhp.asp ment/laws-policy/ifhp.asp Non-Insured Health Benefits Ministry of Health Indian Act http://laws- (NIHB) Program - First Nations (not Indigenous and Northern lois.justice.gc.ca/eng/acts/I- and Inuit Affairs) 5/index.html http://healthycanadians.gc.ca/health- system-systeme-sante/services/non- Indian Health Policy 1979 insured-health-benefits-services- http://www.hc-sc.gc.ca/ahc-

sante-non-assures/index-eng.php asc/branch-dirgen/fnihb- dgspni/poli_1979-eng.php Correctional Service Canada - Ministry of Public Safety and Corrections and Conditional Corrections and Conditional

Health Services http://www.csc- Emergency Preparedness, Release Act, SC 1992, c 20 Release Regulations, SOR/92-620

scc.gc.ca/health/index-eng.shtml Correctional Service Canada is a federal government agency AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 15

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National Defence and Canadian Ministry of Veterans Affairs (? Not Canadian Forces Members and Canadian Forces Members and Armed Forces - Health Services Ministry of National Defense) Veterans Re-establishment and Veterans Re-establishment and

http://www.forces.gc.ca/en/caf- Department of National Defense Compensation Act, SC 2005, c 21 Compensation Regulations,

community-health-services-benefits- and Canadian Armed Forces SOR/2006-50

drug-coverage/index.page Canada Student Grant for Employment and Social Canada Student Financial Canada Student Financial

Services and Equipment for Development Canada (ESDC) Assistance Act, SC 1994, c 28 Assistance Regulations, SOR/95-

Students with Permanent 329 Disabilities http://www.esdc.gc.ca/en/student_gr ants/csg/disabilities_service_equipe

ment.page Canada Post - Literature for the Canada Post Corporation Act and Material for the Use of the Blind Blind Program Regulations Regulations

Table 1-C: National Charitable Organization Programs

Lions Club International Yes – Varies depending Any type of device can be Yes Varies by clubs Client contacts their local No (Lions Clubs, 2016) on what is requested. requested Any type of service can be club directly. Each club Note: Was forwarded to http://www.lionsclubs.org/ Individual local Lions requested has different rules and multiple chapters before EN/index.php Clubs may provide application processes. one was found to have the funding for assistive program. They have a (Reg. charity, by devices. Not all clubs offer hearing aid recycling but region/chapter) funding. they do not give out the hearing aids directly.

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Kiwanis International Yes – Varies depending Any type of device can be Yes Varies by clubs Client contacts their local No (Kiwanis Foundation of on what is requested. requested Any type of service can be club directly. Each club Canada, 2016) Note: Was http://www.kiwanis.org/ Individual local Kiwanis requested has different rules and forwarded to multiple Clubs may provide application processes. chapters before one was (Reg. charity, by funding for assistive found to have the program. region/chapter) devices. Not all clubs offer funding. March of Dimes Canada Yes – Funded up to a Tablet and apps No Aged 18+ Letter from occupational No (March of Dimes Canada, - Assistive Mobile Maximum Person with permanent therapist, or speech 2016) Technology Initiative disability that impacts his language pathologist. Covers the cost of or her ability to fully (Reg. charity) purchasing the tablet and engage in activities in the selected assistive daily living (Special program in apps. Maximum available Financial need with Halifax, Montreal, is $2,500 per individual. combined gross income of Vancouver and Calgary so applicant and spouse far) (where applicable) not to exceed $45,000 after Calls for funding allowable deductions are application dates varies considered city to city. Muscular Dystrophy Yes – Funding is Access equipment – e.g. Yes Must have a Must have a prescription No (Muscular Dystrophy Canada – Equipment provided within limits Door opener Repairs and modifications neuromuscular disorder, from a registered health Canada, 2016c, 2016d, Program (see individual programs Bathroom aids Batteries must be a member of provider List of assistive 2017) for details) Beds and mattresses Muscular Dystrophy devices covered under http://www.muscle.ca/ Lifts –e.g. Hydraulic lifting Canada Equipment Program device and sling, transfer http://www.muscle.ca/we- aid, track lift, chair lift, can-help/financial- Communication devices assistance/ Mobility devices – e.g. Power Wheelchair (Reg. charity) Power tilt/recline seating Manual Wheelchair Equipment program Rollator/Walker/Walking available in device regions: Atlantic Canada Scooter (New Brunswick, Nova AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 15

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Scotia, Newfoundland/ Labrador, PEI), Ontario, Quebec, Western Canada (BC, Alberta, Saskatchewan, Manitoba, NWT, Yukon) Muscular Dystrophy Yes – Funding maxes at Varies Yes Must have a Must have a prescription No (Muscular Dystrophy Canada – Community $1,000 Varies neuromuscular disorder, from a registered health Canada, 2016a, 2016b, Services Fund Funding is through Can fund: Can fund: Equipment be a member of Muscular provider. 2016c, 2016d) individual chapters, not Life Line Services repair Dystrophy Canada and be http://www.muscle.ca/ every chapter has Adaptive Technologies/ a member of the local Physician/ Occupational allocated funding. Funding Environmental Control chapter Therapist/Physiotherapist (Reg. charity) can be for full equipment, Units outlining medical to fund a co-pay, or for necessity http://www.muscle.ca/we- short term rentals can-help/financial- Quotes from 2 different assistance/ Need evidence of equipment vendors approval or denial from Program available in other funding source regions: Atlantic Canada (New Brunswick, Nova Scotia, Newfoundland/ Labrador, PEI), Ontario, Quebec, Western Canada (BC, Alberta, Saskatchewan, Manitoba, NWT, Yukon)

Multiple Sclerosis Yes – Funds towards for Varies (refer to divisions Yes Diagnosis of multiple No (Multiple Sclerosis Society Society of Canada – equipment purchase and and chapters) Divisions and chapters sclerosis, residence within of Canada, 2017) Quality of Life Grants permanent loans manage equipment the local (some provinces/territories programs in various ways chapter/catchment area. only) Full or partial purchase of Some regions have a low https://mssociety.ca/ equipment or permanent income requirement. loan https://mssociety.ca/suppo Information and advocacy AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 15

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rt-services/programs-and- to assist people in services/financial- understanding e assistance resources available to them through their own (Reg. charity) benefits programs and provincial health system,  etc.

Amyotrophic Lateral Yes – (varies by regional Walkers, wheelchairs, Yes - (varies by region) Have been diagnosed with (ALS Canada, 2017) Sclerosis (ALS) Canada program) scooters, bathroom aids, ALS, PLS and/or Motor lifts, pressure relief items, Neuron Disease, be National society operates and basic communication registered with ALS for research program items (varies by region) Canada or the provincial ALS societies, have ALS Canada partners accessed all other private with provincial societies, or public programs but also operates the available before applying. society in Ontario

(Reg. charity)

Canadian Red Cross – Yes – loan programs Programs vary by branch, Yes Seniors and those (Red Cross Canada, Health Equipment Loan but devices focus on Programs vary by recovering from illness or 2016a, 2016b) Program (HELP) – Short Programs vary by branch mobility, independence branch surgery in their own Term Loan and and safety homes Customized Community Accept equipment Health Equipment donations, disinfect and Services repair for loan program

http://www.redcross.ca/ho w-we-help/community- health-services-in-canada

http://www.redcross.ca/ho w-we-help/community- health-services-in- canada/health-equipment- AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 9 of 15

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(Reg. charity)

Rotary International Yes – Varies depending Any type of device can be Yes Varies by clubs Client contacts their local No (Rotary Club, 2016) Local clubs in Canada on what is requested. requested Any type of service can be club directly. Each club Note: Was forwarded to Individual local Rotary requested has different rules and multiple chapters before https://www.rotary.org/en Clubs may provide application processes one was found to have the funding for assistive program. devices. Not all clubs offer funding War Amps – Adult Yes – Devices are cost Prosthetics Yes Must have amputation Must have prescription, Any vendor (War Amps, 2016a, 2016b) Program shared Information on life as Over 18 years old War Amps works directly amputee Registered with War with the vendor and War Veterans Must apply to government Catalogue of assistive Amps programs and/or devices specific to (Reg. charity) insurance first. amputees.

Funding is only for full Information for prosthetic prosthesis. Amount is and stump hygiene and maxed at $1,000-$4,000 care. depending on province. Amount given is decided For War Veterans, on a case by case basis provides system and can reapply for navigation for federal, funding once every three provincial services and years. benefits

For War Veterans, no funds provided Alzheimer’s Society of No MedicAlert Safety Bracelet Yes None None N/A (Alzheimer Society of Canada partnered with to help people living with Canada, 2016) MedicAlert Foundation Each bracelet/service dementia who go missing MedicAlert ID with an Canada – MedicAlert costs $60/year electronic medical profile Safely Home with unlimited updates, 24-hour Emergency

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(Reg. charity) Hotline staffed with trained specialists to supply police and emergency responders with information

Family/emergency contact notification immediately after hotline is called Ceridian Cares Grants Yes – Funding provided Medical devices category, Yes  Applicant must be 18+ Application submitted with No (Ceridian Cares, 2016a, within limits e.g. prosthetics, medical Services can be years of age required documentation 2016b) (Reg. charity) Grants fund Basic equipment, home requested, not strictly part Recipient must be Need proof of income Essentials which includes adjustments for barrier Canadian resident Assistive Devices. free living, braille books  Recipient must be (not specific list) individual or family in need Payment is made to Grants typically range of financial assistance vendor, recipient’s from $200-$4000. related to types of items responsibility to arrange supported by Ceridian service/equipment Level of funding varies, Cares maximum of $5000   Basic Essentials: recipient Two estimates for cost of annual household income devices are needed, if must be at or below "Low device costs more than Income Cut Off before tax" amount of grant, recipient level as defined by Stats pays the difference. Canada

 Quality of Life: recipient annual household income must be at or below "median total income in their province or territory" as defined by Stats Canada

Rick Hansen Foundation Yes – Maximum funding Varies depending on No Resident of Canada; have A letter of support from a No (Rick Hansen Foundation, – Quality of Life Grants is $10,000 request a physical disability medical professional is 2016, 2017) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 11 of 15

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Two independent needed (Program currently on quotations needed for (individual and community hiatus) equipment and services. projects)

(Reg. Charity) Tetra Society of North Yes – financial Devices must not be Yes None No medical forms or No (Tetra Society, 2016) America contribution required for commercially available can be anyone authorizations from health custom devices and are custom built Tetra’s services are professionals are needed Tetra operates 45 offered at no charge – no chapters throughout All devices are built by upfront fees, no call-out North America volunteers and are charges, no hourly rates free. Clients are and no membership dues. (Reg. charity) asked to contribute towards materials and (non-profit, charitable mileage spent. organization, each chapter receives donations from various groups)

Canadian Hearing No Hearing aids Yes Culturally Deaf, oral deaf, (Canadian Hearing Society TTYs (text telephones) deafened or hard of Society, 2016) Emergency notification Support and advice hearing Direct services only in systems Selling of devices Ontario (advocacy and Amplified telephone (proceeds return to Any age partnerships with other Alerting systems programs) organizations across Portable “type and read” Canada) devices Catalogue of devices and Assistive listening online store (Reg. charity) systems such as counter loop systems, FM systems and infrared systems Visual smoke alarms Baby monitors Alarm clocks Amplified phones Canadian National No Assistive technologies Yes Canadians who are blind N/A N/A (Canadian National Institute for the Blind commonly used by people or partially sighted Institute for the Blind AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 15

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(CNIB) with vision loss: Assessment, training and Canadian who may lose (CNIB), 2016) advice obtaining financial sight due to preventable http://www.cnib.ca/en/Pag Computer screen readers, support to obtain assistive causes es/default.aspx screen magnifiers, braille devices for vision loss displays, and voice input (local programs) National program with software that operate in regional services and conjunction with graphical Webstore and accessible programs desktop browsers and catalogue of devices other programs. specifically for those with vision loss Stand-alone products designed specifically for people with vision loss, including personal digital assistants (PDAs), note takers and electronic book players, which provide portable access to books and periodicals, phone numbers, appointment calendars, and more.

Video magnifiers (CCTVs) that magnify printed material and may reverse text and background colours for greater ease of reading.

References

ALS Canada. (2017). About Us Retrieved 03/15, 2017, from https://www.als.ca/en/about-us Alzheimer Society of Canada. (2016). MedicAlert ® Safely Home ® Retrieved 04/18, 2016, from http://www.alzheimer.ca/en/We-can-help/Our-services/Safely-Home Blue Cross. (2017). IFHP Benefit Grid Retrieved 03/15, 2017, from https://providerifhpen.medavie.bluecross.ca/wp-content/uploads/sites/5/2017/02/IFHP-Benefit-Grid-Supplemental-new-Version-English.pdf Canada Post. (2016). Literature for the Blind Retrieved 04/18, 2016, from https://www.canadapost.ca/tools/pg/manual/pglitblind-e.asp

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 15

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

Canadian Hearing Society. (2016). Communication Devices Retrieved 04/18, 2016, from http://www.chs.ca/services/communication-devices Canadian National Institute for the Blind (CNIB). (2016). Our Range of Services Retrieved 04/18, 2016, from http://www.cnib.ca/en/services/vision-support/range/Pages/default.aspx Ceridian Cares. (2016a). Application for Grant Form Retrieved 04/18, 2016, from http://www.ceridiancares.ca/download/Ceridian-Cares-Application-for-Grant-Form.pdf?v=20160217 Ceridian Cares. (2016b). Evaluation Criteria Retrieved 04/18, 2016, from http://www.ceridiancares.ca/evaluation Correctional Services Canada. (2015). National Essential Health Services Framework Retrieved 03/14, 2017, from https://buyandsell.gc.ca/cds/public/2017/01/23/8921a69b8c06457ea41ee196bfb7b495/annex_f_- _national_essential_health_services_framework_-_bilingual.pdf Government of Canada - National Defence. (2016a). Comprehensive Medical Care Retrieved 05/13, 2016, from http://www.forces.gc.ca/en/caf-community-health-services-benefits-drug-coverage/comprehensive-medical-care.page Government of Canada - National Defence. (2016b). Supplemental Health Care Coverage Retrieved 05/03, 2016, from http://www.forces.gc.ca/en/caf-community-health-services-benefits-drug-coverage/supplemental-health-care- coverage.page#trusses-canes Government of Canada - Citizenship and Immigration. (2016a). Determine your eligibility – Interim Federal Health Program Retrieved 04/18, 2016, from http://www.cic.gc.ca/english/refugees/outside/arriving- healthcare/individuals/apply-who.asp Government of Canada - Citizenship and Immigration. (2016b). Interim Federal Health Program: Summary of coverage Retrieved 04/18, 2016, from http://www.cic.gc.ca/english/refugees/outside/summary-ifhp.asp Government of Canada. (2016). Employment and Social Development - Canada Student Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from https://www.canada.ca/en/employment- social-development/services/student-financial-aid/student-loan/student-grants/csg/disabilities-service-equipment.html Kiwanis Foundation of Canada (2016). [Personal communication, 519-304-3038 (Feb 25, 2016)]. Lions Clubs (2016). [Toronto, Ontario, Personal communication, 416-698-9300 (Feb 25, 2016)]. March of Dimes Canada. (2016). Assistive Mobile Technology Initiative Retrieved 04/18, 2016, from https://www.marchofdimes.ca/EN/events/special/Pages/Assistive-Mobile-Technology-Initiative.aspx Medavie Blue Cross (2016). [Personal communication, 1-888-614-1880 (April 11, 2016) ]. Multiple Sclerosis Society of Canada. (2017). Financial Assistance Retrieved 03/15, 2017, from https://mssociety.ca/support-services/programs-and-services/financial-assistance Muscular Dystrophy Canada. (2016a). Community Services Fund Retrieved 04/19, 2016, from http://www.muscle.ca/we-can-help/financial-assistance/community-services-fund/ Muscular Dystrophy Canada. (2016b). Individual Application for Funding Retrieved 04/19, 2016, from http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf Muscular Dystrophy Canada (2016c). [Personal communication, 1 800 366 8166 (April 19, 2016)]. Muscular Dystrophy Canada (2016d). [Personal communication, 506-849-8459 (April 19,2016)]. Muscular Dystrophy Canada. (2017). List of Assistive Devices Retrieved 03/15, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/list-of-assistive-devices/ National Defense and Canadian Armed Forces (2016). [Personal communication (April 11-12, 2016)]. Non-Insured Health Benefits (NIHB) (2016). [Personal communication, 1-866-225-0709 (Apr 18, 2016)]. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 15

APPENDIX 1: CANADA FEDERAL AND NATIONAL PROGRAMS

Non-Insured Health Benefits (NIHB). (2017a). Benefits Information Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/index-eng.php Non-Insured Health Benefits (NIHB). (2017b). Benefits List Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/provide-fournir/med-equip/criter/index-eng.php Non-Insured Health Benefits (NIHB). (2017c). Guide for Medical Supplies and Equipment Benefits Retrieved 03/15, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/_medequip/2017-equipement-medical-fournitures- medicales/index-eng.php Office of the Correctional Investigator of Canada (2016). [Personal communication, 1-877-885-8848 (April 11-13, 2016)]. Red Cross Canada. (2016a). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program Red Cross Canada (2016b). [Personal communication, 416-480-2500 (March 3-7, 2016)]. Rick Hansen Foundation. (2016). Apply for a Grant Retrieved 04/18, 2016, from https://www.rickhansen.com/What-We-Do/Quality-of-Life-Grants/Request-for-Application Rick Hansen Foundation. (2017). Quality of Life Program Retrieved 03/15, 2017, from http://www.rickhansen.com/What-We-Do/Quality-of-Life Rotary Club (2016). [Personal communication, 416-363-0604 (Mar 10-11, 2016)]. Tetra Society. (2016). Request Assistance from the Tetra Society Retrieved 05/26, 2016, from http://www.tetrasociety.org/assistance/index.php Veteran Affairs Canada (2016a). [Personal communication, Peterborough Office 1 866 522 2122 (April 11, 2016)]. Veteran Affairs Canada (2016b). [Personal communication, 1-866-522-2122 (April 11, 2016)]. Veteran Affairs Canada. (2016c). Programs of Choice (POC) - Health Care Benefits (Treatment Benefits) Retrieved 04/18, 2016, from http://www.veterans.gc.ca/eng/services/health/treatment-benefits/poc Veteran Affairs Canada. (2017). Treatment Benefits Retrieved 03/15, 2017, from http://www.veterans.gc.ca/eng/services/health/treatment-benefits War Amps. (2016a). Living With Amputation Retrieved 04/18, 2016, from http://www.waramps.ca/ways-we-help/living-with-amputation/#Aids War Amps (2016b). [Personal communication, 1-877-622-2472 (Sep 12, 2016)].

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APPENDIX 2: ALBERTA PROGRAMS

Table 2-A: Government of Alberta Programs Table 2-B: Alberta Government Legislated Insurance Programs Table 2-C: Alberta Legislation Governing Programs Table 2-D: Alberta Charitable Organization Programs Table 2-E: Alberta Other Resource Programs References

Table 2-A: Government of Alberta Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Health - Alberta Aids to Yes – Devices are . Back and abdominal Yes Resident with a valid Must be first assessed by Approved vendor list (Government of Alberta - Daily Living (AADL) funded, cost shared, supports Assessment Alberta Health Care an AADL authorized Health, 2016, 2017) some equipment is from. Bathing and toileting Insurance Plan card health care professional. Once assessed by an http://www.health.alberta.c pool (not new) equipment* Require assistance For some devices, you AADL Authorizer, clients a/services/aids-to-daily- . Custom-made footwear because of a long-term must use an AADL provided with list of up to 3 living.html Clients pay 25% of cost to. Custom-made ocular disability, chronic illness or preapproved vendor for AADL approved vendors maximum of $500 per prostheses terminal illness. assessment. from which to obtain year . Hearing aids and FM Long-term and chronic are medical equipment or systems defined as being six If clients are assessed by supplies. Cost share may be . Homecare beds and months or longer a specialty supplier, they exempt for those with low accessories will supply benefit. Maximum number of incomes, are temporarily . Orthotic braces (not foot Not eligible if receiving benefits available each in extraordinary orthotics) benefits from another year. AADL will review circumstances or for those Patient lifters government, or insurance requests for more than requiring hearing aid Pressure reduction program (if not available maximum number through overlays from other program AADL appeal. Seniors who receive Prosthetic devices may pay). Some benefits may be prosthetic, orthotic, Shoe elevations upgraded to more mastectomy prosthesis Specialized seating expensive item, but client and eye prosthesis devices responsible for paying benefits through AADL Speech generating additional amount

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APPENDIX 2: ALBERTA PROGRAMS

program receive these at communication devices (additional costs not no cost. Includes seniors Therapeutic shoes with included in $500 cost- who are currently custom modifications share maximum.) receiving these benefits as Transfer aids well as those who will be Walkers and walking aids applying. Wheelchair cushions and accessories Not eligible if receiving Wheelchairs – manual and benefits from another power government, or insurance program (if not available from other program AADL may pay). Alberta Aids to Daily Yes – Devices are Consumer Products Yes Blind, partially sighted and Low tech equipment - STEP Approved Product (Canadian National Living – Canadian funded, cost shared or Low tech and low vision deafblind Approved authorizer List with generic Institute for the Blind National Institute for the loaned (recycled where aids – e.g. large print Assessment and Valid Alberta Personal needs to assess/authorize categories, descriptions (CNIB), 2015, 2016) Blind Specialized able) phones, talking authorization Health Number (PHN) and price maximums and Technical Equipment calculators, talking blood Permanent resident Low vision aids – referral quantity/frequency limits Program (CNIB STEP) Clients pay 25% of cost to pressure monitors, braille (home, supportive living, from optometrist, maximum of $500 per watches and many other hospital, long term care) ophthalmologist or GP and Participants in Assistive Funded by AADL year items, magnifiers, loupes, Meet clinical eligibility evaluated by clinic with Technology - High Tech http://www.health.alberta.c monoculars, binoculars specific to equipment low vision specialist or equipment portion of a/documents/AADL- Cost share may be and other items. types CNIB clinic STEP permitted to apply Manual-CNIB-STEP.pdf exempt for those with low for 2 pieces of equipment incomes, are temporarily Assistive Technology Assistive tech – need to in five-benefit-year period in extraordinary High tech equipment – complete application form as long as requests are circumstances or for those e.g. CCTV’s, software, from Assistive Technology from different device requiring hearing aid (as GPS, Optical Character Specialist categories per AADL) Recognition equipment. Applicants may only apply Deafblind – need to for 1 piece of Assistive Not eligible if receiving Deafblind Products – e.g. submit application for Technology - High Tech benefits from another vibrating watches, large review committee equipment within benefit government, or insurance print or braille clocks with year program vibrators, alerting systems, FM systems and Replaced only if change in communication devices condition Human Services - Yes – Devices are AADL devices Yes Have disability As per AADL As per AADL (Government of Alberta - AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 14

APPENDIX 2: ALBERTA PROGRAMS

Assured Income for the funded, cost shared May also fund medical Funds equipment that substantially limits Disability Services, 2017; Severely Handicapped equipment not available maintenance for ability to earn living Government of Alberta - (AISH) Funds 25% remaining cost through AADL program or wheelchairs and scooters Disability is likely to Financial, 2017) from AADL program. other sources such as remain permanent https://www.alberta.ca/ais (Amount client has to pay private insurance or No training, rehabilitation h.aspx for AADL is waived) temporary equipment loan or medical treatment that programs will help to work enough to (Income support program) Equipment may include: earn living Arch supports and foot orthotics At least 18 years old and All other income benefits Canes and crutches not eligible to receive Old programs must have Hearing aid batteries Age Security pension previously been applied Splints and braces for Specialized clothing Live in Alberta and are adapted for a disability Canadian citizen or permanent resident

Not in correctional facility or some mental health facilities such as Alberta Hospital Edmonton

Meet financial eligibility criteria Human Services - Yes – Devices are Rental of specialized Yes There are criteria for both Individuals must first Change in technology or (Government of Alberta - Disability Related funded, cost-shared with software or technical clients as well as complete DRES software only where status Human Services, 2013, Employment Supports employer devices Installation, set-up, employer. Employability Assessment change occurs 2016a, 2016b) (DRES) training, upgrades and and have Service Plan. Max funding per individual Purchase of equipment: maintenance The client must have Specialized assessments Not eligible: http://www.humanservices is capped at $35,000 e.g. digital recorder, barrier to may be required from Computers, or non- .alberta.ca/AWonline/ETS/ electronic organizers, education/training or Medical Specialists, disability related 4345.html screen readers, Brailler, employment created by Vocational Rehabilitation equipment (e.g. printers), electronic dictionaries their disability Experts, Occupational technology related Resident of Alberta Therapists, Physical services (e.g. tech Purchase of disability 16 years or older Therapists, Vocational support) related software Canadian citizen, Evaluators, Audiologists, Hearing aids/vision wear permanent resident, or Ophthalmologists, Speech Devices must also not be

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refugee under Immigration and Language Therapists covered under other and Refugee Protection or Psychologists. programs. Act) Legally entitled to work and/or train in Canada

Must be able to work at least 15 h/week and receiving at least minimum wage

Volunteers and those in supported or sheltered work are ineligible. . Student Aid Alberta – . Yes – Devices are Equipment/Assistive Yes Proof of Permanent Must apply for student aid Learning related (Government of Alberta - Students with funded Technology: Disability - Schedule 4 in each study equipment Student Aid Alberta, 2017) Permanent Disabilities -. Electronic reading/writing Learning assessment fee Medical documents period/session if request Canada Student Grant . Up to $8,000 per loan year software identifying your permanent grant for assistive services for Services and Assistive software disability and how it and equipment Equipment for Students Digital recorder restricts ability to with Permanent Assistive devices for participate in post- Provide estimate of your Disabilities visually impaired secondary studies equipment costs Assistive devices for The documents may New estimates are http://studentaid.alberta.ca hearing include: medical letter, required each additional /applying-for- Alternate formats learning assessment, time you request funding funding/students-with- Other equipment document proving you are for equipment. permanent-disabilities/ (Schedule 4) in receipt of federal and/or provincial disability Submit receipts for assistance, for example, purchases of assistive Assured Income for the services and equipment Severely Handicapped before end of your study (AISH) period Seniors and Housing – Yes – Devices are . Lift chair — maximum Repairs to lift chair may 1. Enrolled in Alberta Seniors Must have applied to Not covered: (Government of Alberta - Special Needs funded, with limits $800 once. also be considered. Benefit program or submit Seniors Benefit program Hearing aid batteries Seniors and Housing, Assistance for Seniors . Seniors Financial or submit Seniors Medical equipment (for 2017) (SNA) Program Personal response service Installation fee for Assistance application Financial Assistance example, Broda chairs, — maximum $30 per personal response service2. 65 years of age or older application alarm mats) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 4 of 14

APPENDIX 2: ALBERTA PROGRAMS http://www.seniors- month monitoring fee and 3. Alberta resident Scooters housing.alberta.ca/seniors $80 installation. 4. Canadian citizen or have Then submit SNA claim /special-needs- been lawfully admitted to form Lift chairs not funded assistance.html Foot orthotics — Canada for permanent when senior lives in long- maximum $400 each pair residence term care facility (maximum two pairs 5. Not have voluntarily funded per lifetime) deferred receipt of Old Foot orthotics – must be Age Security custom Single senior with total annual income of $26,965 Senior’s or senior couple’s or less, or senior couple total annual income, with total combined annual residence and marital income of $43,785 or less, status, and items may be eligible to receive requested are used to assistance. determine amount funded. Maximum assistance available is $5,000 in benefit year.

Table 2-B: Alberta Government Legislated Insurance Programs

Government of Alberta – Yes – Primarily fully Artificial limbs Yes Must be an injury or illness Assessment and quotes There is an authorized (Workers' Compensation Workers’ Compensation funded Braces Maintenance, repair, acquired while working in are preferred from health vendor list however clients Board Alberta, 2015, Board (WCB) – Alberta Crutches/Canes assessment, batteries, Alberta care provider at WCB can also go to any 2016b, 2017) Full amount of devices are Hearing aids and other and refitting of hearing centre however client can vendors. https://www.wcb.ab.ca/ covered with exception of aids aids go to any regulated health (Workers' Compensation hearing aids where there Prosthetics care provider. Board Alberta, 2016a) is cap of $1,385 per aid. Orthotic alteration of Chiropractic/Physical Assessment form from Note: Only offered basic Vendor quotes may be footwear therapy service provider must be information needed. Vocational rehabilitation completed and approved Wheelchairs services prior to being supplied equipment.

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Table 2-C: Alberta Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Health - Alberta Aids to Daily Living (AADL) Ministry of Health Public Health Act, RSA 2000, c P-37 http://www.health.alberta.ca/services/aids-to-daily- Alberta Aids to Daily Living and Extended Health Benefits Regulation, Alta Reg 236/1985 , (Public Health Act) living.html Alberta Aids to Daily Living – Canadian National Ministry of Health Public Health Act, RSA 2000, c P-37 Institute for the Blind Specialized Technical Alberta Aids to Daily Living and Extended Health Benefits Regulation, Alta Reg 236/1985 , (Public Health Act) Equipment Program (CNIB STEP) Funded by AADL http://www.health.alberta.ca/documents/AADL-Manual- CNIB-STEP.pdf Human Services -Assured Income for the Severely Ministry of Community and Social Services Assured Income for the Severely Handicapped Act, SA 2006, c A-45.1 Handicapped (AISH) Assured Income for the Severely Handicapped General Regulation, Alta Reg 91/2007 , (Assured Income for the https://www.alberta.ca/aish.aspx Severely Handicapped Act)

Human Services -Disability Related Employment Ministry of Community and Social Services Income and Employment Supports Act, SA 2003, c I-0.5 Supports (DRES) Disability-Related Employment Supports and Services Regulation, Alta Reg 117/2011 , (Income and Employment http://www.humanservices.alberta.ca/AWonline/ETS/4 Supports Act) 345.html

. Student Aid Alberta – Students with Permanent Ministry of Advanced Education . Student Financial Assistance Act, SA 2002, c S-20.5 Disabilities - Canada Student Grant for Services Student Financial Assistance Regulation, Alta Reg 298/2002 and Equipment for Students with Permanent Disabilities Canada Student Financial Assistance Act, SC 1994, c 28 http://studentaid.alberta.ca/applying-for- . funding/students-with-permanent-disabilities/

Seniors and Housing – Special Needs Assistance Ministry of Seniors and Housing Unable to identify for Seniors (SNA) Program http://www.seniors-housing.alberta.ca/seniors/special- needs-assistance.html Government of Alberta – Workers’ Compensation Ministry of Labour Workers' Compensation Act, RSA 2000, c W-15 Board (WCB) – Alberta Workers' Compensation Regulation, Alta Reg 325/2002 , (Workers' Compensation Act) https://www.wcb.ab.ca/

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Table 2-D: Alberta Charitable Organization Programs

(Reg. charity)

Alberta Aids to Daily See government program Living – Canadian for details. National Institute for the Blind Specialized Technical Equipment Program (CNIB STEP)

Funded by AADL http://www.health.alberta.c a/documents/AADL- Manual-CNIB-STEP.pdf

Canadian National See above. Books available in braille Assessments and Canadian National Institute for the Blind and DAISY formats recommendations, Institutes for the Blind - AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 14

APPENDIX 2: ALBERTA PROGRAMS

(CNIB) –– Vision Loss . education about Alberta, 2017) Rehabilitation (operated Online and audio technologies; advice on by CNIB) magazines. financial supports Alberta Connect clients to the (Reg. charity) Specialized Technical Equipment Program https://ab.visionlossrehab. (STEP) ca/en/patients- families/pages/services.as px (service providers who Support access to STEP program)

Vision Loss Rehabilitation Alberta is operated by CNIB and funded by donations and partially funded by the Government of Alberta

Spinal Cord Injury No Available devices change Yes Must be person with spinal N/A No (Spinal Cord Injury Alberta constantly as they are Assistive devices buy and cord injury Alberta) listed by users on forum sell community forum http://sci-ab.ca/classifieds

(Reg. charity)

Multiple Sclerosis Yes - purchase, repair Bath aids (bath lifts, bath delivery, pick up, cleaning, Diagnosis of MS from Assessment or letter of Last resort funding, (Multiple Sclerosis Society Society of Canada – and/or permanent loan chairs, bath bench, safety check, repairs, physician or MS Clinic, support from an meaning all other potential of Canada - Alberta and Quality of Life Grants handheld showers), batteries and tires Residence within the appropriate provider must funding sources must be Northwest Territories Alberta/Northwest The maximum amount Bracing & supports regional/chapter/division be included, for example fully explored Division, 2017a, 2017b) Territories available per person is (orthotics, leg braces & catchment area, and Occupational Therapist, $1,000.00. splints), Broda chairs, declaration of financial Physician, or https://mssociety.ca/supp CEP Computer Lease need Physiotherapist ort-services/programs- Two or more price quotes Commodes, Computer AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 14

APPENDIX 2: ALBERTA PROGRAMS and-services/financial- for the good or services with adaptations, Electric assistance are needed hospital beds and mattresses, (Reg. charity) Environmental controls, Hearing Aids (MS specific), Floor to ceiling transfer poles, Grab bars, Home accessibility (porch lifts, automatic door openers, stair glides, ramps), Kitchen aids (auto feeder, microwave, utensils), Lift chairs o Lift systems (ramp installations or repairs). Manual wheelchairs (tilt &non-tilt), Power wheelchairs (tilt & non-tilt), Prescribed orthopedic shoe/boot, Raised toilet seats, toilet safety frame & versa frames, Scooters (3 or 4 wheel) Transfer disk, belt or board, Trapeze bar Muscular Dystrophy Yes – Cost sharing Access: door opener, stair Repair and modifications, Must be a registered client A signed equipment Funding approvals are (Muscular Dystrophy Canada - Equipment lift, ramp batteries, mattress of Muscular Dystrophy prescription from the valid for 6 months Canada, 2017b) Program- Maximum per Bathroom equipment: replacement Canada appropriate licensed Western Canada item: $3,000 Commode/toileting health care professional (BC, Alberta, Manitoba, device, Bathing/shower (To register, you must have such as: an occupational Saskatchewan) Client minimum device, others a confirmed diagnosis of therapist, physiotherapist, contribution: $200 Beds and mattresses: a neuromuscular disorder respiratory therapist, (Reg. charity) Hospital bed – manual under the Muscular orthotist, physiatrist or Equipment costing less and electric, specialized Dystrophy umbrella, signed podiatrist than $200 will not be mattress, T-foam mattress by a physician or a health eligible for funding and alternative pressure professional. You must be Approval or denial letter mattress (eligible for a Canadian citizen, landed from insurance company Short term rentals replacement funding after immigrant, or refugee (if applicable) Is needed AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 9 of 14

APPENDIX 2: ALBERTA PROGRAMS

1 year) resident in Canada) Quotes from 2 different Lifts: Hydraulic lifting equipment vendors device and sling, Transfer needed aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Yes Life Line Services. Equipment repair For the local chapters of Prescription/letter from a (Muscular Dystrophy Canada – Community maximum funding amount Adaptive Technologies/ South Okanagan, Greater professional including Canada, 2017a) Services Fund- of $1,000 per item Environmental Control Vancouver , Central Physician/ Occupational Western Canada Units Alberta, and Southern Therapist/Physiotherapist (BC, Alberta, Manitoba – Manitoba outlining medical various local chapters necessity only, note: no local Must be a registered client chapter provides this in of Muscular Dystrophy Approval or denial letter Saskatchewan) Canada and a member of a from insurance company Muscular Dystrophy (if applicable) is needed (Reg. charity) Canada Chapter Quotes from 2 different (To register, you must have equipment vendors for the a confirmed diagnosis of requested item a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada) Cerebral Palsy Yes – Devices may be Funding priorities – No Must be a resident of Applications must be No (Cerebral Palsy Association in Alberta funded fully or cost- For basic needs Alberta with cerebral palsy accompanied by a signed Association in Alberta, (CPAA) shared Mobility and /or adaptive Must be a member of letter from a registered 2015, 2016a, 2016b) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 10 of 14

APPENDIX 2: ALBERTA PROGRAMS

equipment CPAA for at least three health care professional http://www.cpalberta.com/ Three price quotes from Bikes (capped at $700) months prior to applying with the applicant’s programs- different vendors are Computers (capped at diagnosis of cerebral services/funding-requests/ needed. Payments are $500 if not eligible for palsy, the applicant’s made directly to the FSCD or $300 if eligible need for the device, and (Reg. charity) vendor. Approvals are for FSCD) how it will improve the valid for 6 months. applicant’s quality of life. Applicants must apply to other funding programs If purchase completed, such as AADL before receipts in full must be applying for funding provided to CPAA for all through CPAA. equipment, service(s), program(s), and/or item(s).

Payment will be made directly to vendor upon receiving an invoice or to our member upon proof of purchase Campbell McLaurin Yes -Devices are fully Hearing aids and alerting No Must have been a resident An assessment and No (Burns Memorial Fund, Foundation – Burns funded or cost shared. devices. of Southern Alberta for at hearing test is required 2016a, 2016b) Memorial Fund least one year and be able from a Clinical to demonstrate that Audiologist. If it’s an http://www.burnsfund.com personal or government individual’s first hearing /programs/campbell- funds are inadequate. aid then a letter from a mclaurin- physician giving clearance foundation/#about for hearing amplification is required. (Reg. charity)

Red Cross Alberta – Yes – Devices are heelchairs, walkers, bath Referred by health care (Red Cross Alberta, 2017) Health Equipment Loan loaned, short term seats, benches, professional Program (HELP) – Short commodes and toilet Term Loan Program seats, crutches and canes, bed handles and http://www.redcross.ca/in- other durable medical AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 11 of 14

APPENDIX 2: ALBERTA PROGRAMS your- equipment community/alberta/health- equipment-loans/short- term-loan-program

(Reg. charity)

Easter Seals Alberta Yes Specialized mobility and People with disabilities and (Easter Seals Alberta, adaptive equipment; medical conditions 2016, 2017) http://easterseals.ab.ca/sit power wheelchairs, e/OurPrograms/Equipmen scooters, hospital beds, tAndSupportServices.asp lift assist chairs, porch x lifts, stair lifts, and other specialized equipment (Reg. charity)

Table 2-E: Alberta Other Resource Programs

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Augmentative No Communication devices Yes Client must have needs Any health care provider N/A (Alberta Health Services, Communication and and environmental Assessment, help with that cannot be met by or family member can 2016b) Educational Technology controls applying for funding of primary therapy team or refer with support from a Service other programs, another agency. Must primary consulting consultation, training, and have clear communication speech-language follow-up goals, be interested in the pathologist or an service and have occupational therapist. appropriate level or arousal The centre’s team of and alertness. specialists provide the service Deaf and Hear Alberta No N/A Yes N/A N/A N/A (Deaf and Hear Alberta, Product catalogue 2016) http://deafandhearalberta. specifically for the needs ca/ of those deaf or hard of hearing

References

Alberta Health Services. (2016a). Assistive Technology Service Adult Retrieved 06/10, 2016, from http://www.albertahealthservices.ca/info/service.aspx?id=1067019 Alberta Health Services. (2016b). Augmentative Communication and Educational Technology Service (ACETS) Retrieved 06/13, 2016, from http://www.albertahealthservices.ca/info/service.aspx?id=1063661 ALS Society of Alberta. (2016). Equipment Loan Program Retrieved 05/18, 2016, from http://www.alsab.ca/equipment-loan-program/ Burns Memorial Fund. (2016a). Campbell McLaurin Foundation Retrieved 06/09, 2016, from http://www.burnsfund.com/programs/campbell-mclaurin-foundation/#about Burns Memorial Fund. (2016b). Campbell McLaurin Foundation Application Retrieved 06/09, 2016, from http://www.burnsfund.com/wp-content/uploads/2016/05/CampbellMcLaurinFoundation_Application.pdf Canadian National Institute for the Blind (CNIB). (2015). CNIB Specialized Technical Equipment Program - Approved Product List Retrieved Feb 23, 2017, from http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP- Products.pdf Canadian National Institute for the Blind (CNIB). (2016). CNIB Specialized Technical Equipment Program - Program Manual Retrieved Feb 23, 2017, from http://www.health.alberta.ca/documents/AADL-Manual-CNIB-STEP.pdf Canadian National Institutes for the Blind - Alberta. (2017). Alberta Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/alberta/programs-services/Pages/default.aspx Cerebral Palsy Association in Alberta. (2015). Grant Criteria Adults Retrieved 06/02, 2016, from http://www.cerebralpalsy.mb.ca/downloads/grant-criteria-adults-201509.pdf Cerebral Palsy Association in Alberta. (2016a). Funding Request Application Package Retrieved Feb 23, 2017, from http://www.cpalberta.com/wp-content/uploads/2016/07/CPAA-Funding-Request-Application-Package-2016.pdf Cerebral Palsy Association in Alberta. (2016b). Funding requests Retrieved 06/09, 2016, from http://www.cpalberta.com/programs-services/funding-requests/

AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 14

APPENDIX 2: ALBERTA PROGRAMS

Easter Seals Alberta. (2016). Equipment And Support Services - How To Apply Retrieved 06/09, 2016, from http://www.easterseals.ab.ca/Site/OurPrograms/EquipmentAndSupportServices/HowToApply.aspx Easter Seals Alberta. (2017). Equipment and Support Services Retrieved Feb 23, 2017, from http://easterseals.ab.ca/site/OurPrograms/EquipmentAndSupportServices.aspx Government of Alberta - Disability Services. (2017). AISH - AISH Program Policy Retrieved Feb 23, 2017, from http://www.humanservices.alberta.ca/AWonline/AISH/7180.html Government of Alberta - Financial, F. a. S. S. (2017). Assured Income for the Severely Handicapped (AISH) Retrieved Feb 23, 2017, from https://www.alberta.ca/aish.aspx Government of Alberta - Health. (2016). Alberta Aids to Daily Living Retrieved 05/03, 2016, from http://www.health.alberta.ca/services/aids-to-daily-living.html Government of Alberta - Health. (2017). Program Manual - Alberta Aids to Daily Living Retrieved Feb 23, 2017, from http://www.health.alberta.ca/services/AADL-program-manual.html Government of Alberta - Human Services. (2013). Application DRES - Appendix #4 Eligible and Ineligible Assistive Services and Assistive Technology Retrieved 06/09, 2016, from http://www.humanservices.alberta.ca/AWonline/documents/App4-DRES.pdf Government of Alberta - Human Services. (2016a). Disability Related Employment Supports Retrieved 06/09, 2016, from http://www.humanservices.alberta.ca/working-in-alberta/3159.html Government of Alberta - Human Services. (2016b). Disability Related Employment Supports (DRES) Retrieved 06/09, 2016, from http://www.humanservices.alberta.ca/AWonline/ETS/4345.html#at Government of Alberta - Seniors and Housing. (2017). Special Needs Assistance for Seniors (SNA) Program Retrieved Feb 23, 2017, from http://www.seniors-housing.alberta.ca/seniors/special-needs-assistance.html Government of Alberta - Student Aid Alberta. (2017). Students with Permanent Disabilities Retrieved Feb 23, 2017, from http://studentaid.alberta.ca/applying-for-funding/students-with-permanent-disabilities/ I Can Centre for Assistive Technology (2016). [Personal communication, 780-735-6070 (June 10, 2016)]. Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017a). Programs and Services Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/123/quality-of-life-grants- equipment-ab-nwt-division Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017b). Quality of Life - Equipment Community Fund Retrieved Jun, 2017, from https://mssociety.ca/library/document/0rIeG2HSRgTDO6ZBqthY5n7M8CUWc4as/original.pdf Muscular Dystrophy Canada. (2017a). Community Services Fund: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services- fund-western-canada/ Muscular Dystrophy Canada. (2017b). Equipment Program: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-western-canada/ Red Cross Alberta. (2017). Health Equipment Loan Program - Short Term Loan Program Retrieved Feb 23, 2017, from http://www.redcross.ca/in-your-community/alberta/health-equipment-loans/short-term-loan-program Spinal Cord Injury Alberta. Classifieds Retrieved 05/17, 2016, from http://sci-ab.ca/classifieds Workers' Compensation Board Alberta. (2015). WCB-Alberta Worker Handbook Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/assets/pdfs/workers/WCB-003_Worker_Handbook.pdf Workers' Compensation Board Alberta (2016a). [Personal communication, 1-800-661-9608 (April 27-29, 2016)]. Workers' Compensation Board Alberta. (2016b). Worker Fact Sheet - Wheelchair costs Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/assets/pdfs/workers/WFS_Wheelchairs.pdf Workers' Compensation Board Alberta. (2017). Workers' Compensation Board Alberta Retrieved Feb 23, 2017, from https://www.wcb.ab.ca/ AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 14

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Table 3-A: Government of British Columbia Programs Table 3-B: British Columbia Government Legislated Insurance Programs Table 3-C: British Columbia Legislation Governing Programs Table 3-D: British Columbia Charitable Organization Programs Table 3-E: British Columbia Other Resource Programs References

Table 3-A: Government of British Columbia Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Ministry of Social Yes - Devices are either Only these items: Yes Devices for medically Item must be prescribed Yes, there is a list of types (Ministry of Social Development and Social fully funded or co-pay May consider essential needs are by medical of accepted devices. Development and Social Innovation BC - Canes, crutches, walkers repairing or replacing due available to clients who practitioner or nurse Innovation, 2016a, 2016d, Employment and Ministry is payer of last Manual and power to equipment being are eligible for general practitioner and/or medical Least expensive, 2017) Assistance (BCEA) – resort wheelchairs, wheelchair damaged, worn out, or not health supplements. need confirmed by appropriate devices may Medical Equipment and seating systems, scooters functioning, specific assessment of relevant be provided to specific Devices For income Toileting, transfers, and criteria apply Health supplements – therapist (occupational, recipients to assist with assistance and disability positioning aids Disability assistance physical therapist) medically essential need http://www2.gov.bc.ca/gov assistance clients, other Hospital beds and related (Unless under warranty, determine on case by (In practice this ‘least /content/governments/poli resources may include items, pressure relief may fund repairs. If power case basis, Request must be pre- expensive clause’ can cies-for-government/bcea- other government mattresses wheelchair or scooter approved by ministry prior lead to items that are policy-and-procedure- programs or funding Floor or ceiling lift devices batteries require Financial eligibility to to purchase; except if appropriate not being manual/health- sources (e.g., Fair replacement after receive assistance (some life-threatening emergency approved and items that supplements-and- PharmaCare, Health warranty expires, assets are exempt) are not appropriate being programs/medical- Authorities, ICBC, contracted service 18 years old approved instead) equipment-and-devices WorkSafeBC, Veterans providers are not to Have severe physical or There are general criteria Affairs Canada), private charge over $450.00.) mental impairment for devices and specific insurance, publicly Replacement time period expected to continue for criteria for eligibility for subsidized residential care does not apply when item more than two years each type of device, and facilities (when it is the is required due to changes Significantly restricted in justification for needs and client’s place of in condition ability to perform daily- special features/items are AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 1 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

residence). living activities required. E.g. guidelines Contracted vendors: Require assistance with for determining medical Co-funding may be Assessment (fitting and daily living activities from necessity for mobility considered when other trial equipment), delivery, person, device, or animal devices to achieve basic resources cannot pay the set up, training, servicing needs, these are entire cost (e.g. insurance) (e.g. with wheelchairs), For direct and imminent evaluated on a case by Must have no resources maintenance, loaners life-threatening health case basis available from the family provided until equipment need must meet eligibility unit for equipment arrives and during repairs, criteria for Life- Do not fund e.g. walking $450.00 maximum Threatening Health Needs poles, strollers, high charge for replacement before being assessed performance wheelchair power wheelchair or eligibility for medical for recreational or sports scooter batteries. equipment and devices use, scooters intended primarily for recreational Clients living in facilities or sports use, automatic funded by Ministry of turning beds, containment Health are not eligible for type beds, ventilators, lift medical equipment from chairs Social Dev and Soc Innovation. There is also list of contracted medical equipment service providers.

Ministry of Social Yes Hearing instruments Yes Must be eligible for Through regional health Hearing instruments are (Ministry of Social Development and Social General Health authority or through least expensive and Development and Social Innovation BC - Payer of last resort Some services, such as Supplements private service providers appropriate Innovation, 2016b) Employment and repairs and battery Hearing impaired parent of Assistance (BCEA) - For income replacements a dependent child If health authority hearing Medical Equipment – assistance and disability Recipient involved in instrument services are Hearing Instruments assistance clients, other ministry-approved training unavailable, recipient may resources e.g. or who, in opinion of access local hearing http://www2.gov.bc.ca/gov other government Supervisor, requires instrument service /content/governments/poli programs (e.g., instrument to obtain provider who is audiologist cies-for-government/bcea- PharmaCare, Health employment and where or hearing instrument policy-and-procedure- Authorities, ICBC, failure to provide practitioner registered with manual/health- WorkSafeBC, Veterans represents a direct barrier the College of Speech and AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS supplements-and- Affairs Canada), private to employment Hearing Health programs/medical- insurance Recipient who is both Professionals of BC. equipment-hearing- registered with Canadian instruments Co-funding may be National Institute for Blind Do not require referral considered (CNIB) and is hearing from their medical impaired practitioner to obtain No resources available to Person with hearing hearing services from family unit to pay impairment who is sole private service provider. homemaking support for adult who has cognitive Audiologist or hearing impairment instrument practitioner registered with College of Speech and Hearing Health Professionals of BC assessment confirms need and prescribes hearing instrument

Purchase of hearing instrument must be preapproved

Client’s hearing instrument service provider contact Pacific Blue Cross to determining eligibility PBC advises provider what supporting documentation is required. PBC makes a final decision Ministry of Social Yes Orthoses are items that Yes Must be eligible for Least expensive, Does not fund: (Ministry of Social Development and Social are applied externally to general health appropriate orthoses may Prosthetic and related Development and Social Innovation BC - Payer of last resort the limb or body to provide May consider supplements. be provided to eligible supplies Innovation, 2016c) Employment and For income support, protection or repairing or replacing due clients to meet medically Plaster or fibreglass cast Assistance (BCEA) - assistance and disability replacement of lost to damaged, worn out, or Clients living in Ministry of essential need. Hernia support Medical Equipment – assistance clients, other function not functioning. Health funded residential Abdominal support AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Orthoses resources e.g. care facilities may also be Item must be prescribed Walking boot for a fracture other government Only funds: Repairs, including considered. by medical http://www2.gov.bc.ca/gov programs (e.g., Custom-made foot orthotic modifications, should be practitioner or nurse /content/governments/poli PharmaCare, Health Off-the-shelf foot orthotic completed by appropriate If require medical practitioner cies-for-government/bcea- Authorities, ICBC, Custom-made footwear professional, e.g. person equipment for direct and policy-and-procedure- WorkSafeBC, Veterans Off-the-shelf orthopaedic professional who fitted imminent life-threatening Guidelines assist ministry manual/health- Affairs Canada), private footwear orthosis health need must meet staff when reviewing supplements-and- insurance Off-the-shelf footwear eligibility criteria for Life- information provided by programs/medical- Permanent modification to Replacement time period Threatening Health Needs client’s medical equipment-orthoses Co-funding may be footwear does not apply when item practitioner or nurse considered Ankle brace is required due to changes Item must meet general practitioner and, when Ankle-foot orthosis condition criteria and specific required, information from No resources available to Knee-ankle-foot orthosis criteria. an orthotist, pedorthist, family unit to pay Knee brace only one orthosis per part podiatrist, occupational Hip brace of body may be therapist or physical Upper extremity brace considered therapist Cranial helmet one “resting” orthosis may Torso or spine brace also be considered for Request must be pre- Foot abduction orthosis each part of body approved prior to Toe orthosis purchase; except in cases Orthosis accessories and Item is required for one or of life-threatening supplies more of following emergency purposes: to prevent surgery Criteria for under $100, for post-surgical care over $100, custom to assist in physical healing from surgery, injury or disease to improve physical functioning that has been impaired by a neuro- musculo-skeletal condition

Guidelines to determine if orthoses are medically essential to achieve or maintain basic

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

functionality.

Ministry of Health - Yes – Amount funded Prosthetics Yes Must be covered by one of (A physician fills out the List of items that may be (Ministry of Health, 2016a, Pharmacare – Medical varies PharmaCare plans: prescription, and then a covered, need pre- 2016c) Supplies Prosthetics (note: orthotics are only Repairs and replacements Fair PharmaCare detailed request for approval (BC Ministry of Health and Orthotics (orthotics Amounts covered and available for those 18 Plan B (Residential Care) approval is submitted to Services, 2009) only for 18 and younger) deductibles depends on years and younger) Program covers repairs Plan C (B.C. Income PharmaCare by the Not covered: (Pharmacare British type of plan and income of and replacements if not Assistance) prosthetist.) Back-up devices or Columbia, 2016) http://www2.gov.bc.ca/gov applicant covered by a warranty; Plan F (At Home Program) replacement of lost or /content/health/health- Coverage depends on help attain or maintain After health care provider stolen items drug- PharmaCare plan, basic functionality, extend determines what is coverage/pharmacare-for- including deductible useful life of device, and, needed, send claim to Lowest cost devices bc-residents/what-we- requirement covered by PharmaCare PharmaCare for service or needed to attain or cover/medical-supplies- when was bought supplies under $400 maintain basic coverage/prostheses-and- Must not be covered by functionality orthoses another insurer such as Need PharmaCare’s pre- ICBC, WorkSafeBC, approval for all services or http://www2.gov.bc.ca/ass Veterans Affairs Canada, supplies over $400 ets/gov/health/health- Health Canada’s Non- Prosthetic or orthotic drug- Insured Health Benefits health care provider will coverage/pharmacare/p_o Program, similar programs submit Application for genstmt.pdf from other provinces or Financial Assistance to jurisdictions, or under PharmaCare if claim is award for damages. $400 or over.

Ministry of Health - Yes - Devices are fully Supplies and equipment Yes (have life expectancy of Physician or nurse Yes there is an approved (Ministry of Health, 2016b) Home and Community funded for palliative care, e.g. : up to 6 months, wish to practitioner assess list of equipment Care Services – Walkers Local health authority— receive palliative care at eligibility for benefits Palliative Care Benefits If no longer qualify may Wheelchairs Assessment, need for home and, consents to the Submits registration form Program need to purchase supplies Mechanical lifts, supplies and equipment is focus of care being) to Home and Community and equipment Commode assessed at least monthly primarily palliative rather Care office of local health http://www2.gov.bc.ca/gov Bathing aid than treatment aimed at a authority /content/health/accessing- Hospital beds cure. health-care/home- community-care/care- B.C. residents of any age options-and-cost/end-of- End stage of life-

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS life-care threatening illness and want to receive medically- http://www2.gov.bc.ca/ass appropriate palliative care ets/gov/health/health- at home drug- coverage/pharmacare/palli Not in licensed residential ative-patientinfo.pdf care facility covered under PharmaCare Plan

Ministry of Justice – Yes – Devices are either Replacement of damaged No Must be a victim of a A CVAP specific No (Crime Victims Victim Services and fully funded or cost or destroyed disability aids violent crime inside British consultant must set up Association Program Crime Prevention shared Disability aids and related Columbia and be referrals with appropriate (CVAP), 2016a, 2016b) Division- Crime Victim disability expenses or physically or health professionals. Assistance Program services psychologically injured as (CVAP) Need to make claims for a result Three quotes are needed services or expenses e.g. per device. There is no http://www2.gov.bc.ca/gov covered by other sources Mobility aids Applicants must submit maximum per claim. /content/justice/criminal- first e.g. health insurance Communication aids application within one year justice/bcs-criminal- plan, if there are Vision aids of incident (with some justice-system/if-you-are- additional, eligible costs Prosthetics and orthotics exceptions) a-victim-of-a-crime/victim- not covered by other of-crime/financial- sources, Crime Victim assistance-benefits Assistance Program can provide reimbursement

First Nations Health Yes – Devices are fully Audiology (Hearing Aids Yes Registered 'Indian' Prescription needed from Yes, each item has a (First Nations Health Authority (FNHA) – funded and Supplies) according to Indian Act or authorized prescriber (e.g. unique benefit code. Authority (FNHA), 2016, Health Benefits Bathing and Toileting Aids Delivery, maintenance and infant (up to one-year old) physician or nurse FNHA Health Benefits 2017) Item must not be Cushions and Protectors repair of eligible parent practitioner) program Medical Supplies http://www.fnha.ca/benefit available through other Environmental Aids Assessment by health & Equipment List s/medical-supplies-and- federal, provincial, or other (Dressing and Feeding) Resident of British professional equipment third party plans Lifting and Transfer Aids Columbia within meaning Take assessment to There are approved Low Vision Aids of Medical Service Plan recognized provider, providers. Benefits are delivered Miscellaneous Supplies (Canadian citizen, provider completes and through the federal and Equipment permanent resident, forwards prescription to Not funded: government’s NIHB Mobility Aids (Walking present in BC at least 6 FNHA program for prior Assistive listening devices

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

program and funded Aids, Wheelchairs) months) approval, who determines (excluding eligible hearing through a buy back option. Orthotics and Custom eligibility aids) Benefits are fully paid as Footwear Not be funded or insured Assistive speech devices under NIHB program. Pressure Garments and under any other benefit (i.e., keyboard speech Pressure Orthotics system or benefit plans systems, speech (Compression Device and provided by enhancers) Scar Management) Federal legislation, a Cochlear implants Prosthetic Benefits federal policy or under Electric/myoelectric limb (Breast, Eye, Limbs) agreements entered into prosthetics by Canada, and/or Exercise devices A First Nations Experimental equipment Organization pursuant to Foot products self-government manufactured only from agreements, land claim laser or optical scanning agreements, contribution or computerized gait and arrangements or internal pressure analysis systems policies or plans Grab bars permanently fixed (language slightly different Hospital beds and in two references) mattresses Items used exclusively for sports, work or education Orthopedic footwear (i.e. "off the shelf") Scooters Short-term compression stockings/ garments (i.e. post-operative: surgical stripping, sclerotherapy, and edema conditions) Temporary prosthetics required as part of a surgical procedure

Canada Student Grant Yes Technical aids No Have a permanent Verification of permanent (Student Aid BC, 2017b, for Services and Non-repayable disability disability - Completed by a 2017c) Equipment for Students grant of up to $8,000 per as defined by Canada qualified medical assessor AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS with Permanent program year for the Student Loan Program (i.e., physician, Disabilities (CSGP- purchase of equipment psychologist, etc.) in SEPD) Demonstrate financial Canada within 3 years, Up to $8,000 per loan year need through must indicate the daily Ministry of Advanced StudentAid BC application impact on your ability to Education - Student Aid for full-time or part-time participate fully in your British Columbia studies studies

Joint program with Not be in default of a Learning Disability provincial government) Canada student loan documentation – a copy of a current psycho- https://studentaidbc.ca Not be ineligible for a educational assessment – /explore/grants- Canada or BC student psycho-educational scholarships/canada- loan due to previous assessment must be less student-grant- declaration of bankruptcy than three years old services-and- A copy of your registration equipment-students- Not have outstanding form for your current permanent receipts or any course(s) applicable to the unaccounted CSGP- permanent disability (Note: equipment requests SEPD or APSD funds program funding you are administered by Assistive requesting. Technology BC - ATBC) Enrolled in full- time or part-time studies at designated postsecondary institution

Have exceptional education related costs for services or equipment due to permanent disability

Ministry of Advanced Yes Technical aids (same as No Student with a permanent Apply through disability Only receive this grant (Student Aid BC, Education - Student Aid Canada program?) disability services office in B.C. when funds used up 2017b, 2017c) British Columbia - Depending on need, public post-secondary through Canada student Assistance program for grants of up to Enrolled in public or institutions grant for services and students with permanent $10,000 ($12,000 if an private post-secondary Or StudentAid BC for B.C. equipment for persons disabilities (APSD) attendant is required at institution in B.C. private post-secondary with permanent AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

school) institutions disabilities (CSGP-SEPD) https://studentaidbc.ca/ex Demonstrate financial plore/grants- need through the Shared application with scholarships/assistance- StudentAid BC application Canada Student Grant program-students- for full-time or part-time for Services and permanent-disabilities studies Equipment for Students with Permanent Not be in default of a BC Disabilities (CSGP-SEPD) student loan to be eligible

Not have outstanding receipts or any unaccounted CSGP- SEPD or APSD funds

Ministry of Advanced No Yes – Learning disability For applicants to the Original receipt confirming (Student Aid BC, Education - Student Aid assessments Canada Student Grant payment 2017a) British Columbia - for Services and Copy of current psycho- Learning Disability Equipment for Students educational assessment Assessment Bursary with Permanent must be attached. Disabilities (CSGP-SEPD) Psycho-educational https://studentaidbc.ca assessment must be less /explore/grants- than six months old, and scholarships/learning- must clearly identify disability-assessment- a learning disability bursary Shared application with Canada Student Grant for Services and Equipment for Students with Permanent Disabilities (CSGP-SEPD)

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Table 3-B: British Columbia Government Legislated Insurance Programs

Insurance Corporation Yes – Devices are fully Varies per claim Yes Basic auto insurance is Approval is through ICBC No (Insurance Corporation of of British Columbia funded Assessment mandatory in British adjusters and ICBC British Columbia (ICBC), (ICBC) The total amount covered Columbia. Clients can by rehabilitation coordinators. 2016a, 2016b, 2016c) by basic insurance optional extra protection. http://www2.gov.bc.ca/gov coverage for all medical Coverage is only available Note: For personal /content/home/services-a- expenses, including all for accidents within the communication – only z/collection-of-a- care services and United States and basic information from z/insurance-corporation- equipment (including Canada. reception, transferred of-bc assistive devices) is twice to another maximum $150,000 over department, would not http://www.icbc.com/Page the lifetime of the answer questions. s/default.aspx individual.

*Automobilie insurance, for profit Crown corporation Worksafe British Yes – Devices are fully Prosthetics and orthotics Yes Work related injury or The decision making There is an approved (WorkSafeBC, 2016a, Columbia – Health Care funded Mobility aids Assessment, repair and illness in BC power lies with the board vendor list, and each 2016b) Benefits Devices are supplied Hearing devices maintenance. of WorkSafe BC. device has a fee code either on a temporary or Vision aids Replacement is offered Qualified healthcare https://www.worksafebc.co permanent basis Hospital beds and when appropriate and not professionals act as m/en/claims/benefits- mattresses due to misuse. advisors. services/health-care- Bathroom aids benefits Safety aids

*Funded by employers

Table 3-C: British Columbia Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Employment and Assistance (BCEA) – Ministry of Social Development and Social Innovation Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41 Medical Equipment and Devices AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 10 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS http://www2.gov.bc.ca/gov/content/governments/policie Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and s-for-government/bcea-policy-and-procedure- Assistance for Persons with Disabilities Act) manual/health-supplements-and-programs/medical- equipment-and-devices

Employment and Assistance (BCEA) - Medical Ministries of Social Development and Social Innovation Employment and Assistance Act, SBC 2002, c 40 Equipment – Hearing Instruments AND Children and Family Development http://www2.gov.bc.ca/gov/content/governments/policie Employment and Assistance Regulations, BC Reg 263/2002 s-for-government/bcea-policy-and-procedure- http://www.bclaws.ca/civix/document/id/complete/statreg/263_2002 manual/health-supplements-and-programs/medical- equipment-hearing-instruments

Employment and Assistance (BCEA) - Medical Ministry of Social Development and Social Innovation BC Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41 Equipment – Orthoses http://www2.gov.bc.ca/gov/content/governments/policie Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and s-for-government/bcea-policy-and-procedure- Assistance for Persons with Disabilities Act) manual/health-supplements-and-programs/medical- equipment-orthoses

Pharmacare – Medical Supplies Prosthetics and Ministries of Health AND Finance, Health Insurance BC Medicare Protection Act, RSBC 1996, c 286 Orthotics (orthotics only for 18 and younger) administers the Ministry of Health's PharmaCare program http://www2.gov.bc.ca/gov/content/health/health-drug- on behalf of the Medical Beneficiary & Pharmaceutical Medical and Health Care Services Regulation, BC Reg 426/97 , (Medicare Protection Act) coverage/pharmacare-for-bc-residents/what-we- Services Division cover/medical-supplies-coverage/prostheses-and- orthoses

Home and Community Care Services – Palliative Ministries of Health AND Finance Medicare Protection Act, RSBC 1996, c 286 Care Benefits Program http://www2.gov.bc.ca/gov/content/health/accessing- Medical and Health Care Services Regulation, BC Reg 426/97 , (Medicare Protection Act) health-care/home-community-care/care-options-and- cost/end-of-life-care

Victim Services and Crime Prevention Division- Ministry of Justice Victims of Crime Act [RSBC 1996] CHAPTER 478 Crime Victim Assistance Program (CVAP) http://www2.gov.bc.ca/gov/content/justice/criminal- Canadian Victims Bill of Rights. (Federal) justice/bcs-criminal-justice-system/if-you-are-a-victim- of-a-crime/victim-of-crime/financial-assistance-benefits

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

First Nations Health Authority (FNHA) - Health Own organization in conjunction with BC Ministry of http://www.fnha.ca/about/governance-and-accountability Benefits - Medical Supplies and Equipment Health and Federal Ministry of Health http://www.fnha.ca/benefits/medical-supplies-and- equipment

Canada student grant for services and equipment Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28 for students with permanent disabilities https://studentaidbc.ca/explore/grants- scholarships/canada-student-grant-services-and- equipment-students-permanent

Student Aid British Columbia - Assistance program Ministry of Advanced Education Employment and Assistance for Persons with Disabilities Act, SBC 2002, c 41 for students with permanent disabilities https://studentaidbc.ca/explore/grants- Employment and Assistance for Persons with Disabilities Regulation, BC Reg 265/2002 , (Employment and scholarships/assistance-program-students-permanent- Assistance for Persons with Disabilities Act) disabilities

Insurance Corporation of BC Crown corporation - Insurance Corporation of British Insurance (Vehicle) Act, RSBC 1996, c 231 http://www.icbc.com/about-icbc/Pages/default.aspx Columbia Insurance (Vehicle) Regulation, BC Reg 447/83, Part 7

Worksafe BC – Health Care Benefits Ministry of Jobs, Tourism and Skills Training and Minister Workers Compensation Act, RSBC 1996, c 492 https://www.worksafebc.com/en/claims/benefits- Responsible for Labour services

Table 3-D: British Columbia Charitable Organization Programs

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS of British Columbia- communication devices equipment. Repair is also neurologist and reside in be prescribed Equipment Loan at no cost to the client. BC or the Yukon; Must by a qualified healthcare Program - BC and Yukon have a valid Provincial professional, such as a Health Care Number; Speech-Language (Reg. charity) Must have completed the Pathologist or in a rural membership application area an Occupational provided by the ALS Therapist or Family Society of BC. There is no Physician. fee to register. For Bathroom Aids/Lifts/ Mobility/Misc./Beds and Mattresses: Equipment must be prescribed by a qualified health care professional, such as an Occupational Therapist, a Physiotherapist or in a rural area with limited resources, a Family Physician. Canadian National No Assistive technology Yes Vision rehabilitation (Canadian National Institute for the Blind sales: desktop and Assessment and specialists Institute for the Blind (CNIB) –– Vision Loss portable video magnifiers, recommendation; (CNIB), 2016; Canadian Rehabilitation (operated magnifying and screen education; advice on National Institutes for the by CNIB) reading software, text-to- financial support Blind - BC and Northern BC and Northern speech devices and Canada, 2017; Vision Canada (Yukon) software, DAISY talking Specialized rehabilitation Loss Rehabilitation - book players and more. services and assistive British Columbia, 2017) CNIB Sight Solutions BC An extensive range of technology solutions Specialized services and equipment from brand assistive technology name manufacturers at Worksite accommodation solutions competitive retail prices. and vocational assessments, specialized Vision Loss Rehabilitation training and instruction, British Columbia is assistive and mainstream operated by CNIB and equipment, customer funded by donors and support AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS partially funded by the Government of British Columbia.

(Reg. charity)

Multiple Sclerosis Yes Mobility Aids: manual Yes – repair Be diagnosed with MS, Be Occupational Therapist, (Multiple Sclerosis Society of Canada – Provides equipment or wheelchairs, power a resident of BC or Yukon, Physical Therapist, or Society of Canada - Quality of Life Grants financial assistance to wheelchairs, walkers, Have limited or no other other health professional British Columbia and BC/Yukon acquire a new piece of scooters program eligibility and fall must complete a needs Yukon Division, 2017) equipment Personal Care: shower within the Low Income Cut assessment https://mssociety.ca/suppo chairs, bath lifts, bath Off as determined by rt-services/programs-and- transfer board, grab bars, Statistics Canada services/financial- safety rails assistance Home Care: patient lifts, lift chairs, hospital beds, (Reg. charity) mattresses, air conditioners

Muscular Dystrophy Yes – Cost sharing Access: door opener, stair Yes Must be registered client A signed equipment Funding approvals are (Muscular Dystrophy Canada - Equipment lift, ramp Repair and modifications, of Muscular Dystrophy prescription from the valid for 6 months Canada, 2017b) Program- Maximum per item: $3,000 Bathroom equipment: batteries, mattress Canada appropriate licensed Western Canada Commode/toileting device, replacement health care professional (BC, Alberta, Manitoba, Client minimum Bathing/shower device, (To register, must have such as: an occupational Saskatchewan) contribution: $200 others confirmed diagnosis of therapist, physiotherapist, Equipment costing less Beds and mattresses: neuromuscular disorder respiratory therapist, (Reg. charity) than $200 will not be Hospital bed – manual under the Muscular orthotist, physiatrist or eligible for funding and electric, specialized Dystrophy umbrella, podiatrist mattress, T-foam mattress signed by physician or Short term rentals and alternative pressure health professional. Approval or denial letter mattress (eligible for Must be Canadian citizen, from insurance company replacement funding after landed immigrant, or (if applicable) Is needed 1 year) refugee resident in Quotes from 2 different Lifts: Hydraulic lifting Canada) equipment vendors device and sling, Transfer needed aid, Sling for patient lifting,

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Yes Life Line Services. Yes For the local chapters of Prescription/letter from a Muscular Dystrophy Canada – Community maximum funding amount Adaptive Technologies/ Equipment repair South Okanagan, Greater professional including Canada, 2017a) Services Fund- of $1,000 per item Environmental Control Vancouver , Central Physician/ Occupational Western Canada Units Alberta, and Southern Therapist/Physiotherapist (BC, Alberta, Manitoba – Manitoba outlining medical various local chapters Must be a registered client necessity only, note: no local of Muscular Dystrophy Approval or denial letter chapter provides this in Canada and a member of from insurance company Saskatchewan) a Muscular Dystrophy (if applicable) is needed Canada Chapter (Reg. charity) Quotes from 2 different Must be registered client equipment vendors for the of Muscular Dystrophy requested item Canada

(To register, must have confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by physician or health professional. Must be Canadian citizen, landed immigrant, or refugee resident in Canada)

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Red Cross British Yes – Devices are Hospital beds and patient Yes (Need password to access Referrals must come from Devices are those which (Canadian Red Cross - Columbia and Yukon – provided on a loan basis lifts forms and manuals) designated occupational are available in the BC and Yukon, 2017b, Health Equipment Loan Delivery and set up, some or physical therapists equipment bank. 2017c, 2017d) Program (HELP) – Items are loaned free of locations Customized Community charge for as long as Through 5 health Health Equipment needed authorities. Services HELP Plus http://www.redcross.ca/ho w-we-help/community- health-services-in- canada/bc-health- equipment-loan- program.aspx

(Reg. charity) Red Cross British Yes – Devices are Wheelchairs (manual and Yes Must reside in BC lower Referrals must come from Devices are those which (Canadian Red Cross - Columbia and Yukon – provided on a loan basis recliners, tilt-in-space) and mainland (2 health designated occupational are available in the BC and Yukon, 2017a, Health Equipment Loan specialty cushions Maintenance and repairs authorities – Vancouver or physical therapists equipment bank. There is 2017b, 2017d) Program (HELP) – Items are loaned free of Transfer aids, including Installation of grab bars Coastal, and Fraser a waiting list for some Customized Community charge for as long as lifts Health) Therapist does home visit, items Health Equipment needed Bathing aids and application made to Services Toileting aids Must have under $20,000 program Stock is new or used Beds and accessories in savings and income of Aids to Independent (mattresses, rails) up to $20,000 per person Living Program Walking aids (walkers, with a disability or up to canes, crutches) $26,000 per person with a http://www.redcross.ca/ho Grab bars spouse or child with a w-we-help/community- disability health-services-in- canada/bc-health- Seniors coping with long- equipment-loan- term illness and injury program.aspx No financial resources to (Reg. charity) purchase or rent medical equipment. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 16 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Vancouver only (operates palliative care program) Red Cross British Yes – Short term loan Bath boards Assist people coping with Referral from one of the Devices are those which (Canadian Red Cross - Columbia and Yukon – Bath stools illness, injury or end-of-life following registered health are available in the BC and Yukon, 2017b, Health Equipment Loan Bath transfer benches at home care professionals listed equipment bank. 2017d) Program (HELP) – Short Bathtub safety rails below: Term Loan Program Bed cradles  Doctor Bed handles  Chiropractor http://www.redcross.ca/ho Canes – standard and  Licensed Practical Nurse w-we-help/community- quad  Nurse health-services-in- Commodes - wheeled,  Occupational Therapist canada/bc-health- stationary and shower  Physical Therapist equipment-loan- Crutches – axilla and  Respiratory Therapist program.aspx forearm I.V. poles (Reg. charity) Overbed tables Raised toilet seats Toilet safety frames Wheelchairs - standard and companion Walkers – frame, 2 wheeled, 4 wheeled

BC Centre for Ability – Yes – Devices are fully Adaptive equipment/tools No Have permanent disability Referral from Case No (BC Centre for Ability, Opportunities Fund for funded or cost shared required because of as barrier to employment Manager from workbc.ca 2016a, 2016b) Persons with Disabilities disability in order to train Unemployed or Full or partial funding. or perform job duties (may underemployed None are required but Program of the BC Centre (depends on need and include computer) Eligible to work in Canada occupational therapists for Ability and funded by amounts available) Not have received may be consulted. Employment and Social Communication aids, Employment Insurance Development Canada Three quotes from vision aids benefits within last three vendors are needed. (3) years http://www.oppsfund.ca/ Reside in: the Sunshine Coast, Sea to Sky up to (Reg. charity) Pemberton, Lower

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Mainland, Fraser Valley up to Boston Bar and Hope or Vancouver Island and the Gulf Islands

Registered with Case Manager from WorkBC Completed job search using existing skills Considered short term training program Neil Squire Society – Yes – Devices may be Assistive devices, Yes Have a work related Each client must have an No (Neil Squire Society, Technology@Work fully or partially funded equipment and technology barrier due to disability or initial assessment with an 2016a, 2016b) Program Communication and Assessment, training functional limitation which approved OT and Items not funded: The devices are cost hearing devices can be addressed by assistive technology Items that are primarily for http://www.neilsquire.ca/in shared between assistive technology assistant personal use dividual-programs- individual, employer, and Ergonomic supports and May include barriers services/technologywork/ Technology@Work other individualized related to traveling to program, amount devices and from workplace Collaboration with contributed is determined government on some on case by case basis Wheelchair accessories Resident of and be legally programs (but not wheelchair entitled to work in themselves), ergonomic British Columbia (Reg. charity) aids, communication aids, 16 years of age or older hearing devices, vision Currently be employed, aids, software and more self-employed, depending on specific volunteering, or have requirements. confirmed job offer WorkBC clients and public sector employees are not eligible

Not eligible: Looking for work, but no offer Technology for personal use AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 18 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Able to obtain services through public sector Have WorkBC service provider The Kinsmen Yes – Funding is New and used equipment, No Demonstrate severe need, A letter of support and/or There is list of types of (Kinsmen Foundation of Foundation of BC provided up to e.g. inability to acquire through assessment from a health devices previously funded BC, 2016) maximum for device types any other means care practitioner such as a and max funding available http://www.kinsmenfounda Power wheelchairs medical doctor, for each type (though tionofbc.ca/application Funding limits range from Manual Wheelchairs Financial need occupational therapist or other devices seem to be $250 to $3000 depending Custom orthotics Type of disability (primarily physiotherapist is needed. considered) on device Specialized wheelchair physical in their mandate) http://www.kinsmenfounda seating systems How equipment request tionofbc.ca/wp- Two quotes are needed Scooters will improve applicants content/uploads/2016/10/ from different vendors Walkers quality of life and increase Kinsmen-Foundation- Assistive technology personal independence Funding-Information-and- devices (e.g. Dragon If applicant has explored Eligibility-Criteria.pdf speaking software) other avenues of funding

(Reg. charity) How long equipment will meet need

BC Association for Yes – Devices are fully Environmental control Yes Must have difficulties in Need to apply to program No (BC Association for Individualized funded switches e.g. for TV Assessments, installation, accessing home for Environmental Control Individualized Technology Technology and (audio/video) Control servicing, repairs, follow environment due to Systems for approval and Supports for People Supports for People with (equipment funded by Smartphone/Tablet up severe physical with Disabilities (BCITS), Disabilities (BCITS) - donations and community Access disabilities. An OT or technologist 2016a, 2016b, 2016c, Technology for grants) Landline Phone Control (services funded by from BCITS do 2017) Independent Living Lamp/Fan Control Ministry of Health) Candidate for assessment Program Attendant Call Access Environmental control Door Openers system will have desire to Environmental control maximize independence systems and Door opener via personal control over systems immediate environment. http://bcits.org/technology- Applicants who are

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS for-independent-living- requesting door opener program-til/ must be able to demonstrate that they (Reg. charity) cannot open door in question without assistance and be prepared to stay at residence for up to five years or pay move fee.

Cerebral Palsy Yes – Funding amount Communication and No Must have cerebral palsy Signed letter from medical No (Cerebral Palsy Association of BC – varies writing aids and be current member of professional explaining Association of BC, 2016a, Equipment Assistive Orthotics Cerebral Palsy need for this equipment 2016b) Devices It is a bursary program. Positioning and Association of BC. Amounts given varies per ambulance aids http://bccerebralpalsy.com requests. Requests are Home accessibility aids /programs/equipment- funded on a first come first Electronic aids to daily assistive-devices-funding- served basis. All funds living program/ must go directly towards Vision aids and hearing the purchase of the aids (Reg. charity) equipment. A quote from a vendor is needed.

The Jennifer and Yes – Primarily cost Orthotics No Resident of BC Complete grant No (The Jennifer and Gregory Gregory Louie shared Power wheelchairs, Have diagnosis of application, letter is Louie Foundation for Foundation for Cerebral standers, gait trainers, cerebral palsy needed from physical Cerebral Palsy, 2016a, Palsy Most grants are partial Lifts, specialized seating, therapist, occupational 2016b) funding, but they give full adaptive bicycles therapist or physician (Reg. charity) grants if the amount Other devices that stating how mobility and/or requested is small. A enhance mobility and functional ability will be quote with a picture of the independence enhanced by this device from a vendor is Mounting system for particular piece of required. communication device equipment.

Western Institute for Yes – Refurbished Hearing Aids Yes Not income tested, but is No (Western Institute for Deaf AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 20 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Deaf and Hard of devices are loaned Hearing test, ear mold, aimed at those who and hard of Hearing, Hearing – Lend an Ear Refurbished hearing aids Showroom displays and one year of free cannot afford. 2016a, 2016b, 2017) Program are donated then provided variety of assistive repairs. Hearing aids can to individuals who cannot listening and alerting also be cleaned, checked, Resident of BC Communication Devices afford to purchase new devices to optimize or serviced at no charge. Have applied to all other Showroom ones. Clients pay $140 communication and safety programs of funding towards the hearing aid. at home, in workplace, http://www.widhh.com/ and in social environments. These (supported by provincial devices include: government) FM systems Infrared systems for the (Reg. charity) television and radio Amplified telephones Visual alerting systems for the home

BC Rehab Foundation – Yes – Funding up to a Manual and powered Yes Considerations: Letter of support and/or There is a list of type of (BC Rehab Foundation, Individual Grant maximum wheelchairs, specialized Repair Severe need, inability to assessment from health devices funded 2016) Programs seating acquire through other care practitioner such as a Funding limits for back up Scooters means medical doctor, Two quotes are needed (Reg. charity) wheelchair and scooters Walkers Financial need occupational therapist or from two different vendors. Hospital beds, mattresses Type of disability physiotherapist Funds new and used Custom orthotics (physical) equipment Assistive technology How equipment will devices – e.g. software for improve quality of life and communication personal independence Length of time equipment is needed

Table 3-E: British Columbia Other Resource Programs

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

How does the funding What is the process for or supplied? system work? What services are provision or What are the available? authorization? restrictions? Assistive Technology Yes – Devices are Visual aids, FM system Yes Resident of BC The school’s disability Devices are the ones that (Assistive Technology BC British Columbia – provided on loan basis hearing aids, Consultation, assessment, Legally able to work in BC coordinator must also exist in the loan bank. (ATBC), 2016a, 2016b) Public Postsecondary environmental controls, training and technical Currently enrolled in BC authorize application. New devices can be Loan Bank Equipment loans are access to computers, support. public postsecondary added to the bank when provided for semesters limited communication institution Medical documentation of needed. (Also services for: the student is enrolled in aids, software. Minor wheelchair Have permanent disability disability must be provided Service Program for public postsecondary modification to affix that is expected to persist by appropriate health WorkBC and Canada institution devices. for two years or longer professional. Student Grant for Services that is primary barrier to and Equipment for training or student Course registration Persons with Permanent employment. Disabilities)

Partnered with Ministry of Advanced Education, Innovation and Technology and Ministry of Social Development http://www.at-bc.ca/

Communication Yes – Devices are Augmentative and Yes Ages 19+ and requires a Anyone can refer, Devices are those (Communication Assistance for Youth offered on a loan basis alternative communication Assessment, training, communication device however Speech available in the library Assistance for Youth and and Adults (CAYA) devices and accessories technical support and due to a severe Language Pathologists loan bank. Adults (CAYA), 2016a, Loans are for an repair, maintenance communication disability. provide services 2016b) http://www.cayabc.org/ indeterminate period of Does not provide hearing time. Does not include aids or listening devices (Receives funds from individuals whose primary Ministry of Social communication disability is Development) hearing loss

Spinal Cord Injury BC No Available devices change Yes N/A No (Spinal Cord Injury BC, AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 22 of 25

APPENDIX 3: BRITISH COLUMBIA PROGRAMS

constantly as they are Assistive devices buy and 2016) listed by users on forum sell community forum

References

ALS Society of British Columbia. (2013). ELP Program Retrieved 08/09, 2016, from http://www.alsbc.ca/sites/default/files/files/2013%20ELP%20Program%20-%20email%281%29.pdf ALS Society of British Columbia. (2016). Equipment Loan Program Retrieved 08/09, 2016, from http://www.alsbc.ca/services/equipment-loan-program Assistive Technology BC (ATBC) (2016a). [Personal communication, 604-264-8295 (May 31-June 14, 2016)]. Assistive Technology BC (ATBC). (2016b). Public Postsecondary Loan Bank Retrieved 06/14, 2016, from http://www.at-bc.ca/programs/ppl/index.html BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2016a). Automatic Door Request Retrieved 05/17, 2016, from http://bcits.org/wp-content/uploads/2016/04/tildooropenerapplication.pdf BC Association for Individualized Technology and Supports for People with Disabilities (BCITS) (2016b). [Personal communication, 1-866-326-1245 (May 17-26, 2016)]. BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2016c). Technology for Independent Living Program Retrieved 05/17, 2016, from http://bcits.org/technology-for-independent-living- program-til/ BC Association for Individualized Technology and Supports for People with Disabilities (BCITS). (2017). Application Retrieved 03/13, 2017, from http://bcits.org/wp-content/uploads/2016/04/tilapplication635563933870548660.pdf BC Centre for Ability. (2016a). Opportunities Fund For Persons with Disabilities Retrieved 06/09, 2016, from http://www.oppsfund.ca/ BC Centre for Ability (2016b). [Personal communication, 604-451-5511 (May 26 - June 9, 2016)]. BC Ministry of Health Services. (2009). PharmaCare Prosthetic and Orthotic Program Retrieved 03/13, 2017, from http://www2.gov.bc.ca/assets/gov/health/health-drug-coverage/pharmacare/p_ogenstmt.pdf BC Rehab Foundation. (2016). Individual Grant Programs Retrieved 05/19, 2016, from http://www.bcrehab.com/applications/individual-grant-programs Canadian National Institute for the Blind (CNIB). (2016). Our Range of Services Retrieved 04/18, 2016, from http://www.cnib.ca/en/services/vision-support/range/Pages/default.aspx Canadian National Institutes for the Blind - BC and Northern Canada. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/bc-yukon/programs-services/Pages/default.aspx Canadian Red Cross - BC and Yukon. (2017a). Aids to Independent Living Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-aids-to-independent-living-program Canadian Red Cross - BC and Yukon. (2017b). BC/Yukon Health Care Professional Applications and Referrals Retrieved Jun, 2017`, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc/yukon-healthcare-professional-applications-and-referrals Canadian Red Cross - BC and Yukon. (2017c). Health Equipment Loan - Plus Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/british-columbia-and-yukon/health-equipment-loans/health-equipment-loan---plus Canadian Red Cross - BC and Yukon. (2017d). Health Equipment Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/bc-health-equipment-loan-program.aspx Cerebral Palsy Association of BC. (2016a). Assistive Equipment Funds Retrieved 05/24, 2016, from http://bccerebralpalsy.com/programs/equipment-assistive-devices-funding-program/

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Cerebral Palsy Association of BC (2016b). [Personal communication, 604-408-9484 (May 24, 2016)]. Communication Assistance for Youth and Adults (CAYA). (2016a). CAYA Services Retrieved 05/18, 2016, from http://www.cayabc.org/caya-services/ Communication Assistance for Youth and Adults (CAYA). (2016b). Eligibility Retrieved 05/18, 2016, from http://www.cayabc.org/eligibility/ Crime Victims Association Program (CVAP) (2016a). [Personal communication, (British Columbia) 604-660-3888 (June 2, 2016)]. Crime Victims Association Program (CVAP). (2016b). Victim Application Retrieved 06/02, 2016, from http://www2.gov.bc.ca/assets/gov/law-crime-and-justice/criminal-justice/bc-criminal-justice-system/if-victim/publications/cvap-victim- application.pdf First Nations Health Authority (FNHA). (2016). Health Benefits Info Package Retrieved 05/18, 2016, from http://www.fnha.ca/Documents/FNHA_HealthBenefits_InfoPackage.pdf First Nations Health Authority (FNHA). (2017). Medical Supplies and Equipment Retrieved 03/13, 2017, from http://www.fnha.ca/benefits/medical-supplies-and-equipment Insurance Corporation of British Columbia (ICBC). (2016a). Autoplan Insurance Retrieved 06/03, 2016, from http://www.icbc.com/autoplan/Documents/autoplan-insurance.pdf Insurance Corporation of British Columbia (ICBC) (2016b). [Personal communication, 1-800-663-3051 (May 23, 2016)]. Insurance Corporation of British Columbia (ICBC). (2016c). Rehabilitation Support Retrieved 06/03, 2016, from http://www.icbc.com/claims/injury/Treatment-and-Injury/Pages/rehabilitation-support.aspx Kinsmen Foundation of BC. (2016). Funding Information and Eligibility Criteria Retrieved 05/18, 2016, from http://www.kinsmenfoundationofbc.ca/wp-content/uploads/2016/03/Kinsmen-Foundation-Funding-Information-and-Eligibility- Criteria.pdf Ministry of Health. (2016a, 05/13). Information for Device Providers - Province of British Columbia, 2016, from http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/device-providers Ministry of Health. (2016b). Policy Manual Chapter 4 Retrieved 05/13, 2016, from http://www2.gov.bc.ca/assets/gov/health-safety/home-community-care/accountability/hcc-policy-manual/4_hcc_policy_manual_chapter-4.pdf Ministry of Health. (2016c). Prostheses and Orthoses - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/health/health-drug-coverage/pharmacare-for-bc-residents/what-we-cover/medical- supplies-coverage/prostheses-and-orthoses Ministry of Social Development and Social Innovation. (2016a). Disability Assistance - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/family-social-supports/services-for-people-with- disabilities/disability-assistance Ministry of Social Development and Social Innovation. (2016b). Medical Equipment - Hearing Instruments - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for- government/bcea-policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-hearing-instruments Ministry of Social Development and Social Innovation. (2016c). Medical Equipment - Orthoses - Province of British Columbia, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea-policy-and- procedure-manual/health-supplements-and-programs/medical-equipment-orthoses Ministry of Social Development and Social Innovation. (2016d). Medical Equipment & Devices - Province of British Columbia Retrieved 05/13, 2016, from http://www2.gov.bc.ca/gov/content/governments/policies-for-government/bcea- policy-and-procedure-manual/health-supplements-and-programs/medical-equipment-and-devices

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APPENDIX 3: BRITISH COLUMBIA PROGRAMS

Ministry of Social Development and Social Innovation. (2017). Leaving Disability Assistance Retrieved 03/13, 2017, from http://www2.gov.bc.ca/gov/content/family-social-supports/services-for-people-with-disabilities/disability- assistance/leaving-disability-assistance Multiple Sclerosis Society of Canada - British Columbia and Yukon Division. (2017). Equipment Provision Program - Quality of Life Grants - BC and Yukon Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and- services/200/equipment-provision-program-bc-yukon Neil Squire Society (2016a). [Personal communication, 1-844-453-5506 (May 26, 2016)]. Neil Squire Society. (2016b). Technology@Work Retrieved 05/26, 2016, from http://www.neilsquire.ca/individual-programs-services/technologywork/ Pharmacare British Columbia (2016). [Personal communication, 604-683-7151 (May 13, 2016)]. Spinal Cord Injury BC. (2016). Swap & Shop Retrieved 05/17, 2016, from http://sci-bc.ca/resource-centre/swap-shop/ Student Aid BC. (2017a). Learning Disability Assessment Bursary Retrieved Jun, 2017, from https://studentaidbc.ca/explore/grants-scholarships/learning-disability-assessment-bursary Student Aid BC. (2017b). Resource Directory Retrieved 03/13, 2017, from https://studentaidbc.ca/sites/all/files/form-library/resource_directory_pd.pdf Student Aid BC. (2017c). Services and equipment for students with permanent disabilities Retrieved 03/14, 2017, from https://studentaidbc.ca/explore/grants-scholarships/canada-student-grant-services-and-equipment-students- permanent The Jennifer and Gregory Louie Foundation for Cerebral Palsy. (2016a). Grants Retrieved 06/16, 2016, from http://www.jglfoundation.com/grants.html The Jennifer and Gregory Louie Foundation for Cerebral Palsy (2016b). [Personal communication, [email protected] (May 26-June 16, 2016)]. Vision Loss Rehabilitation - British Columbia. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://bc.visionlossrehab.ca/en Western Institute for Deaf and hard of Hearing. (2016a). Hearing Aids Retrieved 05/31, 2016, from http://www.widhh.com/programs-services/hearing-aid-clinic/ Western Institute for Deaf and hard of Hearing (2016b). [Personal communication, 604-736-7391 (May 26-31, 2016)]. Western Institute for Deaf and hard of Hearing. (2017). Showroom Retrieved 03/13, 2017, from http://www.widhh.com/programs-services/communication-devices-showroom/ WorkSafeBC. (2016a). Medical Supply Services Retrieved 05/31, 2016, from http://www.worksafebc.com/health_care_providers/programs_and_services/medical_supply_services/Default.asp WorkSafeBC. (2016b). Rehabilitation Services and Claims Manual Retrieved 05/31, 2016, from http://www.worksafebc.com/publications/policy_manuals/Rehabilitation_Services_and_Claims_Manual/volume_II/assets/pdf/rscm_ii_10.pdf

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APPENDIX 4: MANITOBA PROGRAMS

Table 4-A: Government of Manitoba Programs Table 4-B: Manitoba Government Legislated Insurance Programs Table 4-C: Manitoba Legislation Governing Programs Table 4-D: Manitoba Charitable Organization Programs Table 4-E: Manitoba Other Resource Programs References

Table 4-A: Government of Manitoba Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Home Care Services - Yes – Devices are Hospital beds and Yes Manitoba resident, Regional Health Authority Devices must be from the (Government of Manitoba, Supplies and Equipment supplied (or rented?) mattresses, hospital bed registered with Manitoba Home Care Case Co- Manitoba’s Materials 2015, 2017f; Manitoba’s (under the umbrella of from pool, if device accessories Assessment by health Health, Healthy Living and ordinator or other health Distribution Agency Materials Distribution Manitoba Health, unavailable, can be Pressure relief mattresses care providers, and Seniors (the department) care professional orders Medical Products Agency (MDA), 2017a, Seniors and Active purchased. and cushions delivery, set up, servicing Require health services or equipment through Catalogue 2017b, 2017c) Living) Commodes and maintenance through assistance with activities Manitoba’s Materials Unclear about whether the Transfer devices and aids Manitoba’s Materials of daily living Distribution Agency (MDA) If device is unavailable, http://www.gov.mb.ca/heal person needs to pay a Wheelchair cushions and Distribution Agency (MDA) Require service to stay may be purchased (3 th/homecare/index.html rental fee, and whether back supports living in home quotes needed) devices can be purchased Disability and Health Require more assistance http://www.gov.mb.ca/heal if unavailable (sources are Aids to daily living – e.g. Supports Unit (DHSU) has than that available from th/homecare/guide.pdf inconsistent.) cooking aids, eating and streamlined, one stop existing supports and bathing aids, bathroom shop to access disability community resources safety equipment, grab and health-related bars, dressing aids, supports, arrange to have hearing aid batteries, provincial delivery to cane, crutches, walkers clients through Manitoba’s Materials Distribution Agency (MDA) (Government of Manitoba, 2017e)

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Families - Employment Yes – Devices are Hearing aids Yes Must be 18+ A physician, nurse Devices must be from the (Government of Manitoba, and Income Assistance supplied (or rented?) Medical equipment and Live in Manitoba practitioner, or Manitoba’s Materials 2016b, 2017a, 2017b, (EIA) for Persons with from pool, if device supplies – costs for basic Assessment, and delivery, Have a mental or physical psychologist must Distribution Agency 2017c) Disabilities unavailable, can be and essential medical servicing, maintenance disability that is likely to complete the EIA Medical Products purchased. equipment and supplies last more than 90 days Disability Assessment Catalogue http://www.gov.mb.ca/fs/ei Mobility equipment and keeps person from Report. A Medical a/ Can provide money to pay (devices) not covered by Repair (of wheelchairs) earning enough money to Equipment Request and Or can be purchased if for health related supplies other programs (e.g. pay for basic needs Justification Form then unavailable from pool http://www.gov.mb.ca/fs/ei or equipment Manitoba Wheelchair needs to be completed by a/pubs/eia_disability.pdf Devices are funded, but up Program) In financial need – total an approved health to guideline amounts Phones for health or cost of monthly needs and professional safety – only if it is needed shelter cost more than Devices not being paid by for health or safety financial resources Health professionals other programs (e.g. Home reasons request equipment using Care or other plans) Prosthetic and orthotic Requirement of looking for specific form to justify why devices –approved items work does not apply to the equipment is needed. Single Grants for Medical not covered Manitoba applicants who have If the equipment is Equipment and Supplies – Health disability. The length of deemed essential by If can pay for basic living time Disability DHSU EIA, then it is costs, not afford your or Assessment Form is valid approved and covered. your family’s health for a period determined by needs, can get grant for EAI and cannot exceed Disability and Health eligible costs two years after which the Supports Unit (DHSU) has user must reapply. streamlined, one stop shop to access disability and health-related supports, arrange to have provincial delivery to clients through Manitoba’s Materials Distribution Agency (MDA)

Manitoba Health, Yes – Devices are Limb and spinal orthotic Yes Must be Canadian citizen Certified prosthetist or Yes, there is a specific list (Government of Manitoba, Seniors and Active funded devices or have immigration status orthotist submit claim of suppliers/vendors that 2016c, 2016e; Manitoba Living – Insured Limb prosthetic devices (as outlined in the Health forms are approved Health Seniors and Active Benefits Ancillary Costs not being paid Services Insurance Act) Living, 2016) Programs - Prosthetic through other provincial or (permanent One device every 2 years

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APPENDIX 4: MANITOBA PROGRAMS and Orthotic Program federal programs residents/work/study unless diagnosis and permit holder and prescription change, or http://www.gov.mb.ca/heal dependents) device beyond repair th/mhsip/prosthetic.html Resident in Manitoba Reside in Manitoba for six months a year. Manitoba resident Require prosthetic or orthotic services

Manitoba Health, Yes – Devices are Telecommunications Must be Canadian citizen Claim form from supplier, Yes, there is a specific list (Government of Manitoba, Seniors and Active funded, partially equipment that allows or have immigration status initial claim must be of suppliers/vendors that 2016d, 2016e; Manitoba Living – Insured telephone conversation (as outlined in the Health accompanied by a are approved Health Seniors and Active Benefits Ancillary 80% of cost covered to via keyboard and terminal Services Insurance Act) diagnosis (from speech Living, 2016) Programs – maximum of $428. $75 display (permanent pathologist, audiologist or Telecommunications deductible. residents/work/study otolaryngologist) Program permit holder and Costs not being paid dependents) http://www.gov.mb.ca/heal through other provincial or Resident in Manitoba th/mhsip/telecommunicatio federal programs Reside in Manitoba for six ns.html months a year.

Manitoba resident Profoundly deaf or speech impaired, diagnosed by medical practitioner or audiologist

Society for Manitobans Yes – Devices are Manual and motorized Yes Must be a resident of Wheelchair must be Manual wheelchairs – (Society for Manitobans with Disabilities (SMD) – provided on a long term wheelchairs Maintenance and repair. Manitoba with a valid prescribed by an criteria defined for each with Disabilities (SMD), Wheelchair Services loan from a pool SMD does not cover Manitoba Personal Health Occupational Therapist, category of chair (e.g. 2014a, 2014b, 2014c, Manitoba Community transportation costs. Identification Number Physiotherapist, physician basic wheelchair, basic 2017) Wheelchair Program May order new chair if (PHIN), or registered nurse heavy duty wheelchair, unavailable from pool for Pneumatic tires and tubes Have physical disability licensed to practice in lightweight, tilt) https://www.smd.mb.ca/s Employment and Income – Service provides parts affecting mobility Manitoba. md-services/wheelchair- Assistance program at no cost, but labor Requires a wheelchair for Powered wheelchairs – services charges apply $20/wheel a minimum of 6 months criteria defined AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 16

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Option to self-purchase Not entitled to receive a Funded by Province of limited selection of Maintenance and repairs wheelchair through a third Pool of equipment is a Manitoba’s Community additional parts (e.g. for self-owned chairs if it is party funder pool of recycled and Wheelchair Program. maybe only anti-tippers) similar model to those in Must also not be in refurbished equipment; if SMD manages wheelchair the pool (unsure if this process of being paneled approved, get chair on pools of Winnipeg happens according to for personal care home long-term loan, until needs Regional Health Authority reviewer) At the end stage of a life- change; equipment is then – Manitoba Wheelchair limiting illness and are returned to the pool to be Program, Government of considered palliative refurbished for next user; Canada – Non-insured because have only one Health Benefits*, If using chair for over 6 manufacturer/supplier, Employment and Income months and moves to care have only 2 types of Assistance** home, can keep using, but power chairs (mid-wheel not replaced, if using less and rear-wheel drive * criteria determined by than 6 months, must be chairs) if need front-wheel program returned drive or other equipment not in pool, need to provide justification to go to different manufacturer

Department of Families, Yes – Devices are either Technical aids, devices, or Yes Resident of Manitoba A designated vocational No (Government of Manitoba, Employment and Income fully funded, cost shared adaptive equipment: Have an intellectual, counsellor coordinates the 2011, 2016a, 2017d; Assistance – or leased or rented Assessment and repairs physical, psychiatric, service delivery. Equipment purchased with Manitoba Jobs and the MarketAbilities Program Optical character readers to equipment from normal vision, hearing or learning Applicants may be 75 % percent or greater Economy, 2015) If the individual’s Wheelchairs or wear and tear disability required to demonstrate funding from http://www.gov.mb.ca/fs/ei contribution exceeds 50% adaptations to wheelchairs 16 years of age or older an ability to use the device marketAbilities Program is a/marketabilities.html of the cost, then they Tactile reading devices Support services including Legally entitled to work in prior to approval. owned by Program, until retain ownership. Tape recorders Assessment, planning and Manitoba participant demonstrates http://www.gov.mb.ca/fs/vr Computers and related provision Show a willingness to For people with ability to use equipment, manual/pubs/xvii_handbo Three quotes are needed personal access systems prepare for, obtain and intellectual, psychiatric or and has established ok.pdf for requests over $1,000. Telephone devices for the maintain employment learning disabilities, go to ongoing vocational or Equipment is rented or deaf service centre employment related use Manitoba Family leased when an ongoing Print to Braille and Braille The device must be or requirement for Services and Consumer need is not anticipated. to print hardware required to overcome For people with vision equipment. Affairs - Vocational Typewriters and significant disability related disability – go to Rehabilitation Program The device must also not calculators (disability- related barriers to Canadian National Participant owns for People with be available through other specific needs). pursuing training, and/or Institute for the Blind equipment upon Disabilities programs. Closed circuit television employment. completion of Vocational AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 4 of 16

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readers For people with spinal Training plan for which Canada-Manitoba Labour Communication devices Proof of qualifying cord injury – go to equipment was required or Market Agreement for (Bliss/hearing aids) disability diagnosed or Canadian Paraplegic purchased provided that: Persons with Disabilities Orthotics assessed by appropriate Association Training/employment (LMAPD) professional must also be period lasts minimum of 3 included For people with physical months and participant Services provided through disability including Deaf or can demonstrate ability to Canadian National hard of hearing – go to use equipment and has Institute for the Blind Society for Manitobans ongoing employment with Disabilities related need for the Canadian Paraplegic equipment. Association

Society for Manitobans with Disabilities

(potentially inconsistent information in fields)

Manitoba Student Aid Yes - Up to $8,000 per Braillers or technical aids No Application is online, (Government of Canada Student Grant academic year requires account Manitoba, 2017g) for Services and Equipment for Students with Permanent Disabilities

(Federal and provincial joint program)

Table 4-B: Manitoba Government Legislated Insurance Programs

Workers Compensation Yes – Devices are Artificial limbs, braces Yes Must be an injury or illness The case manager There is an authorized (Workers Compensation Board of Manitoba funded, fully or short Crutches, canes acquired while working in coordinates the process. vendor list however clients Board Manitoba, 2014, term rental fees paid Hearing aids and other Assessment Manitoba An assessment of needs can also go to any 2015, 2016) https://www.wcb.mb.ca/ aids Physiotherapy and is performed though WCB vendors. occupational therapy and information from a

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(Mutual workplace injury health care professional is and disability insurance Reasonable repair and needed. The case agency funded by maintenance manager requests for the employer premiums) orthotic alteration of device and makes the final footwear decision along with the Replacement or repair adjudicator. costs of prosthetics Manitoba Public Yes Devices covered include Yes All Manitobans who are Devices must be medically Repair or replacement due (Manitoba Public Insurance Devices are fully eyeglasses, hearing aids, injured in an automobile necessary and prescribed to neglect, misuse or Insurance, 2017a, 2017b, covered and are either back supports, special Assessment collision – including both willful damage is not 2017c) https://www.mpi.mb.ca/en/ purchased or rented footwear, crutches, vehicle owners and non- (by whom is unclear. covered artificial limbs and special Repairing, replacing, vehicle owners Overall process is unclear) (Public automobile equipment that assist with fitting or adjusting devices insurance) daily living or workplace that are medically required Non-profit Crown tasks. and prescribed because of corporation injuries sustained in the accident.

Also covers the cost of repairing, replacing or adjusting a device that you had before the accident and that was damaged or lost in the accident or that no longer meets your needs because of injuries sustained in the accident. This is one-time replacement coverage.

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Table 4-C: Manitoba Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Manitoba Health, Seniors and Active Living -Home Manitoba Health, Seniors and Active Living Department The Health Services Insurance Act, CCSM c H35 Care Services – Supplies and Equipment Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Act) The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act)

Families - Employment and Income Assistance (EIA) Ministry of Families, Department of Families Manitoba Assistance Act, The, CCSM c A150 for Persons with Disabilities Disability and Health Supports Unit (DHSU) Employment and Income Assistance Regulation, Man Reg 404/88 R , (Manitoba Assistance Act) http://www.gov.mb.ca/fs/eia/ http://www.gov.mb.ca/fs/eia/pubs/eia_disability.pdf

Manitoba Health, Seniors and Active Living – Insured Manitoba Health, Seniors and Active Living Department The Health Services Insurance Act, CCSM c H35 Benefits Ancillary Programs – Prosthetics and Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Orthotics, Telecommunications Act) http://www.gov.mb.ca/health/mhsip/programs.html The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act)

Society for Manitobans with Disabilities (SMD) – Winnipeg Regional Health Authority The Health Services Insurance Act, CCSM c H35 Wheelchair Services Manitoba Community Prosthetic, Orthotic and other Medical Devices Insurance Regulation, Man Reg 53/93 , (Health Services Insurance Wheelchair Program Act) https://www.smd.mb.ca/smd-services/wheelchair- The Excluded Services Regulation, Man Reg 46/93 , (Health Services Insurance Act) services

MarketAbilities Program Ministry of Families, Department of Families, The Social Services Administration Act, CCSM c S165 Manitoba Family Services and Consumer Affairs - Disability and Health Supports Unit (DHSU) Vocational Rehabilitation of Disabled Persons Regulation, Man Reg 1/90 , (Social Services Administration Act) Vocational Rehabilitation Program for People with Department Disabilities Employment and Income Assistance Canada – Manitoba Labour Market Agreement for Persons with Disabilities (LMAPD)

Manitoba Student Aid Canada Student Grant for Canada Student Financial Assistance Act, SC 1994, c 28 Services and Equipment for Students with Permanent Disabilities (Federal and provincial joint program)

Workers Compensation Board of Manitoba* The Workers Compensation Act, CCSM c W200 https://www.wcb.mb.ca/

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Manitoba Public Insurance Manitoba Public Insurance Corporation Act, CCSM c P215 https://www.mpi.mb.ca/en/ Automobile Insurance Coverage Regulation, Man Reg 290/88 R , (Manitoba Public Insurance Corporation Act) Off-Road Vehicle Insurance Coverage Regulation, Man Reg 139/2000 , (Manitoba Public Insurance Corporation Act)

Table 4-D: Manitoba Charitable Organization Programs

Amyotrophic Lateral Yes – Equipment are Includes mobility No Provincial Home Care (ALS Society of Manitoba, Sclerosis (ALS) Society loaned at no charge equipment, lift equipment, Program and Society for 2014) of Manitoba - Equipment bathroom aids, etc Manitobans with Loan Program Disabilities program should be accessed first (Reg. charity)

Cerebral Palsy Yes – Funding amount Mobility and No Resident of Manitoba Letter of support is No (Cerebral Palsy Association of Manitoba varies and there is communication devices Over 18 years, required from a therapist, Association of Manitoba usually a deductible Have cerebral palsy doctor, resource/special (CPAM), 2015) (Reg. charity) Amounts given varies per Paid member of education teacher, agency request. Requests for association or family worker. iPads and computers are Proof of applications to limited to $1000. If a other funding sources is request is over $1500, required. quotes from two different vendors are required.

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Canadian National No Yes (Canadian National Institute for the Blind – Institute for the Blind – Manitoba and Assistive technology Manitoba and Saskatchewan services - assessment and Saskatchewan, 2017; recommendations; Vision Loss Rehabilitation Vision Loss education on use; course; Manitoba, 2017) Rehabilitation Manitoba advice on financial (operated by CNIB and supports funded by donors and partially funded by the Career and employment Government of Manitoba) education and advice on technology supports (Reg. charity)

Society for Manitobans See details under with Disabilities (SMD) – government programs. Wheelchair Services Manitoba Community Wheelchair Program https://www.smd.mb.ca/s md-services/wheelchair- services

Funded by Province of Manitoba’s Community Wheelchair Program. SMD manages wheelchair pools of Winnipeg Regional Health Authority – Manitoba Wheelchair Program, Government of Canada – Non-insured Health Benefits*, Employment and Income Assistance**

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* criteria determined by program

(Reg. charity)

Society for Manitobans Yes – Devices are cost- Hearing devices, chair No Must be a member of 3 references are required. ( Society for Manitobans with Disabilities (SMD) – shared lifts, transfer aids, bath SMD Alliance with Disabilities (SMD), Assistive Technology and toileting aids, hospital Purchased their assistive They do not have to be 2010, 2014d, 2016) Support Program 50% reimbursement of beds and mattresses, device within current fiscal health practitioners, they cost of assistive device up manual wheelchairs, year can be family members, https://www.smd.mb.ca/s to maximum of $2,500 or scooters, and walkers. Have received less than etc. md-services/assistive- unfunded amount, $2,500 under this technology whichever is lesser. Other devices are also Program within current funded depending on fiscal year (Reg. charity) Refund program so requests. (large list of assistive devices must previously funded devices) have already been purchased

The program has a certain amount of money each year. Once it has run out, need to wait for next year.

Department of Families, See details under Employment and Income government programs. Assistance – MarketAbilities Program http://www.gov.mb.ca/fs/ei a/marketabilities.html http://www.gov.mb.ca/fs/vr manual/pubs/xvii_handbo ok.pdf

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Services and Consumer Affairs - Vocational Rehabilitation Program for People with Disabilities

Canada-Manitoba Labour Market Agreement for Persons with Disabilities (LMAPD)

Services provided through Canadian National Institute for the Blind

Canadian Paraplegic Association

Society for Manitobans with Disabilities Open Access Resource Yes – Devices are Augmentative and Yes For residents of Manitoba None Devices are those (Open Access Resource Centre (OARC) – provided on a short term alternative communication Assessment, training, and that have speech available in the library Centre, 2015a, 2015b) Lending Program loan basis (6-10 week devices – electronic support challenges. loan bank. trial) communication aids (Reg. charity) Equipment are loaned on a first come first serve basis. Loans are for a maximum of ten weeks.

Lions Foundation of Yes – Device funding Wheelchairs Financial evaluation of Letter of explanation, letter (Society for Manitobans Manitoba and varies depending on Motorized scooters family, statement of living from physician, quote for with Disabilities (SMD), Northwestern Ontario need and approval Hospital beds expenses equipment cost 2010) Computers for special Letter from sponsoring (could not find more (Reg. charity) needs students Lions Club and letter from information on this) recipient explaining need AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 11 of 16

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for equipment

Muscular Dystrophy Yes – Cost sharing Access: door opener, stair Repair and modifications, Must be a registered client A signed equipment Funding approvals are (Muscular Dystrophy Canada - Equipment lift, ramp batteries, mattress of Muscular Dystrophy prescription from the valid for 6 months Canada, 2017b) Program- Maximum per item: $3,000 Bathroom equipment: replacement Canada appropriate licensed Western Canada Commode/toileting device, health care professional (BC, Alberta, Manitoba, Client minimum Bathing/shower device, (To register, you must such as: an occupational Saskatchewan) contribution: $200 others have a confirmed therapist, physiotherapist, Equipment costing less Beds and mattresses: diagnosis of respiratory therapist, (Reg. charity) than $200 will not be Hospital bed – manual a neuromuscular disorder orthotist, physiatrist or eligible for funding and electric, specialized under the Muscular podiatrist mattress, T-foam mattress Dystrophy umbrella, Short term rentals and alternative pressure signed by a physician or a Approval or denial letter mattress (eligible for health professional. You from insurance company replacement funding after must be a Canadian (if applicable) Is needed 1 year) citizen, landed immigrant, Quotes from 2 different Lifts: Hydraulic lifting or refugee resident in equipment vendors device and sling, Transfer Canada) needed aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter Muscular Dystrophy Yes Life Line Services. Equipment repair For the local chapters of Prescription/letter from a Muscular Dystrophy Canada – Community maximum funding amount Adaptive Technologies/ South Okanagan, Greater professional including Canada, 2017a) Services Fund- of $1,000 per item Environmental Control Vancouver , Central Physician/ Occupational Western Canada Units Alberta, and Southern Therapist/Physiotherapist (BC, Alberta, Manitoba – Manitoba outlining medical various local chapters Must be a registered client necessity only, note: no local of Muscular Dystrophy Approval or denial letter chapter provides this in Canada and a member of from insurance company Saskatchewan) a Muscular Dystrophy (if applicable) is needed Canada Chapter AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 16

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(Reg. charity) Quotes from 2 different (To register, you must equipment vendors for the have a confirmed requested item diagnosis of a neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional. You must be a Canadian citizen, landed immigrant, or refugee resident in Canada)

Table 4-E: Manitoba Other Resource Programs

Assistive Technology No – Devices not funded Work with orthotics, Yes Not orthotics , only (Health Sciences Centre, Service – Health Science but have Assistive electronic, mechanical and custom-made assistive 2017) Center Technology rental other assistive devices Modification of commercial technology devices if program and payment equipment or custom nothing is commercially varies: design and fabrication of available specialized devices No charge for labour or rental for clients covered by Manitoba Health If payment is covered by third party, may be fees for labour and rental

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Winnipeg Regional YES - No cost loan for trial Speech Generating Telehealth is available to Resident of Manitoba, 18 Referral is needed from an No (Winnipeg Health Region, Health Authority – and assessment Devices facilitate access to all years of age or older with SLP, OT or another health 2016) Communication purposes. After Manitobans severe communication care provider. Clients Maximum of three device Devices Program - successful trial, devices Access/mounting Consultations, disorder (speech alone cannot referral themselves trials per client. Assistive Technology can be rented for a low equipment assessments, does not meet directly. Service –Deer Lodge fee. troubleshooting, training communication needs). Centre and support is available Must be Capable of caring The Employment and as well as replacement for device with potential Provincial program Income Assistance (EIA) device for clients whose for using the equipment as program may cover the rented equipment requires assessed by Speech- http://www.wrha.mb.ca/pro rental fees for EIA repair or other service. Language Pathologist and g/cdp/services.php participants Occupational Therapist

References

ALS Society of Manitoba. (2014). Services - Equipment Lending Program Retrieved 08/09, 2016, from http://alsmb.ca/als-manitoba/services/ Canadian National Institute for the Blind – Manitoba and Saskatchewan. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/mb-sk/programs-services/Pages/default.aspx Government of Manitoba. (2011). Employment Programs and Services for People with Disabilities Retrieved Feb 23, 2017, from https://www.gov.mb.ca/jec/pdfs/disabilities_guide.pdf Government of Manitoba. (2015). Your Guide to Home Care Services in Manitoba Retrieved Feb 23, 2017, from http://www.gov.mb.ca/health/homecare/guide.pdf Government of Manitoba. (2016a). Families - Employment and Income Assistance - marketAbilities Program Operating Manual Retrieved 06/09, 2016, from http://www.gov.mb.ca/jec/eia/marketAbilities/vrmanual/166.3.html Government of Manitoba. (2016b). Income Assistance for Persons with Disabilities Retrieved 09/28, 2016, from http://www.gov.mb.ca/fs/pwd/iapd.html Government of Manitoba. (2016c). Manitoba Health, Seniors and Active Living - Prosthetic and Orthotic Program Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/prosthetic.html Government of Manitoba. (2016d). Manitoba Health, Seniors and Active Living - Telecommunications Program Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/telecommunications.html Government Of Manitoba. (2016e). Manitoba Health, Seniors and Active Living, Are you covered? Retrieved 06/15, 2016, from http://www.gov.mb.ca/health/mhsip/index.html Government of Manitoba. (2017a). Employment and Income Assistance for Persons with Disabilities (Brochure) Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/pubs/eia_disability.pdf Government of Manitoba. (2017b). Employment and Income Assistance Program (EIA), Medical Equipment Info Sheet Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/dhsu/pubs/med_equip_info_sheet.pdf Government of Manitoba. (2017c). Families - Employment and Income Assistance Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/ Government of Manitoba. (2017d). Families - Employment and Income Assistance - marketAbilities Program Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/eia/marketabilities.html Government of Manitoba. (2017e). Families, Disability and Health Supports Unit, from http://www.gov.mb.ca/fs/dhsu/index.html

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APPENDIX 4: MANITOBA PROGRAMS

Government of Manitoba. (2017f). Manitoba Health, Seniors and Active Living, Home Care Services in Manitoba Retrieved Feb 23, 2016, from http://www.gov.mb.ca/health/homecare/index.html Government of Manitoba. (2017g). Manitoba Student Aid Retrieved Jun, 2017, from http://www.edu.gov.mb.ca/msa/program/funding.html#disabilities Health Sciences Centre. (2017). Shops and Services Retrieved 03/10, 2017, from http://www.hsc.mb.ca/servicesShopsOther.html#AssistiveTech Manitoba Health Seniors and Active Living (2016). [Personal communication, 204-786-7365 (June 15, 2016)]. Manitoba Jobs and the Economy. (2015). Self-Directed marketAbilities Program Handbook for Applicants Retrieved Feb 23, 2017, from http://www.gov.mb.ca/fs/vrmanual/pubs/xvii_handbook.pdf Manitoba Public Insurance. (2017a). Bodily Injury Claims - Personal Injury Protection Plan Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Pages/BI.aspx Manitoba Public Insurance. (2017b). Medicines, Medical Devices, and Medical Supplies Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Expenses/Pages/BI-supplies.aspx Manitoba Public Insurance. (2017c). Special Equipment Retrieved 03/10, 2017, from https://www.mpi.mb.ca/en/Claims/BI/Rehabilitation/Pages/rehab-equipment.aspx Manitoba’s Materials Distribution Agency (MDA). (2017a). Aids to Daily Living (Guide) Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/files/File/mda_medical_products_catalogue/aids_daily_living_197_220_2016.pdf Manitoba’s Materials Distribution Agency (MDA). (2017b). Home Care Equipment Program Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/mda-equipment.html Manitoba’s Materials Distribution Agency (MDA). (2017c). Medical Equipment (Guide) Retrieved Feb 23, 2017, from http://www.mda.gov.mb.ca/files/File/mda_medical_products_catalogue/medical_equipment_177_196_2016.pdf Open Access Resource Centre. (2015a). How does the program work? Retrieved 06/2, 2016, from http://www.oarc.ca/lending-program/how-does-the-program-work Open Access Resource Centre. (2015b). Who can borrow equipment? Retrieved 06/02, 2016, from http://www.oarc.ca/lending-program/who-can-borrow-equipment Society for Manitobans with Disabilities (SMD). (2010). AT Funding Guide Retrieved 05/06, 2016, from https://www.smd.mb.ca/uploads/ck/files/SMD_AT_Funding_Guide_revised_2010_new.pdf Society for Manitobans with Disabilities (SMD). (2014a). Frequently Asked Questions Consumers Retrieved 06/14, 2016, from https://www.smd.mb.ca/uploads/ck/files/services/Frequently_Asked_Questions-Consumers_April_2014.pdf Society for Manitobans with Disabilities (SMD). (2014b). Frequently Asked Questions HealthCare Professionals Retrieved 06/14, 2016, from https://www.smd.mb.ca/uploads/ck/files/services/Frequently_Asked_Questions- Health_Care_Professionals-April_2014.pdf Society for Manitobans with Disabilities (SMD). (2014c). Policies and Procedure Manual - Wheelchair Services Retrieved Feb 23, 2017, from https://www.smd.mb.ca/uploads/ck/files/services/MANITOBA_WHEELCHAIR_PROGRAM%20_POLICY_AND_PROCEDURE_MANUAL_2.pdf Society for Manitobans with Disabilities (SMD). (2014d). What is Assistive Technology Retrieved 06/14, 2016, from https://www.smd.mb.ca/uploads/ck/files/foundation/foundation_events/PDF/What%20is%20Assistive%20Technology%20REVISED%20Oct%202014_SMD%20website.pdf Society for Manitobans with Disabilities (SMD). (2016). The Assistive Technology Support Program and Assistive Technology Funding Guide Retrieved 06/14, 2016, from https://www.smd.mb.ca/smd-services/assistive-technology Society for Manitobans with Disabilities (SMD). (2017). Wheelchair Services, Manitoboa Community Wheelchair Program Retrieved Feb 23, 2017, from https://www.smd.mb.ca/smd-services/wheelchair-services Vision Loss Rehabilitation Manitoba. (2017) Retrieved Jun, 2017, from https://mb.visionlossrehab.ca/en Winnipeg Health Region. (2016). Communication Devices Program Retrieved 06/02, 2016, from http://www.wrha.mb.ca/prog/cdp/services.php Workers Compensation Board Manitoba. (2014). Section 40 - Benefits Administration Retrieved 06/15, 2016, from https://www.wcb.mb.ca/section-40-benefits-administration AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 15 of 16

APPENDIX 4: MANITOBA PROGRAMS

Workers Compensation Board Manitoba. (2015). Benefits and Services for Injured Workers (Brochure) Retrieved Feb 23, 2017, from https://www.wcb.mb.ca/sites/default/files/resources/4131_WCB_Benefits_and_Services_Booklet_Web.pdf Workers Compensation Board Manitoba (2016). [Personal communication, Claims Service Centre 1-855-954-4321 (June 26, 2016)].

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Table 5-A: Government of New Brunswick Programs Table 5-B: New Brunswick Government Legislated Insurance Programs Table 5-C: New Brunswick Legislation Governing Programs Table 5-D: New Brunswick Charitable Organization Programs Table 5-E: New Brunswick Other Resource Programs References

Table 5-A: Government of New Brunswick Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Department of Social Yes – Devices are loaned Canes, crutches, walkers, Yes Eligibility A prescription form is Does not cover (Government of New Development – Health from a pool for as long as gait trainers Clients of Social required from an Lift chairs, Stair lifts, Brunswick, 2016f) Services needed, or funded Raised toilet seats, Maintenance and recycling Development and their occupational or physical Exercise equipment, (Government of New http://www2.gnb.ca/conten fully/purchased if reducer rings, toiler risers, (through Easter Seals) dependents therapist Adaptive aids, Brunswick, 2017b) t/gnb/en/departments/soci unavailable from pool toilet safety frame, and modifications. Individuals who have Communication al_development/health_se commodes special health needs and equipment , Equipment rvices.html Devices are owned by Tub transfer bench, bath qualify for assisted health required for short term government and recycled benches and chairs, hand care (Section 4.4 of the use, Equipment that is not Convalescent / and provided by Easter held showers, bath lifts, Family Income Security patient specific for clients Rehabilitation Program Seals shower commodes Act and Regulations). in adult residential http://www2.gnb.ca/conten Arco rail, M-rail, Smart rail, facilities t/gnb/en/services/services Devices and services must trapeze bar, grab bars, Have one of the following: _renderer.8015.html not be covered by other wall mounted supports, Valid white Health Most equipment available agencies or private health super poles, supine Services Card showing under this program is Administered by Easter insurance plans. stander, prone stander, "SUPPLEMENTARY” in eligible once every 5 Seals New Brunswick hydraulic standing frame the BASIC HEALTH, or years. Ongoing services Transfer boards, disc and “CREQUIP” normally paid monthly. belts, standing transfer (Convalescent/Rehab aid, portable manual lift, Equipment” in the power patient lifts, ceiling ADDITIONAL HEALTH mounted lifts, slings ELIGIBILITY section

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Emergency Response Systems OR medical helmets, pressure relief cushions outside a Valid yellow Health wheelchair Services Card showing A Hospital beds “Y” under the OTH in the Reactive and active VALID ONLY FOR box, or support surfaces (for An “X” under SUPP in the pressure reduction) VALID ONLY For box

Additional criteria may apply. Department of Social Yes – Devices are Behind the Ear (BTE), In Yes Eligibility [Not specified on website, Does not cover (Government of New Development – Health funded, fully the Ear (ITE) and In the Clients of Social ? anyone can sell them]. CIC, BAHA or BI-CROS Brunswick, 2016b) Services Canal (ITC) hearing aids Maintenance of hearing Development and their hearing aids http://www2.gnb.ca/conten Devices and services must aids services dependents Personal FM systems t/gnb/en/departments/soci not be covered by other Individuals who have Cochlear implants al_development/health_se agencies or private health N Repairs and ear molds special health needs and Hearing aids for cochlear rvices.html insurance plans. qualify for assisted health implants Not cover hearing tests or care (Section 4.4 of the Batteries for hearing aids Hearing Aid Program evaluations Family Income Security or cochlear implants http://www2.gnb.ca/conten Act and Regulations). Hooks, filters or tubing t/gnb/en/services/services Convenience options such _renderer.8035.html Clients must have one of as T-coil, directional the following: microphone, etc. Valid white Health Cleaning/drying Services Card showing Pocket Talkers “SUPPLEMENTARY” in the BASIC HEALTH Hearing Aids are payable ELIGIBILITY section, or once every 5 years. “HA.” (Hearing Aid) in the ADDITIONAL HEALTH ELIGIBILITY section

OR Valid yellow Health Services card with a “Y”

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box

Additional criteria may apply. Department of Social Yes – Devices are Specific custom fitted Yes Eligibility [Not specified on website] Does not cover: (Government of New Development – Health funded, fully braces and supports Clients of Social Support bras Brunswick, 2016c) Services Custom made braces Modifications, repairs are Development and their Cervical pillows http://www2.gnb.ca/conten Devices and services must Therapeutic and paid dependents Soft or unfitted supports t/gnb/en/departments/soci not be covered by other orthopedic design Quantities and frequencies Individuals who have and braces al_development/health_se agencies or private health footwear are monitored special health needs and Non-custom insoles rvices.html insurance plans. Custom made shoes and qualify for assisted health Non-custom wrist braces insoles care (Section 4.4 of the and splints braces and Orthopedic Program Family Income Security supports for short term http://www2.gnb.ca/conten Act and Regulations). use t/gnb/en/services/services Braces and supports for _renderer.8155.html Clients must have one of sports purposes the following Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “OR.” (Orthopedic) in the ADDITIONAL HEALTH ELIGIBILITY section, OR Valid yellow Health Services card with a “Y” under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box Additional criteria may apply.

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Department of Social Yes – Devices are Program covers: Modifications and repairs Eligibility [Not specified on website] Does not cover (Government of New Development – Health funded, fully Limb prostheses (arm, leg, are considered as Clients of this department Myo-electric prostheses Brunswick, 2016d) Services foot) required and their dependents http://www2.gnb.ca/conten Devices and services must Artificial larynx (Servox Individuals who have Prosthetic limbs payable t/gnb/en/departments/soci not be covered by other device, voice prostheses) special health needs and once every 5 years al_development/health_se agencies or private health Ocular prostheses who qualify for assisted rvices.html insurance plans. (artificial eye) health care under Section Artificial larynxes and Breast prostheses and 1 4.4 of the Family Income artificial eyes eligible every Prosthetic Program bra Security Act and 3 years http://www2.gnb.ca/conten Regulations t/gnb/en/departments/soci Breast prostheses and al_development/services/s Clients must have one of bras eligible once every 2 ervices_renderer.8116.ht the following: years ml Valid white Health Services Card showing “SUPPLEMENTARY” in the BASIC HEALTH ELIGIBILITY section, or “PR” in the ADDITIONAL HEALTH ELIGIBILITY section

Valid yellow Health Services Card with a “Y” under the OTH in the VALID ONLY FOR box a “X” under SUPP in the VALID ONLY FOR box

Additional criteria may apply.

Department of Social Yes – Devices are loaned Manual wheelchairs Modifications and repairs Eligibility A prescription form is Does not cover (Government of New Development – Health from a pool for as long as Power wheelchairs Rentals Clients of this department required from an Geriatric wheelchairs Brunswick, 2016e)

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Services needed, or funded Four-wheeled scooters and their dependents occupational or physical Lift chairs and “Lazy Boy” (Government of New http://www2.gnb.ca/conten fully/purchased/rented if Rehabilitation strollers Individuals who have therapist style chairs Brunswick, 2016f) t/gnb/en/departments/soci unavailable from pool Seating and positioning special health needs and Stand up wheelchairs al_development/health_se aids components who qualify for assisted Car seats rvices.html Devices are owned by health care under Section Back up wheelchairs government and recycled 4.4 of the Family Income Transport wheelchairs Wheelchair / Seating and provided by Easter Security Act and Three-wheeled scooters Program Seals Regulations Electronics for http://www2.gnb.ca/conten environmental control t/gnb/en/services/services Devices and services must Clients must have one of Attendant _renderer.7995.html not be covered by other the following: Accessories that are not agencies or private health Valid white Health prescribed for medical or http://www2.gnb.ca/conten insurance plans. Services Card showing safety reasons t/dam/gnb/Departments/sd “SUPPLEMENTARY” in Any equipment for short - the BASIC HEALTH term use ds/pdf/HealthServices/Rec ELIGIBILITY section, or Back packs, storage ycling-e.pdf “CEQUIP” in the pouches, baskets, etc ADDITIONAL HEALTH Administered by Easter ELIGIBILITY section Wheelchairs are Seals New Brunswick considered once every 5 OR years.

Valid yellow Health Seating and accessories Services card with a “Y” are eligible every 2 years. under the OTH in the VALID ONLY FOR box, or an “X” under SUPP in the VALID ONLY FOR box.

Additional criteria may apply.

Department of Social Yes – Devices can be Technical supports and Yes Eligibility Needs are based on a Not specified (Government of New Development – Disability funded, individual assistive devices not Resident of New personal disability support Brunswick, 2016a) Support Program program covered under other No cost for general Brunswick plan through their programs facilitation services. 19 to 64 years of age independent facilitation http://www2.gnb.ca/conten Contribution based on Long term disability (does service.

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APPENDIX 5: NEW BRUNSWICK PROGRAMS t/gnb/en/services/services income assessment Service delivery model not include medical _renderer.200972.Disabilit allows self-management of condition that does not y_Support_Program.html plan or request support of result in long term a social worker. disability, or services required to address drug, Clients requesting ongoing alcohol, nicotine or support of social worker gambling addictions). will meet with social Require disability related worker to determine supports to address unmet strengths and needs to needs and to establish or develop case plan and maintain living receive regular contact, arrangement in advocacy and support community, to assist or from social worker enhance capacity of natural support networks to provide support in community, or to help participate in community, thereby helping to avoid long-term inactivity and stress Require disability related supports to address unmet needs and to assist or enhance capacity of your natural support networks to help you personally or to help you participate in community.

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Post-Secondary Yes – Funding provided Technical aids No Canadian citizen, Application form needs to Two quotes for equipment (Government of New Education, Training and up to a limit e.g. Computer, brailler permanent resident status be submitted Brunswick, 2017a) Labour -Canada Student Not specific to equipment or considered to be Grant for Services and Funding limit of $2000 Alternate formats protected person as Equipment for Persons includes cost of e.g. large print, braille print defined in Immigration and with Permanent accommodation, tuition, Refugee Protection Act; Disabilities books Resident of New Brunswick http://www2.gnb.ca/conten Note: Federal government Demonstrate financial t/gnb/en/departments/post has $2000 for financial aid need - for disability and $8000 for Students with permanent secondary_education_trai services and equipment. disability may enrol in at ning_and_labour/services/ Inconsistent on website least 40% of full-time services_renderer.200789. course load to get full-time Canada_Student_Grant_f loan, and between 20% or_Services_and_Equipm and 39% for students with ent_for_Persons_with_Per permanent disability manent_Disabilities_.html Students with permanent disability taking between Federal and provincial 40% and 59% of full-time student loan, grant and course load can elect to bursary program be in full-time or part-time status Enrolled in degree, diploma or certificate program that is at least 12 weeks in duration at designated postsecondary educational institution Maintain satisfactory scholastic standard Not in default on previous student loan Pass credit check (this applies to students who are 22 years of age or older who are applying for

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

student loan for first time) Not beyond program length, plus one additional study period Not beyond 340 weeks of eligible assistance (called your lifetime assistance limit). This is 400 weeks for students in doctoral studies, or 520 weeks for students with permanent disabilities.

Table 5-B: New Brunswick Government Legislated Insurance Programs

WorksafeNB* Yes – Devices are Mobility aids, Yes Must be an injury or illness A needs assessment must Yes they must come from (Worksafe NB, 2016a) primarily fully funded communication aids, aids Assessment, repair, acquired while working in be completed by an an authorized provider or (Worksafe NB, 2016b) http://www.worksafenb.ca/ for daily living, hearing replacement (provided by New Brunswick authorized health care vendor. (Worksafe NB, 2016c) If approved, devices paid aids, prosthetics and Easter Seals if it is for provider. WorksafeNB only (Worksafe NB, 2016d) (Crown corporation) in full. If worker requests orthotics wheelchairs), batteries for approves devices if they If a worker requests a device beyond what hearing aids are deemed medically device beyond what WorkSafeNB determines effective and directly WorkSafeNB determines to be medically effective improve return to work and to be medically effective and sufficient, then activities of daily living. and sufficient, then the worker may pay difference worker may pay the between approved device difference between the and requested upgrade approved device and the requested upgrade. * charged with overseeing the implementation and application of New Brunswick's Occupational Health and Safety Act; Workers' Compensation Act; Workplace Health, Safety and Compensation Commission and Workers' Compensation Appeals Tribunal Act; and, the Firefighters' Compensation Act.

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Table 5-C: New Brunswick Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Department of Social Development – Health Services Department of Social Development Health Services Act, SNB 2014, c 112 General Regulation, NB Reg 84-115 http://www2.gnb.ca/content/gnb/en/departments/social_d evelopment/health_services.html Family Income Security Act, SNB 1994, c F-2.01 General Regulation, NB Reg 95-61 , (Family Income Security Act)

Department of Social Development – Disability Department of Social Development (Unclear which act is the most appropriate) Support Program Health Services Act, SNB 2014, c 112 http://www2.gnb.ca/content/gnb/en/services/services_re General Regulation, NB Reg 84-115 nderer.200972.Disability_Support_Program.html Family Services Act, SNB 1980, c F-2.2 General Administration Regulation, NB Reg 81-132 , (Family Services Act)

Family Income Security Act, SNB 1994, c F-2.01 General Regulation, NB Reg 95-61 , (Family Income Security Act)

Vocational Rehabilitation of Disabled Persons Act, RSNB 2011, c 234 General Regulation, NB Reg 91-5 , (Vocational Rehabilitation of Disabled Persons Act)

Post-Secondary Education, Training and Labour - Department Post-Secondary Training, Education and Post-Secondary Student Financial Assistance Act, SNB 2007, c P-9.315 Canada Student Grant for Services and Equipment Labour and Human Resources and Skills Development General Regulation, NB Reg 2007-78 for Persons with Permanent Disabilities Canada http://www2.gnb.ca/content/gnb/en/departments/post- secondary_education_training_and_labour/services/serv ices_renderer.200789.Canada_Student_Grant_for_Servi ces_and_Equipment_for_Persons_with_Permanent_Dis abilities_.html Federal and provincial student loan, grant and bursary program

WorksafeNB* Workers' Compensation Act, RSNB 1973, c W-13

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

http://www.worksafenb.ca/ General Regulation, NB Reg 84-66 , (Workers' Compensation Act)

Table 5-D: New Brunswick Charitable Organization Programs

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

The John Wood Yes – Devices are either Varies depending on No Must be a resident of New Written confirmation from No (The John Wood Foundation fully funded or cost request. Brunswick with any type of a rehabilitation Foundation, 2016a) shared significant disability professional is needed. (The John Wood (Reg. charity) Max amount granted is Foundation, 2016b) $5000. The amount funded is dependent on device requested, funding from other sources, and finances of applicant. One or more written quotes from suppliers are needed. Red Cross – Health Yes – Devices are Hospital Beds Yes Resident who needs Devices are those (Red Cross Canada, Equipment Loan provided on a loan basis Delivery, Pick up and equipment at home available within the 2016) Program (HELP) for as long as needed Installation equipment loan pool Hospital Bed program http://www.redcross.ca/in- your-community/new- brunswick/health- equipment-loans/bed-loan- program

(Reg. charity) Red Cross – Health Yes – Devices are Customized mobility aids Yes Resident living in Long Devices are those (Red Cross Canada, Equipment Loan provided on a loan basis Delivery, Pick up and Term Care or senior available within the 2016) Program (HELP) for as long as needed Installation equipment loan pool Specialized Equipment Program http://www.redcross.ca/in- your-community/new- brunswick/health- equipment- loans/specialized- equipment-program

(Reg. charity)

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Red Cross – Health Yes – Devices are loan Wheelchairs, Walkers Yes Resident who needs Devices are those (Red Cross Canada, Equipment Loan on loan, short term Bath seats, Benches, Delivery, Pick up and equipment at home, available within the 2016) Program (HELP) Short Commodes, Toilet seats Installation hospital discharge or equipment loan pool Term Loan Crutches, Canes palliative care Bed handles, Other (Reg. charity) durable medical equipment Easter Seals New See governmental Brunswick – Social programs for details Development Equipment Loan Program

Administers the equipment loan programs of the New Brunswick Government - Social Development Programs (Convalescent / Rehabilitation Program and Wheelchair / Seating Program)

(Reg. charity, listed as Canadian Rehabilitation Council for the Disabled New Brunswick Branch Inc.) Easter Seals New Yes - long-term equipment Rehabilitation Equipment, Must have a Physical Accepts referrals from Devices are those (Easter Seals New Brunswick - Personal loans, financial aid for Wheelchairs disability occupational, speech or available within the loan Brunswick, 2017b) Services Program non-reusable items e.g. Prosthetics and Orthotics physio-therapists, VON or pool for the loaned (Easter Seals New orthopedic shoes, Computers and Technical Finances are taken into public health nurses, devices. Brunswick, 2017a) (Reg. charity, listed as occasional loans to aids consideration extra-mural hospital staff Canadian Rehabilitation purchase devices or physicians Council for the Disabled New Brunswick Branch Referrals are then Inc.) addressed on an individual basis by a client coordinator to determine

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

need and appropriateness Multiple Sclerosis Yes - Program funds Types of equipment Yes – Repair Confirmation of MS A written recommendation Once funds have been (Multiple Sclerosis Society Society of Canada – maximum of $450 per include: Mobility and diagnosis is required by an depleted, the program will of Canada - Atlantic Quality of Life Grants applicant toward purchase assistive devices, Minor occupational therapist for close until the following Division, 2017) Atlantic Division equipment home modifications, minor home renovations or fiscal year. Year runs from Bathroom equipment for all other equipment by January through https://mssociety.ca/suppo Two price quotes are (accessibility and safety an occupational therapist, December. rt-services/programs-and- needed devices) a physical therapist, or a services/financial- physiatrist. assistance

(Reg. charity)

Muscular Dystrophy Yes – Cost Sharing Access: door opener, stair Yes Must be a registered client Letter of medical necessity Lawtons Home (Muscular Dystrophy Canada - Equipment lift, ramp Repair and modifications, of Muscular Dystrophy for equipment, signed by HealthCare is the Canada, 2017b) Program- Equipment and repairs Bathroom equipment: batteries, mattress Canada health care professional preferred vendor, though 2 -Atlantic Provinces costing less than $200.00 Commode/toileting device, replacement (OT, PT, Orthotist) quotes required will not be considered Bathing/shower device, Must have a confirmed (Reg. charity) others diagnosis of Approval or denial letter Funding approvals are Beds and mattresses: neuromuscular disorder from insurance company valid for 6 months Hospital bed – manual and under the Muscular (if applicable) Is needed electric, specialized Dystrophy umbrella, mattress, T-foam mattress signed by a physician or a and alternative pressure health professional. mattress (eligible for replacement funding after Canadian citizen, landed 1 year) immigrant, or refugee Lifts: Hydraulic lifting resident in Canada device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 16

APPENDIX 5: NEW BRUNSWICK PROGRAMS

Muscular Dystrophy Yes Life Line Services Yes For the Chapters of Prescription/letter from (Muscular Dystrophy Canada – Community maximum funding amount Adaptive Technologies/ Equipment repair Central New Brunswick, professional including Canada, 2017a) Services Fund- of $1,000 per item Environmental Control Fundy, Halifax, Physician/ OT/ PT Atlantic Canada Units Southeastern New outlining medical necessity http://muscle.ca/wp- (Only chapters in New Quotes from 2 different Brunswick Mighty Drivers, content/uploads/2012/11/ Brunswick and Nova equipment vendors for the Sunny Trail Approval or denial letter CSF-Individual- Scotia) requested item from insurance company Application-for-Funding- Must be a registered client (if applicable) is needed November-15-20111.pdf (Reg. charity) of Muscular Dystrophy Canada and a member of a Muscular Dystrophy Canada Chapter

Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional.

Canadian citizen, landed immigrant, or refugee resident in Canada

Table 5-E: New Brunswick Other Resource Programs

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Miramichi Accessible Yes – Devices are Technical aids No Devices are those that are (Miramichi Accessible Transit provided on a loan basis in the loan cupboard Transit, 2017)

Loans are free of charge

References

ALS Society - New Brunswick and Nova Scotia. (2017a). Equipment Loan Program Retrieved Jun, 2017, from http://alsnbns.ca/en/service/equipment-loan-program/ ALS Society - New Brunswick and Nova Scotia. (2017b). Prescription Form Retrieved Jun, 2017, from http://alsnbns.ca/wp-content/uploads/PrescriptionFormRevisedOct16WORD.pdf Canadian National Institute for the Blind - New Brunswick. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/new-brunswick/programs-services/Pages/default.aspx Easter Seals New Brunswick. (2017a). Application Form Retrieved 03/01, 2017, from http://www.easterseals.nb.ca/forms/psp.pdf Easter Seals New Brunswick. (2017b). Personal Support Program Retrieved 03/01, 2017, from http://www.easterseals.nb.ca/index.php/en/inner-page/personal-services-program-psp Government of New Brunswick. (2016a). Disability Support Program Retrieved 08/15, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.200972.html Government of New Brunswick. (2016b). Health Services Hearing Aid Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/departments/social_development/seniors/content/services- seniors/services_renderer.8035.Health_Services_Hearing_Aid_Program_.html#serviceDescription Government of New Brunswick. (2016c). Health Services Orthopedic Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8155.html Government of New Brunswick. (2016d). Health Services Prosthetic Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8116.Health_Services_Prosthetic_Program_.html Government of New Brunswick. (2016e). Health Services Wheelchair/Seating Program Retrieved 07/22, 2016, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.7995.html Government of New Brunswick. (2016f). Recycling-e.pdf Retrieved 07/26, 2016, from http://www2.gnb.ca/content/dam/gnb/Departments/sd-ds/pdf/HealthServices/Recycling-e.pdf Government of New Brunswick. (2017a). Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities Retrieved 03/01, 2017, from http://www2.gnb.ca/content/gnb/en/departments/post- secondary_education_training_and_labour/services/services_renderer.200789.Canada_Student_Grant_for_Services_and_Equipment_for_Persons_with_Permanent_Disabilities_.html Government of New Brunswick. (2017b). Health Services Convalescent / Rehabilitation Program Retrieved 03/01, 2017, from http://www2.gnb.ca/content/gnb/en/services/services_renderer.8015.html Miramichi Accessible Transit. (2017). Miramichi Accessible Transit Retrieved 03/01, 2017, from http://www.mat-bus.com/ Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl Muscular Dystrophy Canada. (2017a). Community Services Fund: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services- fund-atlantic-canada/ Muscular Dystrophy Canada. (2017b). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/

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APPENDIX 5: NEW BRUNSWICK PROGRAMS

Red Cross Canada. (2016). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program The John Wood Foundation. (2016a). Assistance For Disabled People in New Brunswick Retrieved 08/10, 2016, from http://thejohnwoodfoundation.org/home.html The John Wood Foundation (2016b). [Personal communication, [email protected], (Aug 9, 2016)]. Vision Loss Rehabilitation - New Brunswick. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://nb.visionlossrehab.ca/en Worksafe NB. (2016a). Hearing Aids and Batteries Retrieved 07/26, 2016, from http://www.worksafenb.ca/pdf/resources/policies/29-551.pdf Worksafe NB. (2016b). Prostheses, Orthoses and Assistive Devices Retrieved 07/26, 2016, from http://www.worksafenb.ca/pdf/resources/policies/25-007.pdf Worksafe NB. (2016c). Workers’ Compensation a guide for New Brunswick workers Retrieved 07/26, 2016, from http://www.worksafenb.ca/docs/Workers%E2%80%99-Compensation-a-guide-for-New-Brunswick-workers.pdf Worksafe NB. (2016d). Workers’ rehabilitation Centre Retrieved 07/26, 2016, from http://www.worksafenb.ca/docs/wrcprogams_e.pdf

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Table 6-A: Government of Newfoundland and Labrador Programs Table 6-B: Newfoundland and Labrador Government Legislated Insurance Programs Table 6-C: Newfoundland and Labrador Legislation Governing Program Table 6-D: Newfoundland and Labrador Charitable Organization Programs Table 6-E: Newfoundland and Labrador Other Resource Programs References

Table 6-A: Government of Newfoundland and Labrador Programs

Department of Health Yes – Devices are Basic medical supplies Yes There is a financial needs Clinical assessment must Yes – some devices have (Government of and Community funded, fully or cost- and equipment for requirement. be completed by an to go through specific Newfoundland and Services - Special shared activities of daily living for Repair and modifications appropriate health care vendors. If there is no Labrador, 2016) Assistance Program – individuals living in the Devices must be needed provider vendor contract then the (Newfoundland Health Medical equipment and Fully funded on home community for a minimum of 3 months program uses the most Authority Western Health, supplies support or income Orthotics such as braces cost effective vendor 2016) support, otherwise Wheelchairs, commodes based on price and http://www.health.gov.nl.c contribution is based on or walkers geography a/health/personsdisabilitie financial needs bathroom aids, prosthetics s/fundingprograms_hcs.ht and orthotics ml#sap Home care beds and therapeutic services Joint with the Department of Advanced Education and Skills (AES) Department of Advanced Yes – devices are Hearing Aids Yes Students over age 17 Hearing test has to be Batteries are not provided (Seniors Resource Centre, Education, Skills and supplied Certain temporary attending secondary or done at the nearest 2015) Labour (AES) – Income provisions may be made postsecondary schools full Regional Audiology (Government of Support – Hearing Aid through hearing aid time Department (not at a Newfoundland and program dispenser working in or private practice) Labrador, 2017a) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 1 of 8

APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

remote area and can be Adults certified by the Joint with the Department arranged, where Department of Advanced of Health and Community appropriate, through the Education and Skills as Services Audiology Program unable to pay Director in order to reduce http://www.aesl.gov.nl.ca/ travel costs to nearest Hearing aid is needed policymanual/pdf/is/health issuing centre according to test by _hearing_aids.pdf nearest Regional Audiology Department, and person unable to pay

Department of Advanced Yes Computers, printers, No Deemed eligible for Application form needs to (Government of Education, Skills and accessories, and Canada Student Grant for be filled out in consultation Newfoundland and Labour (AES) - Canada Funding is up to associated software; Services provided are not Students with Permanent with the school’s disability Labrador, 2017b) Student Grant for $8,000 per academic portable computing directly related to assistive Disabilities; coordinator. Verification (Government of Services and Equipment year (August 1 to July 31) devices (tablets) ; CCTVs; devices Have identified of Eligibility form must also Newfoundland and for Students with Digital voice recorders / barriers/limitations that be filed out. Labrador, 2015) Permanent Disabilities Smartpens; Spell restrict ability to perform checkers; Braille products; daily activities necessary Receipts for all services http://www.aesl.gov.nl.ca/s FM systems (assistive to participate in studies; and equipment received tudentaid/disabilities/index listening devices); and Not be in default of must be provided to .html assistive technology Canada Student Loan; Student Financial packages and software Demonstrate financial Assistance Division to (Federal and provincial need through Student Aid ensure funds provided joint program) application for full-time or were used for the intended part-time studies; purpose. Enrolled in postsecondary level program at designated postsecondary institution as full-time or part-time student

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Table 6-B: Newfoundland and Labrador Government Legislated Insurance Programs

Workplace Health, Yes – Devices are Varies, depends on claim Yes Must be an injury or illness All devices must be Devices must come from (Workplace Health Safety Safety and funded, fully or rental acquired while working in prescribed by a licensed an authorized vendor. Compensation Compensation price is fully paid Specialized beds and Assessment, repair, Newfoundland and health care professional. Sometimes the authorized Commission of Commission of mattresses maintenance, Labrador prescriber is also the Newfoundland and Newfoundland and Mobility devices (e.g. modifications and Workplace NL will then authorized vendor. If there Labrador, 2017b) Labrador* crutches, canes, walkers, replacement approve the devices if: a). is no authorized vendor (Workplace Health Safety wheeled mobility) will improve or maintain available for a particular Compensation http://www.workplacenl.ca/ Orthotics and orthopedic the worker's functional device, then they can use Commission of default.whscc footwear abilities; b) will improve another vendor. Newfoundland and Other assistive devices for the likelihood of early and Labrador, 2017a) *employer funded daily activities safe return to work; c). will Devices may be rented or (Workplace Health Safety minimize the risk of further purchased depending Compensation Prostheses injury or aggravation of the upon the length of the Commission of original injury; or, d). will disability and taking into Newfoundland and Hearing devices, reduce the severity of consideration a cost Labrador, 2004) bathroom aids, safety aids symptoms where the work comparison of the two or any other device injury has a significant options. One wheeled deemed medically impact on the activities of mobility device is allowed necessary. daily living. per user.

Table 6-C: Newfoundland and Labrador Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Special Assistance Program – Medical equipment Department of Health and Community Services http://www.health.gov.nl.ca/health/department/index.html and supplies Section 1B of website explains that intervention and support services for persons with disability are not covered in http://www.health.gov.nl.ca/health/personsdisabilities/f legislation undingprograms_hcs.html#sap

Hearing Aid program Department of Advanced Education, Skills and Income and Employment Support Act, SNL 2002, c I-0.1 http://www.aesl.gov.nl.ca/policymanual/pdf/is/health_h Labour (AES) Income and Employment Support Regulations, NLR 144/04 , (Income and Employment Support Act) earing_aids.pdf

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Canada Student Grant for Services and Equipment Department of Advanced Education, Skills and Income and Employment Support Act, SNL 2002, c I-0.1 for Students with Permanent Disabilities Labour (AES) Income and Employment Support Regulations, NLR 144/04 , (Income and Employment Support Act) http://www.aesl.gov.nl.ca/studentaid/disabilities/index.h tml

Workplace Health, Safety and Compensation Workplace NL (Commission) Workplace Health, Safety and Compensation Act, RSNL 1990, c W-11 Commission of Newfoundland and Labrador* Workplace Health, Safety and Compensation Regulations, CNLR 1025/96 , (Workplace Health, Safety and http://www.workplacenl.ca/default.whscc Compensation Act)

Note: Provincial plans 2015-2018 – in process of developing provincial Assistive Technology Program

Table 6-D: Newfoundland and Labrador Charitable Organization Programs

Amyotrophic Lateral Yes – equipment pool, on Manual wheelchairs with ? only available if no Equipment must be (ALS Society of Sclerosis (ALS) Society as needed basis gel pads/cushions; Electric health benefits recommended by a health Newfoundland and of Newfoundland and hospital beds; Liftout care professional, via Labrador, 2017) Labrador- Equipment recliner chairs; Walkers, prescription/requisition Loan Program including Rollators; safety form rails/bathroom assists; (Reg. charity) Mechanical patient lifts/slings No communication aids Canadian Red Cross Yes – Supplied, three- Wheelchairs Yes Resident who needs Devices are those (Canadian Red Cross - Health Equipment Loan month short term Walkers Delivery, Pick up and equipment at home, available within the Newfoundland and Program (HELP) – Short Bath seats Installation hospital discharge or equipment loan pool Labrador, 2017) Term Loan Program Benches palliative care Commodes

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS http://www.redcross.ca/ho Toilet seats w-we-help/community- Crutches health-services-in- Canes canada/health-equipment- Bed handles loan-program Other durable medical equipment Canadian National No Assistive technology Yes (Canadian National Institute for the Blind – sales: magnifiers; talking Institute for the Blind - Newfoundland and watches, timers and Assessment and Newfoundland and Labrador scales; large-button recommendations, Labrador, 2017; Vision phones; and colour education, advice on Loss Rehabilitation - (Reg. charity) identifiers, braille board financial supports, Newfoundland and games, tactile dice, TV networking groups Labrador, 2017) Vision Loss magnifiers and large-print Rehabilitation playing cards, white Newfoundland and canes, pocket magnifiers, Labrador specialty sunglasses and operated by CNIB and talking pedometers, high- funded by the Government contrast, large-print of Newfoundland and keyboards; braillers; Labrador signature guides; and talking calculators Canadian Hard of Yes - Free short term Hearing devices No A loan form must be A responsibility and (Canadian Hard of Hearing Association loans for trial of 2 weeks. (telephone devices, completed including the damage waiver statement Hearing Association - Newfoundland and listening devices, and recipient’s name/ address/ must be signed and Newfoundland and Labrador (CHHA-NL) alerting devices) phone number, the items witnessed Labrador, 2017; Seniors to be borrowed, and the Resource Centre, 2015) http://chha- start and return date of the nl.ca/services/borrow- loan hearing-devices/

(Reg. charity) Dr. H. Bliss Murphy Yes - Short term financial Prostheses or other No Must be a cancer patient Patients should contact (Dr. H. Bliss Murphy Cancer Care Foundation assistance for cancer expenses related to and be in financial need the Social Work Cancer Care Foundation, http://cancercarefoundatio treatment related cancer Department of the Cancer 2017; Seniors Resource n.nl.ca/ expenses Centre for program Centre, 2015) (Reg. charity) information. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 8

APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Multiple Sclerosis Yes - Program funds Types of equipment Yes – Repair Confirmation of MS A written recommendation Once funds have been (Multiple Sclerosis Society Society of Canada – maximum of $450 per include: Mobility and diagnosis is required by an depleted, the program will of Canada - Atlantic Quality of Life Grants applicant toward purchase assistive devices, Minor occupational therapist for close until the following Division, 2017) Atlantic Division equipment home modifications, minor home renovations fiscal year. Year runs from Bathroom equipment or for all other equipment January through https://mssociety.ca/suppo Two price quotes are (accessibility and safety by an occupational December. rt-services/programs-and- needed devices) therapist, a physical services/financial- therapist, or a physiatrist. assistance

(Reg. charity) Muscular Dystrophy Yes – Cost Sharing Access: door opener, stair Repair and modifications, Must be a registered client Letter of medical necessity Lawtons Home (Muscular Dystrophy Canada - Equipment lift, ramp batteries, mattress of Muscular Dystrophy for equipment, signed by HealthCare is the Canada, 2017) Program- Equipment and repairs Bathroom equipment: replacement Canada health care professional preferred vendor, though -Atlantic Provinces costing less than $200.00 Commode/toileting device, (OT, PT, Orthotist) 2 quotes required will not be considered Bathing/shower device, Must have a confirmed (Reg. charity) others diagnosis of Approval or denial letter Funding approvals are Beds and mattresses: neuromuscular disorder from insurance company valid for 6 months Hospital bed – manual under the Muscular (if applicable) Is needed and electric, specialized Dystrophy umbrella, mattress, T-foam mattress signed by a physician or a and alternative pressure health professional. mattress (eligible for replacement funding after Canadian citizen, landed 1 year) immigrant, or refugee Lifts: Hydraulic lifting resident in Canada device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Table 6-E: Newfoundland and Labrador Other Resource Programs

References

ALS Society of Newfoundland and Labrador. (2017). Equipment Loan Program Retrieved Jun, 2017, from http://alsnl.ca/services-2/equipment-loan-program/ Canadian Hard of Hearing Association - Newfoundland and Labrador. (2017). Borrow Hearing Devices Retrieved 03/03, 2017, from http://chha-nl.ca/services/borrow-hearing-devices/ Canadian National Institute for the Blind - Newfoundland and Labrador. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/newfoundland/programs-services/Pages/default.aspx Canadian Red Cross - Newfoundland and Labrador. (2017). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/newfoundland-and-labrador/health-equipment-loans/short-term-loan-program Dr. H. Bliss Murphy Cancer Care Foundation. (2017). Financial Programs Retrieved 03/03, 2017, from http://cancercarefoundation.nl.ca.s163866.gridserver.com/wp-content/uploads/2013/02/Financial-Programs-Brochure1.pdf Empower - The Disability Resource Centre (2016a). [Personal communication, 709-722-4031 (July 21-27, 2016)]. Empower - The Disability Resource Centre. (2016b). Technology Services Retrieved 07/27, 2016, from http://www.empowernl.ca/programs-services/adaptive-technology/

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APPENDIX 6: NEWFOUNDLAND AND LABRADOR PROGRAMS

Government of Newfoundland and Labrador. (2015). Equipment Frequency of Entitlement. Government of Newfoundland and Labrador. (2016). Programs Funded through the Department of Health and Community Services Retrieved 08/08, 2016, from http://www.health.gov.nl.ca/health/personsdisabilities/fundingprograms_hcs.html#sap Government of Newfoundland and Labrador. (2017a). Hearing Aid Program Retrieved 03/01, 2017, from http://www.aesl.gov.nl.ca/policymanual/pdf/is/health_hearing_aids.pdf Government of Newfoundland and Labrador. (2017b). Students with Permanent Disabilities Retrieved 03/01, 2017, from http://www.aesl.gov.nl.ca/studentaid/disabilities/index.html Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl Muscular Dystrophy Canada. (2017). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/ Newfoundland Health Authority Western Health (2016). [Personal communication, 709-637-5000 (August 8, 2016)]. Seniors Resource Centre. (2015). Seniors Guide to Services and Programs in Newfoundland and Labrador Retrieved 03/01, 2017, from http://www.seniorsresource.ca/SRCNL%20Seniors%20Guide%20August%202015.pdf Vision Loss Rehabilitation - Newfoundland and Labrador. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://nl.visionlossrehab.ca/en Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2004). Hearing Loss. Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2017a). HealthCare Benefits Retrieved 03/01, 2017, from http://www.workplacenl.ca/workers/WS_HealthCareBenefits.whscc Workplace Health Safety Compensation Commission of Newfoundland and Labrador. (2017b). Policies Retrieved 03/01, 2017, from http://www.workplacenl.ca/healthcare/policies.whscc

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

Table 7-A: Government of the Northwest Territories Programs Table 7-B: Northwest Territories Government Legislated Insurance Programs Table 7-C: Northwest Territories Legislation Governing Programs Table 7-D: Northwest Territories Charitable Organization Programs Table 7-E: Northwest Territories Other Resource Programs References

Table 7-A: Government of the Northwest Territories Programs

Health and Social Yes – Devices are  Audiology equipment (e.g. Yes  Non-Native or Métis Prescription or written Prior approval for medical (Alberta Blue Cross, 2012; Services - funded, fully hearing aids)  Permanent resident of the order from recognized equipment required. Government of the Supplementary Health Devices are fully paid  Medical equipment (e.g. Travel for fitting of custom NWT health care professional. Northwest Territories, Benefits according to reasonable wheelchairs and walkers) made devices  Registered with the NWT 2017a, 2017b) http://www.hss.gov.nt.ca/e and customary charges.  Orthotics and custom- Health Care Plan Prior approval for medical

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

n/services/supplementary- made footwear  under the care of a equipment required. health-benefits Program is administered  Prosthetics physician or nurse (Alberta Blue Cross, 2016) by Alberta Blue Cross practitioner for one of the Note: declined to give Extended Health listed disease conditions information Benefits for Specified Payor of last resort – must (e.g. Alzheimer’s diabetes Disease Conditions claim through other heart disease) http://www.hss.gov.nt.ca/si programs first (e.g. Must apply for Extended tes/www.hss.gov.nt.ca/file employer, workers’ Health Benefits program s/specified-disease- compensation) conditions-program- ehb.pdf

Health and Social Yes – Devices are  Audiology equipment (e.g. Yes  Registered Indigenous Prescription or written Prior approval for medical (Alberta Blue Cross, 2012; Services - funded, fully hearing aids) Métis order from recognized equipment required. Government of the Supplementary Health Devices are fully paid  Medical equipment (e.g. Travel for fitting of custom Permanent resident of the health care professional. Northwest Territories, Benefits according to reasonable wheelchairs and walkers) made devices NWT 2017a, 2017d) http://www.hss.gov.nt.ca/e and customary charges.  Orthotics and custom-  Registered with the NWT Prior approval for medical n/services/supplementary- made footwear Health Care Plan. equipment required. (Alberta Blue Cross, 2016) health-benefits Program is administered  Prosthetics Métis Health Note: declined to give by Alberta Blue Cross Benefits program information Metis Health Benefits http://www.hss.gov.nt.ca/si Payor of last resort – must tes/www.hss.gov.nt.ca/file claim through other s/metis-health-benefits.pdf programs first (e.g. employer, workers’ compensation)

Department of Yes - Special equipment – e.g Yes - Canadian citizen or a Apply for any time during Not Eligible: (Government of the Education, Culture and Up to $8,000 reimbursed Braille writer, alternative one-time medical permanent resident academic year Capital costs such as Northwest Territories, Employment - Study per academic year keyboard and alternate assessment – 75% of the Considered "Ordinarily Provide medical, or other wheelchair, hearing aids, 2016, 2017e) Grant for Services and formats such as large or cost up to a maximum of Resident " of NWT for at professional assessment computer, printer, monitor, Equipment for Students Braille print or voice $1,000 least 12 continuous describing way disability glasses, etc. with Permanent activated programs months before start of limits full participation in Repairs or modifications to Disabilities program post-secondary studies capital equipment  (Note: Not part of Federal Any previous student Grant Program) financial assistance loan payments must be up to date and not have

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

outstanding debts with Government of NWT Have permanent disability – functional limitation from physical or mental/cognitive impairment restricting ability to perform daily activities for postsecondary studies and remains throughout life

Department of Yes – Devices are Assistive technology (e.g. Yes Individuals or 2 support letters are 2 quotes are needed (Government of Northwest Education, Culture and funded, fully Dragon Dictate or Zoom organizations may apply required, one from an Territories, 2016; Employment - The Text software) Educational assessments for funding. appropriate health care Not covered for Northwest Territorries Learning Support for Must show that the professional describing individuals: Disabilities Council, 2016, Persons with Disabilities Communication and funding requested will help supports needed and Desktop computers, 2017) Fund sensory devices to overcome barriers to another from health care laptops, tablets, smart Software and access to learning. professional or an phones https://www.ece.gov.nt.ca/ computer devices educator, disability sites/www.ece.gov.nt.ca/fil Criteria for Individuals: organization, tutor, social es/resources/learning_sup Not covered for Must be 18+ worker, wellness worker, port_for_persons_with_dis individuals: Not attending high school etc abilities_brochure.pdf Desktop computers, Live in Northwest laptops, tablets, smart Territories (Cost shared program with phones Have a disability requires Government of Northwest supports to overcome Territories and barriers to learning Government of Canada Involved in a learning through Labour Market activity; applying for a Agreement for Persons learning activity that will with Disabilities) help further an individual’s education, increase daily living skills or obtain future employment Show commitment to achieving education, employment or personal

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

goals;

Unable to receive funding for training elsewhere

Table 7-B: Northwest Territories Government Legislated Insurance Programs

* Arm’s length government agency, administers Workers Compensation Acts

Table 7-C: Northwest Territories Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Supplementary Health Benefits Ministry of Health and Social Services, Department of Could not find specific legislation on these; policy documents have been rescinded and work has been done to make Extended Health Benefits Seniors’ Program Health and Social Services the programs similar in what is insured http://www.hss.gov.nt.ca/en/services/r%C3%A9gimes-

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS d%E2%80%99assurance-maladie- compl%C3%A9mentaires/extended-health-benefits- seniors%E2%80%99-program

Supplementary Health Benefits Ministry of Health and Social Services, Department of Could not find specific legislation on these; policy documents have been rescinded and work has been done to make Extended Health Benefits for Specified Disease Health and Social Services the programs similar in what is insured Conditions http://www.hss.gov.nt.ca/en/services/supplementary- health-benefits/extended-health-benefits-specified- disease-conditions

Supplementary Health Benefits Ministry of Health and Social Services, Department of Could not find specific legislation on these; policy documents have been rescinded and work has been done to make Metis Health Benefits Health and Social Services the programs similar in what is insured http://www.hss.gov.nt.ca/en/services/r%C3%A9gimes- d%E2%80%99assurance-maladie- compl%C3%A9mentaires/m%C3%A9tis-health-benefits

The Learning Support for Persons with Disabilities Department of Education, Culture and Employment Student Financial Assistance Act, RSNWT 1988, c S-14 Fund Student Financial Assistance Regulations, RRNWT 1990, c S-20 , (Student Financial Assistance Act) https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files /resources/learning_support_for_persons_with_disabiliti Canada-Northwest Territories Labour Market Agreement for Persons with Disabilities es_brochure.pdf https://www.canada.ca/en/employment-social-development/programs/training-agreements/lma-disabilities/nwt.html

Study Grant for Services and Equipment for Department of Education, Culture and Employment Student Financial Assistance Act, RSNWT 1988, c S-14 Students with Permanent Disabilities Student Financial Assistance Regulations, RRNWT 1990, c S-20 , (Student Financial Assistance Act)

Workers’ Safety and Compensation Commission Minister Responsible for the Workers' Safety and Workers' Compensation Act, SNWT 2007, c 21 (WSCC) of Northwest Territories and Nunavut* Compensation Commission, Agency in Government of http://www.wscc.nt.ca/ Northwest Territories

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

Table 7-D: Northwest Territories Charitable Organization Programs

(Reg. charity)

Multiple Sclerosis Yes - purchase, repair Bath aids (bath lifts, bath Yes - delivery, pick up, Diagnosis of MS from Assessment or letter of Last resort funding, (Multiple Sclerosis Society Society of Canada – and/or permanent loan chairs, bath bench, cleaning, safety check, physician or MS Clinic, support from an meaning all other potential of Canada - Alberta and Quality of Life Grants handheld showers), repairs, batteries and tires Residence within the appropriate provider must funding sources must be Northwest Territories Alberta/Northwest The maximum amount Bracing & supports regional/chapter/division be included, for example fully explored Division, 2017a, 2017b) Territories available per person is (orthotics, leg braces & catchment area, and Occupational Therapist, $1,000.00. splints), Broda chairs, declaration of financial Physician, or https://mssociety.ca/suppo CEP Computer Lease need Physiotherapist rt-services/programs-and- Two or more price quotes Commodes, Computer services/financial- for the good or services with adaptations, Electric assistance are needed hospital beds and mattresses, Environmental (Reg. charity) controls, Hearing Aids (MS specific), Floor to ceiling transfer poles, Grab bars, Home accessibility (porch lifts, automatic door

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

openers, stair glides, ramps), Kitchen aids (auto feeder, microwave, utensils), Lift chairs o Lift systems (ramp installations or repairs). Manual wheelchairs (tilt &non-tilt), Power wheelchairs (tilt & non-tilt), Prescribed orthopedic shoe/boot, Raised toilet seats, toilet safety frame & versa frames, Scooters (3 or 4 wheel) Transfer disk, belt or board, Trapeze bar

Table 7-E: Northwest Territories Other Resource Programs

None found

References

Alberta Blue Cross. (2012). Alberta Blue Cross to administer medical supplies and equipment claims for Government of the Northwest Territories clients Retrieved 07/14, 2016, from https://www.ab.bluecross.ca/pdfs/82924_gnwt_medsupp_info.pdf Alberta Blue Cross (2016). [Personal communication, Northwest Territories Metis and Extended Health Benefits, 1-800-661-6995 (July 18, 2016)]. ALS Society of Alberta. (2016). Equipment Loan Program Retrieved 05/18, 2016, from http://www.alsab.ca/equipment-loan-program/ Government of Northwest Territories. (2016). Learning Support for Persons with Disabilities - Program Guidelines and Application 2015-2016 Retrieved Feb 23, 2017, from http://www.nwtdc.net/wp-content/uploads/2014/04/Learning- Support-for-Individuals.pdf Government of the Northwest Territories. (2016). Student Financial Assistance Policy and Procedures Manual Retrieved Jun, 2017, from https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/sfa_- _policy_and_procedures_manual_-_august_2016.pdf Government of the Northwest Territories. (2017a). Health and Social Services - Supplementary Health Benefits Retrieved Feb 23, 2017, from http://www.hss.gov.nt.ca/en/services/supplementary-health-benefits

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APPENDIX 7: NORTHWEST TERRITORIES PROGRAMS

Government of the Northwest Territories. (2017b). Health and Social Services - Supplementary Health Benefits - Extended Health Benefits for Specified Disease Conditions Retrieved Feb 23, 2017, from http://www.hss.gov.nt.ca/health/nwt-health-care-plan/extended-health-benefits-specified-disease-conditions Government of the Northwest Territories. (2017c). Health and Social Services - Supplementary Health Benefits - Extended Health Benefits Seniors’ Program Retrieved Feb 28, 2017, from http://www.hss.gov.nt.ca/health/nwt-healthcare-plan/extended-health-benefits-seniors-program Government of the Northwest Territories. (2017d). Health and Social Services - Supplementary Health Benefits - Métis Health Benefits Retrieved Feb 23, 2017, from http://www.hss.gov.nt.ca/health/nwt-health-care-plan/metis-health- benefits Government of the Northwest Territories. (2017e). Student Financial Assistance Retrieved Jun, 2017, from https://www.ece.gov.nt.ca/en/services/aide-financiere-aux-etudiants/program-information Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017a). Programs and Services Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/123/quality-of-life-grants- equipment-ab-nwt-division Multiple Sclerosis Society of Canada - Alberta and Northwest Territories Division. (2017b). Quality of Life - Equipment Community Fund Retrieved Jun, 2017, from https://mssociety.ca/library/document/0rIeG2HSRgTDO6ZBqthY5n7M8CUWc4as/original.pdf Northwest Territorries Disabilities Council (2016). [Personal communication, Information, Referral and Support Coordinator 1-800-491-8885 (July 12, 2016)]. Northwest Territorries Disabilities Council. (2017). Learning Support for Persons with Disabilities Fund (Brochure) Retrieved Feb 23, 2017, from https://www.ece.gov.nt.ca/sites/www.ece.gov.nt.ca/files/resources/learning_support_for_persons_with_disabilities_brochure.pdf Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut. (2016). Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut - Policy Manual Retrieved Feb 23, 2017, from http://www.wscc.nt.ca/sites/default/files/documents/Policy%20Manual%20-%20Updated%20December%201%2C%202016.pdf Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut. (2017). Workers' Safety and Compensation Commission (WSCC) of Northwest Territories and Nunavut Retrieved Feb 23, 2017, from http://www.wscc.nt.ca/

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Table 8-A: Government of Nova Scotia Programs Table 8-B: Nova Scotia Government Legislated Insurance Programs Table 8-C: Nova Scotia Legislation Governing Programs Table 8-D: Nova Scotia Charitable Organization Programs Table 8-E: Nova Scotia Other Resource Programs References

Table 8-A: Government of Nova Scotia Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion or authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Department of Yes – Devices are Special request devices Yes Applicants must have a Medical assessment must Demonstration of the most (Nova Scotia Department Community Services – funded (e.g. special clothing for valid Nova Scotia health be filled out by a physician economical option based of Community Services, Disability Support mobility needs, orthotics, Assessment card. or nurse practitioner. on two cost estimates 2016) Program hearing aids and 19 years or older (with 16- batteries) Assistance with 19 age exceptions) Documentation from a http://novascotia.ca/coms/ Prosthetics and purchase/rental of health care provider is disabilities/ wheelchairs for those who approved equipment at A financial assessment of needed. are not covered through the actual cost of the most need is required. the Easter Seals or the economical option A care coordinator from Senior’s loan programs They must also have an the Ministry of Community are covered as a special intellectual disability, an Services is responsible for needs device. acquired brain injury, a the functional and long term mental illness or financial assessments. a significant long term physical disability. For special needs devices; care coordinator may refer to second physician or health care provider to determine need for devices.

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Department of Yes – Wheelchairs are Wheelchairs and seating Yes Applicants must have a A care coordinator from No (Easter Seals Nova Community Services – loaned for as long as equipment valid Nova Scotia health the Ministry of Community Scotia, 2017; Nova Scotia Disability Support needed Assessment, equipment card. Services is responsible for Wheelchairs provided by Department of Community Program – Wheelchair repair program (through Under 65 the functional and Easter Seals loan bank Services, 2017b) Recycling Program Easter Seals Nova Scotia) financial assessments. They must also have an Administered by Abilities intellectual disability, an Medical prescription for Foundation of Nova acquired brain injury, a wheelchair from health Scotia at Easter Seals long term mental illness or care professional. Nova Scotia a significant long term physical disability. http://novascotia.ca/coms/ disabilities/WheelchairRec For the wheelchair ycling.html recycling program applicants must be under http://www.easterseals.ns. 65 years of age. ca/wheelchairs Family income must fall within program guidelines (below $25,000)

Eligibility and funding assessed by Easter Seals Department of Yes – Devices are Technical and assistive Yes Have a disability (physical, Assessment and Two cost estimates, most (Nova Scotia Department Community Services – funded, different aids Wheelchair repairs mental health, learning, recommendation from a economical option of Community Services, Employment Support approval levels cognitive, intellectual) qualified medical/clinical 2017a) and Income Assistance Appliances for visual practitioner – Employment Support If assistance is available impairments “Realistic possibility” of Services – Labour through another program, Appliances for hearing working as result of Market Agreement for must seek support impairments up to a program funding Persons with Disabilities through other program maximum of $1,600 per Program, Workplace unit every 4 years Resident of Nova Scotia, Support Program This is an income tested Computer software at least 16 years of age, program and to be eligible (writing aids, not attending provincial Joint funded by both the for support, an individual magnification, screen public school Province of Nova Scotia must have a net income of reading, dictation, and the Government of $54,000 or less annually. software to support Canadian citizen or

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Canada under Labour learning disabilities) landed immigrant who is a Market Agreement for Voice-Activated resident of Nova Scotia. Persons with Disabilities Telephones – for telephone purchase only – Not eligible: https://novascotia.ca/com does not support monthly Made a claim under the s/employment/employmen phone bills Worker’s Compensation t_services/docs/Guideline Speech Recognition Act, Veteran’s s%20for%20Workplace% Software Rehabilitation Act 20Support%20Program% Optical Character (Canada), Canada 20Version%201_3.pdf Recognition (OCR) Pension Plan, or private Software insurance companies; (No funding since March Visual and Graphic Seeking supports for 31, 2016, program not Organizers health-related expenses, renewed) Automated Stamper medical treatment Power tilt/recline seating Office furniture Must work a minimum of modifications 20 hours per week. Department of Labour Yes – Equipment Yes - Nova Scotia resident Discuss needs with Maximum of $2000 for (Nova Scotia Labour and and Advanced - Assistive technology - attending a university, school’s disability computer, printer and Advanced Education, Education - Post up to $8000 computer, software, Reimbursement for community college or coordinator general software 2017a, 2017b) Secondary Disability dragon, jaws) learning disability private career college Apply with form Services Services – Nova Scotia - Alternate format assessments and Equipment Grant for Grant for Services and Registered through Nova Post-Secondary Students Equipment Scotia Student Loans, with Permanent Disabilities Canada Student Grant Approved as student with Include 1 quote or paid for Services and a permanent disability invoice Equipment for Students with Permanent Disabilities

Federal and/or Labour Market Agreement Permanent Disability (LMAPD) government grant

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Department of Health Yes – Recycled Wheelchairs - new and Yes  Resident of Nova Scotia An assessment is required Recycled seating and (Nova Scotia Department and Wellness - wheelchairs are loaned recycled wheelchairs with valid Nova Scotia by an authorized health mobility systems. of Continuing Care, 2016) Continuing Care – for as long as needed, or (manual and/or electric) Assessment, maintenance health card. care provider (Nova Scotia Department Seniors Community new wheelchair is and seating equipment costs and general repairs, (Occupational Therapist or If moving to long term of Continuing Care, Wheelchair Loan funded no fees  65 years of age or older at Physiotherapist care facility the wheelchair 2013b) Program the time of application will remain with user and referral for reassessment https://novascotia.ca/dhw/ Must require assistance will be initiated. Transition ccs/wheelchair-loan- because of a long term to get wheelchair through program.asp disability, chronic illness Specialized Equipment or terminal illness. Program in long term care https://novascotia.ca/dhw/ ccs/FactSheets/Seniors- Seniors living at home. Community-Wheelchair-  Loan-Program.pdf  Agree to sign a consent form for the safe and (No funding since January proper use of your 2016) wheelchair   Are considered low- income (have a net annual income of $22,125 or less if single or $37,209 or less if married),   Not covered by other programs such as private insurance or other publicly funded organizations.

Department of Health Yes – Rental fees are Personal Alert Device Yes Must be over age 65 Must be authorized by a No (Nova Scotia Department and Wellness - cost shared  Be a Nova Scotia resident care coordinator from the of Continuing Care, Continuing Care – Personal alert emergency Assessment, 24 hour with valid Health Card. Department of Continuing Various suppliers, some 2013a) Personal Alert Service Reimburses up to response system (i.e. emergency support and Care. listed in the Department of $480/year towards the LifeLine, Project alarm system Must live alone Seniors’ Programs for https://novascotia.ca/dhw/ service price Lifesaver) Must have a recent history Positive Aging. ccs/personal-alert- Approved cost includes of fall and use a mobility

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APPENDIX 8: NOVA SCOTIA PROGRAMS service.asp start-up fees and monthly aid. maintenance (e.g. https://novascotia.ca/dhw/ batteries).  Low income - annual net ccs/policies/Personal- income of less than Alert-Assistance-Program- $22,125. Policy.pdf   Requirement for Home Care Services that will extend beyond 90 days.   Sign agreement with Department of Health and Wellness.  First Nation individuals on Reserve eligible for program if not receiving Income Assistance (Aboriginal Affairs Northern Development Canada) Department of Health Yes – Devices are loaned Fully electric hospital type Yes A resident of Nova Scotia Assessed by Continuing Devices are those (Red Cross Canada, and Wellness - until no longer needed, bed with valid Nova Scotia Care representative to available within the 2016) Continuing Care and no cost Foam pressure reduction Delivery, pick up and health card meet program equipment loan pool (Nova Scotia Department Canadian Red Cross mattress installation/assembly requirements, referral for of Continuing Care, Nova Scotia - Health Full bed rail Needs this equipment to Red Cross made 2008a) Equipment Loan safely live at home Program (HELP) - Bed (assessed by Continuing Loan Program Care)

Administered by Red Willing to take Cross responsibility for equipment in home (or https://novascotia.ca/dhw/ other individual willing to ccs/policies/HELP_Progra do so) m_Policy.pdf First Nation individuals on

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APPENDIX 8: NOVA SCOTIA PROGRAMS http://www.redcross.ca/in- Reserve can access this your-community/nova- program scotia/health-equipment- loans/bed-loan-program

Department of Health Yes – Devices are Specialized mattresses Yes Regular bed resident of a Professional assessment Specialized equipment (Red Cross Canada, and Wellness - loaned, may need to pay and accessories Department of Health and conducted by a provided is minimum 2016) Continuing Care and monthly fee, depending Resident specific, Customized to Wellness licensed or Physiotherapist or an required to meet basic (Nova Scotia Department Canadian Red Cross on income. specialized bariatric beds specifications, deliver, set approved long term care Occupational Therapist identified need (i.e. if able of Continuing Care, 2009) Nova Scotia - Health Power and manual up, maintain, pick up and facilities to move manual (Nova Scotia Department Equipment Loan Fee charged - monthly flat wheelchairs, plus recycle equipment Requires equipment on Approval by Continuing wheelchair inside for 10m of Continuing Care, 2014) Program (HELP) - rate charge and an accessories Covered Equipment list Care one is ineligible for power) Specialized Equipment amount associated with Resident specific Assessed by an Program the particular type of specialized transfer aids Occupational Therapist or Substitutions must be equipment (i.e.: sliding sheets, Physiotherapist as identified by assessing https://novascotia.ca/dhw/ trapeze bars) requiring equipment health care professional. ccs/policies/policyManual/ Publicly assisted residents Basic positioning chairs Reviewed and approved Guidelines_Specialized_E are exempt from fees Customized 2 wheeled by Continuing Care If items are unavailable quipment_Program.pdf walker with glide tips/skis Red Cross will purchase If residents upgrade or and rollator walkers, plus User pays monthly rental for their pool choose other equipment, accessories fee they pay in full including Resident specific slings labour/maintenance to Bariatric commodes install upgraded items

Department of Health Yes – Partially Funded In-home automated No Must be 65 years or older, A medication review is Other medication (Nova Scotia Department and Wellness - medication dispenser be low income (have a net needed management options of Continuing Care, 2017) Continuing Care – Up to $499/year annual income of $22,003 must be explored prior to Medication Dispenser or less if single / $37,004 applying to this program Assistive Technology or less if married). Program Require prescription http://0-nsleg- medication for more than edeposit.gov.ns.ca.legcat. 90 day, reminders and/or gov.ns.ca/deposit/b10659 active monitoring of the 81x.pdf medication and agree to take the medication. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 6 of 15

APPENDIX 8: NOVA SCOTIA PROGRAMS

Department of Health Yes- Funded amounts Wheelchair batteries, tires No Must reside in a Requests must be Items not specifically (Nova Scotia Department and Wellness - vary dependant on and low-cost items such Department of Health long submitted to the Care referenced or identified in of Continuing Care, Continuing Care - device as arm pads for resident term care facility and does Coordinator on the this policy are not 2008b) Special needs for Long specific equipment that is not have the resources to approved Special Need available for funding as a Term Care For example certain not provided through the cover the device needed Request and special need. orthotics are funded max Specialized Equipment Authorization Form, and http://novascotia.ca/dhw/c $300-$400 Program, may be funded the Care Coordinator must cs/policies/policyManual/S as a special need. This approve the request. pecial%20Needs%20Polic also includes hearing y.pdf aids, vision aids and orthotics

Table 8-B: Nova Scotia Government Legislated Insurance Programs

Workers’ Compensation Yes – Varies, depends on claim Yes Work related injury or A medical report by an No (Workers' Compensation Board (WCB) of Nova illness in Nova Scotia appropriate WCB Board of Nova Scotia, Scotia Devices are at no cost Assessment, repair, approved health care 2016b) and are offered either on replacement, modification, provider needs to be (Workers' Compensation http://www.wcb.ns.ca/ a short term or long term delivery submitted. Board of Nova Scotia, basis depending on the 2016a) need. Needs to be most cost-effective. * WCB Nova Scotia - provincial provider insurance

Table 8-C: Nova Scotia Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Disability Support Program Department of Community Services Social Assistance Act, RSNS 1989, c 432 Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act)

http://novascotia.ca/coms/disabilities/SPDProgramPolicy.html Disability Support Program – Wheelchair Recycling Department of Community Services Social Assistance Act, RSNS 1989, c 432 Program Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act) http://novascotia.ca/coms/disabilities/WheelchairRecycli ng.html AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 15

APPENDIX 8: NOVA SCOTIA PROGRAMS

Labour Market Agreement for Persons with Department of Community Services – Employment Social Assistance Act, RSNS 1989, c 432 Disabilities Program, Workplace Support Program Support and Income Assistance – Employment Support Municipal Assistance Regulations, NS Reg 76/81 (Social Assistance Act) https://novascotia.ca/coms/employment/employment_s Services ervices/docs/Guidelines%20for%20Workplace%20Sup port%20Program%20Version%201_3.pdf Joint funded by both the Province of Nova Scotia and the Government of Canada under Labour Market Agreement for Persons with Disabilities

Seniors Community Wheelchair Loan Program Department of Health and Wellness - Continuing Care Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6) https://novascotia.ca/dhw/ccs/wheelchair-loan- program.asp http://novascotia.ca/coms/disabilities/SPDProgramPolicy.html

Personal Alert Service Program Department of Health and Wellness - Continuing Care Unable to identify specific. (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6)

https://novascotia.ca/dhw/ccs/policies/Personal-Alert-Assistance-Program-Policy.pdf

Health Equipment Loan Program (HELP) - Bed Department of Health and Wellness -Continuing Care Unable to identify specific. Loan Program and Canadian Red Cross Nova Scotia (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6) Administered by Red Cross http://www.redcross.ca/in-your-community/nova- https://novascotia.ca/dhw/ccs/policies/HELP_Program_Policy.pdf scotia/health-equipment-loans/bed-loan-program

Health Equipment Loan Program (HELP) - Department of Health and Wellness -Continuing Care Homes for Special Care Act, RSNS 1989, c 203 Specialized Equipment Program and Canadian Red Cross Nova Scotia Homes for Special Care Regulations, NS Reg 127/77 https://novascotia.ca/dhw/ccs/policies/policyManual/Gui delines_Specialized_Equipment_Program.pdf

Medication Dispenser Assistive Technology Department of Health and Wellness -Continuing Care Unable to identify specific. Program (Potentially Health Authorities Act, SNS 2014, c 32 and Co-ordinated Home Care Act, SNS 1990, c 6)

Special needs for Long Term Care Department of Health and Wellness -Continuing Care Homes for Special Care Act, RSNS 1989, c 203 Homes for Special Care Regulations, NS Reg 127/77

https://novascotia.ca/dhw/ccs/policies/policyManual/Special%20Needs%20Policy.pdf

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Worker's Compensation Board Worker's Compensation Board of Nova Scotia Workers' Compensation Act, SNS 1994-95, c 1 Workers' Compensation General Regulations, NS Reg 22/96 , (Workers' Compensation Act) http://www.wcb.ns.ca/ Chronic Pain Regulations, NS Reg 187/2004 Firefighters' Compensation Regulations, NS Reg 140/2003

Table 8-D: Nova Scotia Charitable Organization Programs

Health Equipment Loan Program (HELP) - Bed Loan Program

Health Equipment Loan Program (HELP) - Specialized Equipment Program

Administered by Red Cross

(Reg. charity) Canadian Red Cross Yes – short term loans Wheelchairs No Referral from a registered (Canadian Red Cross - Nova Scotia – Health Walkers health care professional is Nova Scotia, 2017) Equipment Loan Bath seats and benches needed AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 9 of 15

APPENDIX 8: NOVA SCOTIA PROGRAMS

Program (HELP) – Short Commodes and toilet Term Loan Program – seats Crutches and canes (Reg. charity) Bed handles Other durable medical equipment

Department of Refer to government Community Services – program for details. Disability Support Program – Wheelchair Recycling Program

Administered by Abilities Foundation of Nova Scotia at Easter Seals Nova Scotia http://novascotia.ca/coms/ disabilities/WheelchairRec ycling.html http://www.easterseals.ns. ca/wheelchairs

(Reg. charity)

Easter Seals Nova Yes – Devices are loaned Refurbished devices such No Must provide notice of Referral is needed form Availability depends on (Easter Seals Nova Scotia - Assistive for as long as needed as income an occupational therapist, what devices were Scotia, 2015) Devices (separate Wheelchairs and seating physical therapist or donated program to government For devices valued over inserts another health one) $1000 there is an income Walkers professional User is responsible for test. Home safety equipment knowledgeable of home cleaning equipment http://www.easterseals.ns. Lifts health equipment. ca/wheelchairs Orthotic/orthopaedic devices (Reg. charity)

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Amyotrophic Lateral Yes Bathroom Aids, Beds & Yes Equipment must be No modifications are to be (ALS Society - New Sclerosis (ALS) Society Equipment is loaned free Accessories, Delivery is free of charge. recommended by a made to any of the Brunswick and Nova of New Brunswick and of charge Communication Devices, Service due to regular physiotherapist or an equipment provided Scotia, 2017a, 2017b) Nova Scotia –Equipment Lifts, Walkers, Power wear and tear is provided occupational therapist without written consent Loan Program Wheelchairs, and at no cost. Miscellaneous Equipment (Reg. charity) May be minor set up and fees to do personal adjustments. Canadian National No None specified Yes (Canadian National Institute for the Blind – Institute for the Blind - Nova Scotia and PEI Vision Loss Rehabilitation Nova Scotia and PEI, program provides: 2017; Vision Loss Note: CNIB AT program Education, training, device Rehabilitation - Nova seems only to be in PEI recommendations Scotia, 2017)

Vision Loss Rehabilitation – Nova Scotia

(Reg. charity) Society of the Deaf and Yes – Loan program Alerting Systems, Yes (Society of Deaf and Hard Hard of Hearing Nova Loans equipment prior to Assistive Listening of Hearing Nova Scotians, Scotians purchase, or borrow it to Accessories, Clocks, Services to select devices 2014) make their home Personal Amplification (Reg. charity) accessible for visiting Devices, friend or family member Sound Conditioners, Add-on Amplifier/Ringers, Amplified Phones, Smoke and Carbon, Detectors, TTYs, Vibrating Watches, Voice Carryover Phones, Accessories for TTYs/TDDs Tetra Society of North Yes – Devices are Customized assistive Yes None Complete request form Custom services (Easter Seals Nova America - Assistive supplied, volunteer devices by volunteers Assessment and custom through Tetra Scotia, 2016) Devices Program services such as technologists, services AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 11 of 15

APPENDIX 8: NOVA SCOTIA PROGRAMS

(Halifax Chapter) and technicians, engineers, Easter Seals Nova and tradespeople Scotia

(Easter Seals administers program) http://www.easterseals.ns. ca/uploads/571e63aaf41e frelease,%20Tetra%20Apr %202016.pdf Multiple Sclerosis Yes - Program funds Types of equipment Yes – Repair Confirmation of MS A written recommendation Once funds have been (Multiple Sclerosis Society Society of Canada – maximum of $450 per include: Mobility and diagnosis is required by an depleted, the program will of Canada - Atlantic Quality of Life Grants applicant toward purchase assistive devices, Minor occupational therapist for close until the following Division, 2017) Atlantic Division equipment home modifications, minor home renovations fiscal year. Year runs from Bathroom equipment or for all other equipment January through https://mssociety.ca/supp Two price quotes are (accessibility and safety by an occupational December. ort-services/programs- needed devices) therapist, a physical and-services/financial- therapist, or a physiatrist. assistance

(Reg. charity) Muscular Dystrophy Yes – Cost Sharing Access: door opener, stair Yes - Repair and Must be a registered client Letter of medical Lawtons Home (Muscular Dystrophy Canada - Equipment lift, ramp modifications, batteries, of Muscular Dystrophy necessity for equipment, HealthCare is the Canada, 2017b) Program- Equipment and repairs Bathroom equipment: mattress replacement Canada signed by health care preferred vendor, though -Atlantic Provinces costing less than $200.00 Commode/toileting device, professional (OT, PT, 2 quotes required will not be considered Bathing/shower device, Must have a confirmed Orthotist) (Reg. charity) others diagnosis of Funding approvals are Beds and mattresses: neuromuscular disorder Approval or denial letter valid for 6 months Hospital bed – manual under the Muscular from insurance company and electric, specialized Dystrophy umbrella, (if applicable) Is needed mattress, T-foam mattress signed by a physician or a and alternative pressure health professional. mattress (eligible for replacement funding after Canadian citizen, landed 1 year) immigrant, or refugee Lifts: Hydraulic lifting resident in Canada

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APPENDIX 8: NOVA SCOTIA PROGRAMS

device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter Muscular Dystrophy Yes Life Line Services Yes For the Chapters of Prescription/letter from (Muscular Dystrophy Canada – Community maximum funding amount Adaptive Technologies/ Equipment repair Central New Brunswick, professional including Canada, 2017a) Services Fund- of $1,000 per item Environmental Control Fundy, Halifax, Physician/ OT/ PT Atlantic Canada Units Southeastern New outlining medical http://muscle.ca/wp- (Only chapters in New Quotes from 2 different Brunswick Mighty Drivers, necessity content/uploads/2012/11/ Brunswick and Nova equipment vendors for the Sunny Trail CSF-Individual- Scotia) requested item Approval or denial letter Application-for-Funding- Must be a registered client from insurance company November-15-20111.pdf (Reg. charity) of Muscular Dystrophy (if applicable) is needed Canada and a member of a Muscular Dystrophy Canada Chapter

Must have a confirmed diagnosis of neuromuscular disorder under the Muscular Dystrophy umbrella, signed by a physician or a health professional.

Canadian citizen, landed immigrant, or refugee resident in Canada

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Table 8-E: Nova Scotia Other Resource Programs

None found.

References

ALS Society - New Brunswick and Nova Scotia. (2017a). Equipment Loan Program Retrieved Jun, 2017, from http://alsnbns.ca/en/service/equipment-loan-program/ ALS Society - New Brunswick and Nova Scotia. (2017b). Prescription Form Retrieved Jun, 2017, from http://alsnbns.ca/wp-content/uploads/PrescriptionFormRevisedOct16WORD.pdf Canadian National Institute for the Blind - Nova Scotia and PEI. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ns-pei/programs-services/Pages/default.aspx Canadian Red Cross - Nova Scotia. (2017). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/nova-scotia/health-equipment-loans/short-term-loan-program Easter Seals Nova Scotia. (2015). Assistive Devices Donated Equipment application Retrieved 08/26, 2016, from http://www.easterseals.ns.ca/uploads/5772cc636b7e32015%20ES%20Assistive%20Devices%20Donated%20Equipment%20%20application.pdf Easter Seals Nova Scotia. (2016). TETRA Retrieved 02/22, 2017, from http://www.easterseals.ns.ca/uploads/571e63aaf41efrelease,%20Tetra%20Apr%202016.pdf Easter Seals Nova Scotia. (2017). Wheelchairs and Mobility Equipment Retrieved 02/22, 2017, from http://www.easterseals.ns.ca/wheelchairs Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl Muscular Dystrophy Canada. (2017a). Community Services Fund: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services- fund-atlantic-canada/ Muscular Dystrophy Canada. (2017b). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/ Nova Scotia Department of Community Services. (2016, 2016/08/16/17:15:29). SPD_Public_Policy.pdf, from http://novascotia.ca/coms/disabilities/documents/SPD_Public_Policy.pdf Nova Scotia Department of Community Services. (2017a). Employment Support Services Retrieved 02/22, 2017, from https://novascotia.ca/coms/employment/employment_services/docs/Guidelines%20for%20Workplace%20Support%20Program%20Version%201_3.pdf Nova Scotia Department of Community Services. (2017b). Wheelchair Recycling Retrieved 02/22, 2017, from http://novascotia.ca/coms/disabilities/WheelchairRecycling.html.html Nova Scotia Department of Continuing Care. (2008a). Bed Loan Program Policy Retrieved 02/22, 2017, from https://novascotia.ca/dhw/ccs/policies/HELP_Program_Policy.pdf Nova Scotia Department of Continuing Care. (2008b). LTC Special Needs Retrieved 02/22, 2017, from http://novascotia.ca/dhw/ccs/policies/policyManual/Special%20Needs%20Policy.pdf Nova Scotia Department of Continuing Care. (2009). Specialized Equipment Program Policy Retrieved 02/22, 2017, from https://novascotia.ca/dhw/ccs/policies/policyManual/Specialized_Equipment_Policy.pdf Nova Scotia Department of Continuing Care. (2013a). Personal Alert Assistance Program Policy Retrieved 08/16, 2016, from http://novascotia.ca/dhw/ccs/policies/Personal-Alert-Assistance-Program-Policy.pdf Nova Scotia Department of Continuing Care. (2013b). Senior’s Community Wheelchair Loan Program Retrieved 02/22, 2017, from http://0-nsleg-edeposit.gov.ns.ca.legcat.gov.ns.ca/deposit/b10680925.pdf

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APPENDIX 8: NOVA SCOTIA PROGRAMS

Nova Scotia Department of Continuing Care. (2014). HELP-Specialized Equipment Program Guidelines Retrieved 02/21, 2017, from https://novascotia.ca/dhw/ccs/policies/policyManual/Guidelines_Specialized_Equipment_Program.pdf Nova Scotia Department of Continuing Care. (2016). Wheelchair Loan Program Retrieved 08/16, 2016, from http://novascotia.ca/dhw/ccs/wheelchair-loan-program.asp Nova Scotia Department of Continuing Care. (2017). Medication Dispenser Assistive Technology Retrieved 02/22, 2017, from http://0-nsleg-edeposit.gov.ns.ca.legcat.gov.ns.ca/deposit/b1065981x.pdf Nova Scotia Labour and Advanced Education. (2017a). Information and Guidelines - Service and Equipment Grant for Post-Secondary Students with Permanent Disabilities Retrieved Jun, 2017, from http://novascotia.ca/PSDS/PSDS- grant-application-form.pdf Nova Scotia Labour and Advanced Education. (2017b). Post-Secondary Disability Sevices - Grants Retrieved Jun, 2017, from https://novascotia.ca/PSDS/grants.asp Red Cross Canada. (2016). Health Equipment Loan Program Retrieved 07/26, 2016, from http://www.redcross.ca/how-we-help/community-health-services-in-canada/health-equipment-loan-program Society of Deaf and Hard of Hearing Nova Scotians. (2014). Assistive Devices Sales Program Retrieved Jun, 2017, from http://sdhhns.org/communication-devices-sales-program/ Vision Loss Rehabilitation - Nova Scotia. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://ns.visionlossrehab.ca/en Workers' Compensation Board of Nova Scotia (2016a). [Personal communication, 902-491-8999 (Aug 16, 2016)]. Workers' Compensation Board of Nova Scotia. (2016b). Policy Manual Retrieved 08/25, 2016, from http://www.wcb.ns.ca/About-Us/Policy/Policy-Manual.aspx

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APPENDIX 9: NUNAVUT PROGRAMS

Table 9-A: Government of Nunavut Programs Table 9-B: Nunavut Government Legislated Insurance Programs Table 9-C: Nunavut Legislation Governing Programs Table 9-D: Nunavut Charitable Organization Programs Table 9-E: Nunavut Other Resource Programs References

Table 9-A: Government of Nunavut Programs

Department of Health – Yes – Devices are All devices that the Yes Must be enrolled in the A statement from a nurse Devices must come from (Government of Nunavut, Extended Health funded, fully Canada’s Non-Insured Nunavut Health Care Plan practitioner or medical approved vendors 2016a, 2017b, 2017c; Non Benefits- Specified Health Benefits (NIHB) Shipping and fitting and be a non-indigenous specialist verifying the Insured Health Benefits Conditions program provide. residents with one of listed condition as well as (NIHB), 2017) (Examples include specified conditions listed a prescription from an http://gov.nu.ca/health/info walkers, wheelchairs, on website (list in health care provider is rmation/extended-health- orthotics, prosthetics, and references) and be under needed. benefits-ehb-specified- hearing aids. Full list in age 65. conditions references.)

** Note, the NIHB provides AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 1 of 7

APPENDIX 9: NUNAVUT PROGRAMS

national service for indigenous residents

Department of Health – Yes – Devices are All devices that the Yes Must be enrolled in the A prescription from health Devices must come from (Government of Nunavut, Extended Health funded, fully Canada’s Non-Insured Nunavut Health Care Plan care provider is needed. approved vendors 2016a, 2017a; Non Benefits- Seniors Health Benefits (NIHB) Shipping and fitting and be a non-indigenous Insured Health Benefits Coverage program provide. residents who are Seniors, (NIHB), 2017) (Examples include age 65 and older http://www.gov.nu.ca/healt walkers, wheelchairs, h/information/extended- orthotics, prosthetics, and health-benefits-ehb- hearing aids. Full list in seniors-coverage references.)

** Note, the NIHB provides national service for indigenous residents

Department of Family Yes Equipment directly related Canadian citizen or Provide medical or (Government of Nunavut, Services - Grant for to the training permanent resident; learning ability 2017d) Students with Up to $8,000.00 per year Resident of Nunavut (live assessment by certified Permanent Disabilities for equipment and in Nunavut) for at least 12 medical professional services directly related months before applying for describing manner in (Not part of federal training or up to $1,000.00 FANS which disability impacts on program) for each full credit Enroll in program that is at ability to participate in distance /correspondence least twelve weeks in post-secondary studies http://gov.nu.ca/family- course duration at designated services/programs- post-secondary institution; services/financial- Full-time student (carry at assistance-nunavut- least 60% of full course students-fans load) as defined by institution; Studying towards certificate, diploma or degree; Demonstrate satisfactory progress and attendance Must have a permanent disability AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 7

APPENDIX 9: NUNAVUT PROGRAMS

Table 9-B: Nunavut Government Legislated Insurance Programs

Table 9-C: Nunavut Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Nunavut Solutions Grant - Ministry of Family Services, Department of Could not find specific legislation on these; policy documents available, indicates that the administering non-profit receives funding, but does not http://www.gov.nu.ca/family- Family Services specify beyond that services/news/nunavut-solutions- grant-0 Department of Family Services - Grants and Contributions Policy seems to provide funds to the non-profit that administers this http://www.gov.nu.ca/sites/default/files/fs_grants_and_contribution_policy.pdf

Extended Health Benefits - Ministry of Health, Department of Health; Could not find specific legislation on these; policy documents available. Specified Conditions- Department of Family Services AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 7

APPENDIX 9: NUNAVUT PROGRAMS http://gov.nu.ca/health/information/ex Department of Family Services Extended Health Policy tended-health-benefits-ehb- http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(5).pdf specified-conditions Department of Health Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(6).pdf Department of Health Extension of Extended Health Policy http://www.gov.nu.ca/sites/default/files/extension_of_the_extended_health_benefits_policy.pdf

Extended Health Benefits - Seniors Ministry of Health, Department of Health; Could not find specific legislation on these; policy documents available. Coverage Department of Family Services http://www.gov.nu.ca/health/informati Department of Family Services Extended Health Policy on/extended-health-benefits-ehb- http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(5).pdf seniors-coverage Department of Health Extended Health Policy http://www.gov.nu.ca/sites/default/files/files/Extended%20Health%20Benefits%20Policy(6).pdf Department of Health Extension of Extended Health Policy http://www.gov.nu.ca/sites/default/files/extension_of_the_extended_health_benefits_policy.pdf

Grant for Students with Permanent Department of Family Services Student Financial Assistance Act, RSNWT 1988, c S-14 Disabilities Student Financial Assistance Regulations, RRNWT 1990, c S-20 http://gov.nu.ca/family- services/programs-services/financial- assistance-nunavut-students-fans

Worker's Safety and Compensation Ministry Responsible for Workers’ Safety Workers' Compensation Act, SNu 2007,c.15 Comission - Northwest Territories and Compensation Commission and Nunavut http://www.wscc.nt.ca/about- wscc/policy-and-legislation/policymanual

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APPENDIX 9: NUNAVUT PROGRAMS

Table 9-D: Nunavut Charitable Organization Programs

Program What devices are Are services available Are devices funded or What are the program’s Who are the providers Are there restrictions on References covered under the and/or covered? (Yes / supplied? (Yes / No) inclusion and exclusion or authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? What services are system work? provision or available? authorization? What are the restrictions? Nunavummi Disabilities . (Government of Nunavut, Makinnasuaqtiit Society 2016c; Nunavummi Disabilities (Refer to Nunavut Makinnasuaqtiit Society, Solutions Grant 2016) information above)

Multiple Sclerosis Yes Wheelchairs and Written confirmation of Written assessment by Not funded: home (Multiple Sclerosis Society Society of Canada – wheelchair supplies (both diagnosis of multiple health care professional renovations; exercise of Canada - Ontario and Quality of Life Grants Financial assistance or power and manual), sclerosis from family supporting need for equipment; TENS units; Nunavut Division, 2017a, equipment loans Wheeled Walkers, physician or neurologist equipment, including, therapy; drugs, food 2017b) Ontario and Nunavut (permanent loan until no Scooters, Hospital Beds, and residence within local where applicable: supplements. longer needed) Lifts (i.e. stair glides, catchment area/chapter. Functional ability, physical https://mssociety.ca/supp ceiling tracks, portable), and cognitive, Psycho- Note: Grants for central air ort-services/programs- Air Conditioners, social needs, Level of conditioning are approved and-services/financial- Bathroom Modification fatigue, How only once in a lifetime. assistance Equipment, and other applicant/family will assistive devices. benefit from equipment (Reg. charity) being requested

Muscular Dystrophy Yes – Cost Sharing Access: door opener, stair Yes Registered client of Signed equipment Funding approvals are (Muscular Dystrophy Canada – Equipment lift, ramp Repair and modifications, Muscular Dystrophy prescription from valid for 4 months Canada, 2017b) Program – Maximum per Bathroom equipment: batteries, mattress Canada appropriate licensed item: $2,640 Commode/toileting device, replacement health care professional Ontario and Nunavut Bathing/shower device, (To register, must have such as: occupational Client minimum others confirmed diagnosis of therapist, physiotherapist, http://www.muscle.ca/we- contribution: $200 Beds and mattresses: neuromuscular disorder respiratory therapist, can-help/financial- Hospital bed – manual under the Muscular orthotist, physiatrist or assistance/equipment- Equipment costing less and electric, specialized Dystrophy umbrella, podiatrist AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 7

APPENDIX 9: NUNAVUT PROGRAMS program-ontario-nunavut/ than $200 not eligible mattress, T-foam mattress signed by physician or Approval or denial letter and alternative pressure health professional. from insurance company (Reg. charity) mattress (eligible for Must be Canadian citizen, (if applicable) Is needed Short term rentals replacement funding after landed immigrant, or Quotes from 2 different 1 year) refugee resident in equipment Lifts: Hydraulic lifting Canada) device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Yes Life Line Services. Equipment repair Registered client of Prescription/letter from a (Muscular Dystrophy Canada – Community Adaptive Technologies/ Muscular Dystrophy professional including Canada, 2017a) Services Fund – maximum funding amount Environmental Control Canada and member of Physician/ Occupational of $1,000 per item Units Muscular Dystrophy Therapist/Physiotherapist Ontario and Nunavut Canada Chapter outlining medical necessity http://www.muscle.ca/get- (To register, must have Approval or denial letter involved/community- confirmed diagnosis of from insurance company volunteer- neuromuscular disorder (if applicable) is needed chapters/chapter-news- under the Muscular Quotes from 2 different resources-and- Dystrophy umbrella, equipment vendors for the links/community-services- signed by physician or requested item fund-ontario-nunavut/ health professional. Must be Canadian citizen, (Reg. Charity) landed immigrant, or refugee resident in Canada)

Table 9-E: Nunavut Other Resource Programs

None found AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 6 of 7

APPENDIX 9: NUNAVUT PROGRAMS

References

Government of Nunavut. (2015). Nunavut Solutions Grant Retrieved 07/12, 2016, from http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant Government of Nunavut. (2016a). Extended Health Benefits Policy 2 Retrieved 07/11, 2016, from http://gov.nu.ca/sites/default/files/revised_ehb_policy_v2_signed_by_premier.pdf Government of Nunavut. (2016b). Nunavut Solutions Grant Retrieved 02/21, 2017, from http://www.gov.nu.ca/family-services/news/nunavut-solutions-grant-0 Government of Nunavut. (2016c). Public Service Announcement - Nunavut Solutions Grant Retrieved 02/21, 2017, from http://www.gov.nu.ca/sites/default/files/2016-12_psa_fs_nunavut_solutions_grant-eng.pdf Government of Nunavut. (2017a). EHB - Seniors Retrieved 02/22, 2017, from http://www.gov.nu.ca/health/information/extended-health-benefits-ehb-seniors-coverage Government of Nunavut. (2017b). EHB - Specified Conditions Retrieved 02/22, 2017, from http://gov.nu.ca/health/information/extended-health-benefits-ehb-specified-conditions Government of Nunavut. (2017c). Eligible Specified Conditions Retrieved 02/22, 2017, from http://gov.nu.ca/health/information/extended-health-benefits-ehb-eligible-specified-conditions Government of Nunavut. (2017d). Financial Assistance for Nunavut Students (FANS) Retrieved Jun, 2017, from http://gov.nu.ca/family-services/programs-services/financial-assistance-nunavut-students-fans Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017a). Programs and Services Financial Assistance - Ontario and Nunavut - Quality of Life Grants Retrieved Jun, 2017, from https://mssociety.ca/support- services/programs-and-services/15/financial-assistance-ontario-nunavut-division Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017b). Quality of Life Grants Guidelines Retrieved Jun, 2017, from https://mssociety.ca/library/document/rwp3JeYgonD56ISlUPQLRhOzdx41NkmC/original.pdf Muscular Dystrophy Canada. (2017a). Community Services Fund: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community- services-fund-ontario-nunavut/ Muscular Dystrophy Canada. (2017b). Equipment Program: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-ontario-nunavut/ Non Insured Health Benefits (NIHB). (2017). Medical Equipment List Retrieved 02/22, 2017, from http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/provide-fournir/med-equip/criter/a-z_index-eng.php Nunavummi Disabilities Makinnasuaqtiit Society (2016). [Personal communication, 867-979-2228 (July 12, 2016)]. Workers Safety Compensation Committee (Northwest Territories and Nunavut). (2016). Policy Manual, 07/11, from http://www.wscc.nt.ca/sites/default/files/documents/Policy%20Manual%20- %20Updated%20December%201%2C%202016.pdf

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APPENDIX 10: ONTARIO PROGRAMS

Table 10-A: Government of Ontario Programs Table 10-B: Ontario Government Legislated Insurance Programs Table 10-C: Ontario Legislation Governing Programs Table 10-D: Ontario Charitable Organization Programs Table 10-E: Ontario Other Resource Programs References

Table 10-A: Government of Ontario Programs

Ministry of Health and Yes – Devices are cost Mobility aids Yes Ontario resident with Medical specialist or Yes (Government of Ontario - Long Term Care - shared Hearing aids and other valid Ontario health card general practitioner Ministry of Health Long- Assistive Devices devices Does not cover repair Have physical disability of provides diagnosis Equipment cannot be Term Care, 2016a, 2016b, Program (ADP) Pay up to 75 per cent of Communication aids costs six months or longer Authorizer assesses required exclusively for 2017) cost of equipment such as Visual aids Care and maintenance is (income is not considered) specific needs of person sports, work or school http://www.health.gov.on.c artificial limbs, orthopaedic Artificial eyes and facial client responsibility and prescribes appropriate a/en/pro/programs/adp/ braces, wheelchairs prosthetics May contribute to cost of Do not qualify: Does not equipment List of equipment not Hearing aids ADP Custom orthotic braces, equipment replacement if pay for equipment Vendor sells equipment or covered, e.g. https://www.ontario.ca/pag contributes fixed amount compression garments status changes available under Workplace supplies to client Mobility aids - commodes e/assistive-devices- and lymphedema pumps Safety and Insurance Adult hearing aids or or commode chairs, non- program Prosthetic breasts or limbs ADP uses replacement Board or Group “A” prosthetic devices - wheeled walkers, recliner schedules for devices veterans assessor also vendor chairs, transport chairs, ADP covers over 8,000 tricycles pieces of equipment or Most devices must be Hearing aids and other supplies authorized by qualified devices - closed caption health care professional television system There are specific registered with program Communication aids - anti- eligibility criteria which stuttering devices, call apply to each device Program will only help pay bells, environmental category for equipment that is control units, telephones AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 1 of 20

APPENDIX 10: ONTARIO PROGRAMS

purchased from registered (regular or adaptive) vendors Visual aids - braille watches, GPS systems, Client pays share of cost talking clocks and at time of purchase and calculators vendor bills ADP balance Orthotic braces, compression garments and lymphema pumps - arch supports, carbon- fibre braces, nighttime- use-only orthoses, orthopaedic shoes, treatment machines, such as transcutaneous electrical nerve stimulation (TENS) or continuous passive motion (CPM) Prosthetic breasts or limbs - swim prosthesis Miscellaneous - bath and shower aids (e.g. benches, chairs, bath lifts), batteries (even for devices originally purchased through ADP), cellphones, including smartphones, chair lift, or any lifting devices, grab-bars, hospital beds and mattresses, life-alert systems, raised toilet seat, stair lift Ministry of Community Yes May cover ADP devices Yes At least 18 years old ADP authorizer Yes if it is an ADP (Government of Ontario - and Social Services - as well as some non ADP Ontario resident device Ministry of Community and Ontario Disability Devices are cost shared devices (bathroom aids, May cover assessment fee Financial need No for non ADP Social Services, 2016a, Support Program with ADP program or fully computer access devices, not covered by Assistive Meet program’s devices 2016c, 2017a, 2017c, (ODSP) – Disability funded or rental fees paid high technology Devices Program, if no definition of person 2017d, 2017e)

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APPENDIX 10: ONTARIO PROGRAMS

Related- Benefits for non ADP devices communication devices) other source of funding with disability, or be Pre-approval is needed May cover costs that member of Prescribed for purchases or and Extended Health are not covered by the ODSP also covers Class repairs Benefits Assistive Devices upgrades, Program. repairs/maintenance, Financial need based To have assessment http://www.mcss.gov.on.ca batteries, and insurance on e.g. family fee covered, need /en/mcss/programs/social/ Program also allows for composition, approval from Assistive odsp/ approved non ADP housing/shelter costs, Devices program disability-related items expenses, household before purchase, and http://www.mcss.gov.on.ca and services such as income and assets pre-approval from /en/mcss/programs/social/ Lease Payments for (*may still qualify for ODSP for fee over odsp/income_support/ben High Technology some Extended Health $500 efits/odsp_Relate.aspx Communication Benefits if there is Devices income and no longer http://www.mcss.gov.on.ca qualify for income /en/mcss/programs/social/ Category examples support) odsp/income_support/ods covered: p_device.aspx Mobility devices, such Person with disability: as wheeled walkers Substantial mental or http://www.mcss.gov.on.ca and wheelchairs physical impairment /en/mcss/programs/social/ Visual aids, such as that is continuous or odsp/income_support/ods magnifiers recurrent, and is p_extend.aspx Hearing aids expected to last one Orthotic or prosthetic year or more http://www.mcss.gov.on.ca devices Impairment directly /en/mcss/programs/social/ Speech devices, such results in substantial odsp/income_support/Pres as teletypewriters restriction in ability to cribedClasses.aspx work, care for yourself, May help with or take part in equipment outside of community life ADP, if no other Impairment, its funding available duration and Alerting system (e.g. restrictions have been visual smoke alarm) verified by approved Repairing hearing aid health care Replacing battery for professional hearing aid or device. Batteries and repairs Benefit can be for AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 20

APPENDIX 10: ONTARIO PROGRAMS

for mobility devices person with disability, manual or electric spouse and wheelchairs, scooters, dependents walkers, lifting devices

Ministry of Community Yes Software and mobility Yes At least 16 years old Submit application (Government of Ontario - and Social Services - devices that can assist Ontario resident form, verification of Ministry of Community and Ontario Disability Devices are cost shared with job Training for assistive Legally allowed to work disability/impairment Social Services, 2017b, Support Program with ADP program or Assistive devices devices or computers for in Canada (completed by 2017f) (ODSP) –Employment fully funded or rental Tools and equipment job Substantial physical or approved, health care Supports fees paid for non ADP for job mental disability that is professional to explain devices expected to last year or how it impacts ability to http://www.mcss.gov.on.ca more, and makes it find and keep work /en/mcss/programs/social/ Does not provide hard to find or keep job odsp/ supports that are available through other Do not have to be http://www.mcss.gov.on.ca public or private receiving income /en/mcss/programs/social/ organizations (e.g. support from ODSP to odsp/employment_support Workplace Safety and be eligible for /index.aspx Insurance Board, other employment supports government programs, private insurance) Need to look at above options first. Ministry of Community Yes ADP devices e.g. Yes Live in Ontario Apply online, by phone Yes though ADP (Government of Ontario - and Social Services - Mobility devices (e.g. May help with cost of Financial need or in person, Ontario Ministry of Community and Ontario Works – Health Devices are cost shared wheeled walkers and assessment for (Household does not Works caseworker will Social Services, 2016b, Benefits with ADP program wheelchairs) assistive device have sufficient contact to schedule 2016d) Visual aids financial resources to meeting. Verify: http://www.mcss.gov.on.ca Coverage for Hearing aids meet basic living personal information; /en/mcss/programs/social/ remaining 25% of Orthotics/prosthetics expenses, family size, information about ow/index.aspx costs not covered by Speech devices (e.g. income, assets, members of ADP teletypewriters) housing costs) household; Willing to make household’s financial reasonable efforts to needs, household’s find, prepare for and income and assets, keep a job (unless you other information AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 4 of 20

APPENDIX 10: ONTARIO PROGRAMS

have specific collected to determine circumstances that if qualify for assistance temporarily prevent you from doing so, such as an illness or caregiving responsibilities) Other adult members of your household must also agree to participate in employment assistance activities.

Ministry of Advanced Yes - up to $8,000 per Disability-related Yes – Must have a permanent Verification of disability All approved purchases (Government of Education and Skills academic year equipment and software Costs for psycho- disability. required once by Ministry MUST be made before the Ontario, 2017a, 2017c) Development (formerly purchased educational assessments (though additional end of your study period. Ministry of Training, Computer package (once performed up to 6 months For OSAP – functional documentation may be Completed application Colleges, and every 4 years) – desktop prior to your study period limitation cause by requested) must be received no later Universities) or laptop, MS office, start date physical or mental Learning disability - than 60 days before the warranty, tablet (not both impairment that restricts provide psycho- end of your study period. – Ontario Student computer or tablet); hard ability to perform daily educational assessment All supporting Assistance Program drive, computer activities to participate in conducted by registered documentation must be (OSAP) accessories; assistive studies at postsecondary psychologist or received no later than 40 software, assistive level or in labour for, psychological associate, days before the end of – Canada Student Grant equipment – e.g. reading expected to be lifelong assessment must have study period. for Services and pens/accessories, been completed when at Any approved funds Equipment for Persons headphones, digital Must be eligible and have least 18 years of age or cannot be released until with Permanent recorders, equipment applied to funding from within past 5 years; or school has confirmed Disabilities repair, ergonomic aids OSAP (Ontario Student contact school’s Office for enrolment. Assistance Program) for Students with Disabilities Equipment or software (combined application with Equipment and/or Full-Time Students and for e.g. disability purchased 60 days before Bursary for Students with software receipts: must be have at least $1 in verification form; if private study period start not Disabilities) provided no later than 30 calculated provincial need; postsecondary school in eligible. days after you receive or Ontario or any your funding OSAP (Ontario Student postsecondary school Assistance Program) for outside of Ontario Part-Time Students and complete OSAP Disability AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 20

APPENDIX 10: ONTARIO PROGRAMS

are receiving an Ontario Verification Form or Part-Time Grant; or provide documentation The Institution-Funded from your physician or Special Bursary. other regulated health care professional Ministry of Advanced Up to $2,000 per Disability-related Yes – Costs for psycho- Must self-identify as Verification of disability Applications must be (Government of Ontario, Education and Skills academic year equipment and software educational assessments having a permanent or required once by Ministry received later than 60 2017a, 2017b, 2017c) Development – – purchased performed up to 6 months temporary disability. (though additional days before end of study Ontario Student Computer package (once prior to your study period Must have disability documentation may be period. Assistance Program every 4 years) – desktop start date related educational costs requested) All required documents (OSAP) or laptop, MS office, that are not covered by Learning disability - must be received no later warranty, tablet (not both another agency or service. provide psycho- than 40 days before end of Bursary for Students computer or tablet); hard educational assessment study period. with Disabilities drive, computer For OSAP – functional conducted by registered Receipts for equipment accessories; assistive limitation cause by psychologist or must be received no later Bursary for students with software, assistive physical or mental psychological associate, than 30 days bursary Disabilities application is equipment – e.g. reading impairment that restricts assessment must have funding. combined with Canada pens/accessories, ability to perform daily been completed when at Equipment or software Student Grant for Services headphones, digital activities to participate in least 18 years of age or purchased 60 days before and Equipment for recorders, equipment studies at postsecondary within past 5 years; or study period start not Persons with Permanent repair, ergonomic aids level or in labour for, contact school’s Office for eligible. Disabilities. expected to be lifelong Students with Disabilities If purchase price was less Equipment and/or for e.g. disability than amount of funding software receipts: must be Must be eligible and have verification form; if private approved, unused bursary provided no later than 30 applied to funding from postsecondary school in money must be returned. days after you receive OSAP (Ontario Student Ontario or any If unable to provide valid your funding Assistance Program) for postsecondary school receipts, the bursary Full-Time Students and outside of Ontario money must be returned. have at least $1 in complete OSAP Disability calculated provincial need; Verification Form or or provide documentation OSAP (Ontario Student from your physician or Assistance Program) for other regulated health Part-Time Students and care professional are receiving an Ontario Part-Time Grant; or The Institution-Funded Special Bursary.

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APPENDIX 10: ONTARIO PROGRAMS

Table 10-B: Ontario Government Legislated Insurance Programs

Workplace Safety and Yes – Devices are fully Power wheels, Standers, Yes Work related injury or For most devices Yes, there is an (Workplace Safety and Insurance Board funded Manual and electric Assessment. May cover illness in Ontario. There prescription is needed authorized vendor list for Insurance Board (WSIB), (WSIB)* – Prosthetics Devices must be wheelchairs, Easy lift maintenance, normal is a type and length of from a health care most devices. Exceptions 2016a, 2016b, 2016c) and Assistive Devices approved by WSIB first for chairs, bath aids, pressure inspection, repair, and injury requirement for professional. This must are made for those under Note: For Personal Program and reimbursement. Amount redistribution mattresses; replacement of devices each type of device. not be the same person special circumstances. communication, multiple tries Independent Living is dependent on device. adjustable hospital beds; unless damage is from as the vendor. Device and avenues attempted, Device Program For assisted living devices eyewear, hearing devices; misuse. then needs to be received no information. the devices must cost prosthetics and orthotics, approved by WSIB. http://www.wsib.on.ca/WS more than $250. If less communication devices, IBPortal/faces/WSIBManu then they fall under the and environmental alListPage?fGUID=83550 assisted living allowance. controls 2100635000505&_adf.ctrl - state=d973xqydo_778&_a frLoop=139805681487000 0&_afrWindowMode=0&_ afrWindowId=null#%40%3 F_afrWindowId%3Dnull% 26_afrLoop%3D13980568 14870000%26_afrWindow Mode%3D0%26fGUID%3 D835502100635000505% 26_adf.ctrl- state%3D17f3flvsop_30 http://www.wsib.on.ca/WS IBPortal/faces/WSIBManu alListPage?fGUID=83550 2100635000512 http://www.wsib.on.ca/WS IBPortal/faces/WSIBManu alListPage?fGUID=83550

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APPENDIX 10: ONTARIO PROGRAMS

2100635000511

 Independent trust agency that administers compensation and no-fault insurance for workplaces

Table 10-C: Ontario Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Assistive Devices Program (ADP) Ministry of Health and Long Term Care (Direct Services Ontario Disability Support Program Act, 1997, SO 1997, c 25, Sch B Division) General, O Reg 222/98 , (Ontario Disability Support Program Act, 1997) Employment Supports, O Reg 223/98 , (Ontario Disability Support Program Act, 1997)

Ministry of Health and Long-Term Care Act, RSO 1990, c M.26 No regulations specifying ADP, but ADP manual indicates this act governs program

Ontario Disability Support Program (ODSP) Ministry of Community and Social Services Ontario Disability Support Program Act, 1997, SO 1997, c 25, Sch B General, O Reg 222/98 , (Ontario Disability Support Program Act, 1997) Employment Supports, O Reg 223/98 , (Ontario Disability Support Program Act, 1997) Regulation 225/98 - Administration and Cost Sharing Regulation 562/05 - Prescribed Policy Statements

Ontario Works Ministry of Community and Social Services Ontario Works Act, 1997, SO 1997, c 25, Sch A General, O Reg 134/98 , (Ontario Works Act, 1997) Regulation 135/98 - Administration and Cost Sharing Regulation 136/98 - Designation of Geographic Areas and Delivery Agents Regulation 564/05 - Prescribed Policy Statements

Canada student grant for services and equipment Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28 for students with permanent disabilities

Bursary for Students with Disabilities Ministry of Advanced Education and Skills Unable to find specific legislation Development (formerly Ministry of Training, Colleges, and Universities)

Workplace Safety and Insurance Board (WSIB) Workplace Safety and Insurance Act, 1997, SO 1997, c 16, Sch A Prosthetics and Assistive Devices Program and AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 8 of 20

APPENDIX 10: ONTARIO PROGRAMS

Independent Living Device Program

Table 10-D: Ontario Charitable Organization Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Amyotrophic Lateral Yes– loan pool Bathroom aids – Yes – some coverage Proof of diagnosis of ALS, Assessment must be Patient elevating devices (ALS Society of Canada, Sclerosis (ALS) Canada Devices are loaned for as commodes, bath lifts One set of batteries per PLS and/or Motor Neuron performed by registered such as Porch Lifts and 2017a, 2017b) – Equipment Program- long as needed. There is Mobility aids – wheelchairs motorized device per Disease healthcare professional elevators will not be Loan Equipment Pool no income requirement. – manual/power, scooters applicant Registered with ALS (Occupational Therapist, funded Program Lifts – mechanical or Canada Physiotherapist or Will not fund as available (serving Ontario) power lift, ceiling track lifts Repairs Accessed all other Registered Nurse) in loan pool, including but Others – lift chair, hospital sources of financial not limited to: walkers, ALS Canada operates with beds, pressure relief Will cover cost to return assistance through private Submit request form transport chairs, bath provincial partners, but surfaces, portable ramps equipment to loan pool insurance chairs, transfer bench, also operates the society Accessed Assistive over bed table, versa in Ontario If item from this list is not Not covered - Client pays Devices Program (ADP) frame, raised toilet seats, available and is delivery cost to vendor, and other government and etc. (Reg. charity) considered basic and and installation cost non-government sources essential, ALS Canada before applying for this may provide funding program assistance for purchase/lease/rental cost Does not require financial information Amyotrophic Lateral Yes – funding for rental Straight stair glide/lift Yes – some coverage Proof of diagnosis of ALS, Assessment must be Does not include curved (ALS Society of Canada, Sclerosis (ALS) Canada PLS and/or Motor Neuron performed by a registered stair glide/lifts. 2017a, 2017b) –Equipment Program - ALS Canada will cost Repairs Disease healthcare professional Rental Funding Program share client’s portion, if Registered with ALS (Occupational Therapist, Funding is only provided (Serving Ontario) eligible, amount funded is Will cover cost to return Canada Physiotherapist or for one stair glide/lift.

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APPENDIX 10: ONTARIO PROGRAMS

income dependant. equipment to loan pool Accessed all other Registered Nurse) and ALS Canada operates with sources of financial they must submit form provincial partners, but Not covered - Client pays assistance through private also operates the society delivery cost to vendor, insurance in Ontario and installation cost Accessed Assistive Devices Program (ADP) and other government and (Reg. charity) non-government sources before applying for this program

Amyotrophic Lateral Yes – equipment pool Communication Devices Yes – some coverage Proof of diagnosis of ALS, Assessment must be (ALS Society of Canada, Sclerosis (ALS) Canada leasing program, funded PLS and/or Motor Neuron completed by a speech 2017a, 2017b) – Equipment Program by Ontario ADP, cost- Repairs Disease language pathologist and shared with client Registered with ALS he/she sends request form Lease Funding Program Client responsible for Will cover cost to return Canada -Communication yearly lease fee of up to equipment to loan pool Accessed all other Pool operated by Holland Devices (Centralized $800.00. ALS Canada will sources of financial Bloorview Kids Equipment Pools for cost share client’s portion. Not covered - Client pays assistance through private Rehabilitation Hospital ADP devices) Amount funded is income delivery cost to vendor, insurance dependant. and installation cost Accessed Assistive (Ontario Devices Program (ADP) The government provides and other government and ALS Canada operates with funding towards purchase non-government sources provincial partners, but and repairs of devices before applying for this also operates the society program in Ontario

(Reg. charity)

Amyotrophic Lateral Yes – new and recycled High-Technology Yes – some coverage Proof of diagnosis of ALS, Assessment by (ALS Society of Canada, Sclerosis (ALS) Canada equipment, funded by Wheelchairs – Power PLS and/or Motor Neuron Occupational Therapist or 2017a, 2017b) – Equipment Program Ontario ADP, ALS Canada wheelchairs Repairs Disease Physiotherapist – for will cost share client’s Registered with ALS funding consideration Lease Funding Program portion, Amount funded Power tilt/recline Will cover cost to return Canada recycled power bases are -High-Technology is income dependant equipment to loan pool Accessed all other to be requested by Wheelchairs – Power sources of financial assessing therapists AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 10 of 20

APPENDIX 10: ONTARIO PROGRAMS wheelchairs (Centralized Devices acquired from Not covered - Client pays assistance through private Equipment Pools for pool are purchased and delivery cost to vendor, insurance Pool operated by Motion ADP devices) owned by pool and installation cost Accessed Assistive Specialties, under Devices Program (ADP) contract with Ontario ADP (Ontario) Must have accessed other and other government and sources of funding first – non-government sources Provides rebate on client's ALS Canada operates with e.g. Personal insurance before applying for this costs once equipment provincial partners, but program returned to pool also operates the society in Ontario

(Reg. charity)

Canadian National No Yes (Canadian National Institute for the Blind – CNIB Foundation Institute for the Blind - Vision Loss Programs and Services – Ontario, 2017; Vision Loss Rehabilitation split into regions: Rehabilitation - Ontario, Ontario 2017) East and West: no AT Vision Loss services Rehabilitation Ontario Greater Toronto Area: (Operated by CNIB and Accessible Technology funded by the Ontario Support – e.g. education Ministry of Health and on accessible technology, Long Term Care) smart phone apps, peer teaching, virtual reality https://on.visionlossrehab. testing of new ca/en technologies, 1:1 and group sessions (Reg. charity) North: same as Greater Toronto

Vision Loss Rehab program – Assistive technology services –

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APPENDIX 10: ONTARIO PROGRAMS

Education/teaching on use of technology, assess/recommend, advice on funding programs

March of Dimes Canada Yes – Devices are either Some devices that may Yes 19 years of age or older Application package, Yes for devices through (March of Dimes Canada, - Assistive Device cost shared with Ontario qualify for funding include: Permanent resident of includes quote, ADP, otherwise no 2015, 2016a) Program ADP or fully funded Manual and Power Repairs to Existing Ontario assessment from therapist Wheelchairs Devices Ongoing physical disability Not funded e.g.: Hearing http://www.marchofdimes. Buy, repair and maintain Scooters Replacement Batteries that requires use of For ADP devices, it goes aids, Vision aids, ca/EN/programs/adp/Page wide variety of mobility or Walkers assistive device through ADP providers, Prosthetic devices, TENS, s/Adp.aspx assistive equipment Knee Ankle Foot Orthosis Contact information or In financial need (refer to otherwise it is through an Computers and (Reg. charity) Ankle Foot Orthosis resources to assist in the income chart) occupational therapists or electronics, except as part Top up of ADP for ADP Home and Bath Aids locating additional funding Maximum allowable physical therapists, etc. of augmentative devices, full funding for Floor Patient Lifts sources for disability income may change communications aid for bath and home aids. Basic Aids for Daily Living management and return to based on family size If Ministry of Health ADP face-to-face work programs program, for mobility communication devices for (Calculated using after-tax devices, include letter of non-verbal adults or household income at or approval or denial. environmental controls, below Statistics Canada devices for exercise Low-Income Measure + purposes, Devices for 15%) treatment or prevention purposes, Foot Orthotics and/or custom footwear other than part of an AFO (ankle foot orthosis), KAFO (knee ankle foot orthosis) or for individuals with club foot, claw foot, leg length discrepancy or polio, renovations, recreation devices, Leisure devices, Hospital beds, Mattresses March of Dimes Canada Yes – Devices are cost Custom-built solutions and Yes Any age Devices are authorized by No (March of Dimes Canada, – DesignAbility shared modifications for people the DesignAbility program 2016b, 2016c) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 20

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with mobility issues Devices are built by coordinator http://www.marchofdimes. Devices are built by volunteers ca/EN/programs/Designab volunteers Needs solution or product Repairs and Maintenance ility/Pages/Designability.as Building materials are paid to increase independence px for by consumers. that cannot be found on market (Reg. charity)

Multiple Sclerosis Yes Wheelchairs and Written confirmation of Written assessment by Not funded: home (Multiple Sclerosis Society Society of Canada – wheelchair supplies (both diagnosis of multiple health care professional renovations; exercise of Canada - Ontario and Quality of Life Grants Financial assistance or power and manual), sclerosis from family supporting need for equipment; TENS units; Nunavut Division, 2017a, equipment loans Wheeled Walkers, physician or neurologist equipment, including, therapy; drugs, food 2017b) Ontario and Nunavut (permanent loan until no Scooters, Hospital Beds, and residence within local where applicable: supplements. longer needed) Lifts (i.e. stair glides, catchment area/chapter. Functional ability, physical https://mssociety.ca/suppo ceiling tracks, portable), and cognitive, Psycho- Note: Grants for central air rt-services/programs-and- (?grants depend on funds Air Conditioners, social needs, Level of conditioning are approved services/financial- available in each region) Bathroom Modification fatigue, How only once in a lifetime. assistance Equipment, and other applicant/family will benefit assistive devices. from equipment being (Reg. charity) requested

Muscular Dystrophy Yes – Cost Sharing Access: door opener, stair Yes Registered client of Signed equipment Funding approvals are (Muscular Dystrophy Canada – Equipment lift, ramp Repair and modifications, Muscular Dystrophy prescription from valid for 4 months Canada, 2017b) Program – Maximum per item: $2,640 Bathroom equipment: batteries, mattress Canada appropriate licensed Commode/toileting device, replacement health care professional Ontario and Nunavut Client minimum Bathing/shower device, (To register, must have such as: occupational contribution: $200 others confirmed diagnosis of therapist, physiotherapist, http://www.muscle.ca/we- Beds and mattresses: neuromuscular disorder respiratory therapist, can-help/financial- Equipment costing less Hospital bed – manual and under the Muscular orthotist, physiatrist or assistance/equipment- than $200 not eligible electric, specialized Dystrophy umbrella, podiatrist program-ontario-nunavut/ mattress, T-foam mattress signed by physician or Approval or denial letter and alternative pressure health professional. from insurance company (Reg. charity) Short term rentals mattress (eligible for Must be Canadian citizen, (if applicable) Is needed replacement funding after landed immigrant, or Quotes from 2 different 1 year) refugee resident in equipment Lifts: Hydraulic lifting Canada) device and sling, Transfer

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APPENDIX 10: ONTARIO PROGRAMS

aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Muscular Dystrophy Yes Life Line Services. Yes Registered client of Prescription/letter from a (Muscular Dystrophy Canada – Community Adaptive Technologies/ Muscular Dystrophy professional including Canada, 2017a) Services Fund – maximum funding amount Environmental Control Equipment repair Canada and member of Physician/ Occupational of $1,000 per item Units Muscular Dystrophy Therapist/Physiotherapist Ontario and Nunavut Canada Chapter outlining medical necessity Approval or denial letter http://www.muscle.ca/get- (To register, must have from insurance company involved/community- confirmed diagnosis of (if applicable) is needed volunteer- neuromuscular disorder Quotes from 2 different chapters/chapter-news- under the Muscular equipment vendors for the resources-and- Dystrophy umbrella, requested item links/community-services- signed by physician or fund-ontario-nunavut/ health professional. Must be Canadian citizen, (Reg. charity) landed immigrant, or refugee resident in Canada) Spinal Cord Injury No Available devices varies Yes Must be person with spinal N/A No (Spinal Cord Injury Ontario as they are listed by users Assistive devices buy and cord injury Ontario, 2016) on forum sell community forum (Reg. charity)

Ontario Federation of Yes – Devices are cost ADP devices as well as No Must be a person with Health professionals (i.e.: They will only fund items (Ontario Federation of Cerebral Palsy shared some non ADP devices cerebral palsy and have a occupational or on its current list of Cerebral Palsy, 2015) valid Ontario health card physiotherapist). ADP approved items, not (Ontario Federation of (Reg. charity, as Ontario Level of funding varies e.g. approval documentation restricted to specific Cerebral Palsy, 2016)

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Federation the Cerebral based on cost of item and Communication & Member of Ontario required for ADP devices vendors Palsied) funds availability Writing/Reading Aids Federation of Cerebral Orthotic Devices Palsy Request must be One piece of equipment Wheelchairs, Positioning submitted prior to per funding year, not to and Ambulation Aids Other sources that have order/purchase exceed 25% of item (up to Home Accessibility Aids been accessed/denied to $2,500). Leased Bathroom & Washroom be documented Augmentative Aids Communication Modifications to Electronic Equipment Items - Annual Aids for Daily Living Maximum up to $200 per year per person not to exceed 25% of the leased item

Limited amount of total funding for each year. Cancer Assistance Yes Raised toilet seats, Yes Cancer patients in Greater None No (Cancer Assistance Program (CAP) – Home bathtub transfer benches, Region of Hamilton and Program, 2016a, 2016b) Health Equipment Loans Devices are primarily commodes, bath chairs, Equipment servicing surrounding communities Person borrowing and Personal Care and offered on loan basis, wheelchairs, transfer (sanitization and safety equipment must attend Comfort Products some offered at no cost chairs, versa frames, testing before issued) office in person. rollators, walkers, bed (Reg. charity) Individuals can borrow rails, canes. free of charge as many items as required and Products such as wigs and exchange them as breast prosthesis offered necessary, at any point at no cost. that personal needs change.

For The Needy - Not The Yes Mobility devices No Serves Niagara region, None N/A (For the Needy Not the Greedy (wheelchair, walkers), Ontario, otherwise no Greedy, 2016) Refurbished donated home aids and Equipment servicing restrictions (Reg. charity) devices are provided, cost communication devices (sterilization, refurbishing) shared with client

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(by donation, no cost) Independent Living No Varies – depends on what Yes None, but system was None Devices must be listed by (Assistive Device Services (ILS) of Simcoe users post designed to help residents users on the exchange Exchange, 2016) County – Assistive Exchange forum where of Simcoe County and forum Device Exchange users individually post District of Muskoka who Program their used assistive have physical disabilities. devices for sale or free of (Reg. charity) charge. The system is buyer beware with no guarantees or warranty. Canadian Hemophilia Yes – Devices are cost Assistive devices No Must be member of Requests must be made No (Canadian Hemophilia Society - Hemophilia shared Hemophilia Ontario to the regional service Society, 2017; Hemophilia Ontario Mobility aids and Orthotics Be in financial need coordinator, who then Ontario, 2016a, 2016b) makes a recommendation http://www.hemophilia.ca/ Requests under $1,000 to the Executive Director. en/provincial- will be made by the chapters/ontario/ executive director, requests over $1,000 are (Reg. charity, as made by the financial Hemophilia Ontario) committee

Payer of last resort, must have attempt to have costs covered by other agencies and government Canadian Hearing Yes Personal amplification Yes Culturally Deaf, oral deaf, Meet with counsellor to (Canadian Hearing Society – Educational Funding to part-time system Assess specific needs of deafened or hard of discuss supports at Society, 2017a) Support Services students (full time funded Personal FM system registered student hearing, and: institution, complete form by colleges and Determine if student is Registered as part-time for Educational Support Direct services only in universities Ineligible to eligible for support post-secondary student Services Ontario (advocacy and receive support services make recommendations (60% course load or less) partnerships with other from other funding sources manage provision of any Registered in credit organizations across appropriate course at approved Canada) accommodations institution Only be funded for one (Reg. charity) course per term, apprenticeship programs AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 16 of 20

APPENDIX 10: ONTARIO PROGRAMS

not eligible

Canadian Hearing Yes TTYs (text telephones) Yes Culturally Deaf, oral deaf, (Canadian Hearing Society – Emergency notification Support and advice deafened or hard of Society, 2016) Communication Devices One month trial loan systems Consultation, selling hearing Items are purchased at full Amplified telephone (proceeds return to Any age Direct services only in price however there is a Alerting systems programs), installation, Ontario (advocacy and 30 day free trial available Portable “type and read” training partnerships with other (they refund monies if devices Assistance with funding organizations across client decides not to Assistive listening systems programs (government, Canada) purchase the device) such as counter loop Workplace Safety, private systems, FM systems and insurance (Reg. charity) infrared systems Catalogue of devices and Visual smoke alarms online store Baby monitors Alarm clocks Amplified phones Canadian Hearing Yes Donated hearing aids Financial need Consult audiologist of (Canadian Hearing Society – Hearing Aid Canadian Hearing Society Society, 2017b) Donation Program

Direct services only in Ontario (advocacy and partnerships with other organizations across Canada)

(Reg. charity)

Table 10-E: Ontario Other Resource Programs

Assistive Technology No Seating and mobility Yes None Patients referred from Yes if they are funded by (Assistive Technology Clinic (Bridges) For most devices equipment – canes, Assessment and training, across province and another source such as Clinic- EADL, 2016; walkers, rollators, manual help with applying to sometimes from across ADP otherwise no Assistive Technology http://assistivetechnologycl Yes wheelchairs, powered programs for funding country from acute care Clinic – AAC, 2016; inic.ca/ Only Alternative and wheelchairs, scooters, hospitals, rehabilitation Assistive Technology

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APPENDIX 10: ONTARIO PROGRAMS

augmentative high tech seating facilities, and community Clinic – Mobility, 2016; Located at Baycrest and communication technology service providers or Assistive Technology Sunnybrook Centres are provided through a Electronic aids to daily directly from family Clinic, 2016, 2017) cost shared rental living program – physician or home care (Partially funded by Accessible solutions from allied health professional Ontario Ministry of Health Must be in financial need wheelchair or bed, TV and and Long Term Care, for communication aid media, bed controls, call Funded to provide care for contracts with public funding. bells, door openers, lights, people with ALS, MS, institutions and grants) appliances, phones, Parkinsons and Stroke, others but will provide service to anyone with neurological Alternative and condition augmentative communication technology -

Gait technology and Robotics

References

ALS Society of Canada. (2017a). ALS Canada Equipment Program Overview and Information Retrieved Jun, 2017, from https://als.ca/wp-content/uploads/2016/12/Equipment-Program-Overview-.pdf ALS Society of Canada. (2017b). Support and Services - Equipment Retrieved Jun, 2017, from https://www.als.ca/support-services/inside-of-ontario/equipment/ Assistive Device Exchange. (2016). About the Assistive Device Exchange Final2 Retrieved 05/19, 2016, from http://docs.communityconnection.net/ILS/About%20the%20Assistive%20Device%20Exchange%20Final2.pdf Assistive Technology Clinic- EADL (2016). [Personal communication, (Toronto, Ontario) 416-784-3600 (Jan 14-15, 2016)]. Assistive Technology Clinic – AAC (2016). [Personal communication, (Toronto, Ontario) 416-480-5756 (Jan 14, 2016)]. Assistive Technology Clinic – Mobility (2016). [Personal communication, Toronto, Ontario) 416-784-3600 (Jan 14, 2016)]. Assistive Technology Clinic. (2016). Assistive Technology Clinic Services Retrieved 04/18, 2016, from http://www.assistivetechnologyclinic.ca/services.html Assistive Technology Clinic. (2017). Assistive Technology Clinic Retrieved 03/14, 2017, from http://assistivetechnologyclinic.ca/ Bridges. Assistive Technology Services Retrieved 04/18, 2016, from http://www.bridges-canada.com/assistive-technology-services.aspx Canadian Hearing Society. (2016). Communication Devices Retrieved 04/18, 2016, from http://www.chs.ca/services/communication-devices

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APPENDIX 10: ONTARIO PROGRAMS

Canadian Hearing Society. (2017a). Educational Support Retrieved 03/14, 2017, from http://www.chs.ca/services/educational-support-students-post-secondary#classroom Canadian Hearing Society. (2017b). Financial Resources Retrieved 03/14, 2017, from http://hearinghealthcare.chs.ca/financial-resources Canadian Hemophilia Society. (2017). Ontario Chapter - Financial Assistance Retrieved 03/16, 2017, from http://www.hemophilia.ca/en/provincial-chapters/ontario/financial-assistance/ Canadian National Institute for the Blind - Ontario. (2017). CNIB Foundation Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ontario/Pages/default.aspx Cancer Assistance Program. (2016a). Home Health Equipment Loans Retrieved 04/18, 2016, from https://cancerassist.ca/services/home-health-equipment-loans/ Cancer Assistance Program (2016b). [Personal communication, 905-383-9797 (Jan 26-Mar 10,2016)]. For the Needy Not the Greedy (2016). [Personal communication, 289-296-8079 (Feb 3, 2016)]. Government of Ontario - Ministry of Community and Social Services. (2016a). Disability-related benefits: Coverage for assistive devices Retrieved 04/18, 2016, from http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/income_support/odsp_device.aspx Government of Ontario - Ministry of Community and Social Services. (2016b). How Ontario Works can help you: Health benefits Retrieved 04/18, 2016, from http://www.mcss.gov.on.ca/en/mcss/programs/social/ow/help/benefits/health_benefits.aspx Government of Ontario - Ministry of Community and Social Services (2016c). [Personal communication, ODSP program )(Toronto, Ontario office): 416-314-5700 (Jan 25, 2016)]. Government of Ontario - Ministry of Community and Social Services (2016d). [Personal communication, Ontario Works Program (Toronto, Ontario Office) (April 11-12, 2016)]. Government of Ontario - Ministry of Community and Social Services. (2017a). ODSP - Assistive Devices Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_6.pdf Government of Ontario - Ministry of Community and Social Services. (2017b). ODSP - Employment Support Retrieved 03/14, 2017, from V=http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/employment_support/index.aspx Government of Ontario - Ministry of Community and Social Services. (2017c). ODSP - Extended Health Benefits Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_10.pdf Government of Ontario - Ministry of Community and Social Services. (2017d). ODSP - Hearing Aids Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_11.pdf Government of Ontario - Ministry of Community and Social Services. (2017e). ODSP - Mobility Devices Batteries and Repairs Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/documents/en/mcss/social/directives/odsp/income_Support/9_13.pdf Government of Ontario - Ministry of Community and Social Services. (2017f). Ontario Disability Support Program Retrieved 03/14, 2017, from http://www.mcss.gov.on.ca/en/mcss/programs/social/odsp/ Government of Ontario - Ministry of Health Long-Term Care. (2016a). Assistive Devices Program- Public Retrieved 04/18, 2016, from http://www.health.gov.on.ca/en/public/programs/adp/ Government of Ontario - Ministry of Health Long-Term Care. (2016b). Assistive Devices Program - Health Care Professionals Retrieved 04/18, 2016, from http://www.health.gov.on.ca/en/pro/programs/adp/ Government of Ontario - Ministry of Health Long-Term Care. (2017). OHIP eligibility Retrieved 03/14, 2016, from http://www.health.gov.on.ca/en/public/publications/ohip/ohip_eligibility.aspx Government of Ontario. (2017a). OSAP - 2016-2017 Ontario Bursury for Students with Disabilities (BSWD) and Canada Student Grant for Services and Equipment for Persons with Permanent Disabilities (CSG-PDSE) Retrieved Jun, 2017, from https://osap.gov.on.ca/prodconsumption/groups/forms/documents/forms/prdr015230.pdf AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 19 of 20

APPENDIX 10: ONTARIO PROGRAMS

Government of Ontario. (2017b). OSAP - Bursury for Students with Disabilities (BSWD) Retrieved June, 2017, from https://osap.gov.on.ca/OSAPPortal/en/A-ZListofAid/PRDR015050.html Government of Ontario. (2017c). OSAP - Bursury for Students with Disabilities (BSWD) and Canada Student Grant for Services and Equipment for Persons with Disabilities (CSG-PDSE) Retrieved June, 2017, from https://osap.gov.on.ca/OSAPPortal/en/A-ZListofAid/WEBUCONT033210.html Hemophilia Ontario (2016a). [Personal communication, 416-972-0641 (Sep 9-16, 2016)]. Hemophilia Ontario. (2016b). Updated Financial Assistance Request Form Retrieved 09/09, 2016, from http://www.hemophilia.ca/files/Updated%20Financial%20Assistance%20Request%20Form%202016.pdf March of Dimes Canada (2015). [Personal communication, AccessAbility Services (Nov. 25, 2015)]. March of Dimes Canada. (2016a). Assistive Devices Program Retrieved 04/18, 2016, from http://www.marchofdimes.ca/EN/programs/adp/Pages/Adp.aspx March of Dimes Canada. (2016b). DesignAbility® Program Retrieved 04/18, 2016, from http://www.marchofdimes.ca/EN/programs/Designability/Pages/Designability.aspx March of Dimes Canada (2016c). [Personal communication, DesignAbility (Feb 2, 2016)]. Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017a). Programs and Services Financial Assistance - Ontario and Nunavut - Quality of Life Grants Retrieved Jun, 2017, from https://mssociety.ca/support- services/programs-and-services/15/financial-assistance-ontario-nunavut-division Multiple Sclerosis Society of Canada - Ontario and Nunavut Division. (2017b). Quality of Life Grants Guidelines Retrieved Jun, 2017, from https://mssociety.ca/library/document/rwp3JeYgonD56ISlUPQLRhOzdx41NkmC/original.pdf Muscular Dystrophy Canada. (2017a). Community Services Fund: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community- services-fund-ontario-nunavut/ Muscular Dystrophy Canada. (2017b). Equipment Program: Ontario and Nunavut Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-ontario-nunavut/ Ontario Federation of Cerebral Palsy. (2015). ADP Equipment List Retrieved 04/18, 2016, from http://ofcp.ca/wp-content/uploads/2015/09/2015-ADFP-EQUIPMENT-LIST.pdf Ontario Federation of Cerebral Palsy. (2016). Assisted Devices Program Retrieved 04/18, 2016, from http://ofcp.ca/programs/funding/assisted-devices/ Spinal Cord Injury Ontario. (2016). Buy and Sell Retrieved 04/18, 2016, from http://www.sciontario.org/forum/community/classified Vision Loss Rehabilitation - Ontario. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://on.visionlossrehab.ca/en Workplace Safety and Insurance Board (WSIB). (2016a). Independent Living Retrieved 04/18, 2016, from http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000511&_afrLoop=1998625833628182&_afrWindowMode=0&_afrWindowId=11xi8quwj6_140#%40%3F_afrWindowId%3D11xi8quwj6_14 0%26_afrLoop%3D1998625833628182%26_afrWindowMode%3D0%26fGUID%3D835502100635000511%26_adf.ctrl-state%3D11xi8quwj6_156 Workplace Safety and Insurance Board (WSIB) (2016b). [Personal communication, (Toronto, Ontario) 416-344-1000 (Feb 02-Mar 14, 2016) ]. Workplace Safety and Insurance Board (WSIB). (2016c). Prosthetic and Assistive Devices Retrieved 04/18, 2016, from http://www.wsib.on.ca/WSIBPortal/faces/WSIBManualListPage?fGUID=835502100635000512&_afrLoop=1998549163792182&_afrWindowMode=0&_afrWindowId=11xi8quwj6_119#%40%3F_afrWindowId%3D11xi8quwj6_11 9%26_afrLoop%3D1998549163792182%26_afrWindowMode%3D0%26fGUID%3D835502100635000512%26_adf.ctrl-state%3D11xi8quwj6_143 AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 20 of 20

APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

Table 11-A: Government of Prince Edward Island Programs Table 11-B: Prince Edward Island Government Legislated Insurance Programs Table 11-C: Prince Edward Island Legislation Governing Programs Table 11-D: Prince Edward Island Charitable Organization Programs Table 11-E: Prince Edward Island Other Resource Programs References

Table 11-A: Government of Prince Edward Island Programs

Government of PEI - Yes Assistive technology Yes Enrolled in course which is Copy of current Student Maximum allowed for (PEI Department of Department of Learning disability 12 weeks or greater at Assistance Explanation of computer, printer, basic Workforce and Advanced

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APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

Workforce and Up to $8,000 per assessments approved post-secondary Assessment or Certificate software is $2000 Learning, No date-a, No Advanced Learning - academic year institution of Eligibility and Canada date-b) Canada Student Grant Reimbursement of 75% of Taking at least 40% of full Student Loans Agreement for Services and Two cost estimates for cost of a psychological course load Equipment for Students each item are needed assessment for learning Eligible to apply for Statement of disability with Permanent disabilities (to maximum of Canada Student Loan (medical certificate or Disabilities $1,200 per loan year) is an through Prince Edward learning disability eligible educational Island Student Financial assessment or document expense. The $1,200 is Services confirming provincial or included in maximum Assessed financial need of federal disability grant of $8,000. at least one dollar assistance)

Have permanent disability that limits ability to perform daily activities necessary to participate fully in postsecondary studies or in labour force

Table 11-B: Prince Edward Island Government Legislated Insurance Programs

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APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

Table 11-C: Prince Edward Island Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Disability Support Program Department of Family and Human Services Rehabilitation of Disabled Persons Act, RSPEI 1988, c R-12 https://www.princeedwardisland.ca/en/information/famil y-and-human-services/disability-support-program Social Assistance Act, RSPEI 1988, c S-4.3 General Regulations, PEI Reg EC396/03 , (Social Assistance Act)

Worker's Compensation Board Worker's Compensation Board of PEI Workers Compensation Act, RSPEI 1988, c W-7.1 http://www.wcb.pe.ca/ General Regulations, PEI Reg EC831/94 (Workers Compensation Act)

Blind Workers' Compensation Act, RSPEI 1988, c B-4

Table 11-D: Prince Edward Island Charitable Organization Programs

Canadian Red Cross – Yes - Loans Home-use hospital beds Yes - delivery, pick up PEI residents (Canadian Red Cross - Health Equipment Loan and installation Prince Edward Island, AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 7

APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

Program (HELP) – Bed 2017a) Loan Program PEI

(Reg. charity)

Amyotrophic Lateral Yes Hospital beds, Yes – Have a diagnosis of ALS; Must have assessment by Society owns equipment if (ALS Society - PEI, 2017; Sclerosis (ALS) Society Equipment loans and wheelchairs, ceiling track Referral to an appropriate Be registered with the ALS registered health care Society contributed largest ALS Society of PEI, 2016) of PEI- Equipment Loan equipment purchases. lifts, specialized seating community agency for help Society of Prince Edward professional for training portion of cost towards Program cushions, bath benches, with funding Island; purchase, equipment was Funding not available for commodes, etc Repair and maintenance Have a valid Personal Prescription/assessment on loan from equipment (Reg. charity) items costing less than of loaned equipment Health Number; must describe equipment pool; previous owner $100, although some Shipping Reside in Prince Edward in detail donates equipment to items might be available Island. Society. for loan Wheelchair assessments must include If client requests Max of amount funded per measurements. item that is more each equipment: expensive than maximum Walker $500.00 The Equipment Program funding limit and there is Manual wheelchair (except Coordinator approves all no medical rationale for tilt-in-space) $2000.00 equipment purchases prior added expense, client Wheelchair cushion to purchase pays price difference $600.00 Fully Electric Hospital Bed Doctor’s prescription will The cost of major with mattress and rails be requested to eliminate modifications to equipment $2000.00 GST on any medical may be made on cost- Transfer disc $150.00 equipment that is sharing basis as per Power lift chair $1500.00 purchased. Society guidelines Commode $1300.00 Bath-lift or bath bench Equipment more than Equipment only $1200.00 $500, recommend at least provided/purchased when Portable ramping $600.00 2 vendor quotes funding/equipment is not Ceiling Patient Lift with available from any other sling $3100.00 sources.

For equipment on loan if it is not available, there is a

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APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

waitlist. Canadian National No Assistive technology sales: Yes (Canadian National Institute for the Blind – magnifiers; talking Institute for the Blind - Vision Loss watches, timers and Assessment and Nova Scotia and PEI, Rehabilitation scales; large-button recommendations, 2017; Vision Loss Nova Scotia and PEI phones; and colour education, advice on Rehabilitation - PEI, 2017) identifiers, braille board financial supports, Vision Loss games, tactile dice, TV networking groups Rehabilitation PEI is magnifiers and large-print operated by CNIB and playing cards, white partially funded by the canes, pocket magnifiers, Government of PEI specialty sunglasses and talking pedometers, high- (Reg. charity) contrast, large-print keyboards; braillers; signature guides; and talking calculators Multiple Sclerosis Yes - Program funds Types of equipment Yes – Repair Confirmation of MS A written recommendation Once funds have been (Multiple Sclerosis Society Society of Canada – maximum of $450 per include: Mobility and diagnosis is required by an depleted, the program will of Canada - Atlantic Quality of Life Grants applicant toward purchase assistive devices, Minor occupational therapist for close until the following Division, 2017) Atlantic Division equipment home modifications, minor home renovations or fiscal year. Year runs from Bathroom equipment for all other equipment by January through https://mssociety.ca/suppo Two price quotes are (accessibility and safety an occupational therapist, December. rt-services/programs-and- needed devices) a physical therapist, or a services/financial- physiatrist. assistance

(Reg. charity)

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APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

electric, specialized Dystrophy umbrella, mattress, T-foam mattress signed by a physician or a and alternative pressure health professional. mattress (eligible for replacement funding after Canadian citizen, landed 1 year) immigrant, or refugee Lifts: Hydraulic lifting resident in Canada device and sling, Transfer aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Table 11-E: Prince Edward Other Resource Programs

None

References

ALS Society - PEI. (2017). Support Services Retrieved Jun, 2017, from http://alspei.ca/support/ ALS Society of PEI. (2016). Equipment program policies and procedures Retrieved 08/09, 2016, from http://www.alspei.ca/forms/supportservices/equipment_program_policies_and_procedures.pdf Canadian National Institute for the Blind - Nova Scotia and PEI. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/ns-pei/programs-services/Pages/default.aspx Canadian Red Cross - Prince Edward Island. (2017a). Bed Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/prince-edward-island/health-equipment-loans/bed-loan-program Canadian Red Cross - Prince Edward Island. (2017b). Short Term Loan Program Retrieved Jun, 2017, from http://www.redcross.ca/in-your-community/prince-edward-island/health-equipment-loans/short-term-loan-program Multiple Sclerosis Society of Canada - Atlantic Division. (2017). Quality of Life Grant (Equipment) - ATL Retrieved Jun, 2017, from https://mssociety.ca/support-services/programs-and-services/29/quality-of-life-grant-equipment-atl Muscular Dystrophy Canada. (2017). Equipment Program: Atlantic Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-atlantic-canada/ PEI Department of Workforce and Advanced Learning. (No date-a). Canada Student Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from http://www.gov.pe.ca/forms/pdf/2075.pdf

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APPENDIX 11: PRINCE EDWARD ISLAND PROGRAMS

PEI Department of Workforce and Advanced Learning. (No date-b). Canada Student Loans Program - Application for the Grant for Services and Equipment for Students with Permanent Disabilities Retrieved Jun, 2017, from https://www.princeedwardisland.ca/sites/default/files/forms/pd_services_and_equipment_app.pdf PEI Disability Support Program. (2016a). CSS DSP_GEa Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/CSS_DSP_GEa.pdf PEI Disability Support Program. (2016b). CSS POL_DSP8.1 Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/CSS_POL_DSP8.1.pdf PEI Disability Support Program. (2016c). DSP CCPOL Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/DSP_CCPOL.pdf PEI Disability Support Program. (2016d). DSP FSPOL Retrieved 07/04, 2016, from http://www.gov.pe.ca/photos/original/DSP_FSPOL.pdf Vision Loss Rehabilitation - PEI. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://pe.visionlossrehab.ca/en Workers Compensation Board PEI. (2016). pol30 orthoses prostheses and assistive devices Retrieved 07/04, 2016, from http://www.wcb.pe.ca/DocumentManagement/Document/pol30_orthosesprosthesesandassistivedevices.pdf

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APPENDIX 12: QUEBEC PROGRAMS

Table 12-A: Government of Quebec Programs Table 12-B: Quebec Legislation Governing Programs Table 12-C: Quebec Government-Legislated Insurance Programs Table 12-D: Quebec Charitable Organization Programs Table 12-E: Quebec Other Resource Programs References

Table 12-A: Government of Quebec Programs

Program Sub-program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes inclusion and exclusion authorizers? the assistive technology How does the funding program? / No) (eligibility) criteria? devices that are funded system work? What is the process for or supplied? What services are provision or What are the available? authorization? restrictions? Ministère de Program for the Yes – Devices are lent The program covers Yes The individuals must be over 18 The individual must Yes (MSSS, 2010; la Santé et attribution of to the individual. walkers. There is a list years old, have a disability in provide a medical There is a list of mandatory 2017a) Services walkers of mandatory The cost of repair for a any organic system that will assessment and a signed characteristics that the sociaux No rental costs, is a ‘no characteristics that the device must be sent to result in a significant and request form indicating the walkers must have: (MSSS) – (Programme fee to the user’ system. walkers must have (see the proxy. The proxy persistent impairment. The reasons for requesting a  2 pivoting front wheels Aides d’attribution des restrictions column) may or may not grant individual must have a walker to the requesting  2 unidirectional back techniques ambulateurs) the authorization to locomotion impairment. They institution. The proxy must wheels pursue with repair. If must have sufficient strength in then receive the following  Breaks with external https://www.m the device was the upper limb to use the breaks from the requesting cables sss.gouv.qc.c provided by the user or effectively. They must reside in institution: medical  Height-adjustable a by another the territory served by the proxy. summary attesting the handles /sujets/groups organization, the repair They must also be autonomous disabilities, a functional  Seat / are under the in order to safely use the walker and physical evaluation  Rigid and stuffed back personnes_ha individual’s (including handling and storage). from an occupational or support ndicapees responsibility as long physical therapist and a Labelling (provider, model /index.php?ai as the equipment is Individuals are not admissible if form titled Sélection et or serial number) des_techniqu under the program’s they are covered by other recommendation d’un es ownership. programs, if they have severe ambulateur. The proxy In situations where the balance issues when they walk, reviews the request and walker needs to be if they have previously received takes the appropriate replaced, appropriate locomotion help (guide dog, decision. documentation must be wheelchair, etc.), if they are

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APPENDIX 12: QUEBEC PROGRAMS

provided and an already covered by the health agreement must be and social services law, if they made between the have received another individual and the ambulation device from RAMQ, proxy. if they are living in a publicly funded residence. Program for the Yes The program covers Yes The individuals must have a To be admissible, No, but the orthotic must (MSSS, 2011a, attribution of Depending on the footwear and feet disability and have congenital or individuals must obtain a be necessary to 2017b) orthotic footwear needs, some fees may orthotics fabricated from An adult is allowed 2 growth abnormalities, or medical note stating their accommodate a significant and footwear apply: measurements of the pairs of shoes on their traumatic or pathological disability and potential walking impairment. gear ankle-foot complex or first request. They may sequelae or secondary need for orthotic footwear. Orthotic shoe: 75$ from a moulding of this replace the footwear deformities as the result of an Afterwards, a rehabilitation deductible area. The program along with the adapted organic or neurological disease. specialist must evaluate Commercial shoe covers the following: footwear cover every 2 the extent of the adaptation/modification: years. For children, the These disabilities must result in impairment and suggest Shoe fees to be covered - Moulded shoe , sandal same process applies a significant walking impairment ways by which it can be by the user or boot but the footwear may that can only be accommodated improved. The authorizers Adapted footwear cover: - Adapted footwear be changed according with the daily use of a orthotic then evaluate the request No deductible cover to the child’s growth. shoe. and proceed with their decision. The orthotic may also Individuals are not admissible if include optional they are covered by other components such as a programs. safety toe cap, a steel soleplate, a sheepskin lining and any other component judged necessary by the rehabilitation team Program for aids Yes The program covers Yes The individuals must have a The providers/authorizers There are various criteria (MSSS, 2004; of daily living various devices listed motor, organic, intellectual or include: that must be met in order 2017c) Devices are lent to the under different Repair and adjustment significant and persisting  MSSS for an individual to be users. categories: service are available. disabilities.  Agence de attributed a certain device.  Devices used in the Whether or not a développement de The full list of devices and No rental costs, is a ‘no bedroom device is repaired or Individuals are not admissible if réseaux locaux de criteria are listed in section fee to the user’ system  Devices used in the adjusted depends on its they are covered by other services de santé et de 10.2 of the program’s washroom lifespan and wear and programs or if they live in services sociaux guidelines. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 2 of 16

APPENDIX 12: QUEBEC PROGRAMS

 Devices used in the tear. publicly funded residences. (ADRLSSSS) kitchen Palliative patients are also  Program trustee  Devices used in excluded.  Program institution various spaces  Devices worn by the To be admissible, individual individuals must obtain a medical note stating their disability. Afterwards, a rehabilitation specialist, occupational therapist or health professional must evaluate the extent of the impairment and suggest ways by which it can be improved. The authorizers then evaluate the request and proceed with their decision. Program for the Yes Since there is a wide Yes The individuals must be over 18 To be admissible, Yes (MSSS 2011b, attribution of range of equipment years old, have a significant and individuals must first fill out The device must: 2017d) three and four . offered on the market, Repair and adjustment persistent disability that impairs a request for the scooter,  Adequately compensate wheeled there are no lists of the service are available. walking and getting around in a have an evaluation by a an individual’s motor scooters covered devices. Whether or not a manual wheelchair. Must have physiotherapist or impairments device is repaired or the ability to get to the scooter occupational therapist that  Make the individual (Programme adjusted depends on its as well as to store it and to demonstrates that only a more autonomous d’attribution des lifespan and wear and remove it from wherever it is scooter can meet their  Be necessary to triporteurs et des tear. stored; must live at home or in a need, have a trial of the rehabilitation, inclusion, quadriporteurs) group home. Individuals are device and again be evolution or excluded if they reside in a evaluated to ensure the maintenance of a facility having more than 9 safety of operation of a person’s lifestyle residents. specific make and model. This make and model will Individuals must not be able to then be ordered by the walk more than 30 meters, must evaluating therapist. be able to transfer The request must include: independently, must have the  Medical note attesting visual, perceptual, cognitive and disability

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APPENDIX 12: QUEBEC PROGRAMS

physical capacity to drive the  Functional assessment scooter, must not require a by an occupational specialized cushion and the therapist. condition must be permanent.  Written recommendation including type of Individuals are not admissible if equipment (and model they a walker, a motorized number) recommended wheelchair or a 3 or 4 wheeled  Confirmation of the scooter; are covered by other person’s ability to use programs. If individuals are the scooter partially covered by private insurances, the program may The proxy makes the cover the remaining fees as long decision after revision of as the user takes all the the documents provided. requisite steps. Ministère du Travail, de l’Emploi Yes – Devices are fully Mobility aids, Yes Must have a persistent disability With some exceptions, in No (Emploi et de la Solidarité sociale funded or rental price prosthetics and resulting in significant limitations general, need authorization Québec, 2013, (MTESS) - Assistance for is paid orthotics, hospital beds, Batteries for hearing on your ability to perform from Local Employment 2017; MSSS, Persons with Disabilities - bathroom aids aids everyday activities. Must be Centre (CLE) 2016) Special Benefits Program The cost of purchasing Reviewers stated there able to work between 12 and 40 Prescription from a health or renting the assistive is a specific list of hours a week. professional as well as https://www.mess.gouv.qc.ca/Index device may be products and prices, proof that you need the _en.asp reimbursed under the however, this could not product or service http://www.emploiquebec.gouv.qc.c Special Benefits be confirmed in the a Program. online information. /citoyens/integrer-un- emploi/programmes-/ dintegration-a-lemploi/aide-aux- personnes-handicapees/

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APPENDIX 12: QUEBEC PROGRAMS

Ministère de Éducation et Yes – Amount funded Specialized software, Yes Must be a Canadian citizen, a Each type of device to Yes (Ministère de Enseignment supérieur Québec- varies computer access permanent resident, a refugee must be recommended by l'Éducation, et Allowance for Special Needs devices, communication Repair and or a protected person. Must be the person responsible for NOT tablets, furniture or Enseignement Program-Adults Items funded must be aids, as well as services replacement but there residing in Québec. Must be integrating disabled touchscreen devices (e.g. Supérieur, related to the effects of a such as readers, note- are limitations (e.g. only admitted to a designated post- students at the educational mp3 player, smartphone), (MEES, 2016a, http://www.education.gouv.qc.ca/ disability and must be takers, transcribers, one repair or secondary educational institution. If that person 2016b) required to pursue interpreters, attendants replacement in per institution. Must receive a deems it appropriate, he or studies in an educational (with specific hourly student ever, must minimum of six credits or 76 she may consult a health institution. Must not be rates for each). receive approval for hours of instruction per period of professional who covered by other repair or replacement study or a minimum of 20 hours specializes in the specific programs. If must purchase a first, repair must not be of instruction per month. Must disability. computer, could be more than 60% of be suffering from a recognized entitled to additional original cost, ) major functional disability or Must obtain and keep a $2,000 allowance (taxes another recognized disability. quote for the cost. included). Must not be receiving financial assistance from another organization for the same types of assistance.

Indemnisation des victimes Yes – Devices are fully All care, treatment or Yes Assistive device must be related A physician or recognized Yes (Indemnisation d’actes criminels (IVAC) funded equipment that the Assessment, to the after-effects of the health care provider must des Victimes IVAC will reimburse all person needs as long maintenance, repair, criminal act. To be eligible a fill out the appropriate d’Actes http://www.ivac.qc.ca/ expenses that are as you can prove that it and replacement. victim must: Rapport Medical or Criminels approved. is related to the criminal -be injured during the Attestation Medical. This (IVAC), 2016a, act. Need a physician’s commission of a crime must include proof of 2016b) report to originally -helping a peace officer who is injury, diagnosis, and document the injury or making an arrest or prescription information. disease and attempting to prevent an offence impairments. Following -arresting or attempting to arrest this, as long as it can be the offender; shown that the -preventing or attempting to equipment is required prevent an offence. for compensation of deficits related to the injury or disease, it will be covered. Exception of AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 5 of 16

APPENDIX 12: QUEBEC PROGRAMS

wheelchairs, which are covered under RAMQ instead.

Table 12-B: Quebec Government Legislated Insurance Programs

Program Sub-program Are devices funded or What devices are Are services available What are the Who are the Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / program’s inclusion providers or the assistive technology program? No) and exclusion authorizers? devices that are funded How does the funding (eligibility) criteria? or supplied? system work? What services are What is the available? process for What are the provision or restrictions? authorization?

Régie de l`assurance maladie Appareils Yes – Devices are Mobility aids including Yes Quebec resident (or A health Yes there is an approved (Québec, Québec-Aid Programs (RAMQ) suppléant à fully funded or rental walking aids, standing other) who is insured professional or vendor/service provider list 2017a; une déficience price is paid aids, locomotor assists Repair, adjustment and under the Quebec specialist must RAMQ, http://www.ramq.gouv.qc.ca/en/citiz physique and posture assists as replacement, but if it is Health Insurance Plan provide needs Ambulation aids are 2016a, ens/aid-programs/Pages/aid- Devices are either on well as their component, due to a change in and who has some form assessment and covered only if they are 2016b) programs.aspx loan or fully purchased. supplies and condition, need a new of physical or mental recommendation made available through a There are maximum accessories, orthotics prescription. If disability that requires or a prescription rehab process and are coverage amounts and prosthetics. appropriate, the repair or some form of assistive for the appropriate used every day for at least listed for each device or replacement has to be device and who meet assistive device. one year. service. Purchase of 3-4 wheeled under the manufacturers’ the program’s eligibility In some cases, Orthotics are covered only When the device is no scooters is not covered, warranty. requirements these need to be if work every day for at longer being used, must but repairs are covered. If the device is lost, stolen prescribed by a least 6 months (for lower be returned to the régie. or damaged through physician limb), 3 months (for trunk) negligence, is not specialist. or 1 month (for upper covered. limb). Orthotics for sports are not covered. Orthopedic shoes are not covered. Aides Yes – devices are Reading aids, such as The cost of replacement if Quebec resident (or Need to: Not found. (Québec, visuelles made available on digital readers, closed- lost, stolen, destroyed or other) who is insured Apply at 2017b;

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APPENDIX 12: QUEBEC PROGRAMS

loan. circuit television used negligently is not under the Quebec accredited RAMQ, When the device is no systems, optical systems covered. Health Insurance Plan centres; present a 2016c, longer being used, must and calculators; writing and has a visual valid health card, 2016d) be returned to the régie. aids such as braillers; impairment such that take training at an mobility aids such as they are permanently accredited centre. white canes, electronic unable to read, write, $210 is granted for the obstacle detectors, night move around in an cost of acquiring a vision goggles. unfamiliar environment guide dog and $1,028 or carry out activities in per year is provided for Students and workers keeping with their the care of the dog. may also qualify for lifestyle or social roles. computer-compatible Visual acuity of less closed-circuit television than 6/21; equal to or systems, computers, less than 6/18 if have braille displays and degenerative visual printers, satellite GPS. problem, visual impairment, physical deficiency or an intellectual disability; a continuous visual field of less than 60; complete hemianopia.

To qualify as student and worker must be pursuing full-time studies leading to diploma, certificate or other attestation, attend training to enter professional order or training offered by Emploi-Quebec, take steps to enter the labour market, require visual devices to keep a job or accept a promotion. AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 7 of 16

APPENDIX 12: QUEBEC PROGRAMS

Aides Yes – devices are Purchase and Replacement is covered Certain restrictions for Need to consult See list of devices and (Québec, auditives made available on replacement cost of one if: the person’s hearing under 18. an ear, nose and prices at RAMQ (2009) 2017c; loan. hearing aid of the has changed sufficiently throat specialist RAMQ, following types: analogue to render the current Eligible individuals and obtain 2016e) When the device is no (in the ear, behind the device ineffective or that include persons eligible medical certificate longer being used, must ear , body and eyeglass); the person can no longer for the Quebec health attesting of be returned to the régie. digitally controlled use the device; the device insurance plan who are permanent analogue (in the ear, has work out prematurely 19 and over who have hearing loss, as behind the ear), and because of perspiration, an average hearing loss well as indications digital (in the ear and toxic vapours or excess of at least 25 decibels in and behind the ear) dust pollution; the device one ear, and are contraindications is damaged accidentally; pursuing studies of hearing device; Purchase and or during the first 6 years, leading to a diploma, have specialist replacement cost of the cost of repair exceeds certificate or attestation provide assistive listening 70% of the original cost, recognized by the audiogram and devices (decoder, or after 6 years, the cost minister of Education, attestation of need teletypewriter, telephone of repair exceeds 60% of Recreation and Sports; for device. amplifier, adapted alarm the original cost. persons of any age clock or ring detector). having an average If need a hearing Replacement of a device hearing loss of 35 aid, must consult Persons under 19, who that is lost, stolen, decibels in their better a Quebec hearing are visually impaired, or destroyed or used ear; persons of any age aid acoustician; for whom improved negligently is not covered. who in addition to a provide hearing is essential to hearing loss, have other documents. pursue recognized The initial cost of batteries functional limitations studies or hold paid is covered but that hamper their If need an employment or replacement batteries, integration into society, assistive listening employment providing cleaning, testing and the school environment device, must them with a benefit, may maintenance is not or the workplace. consult a receive funding for a covered. distributor of second hearing aid devices, provide required documents. Société de l`assurance Yes – Devices are Varies depending on Yes Devices must be related A prescription No (Société de automobile (SAAQ) fully funded or rental claim to injuries caused in an from a physician l'Assurance price is paid Assessment, rental, automobile accident. is required. For Automobile https://saaq.gouv.qc.ca/en/CNN purchase, and repair. The devices must be to devices over du Québec

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Public automobile insurance, Purchases under $500 preserve or restore $500, an SAAQ (SAAQ), Crown corporation do not need prior health and increase compensation 2016) authorization. independence. officer is required Repair of medical to authorize the supplies or devices is device. reimbursed up to 80% of the initial cost of purchase. Two quotes from vendors are needed Commission des normes, de Yes – Devices are All care, treatment or Yes Must result from a A physician or Yes (CNESST, l'équité, fully funded equipment that the workplace illness or recognized health 2016) de la santé et de la sécurité du person needs as long as Assessment, injury in Quebec. care provider travail (CNESST) you can prove that it is maintenance, repair, and must fill out the related to the workplace replacement. CNESST Rapport http://www.csst.qc.ca/Pages/index. injury. Need a Medical or aspx physician’s report to Attestation originally document the Medical. This injury or disease and must include proof impairments. Following of injury, this, as long as it can be diagnosis, and shown that the prescription equipment is required for information. compensation of deficits related to the injury or disease, it will be covered.

Table 12-C: Quebec Legislation Governing Programs

Program name Ministry or department Statute, act, regulation, order responsible Ministère de la Santé et Services Ministère de la Santé et Services An Act Respecting Health Services and Social Services, CQLR c S-4.2 sociaux (MSSS) – Aides sociaux (MSSS techniques

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Ministère de l’Emploi et de la Ministère de l’Emploi et de la Solidarité sociale (MESS) - Solidarité sociale (MESS) Assistance for Persons with Disabilities- Special Benefits Program

Commission des normes, de Commission des normes, de An Act Respecting Industrial Accidents and Occupational Diseases, CQLR c A-3.001 l'équité, de la santé et de la l'équité, de la santé et de la sécurité sécurité du travail (CNESST) du travail (CNESST)

Ministère de Éducation et Ministère de Éducation et Act respecting financial assistance for education expenses Enseignment supérieur Québec- Enseignment supérieur Québec Allowance for Special Needs Regulation Respecting Financial Assistance for Education Expenses, CQLR c A-13.3, r 1 , (Financial Assistance for Education Expenses) Program-Adults

Indemnisation des victimes Commission des normes, de Crime Victims Compensation Act, CQLR c I-6 d’actes criminels (IVAC) l'équité, de la santé et de la sécurité An Act Respecting Assistance for Victims of Crime, CQLR c A-13.2 au travail (CNESST) An Act to amend the Crime Victims Compensation Act Act to promote good citizenship and certain provisions of the Civil Code concerning prescription, SQ 2013, c 8

Régis de l`assurance maladie Régis de l'assurance maladie du An Act Respecting Health Services and Social Services, CQLR c S-4.2 Québec-Aid Programs (RAMQ) Québec (RAMQ) An Act Respecting Health Services and Social Services for Cree Native Persons, CQLR c S-5 Articles du Règlement d’application de la Loi sur les services de santé et les services sociaux pour les autochtones cris (R.R.Q., c. S-5, r.1)

Individual and Family Assistance Act, CQLR c A-13.1.1 Individual and Family Assistance Regulation, CQLR c A-13.1.1, r 1 , (Individual and Family Assistance Act)

Société de l`assurance automobile Société de l'assurance automobile Automobile Insurance Act, CQLR c A-25 (SAAQ) (SAAQ) Highway Safety Code, CQLR c C-24.2 An Act Respecting the Société de l'Assurance Automobile du Québec, CQLR c S-11.011

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Table 12-D: Quebec Charitable Organization Programs

Computer training with CNIB trainers is available AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 11 of 16

APPENDIX 12: QUEBEC PROGRAMS

in French only. CNIB has partnered with the Hadley School for the Blind to provide distance computer training to its English- speaking clients.

Alternate format library resources

Muscular Dystrophy Yes - Short‐term, mid‐ Commode chair, bath Yes Must be a registered client Applicants must first apply Not covered: Grab bars, (Muscular Dystrophy Canada - Equipment term or long‐term loans or bench, transfer bench, Shipping and delivery of Muscular Dystrophy to government programs, toilet seat. Double bed; Canada, 2017c, 2017d, Program- contribution to the transfer board, toilet safety costs, as well as regular Canada income security and/or waterbed. Cane, crutches. 2017e) Quebec purchase cost of new rails, tub grab bar, transfer maintenance costs. insurance. The Long‐handled reacher, devices. disc, electric bath seat Batteries. (To register, you must prescribing physician must orthopedic pillow. (Reg. charity) (Aquatec), electric bath lift have a confirmed confirm, in writing, that Equipment costing less (Levo‐tech) diagnosis of she/he has submitted or Glasses and soft contact than $200 is not eligible Manual and beach/all‐ a neuromuscular disorder that she/he will submit lenses. for funding. terrain wheelchair under the Muscular such request. (Hippocampe or Landeez), Dystrophy umbrella, Letter of medical necessity Vehicle modification. Request a $200 cushions. signed by a physician or a for equipment, signed by contribution from our Electric lift with casters health professional. You health care professional Battery replacement. clients toward all and slings, track lift, must be a Canadian (OT, PT, orthotis) is equipment requests. A manual lift for above citizen, landed immigrant, needed. For all purchases of new Health Care Professional ground pool (with frame or refugee resident in equipment, the funder who may request that the fee and sling) or for in ground Canada) Approval or denial letter provides at least 51% of be waived pool (with sling). from insurance company the funding owns the Electric bed (single) with (if applicable) Is needed equipment; standard mattress and side rails, specialized mattress (rented, if possible), mattress pad, over‐bed table. Walker, rollator, homemaker cart, standing board, stander. Portable access ramps. Floor to ceiling pole with AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 12 of 16

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crossbar. Ergonomic or Tripp Trapp chair, lift chair, ready racer, guitar, cart, Kimba Home Underframe (size small), Relax II Environmental Control Unit by Tash, etc Scooter/four‐wheeler (including 2 batteries) Indoor/outdoor platform lift, platform lift cover, ceiling track lift, automatic door opener, Orthopedic shoe/boot, orthotics, insoles or ankle brace not covered by the RAMQ or another funder: one pair of shoes or boots or orthotics or insoles or ankle braces every 2 years (applicant’s contribution: $40 for shoes, $60 for boots, $50 for orthotics and ankle braces). Maximum $300, taxes included Electric or geriatric wheelchair (may be rented). Muscular Dystrophy Yes Life Line Services, Yes Must be registered client Prescription/letter from (Muscular Dystrophy Canada – Community Maximum funding amount Adaptive Technologies/ of Muscular Dystrophy professional including Canada, 2017a, 2017b) Services Fund- of $1,000 per item Environmental Control Equipment repair Canada and member of Physician/ Occupational Quebec Units Muscular Dystrophy Therapist/Physiotherapist Quotes from 2 different Canada Chapter outlining medical (Reg. charity) equipment vendors for necessity requested item (To register, must have a confirmed diagnosis of Approval or denial letter a neuromuscular disorder from insurance company AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 13 of 16

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under the Muscular (if applicable) Is needed Dystrophy umbrella, signed by a physician or a health professional. Must be a Canadian citizen, landed immigrant, or refugee resident in Canada) Canadian Hemophilia Yes – Devices are cost Mobility aids (canes, No Must be resident of A medical prescription is No (Canadian Hemophilia Society- Quebec shared or rental prices crutches, wheelchairs, Quebec, be or become a required. Financial Society; Canadian Chapter (CHSQ) are cost shared walkers, scooters, ramps, member of CHSQ. assistance application Hemophilia Society) lifting devices etc.) 80% of Expenses must be related must be approved by (Reg. charity) costs up to $200 annually; to inherited blood disease. CHSQ’s Financial and orthotics (specialized Must provide 2 quotes Assistance Committee. footwear, braces orthoses) from vendors, provide 80% of costs up to $200 proof that there are no annually other funding options, and Items covered by other show that client is in need, programs, sports be recognized as eligible equipment and expenses by financial assistance unrelated to the blood approval committee. disorder are not covered.

Table 12-E: Quebec Other Resource Programs

None found.

References

ALS Quebec. (2017a). Programme d'aides techniques et financieres Retrieved Jun, 2017, from http://als-quebec.ca/support-and-services/healthcare-professional/services/ ALS Quebec. (2017b). Technical and Financial Aid Programs Retrieved Jun, 2017, from http://als-quebec.ca/support-and-services/healthcare-professional/services/ Canadian Hemophilia Society. (2016a). Financial Assistance Form. Retrieved from: http://www.hemophilia.ca/files/Financial_Assistance_Form.pdf Canadian Hemophilia Society. (2016b). Programs Retrieved from: http://www.hemophilia.ca/en/provincial-chapters/quebec/programs/#c1396 Canadian National Institute for the Blind - Quebec. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/quebec/programs-services/Pages/default.aspx AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 14 of 16

APPENDIX 12: QUEBEC PROGRAMS

Commission des Normes de l'Equité de la Santé et de la Sécurité du Travail (CNESST). (2016). Compensation and Reimbursement of Expenses. Retrieved from: http://www.csst.qc.ca/en/workers/Pages/compensation_reimbursement_expenses.aspx#C Emploi-Québec. (2013). Special benefits. Retrieved from: http://www.emploiquebec.gouv.qc.ca/publications/pdf/SR_dep_prestations_speciales_rens_generaux_en.pdf Emploi Québec. (2017). Assistance for Persons with Disabilities. Retrieved from: http://www.emploiquebec.gouv.qc.ca/en/citizens/starting-a-new-job/employment-integration-programs/assistance-for-persons-with-disabilities/ Indemnisation des Victimes d’Actes Criminels (IVAC). (2016a). Crime Victims Compensation. Retrieved from: http://www.ivac.qc.ca/PDF/RESANG.pdf Indemnisation des Victimes d’Actes Criminels (IVAC).(2016b). [Personal communication, 1-800-561-4822 (Sept 12, 2016)]. Ministère de l'Emploi et de la Solidarité Sociale du Québec (MESS).(2016). [Personal communication, 1-877-767-8773 (Sept 12, 2016)]. Ministère de l'Éducation et l’Enseignement Supérieur. (2016a). Eligibility requirements - Allowance for Special Needs Program. Retrieved from: http://www.mesrs.gouv.qc.ca/en/aide-financiere-aux-etudes/other-programs/allowance-for- special-needs-program-adults/eligibility-requirements/ Ministère de l'Éducation et l’Enseignement Supérieur. (2016b). Types of assistance offered - Allowance for Special Needs Program Retrieved from: http://www.mesrs.gouv.qc.ca/en/aide-financiere-aux-etudes/other- programs/allowance-for-special-needs-program-adults/types-of-assistance-offered/ Ministère de la Santé et des Services Sociaux. (2004). Programme sur les aides à la vie quotidienne et à la vie domestique. Retrieved from: http://www.centreinterval.qc.ca/client/guide_avq-avd_guide_de_gestion_oct03.pdf Ministère de la Santé et des Services Sociaux. (2010). Programme d’attribution des ambulateur. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-07W.pdf Ministère de la Santé et des Services Sociaux. (2011a). Programme d’attribution de chaussures orthétiques et d’appareillage de chaussures. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-05W.pdf Ministère de la Santé et des Services Sociaux. (2011b). Programme d’attribution des triporteurs et des quadriporteurs. Retrieved from: http://publications.msss.gouv.qc.ca/msss/fichiers/2011/11-824-09W.pdf Ministère de la Santé et des Services Sociaux. (2017a). Attribution des ambulateur. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-attribution-ambulateurs.aspx Ministère de la Santé et des Services Sociaux. (2017b). Attribution de chaussures orthétiques et d’appareillage de chaussure. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne- handicapee/Pages/attribution-chaussures-orthetiques-appareillage.aspx Ministère de la Santé et des Services Sociaux. (2017c). Aides à la vie quotidienne et à la vie domestique. Retrieved from: http://www4.gouv.qc.ca/FR/Portail/Citoyens/Evenements/personne-handicapee/Pages/aides-vie-quotidienne- domestique.aspx Ministère de la Santé et des Services Sociaux. (2017d). Programme d’attribution des triporteurs et des quadriporteurs. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/citoyens/programme- service/Pages/Info.aspx?sqctype=sujet&sqcid=3061 Muscular Dystrophy Canada. (2017a). Community Services Fund: Quebec Retrieved Jun, 2017, from http://www.muscle.ca/get-involved/community-volunteer-chapters/chapter-news-resources-and-links/community-services-fund- quebec/ Muscular Dystrophy Canada. (2017b). Community Services Fund: Quebec Application Form Retrieved Jun, 2017, from http://muscle.ca/wp-content/uploads/2012/11/CSF-Individual-Application-for-Funding-November-15-20111.pdf

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Muscular Dystrophy Canada. (2017c). Equipment Loan and Financial Aid Programs Quebec Retrieved Jun, 2017, from http://www.muscle.ca/wp-content/uploads/2012/11/Aides-techniques-et-contributions-financi%C3%A8res- offertes__EN-June-2016.pdf Muscular Dystrophy Canada. (2017d). Equipment Loan and Financial Aid Programs Quebec - Application Form Retrieved Jun, 2017, from http://www.muscle.ca/wp-content/uploads/2012/11/EquipmentProgram17Form_Quebec- Efill.pdf Muscular Dystrophy Canada. (2017e). Equipment Program: Quebec Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-quebec/ Québec. (2017a).Appareils suppléant à une déficience physique. Retrieved from: http://www4.gouv.qc.ca/FR/Portail/Citoyens/Evenements/personne-handicapee/Pages/appareils-suppleant-deficience-physique.aspx Québec. (2017b).Aides visuelles. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-aides-visuelles.aspx Québec. (2017c).Aides auditives. Retrieved from: http://www4.gouv.qc.ca/fr/Portail/Citoyens/Evenements/personne-handicapee/Pages/programme-aides-auditives.aspx Régie de l'Assurance Maladie du Québec (RAMQ). (2009). Schedule I: Tariff for insured hearing aids nad related services. Retrieved from: https://www.prod.ramq.gouv.qc.ca/DPI/PO/Commun/PDF/Listes_AT/Listes_AT/liste_at_aides_aud_mod_2016_07_01_en.pdf Régie de l'Assurance Maladie du Québec (RAMQ). (2016a). Devices that Compensate for a Physical Deficiency Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/devices-compensate-physical- deficiency/Pages/devices-compensate-physical-deficiency.aspx Régie de l'Assurance Maladie du Québec (RAMQ). (2016b). Programme d’appareils suppléant à une déficience physique. Retrieved from: http://www.ramq.gouv.qc.ca/SiteCollectionDocuments/citoyens/fr/depliants/deficience-physique- fr.pdf Régie de l'Assurance Maladie du Québec (RAMQ). (2016c). Visual aids Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/visual-aids/Pages/visual-aids.aspx Régie de l'Assurance Maladie du Québec (RAMQ). (2016d). Programme d’aides visuelles. Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/visual-aids/Pages/visual-aids.aspx Régie de l'Assurance Maladie du Québec (RAMQ). (2016e). Hearing aids Retrieved from: http://www.ramq.gouv.qc.ca/en/citizens/aid-programs/hearing-aids/Pages/hearing-aids.aspx Société de l'Assurance Automobile du Québec (SAAQ). (2016). Medical Supplies and Devices. Retrieved from: https://saaq.gouv.qc.ca/en/traffic-accident/public-automobile-insurance-plan/covered-how/medication-medical-supplies- reports/medical-supplies-devices/

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Table 13-A: Government of Saskatchewan Programs Table 13-B: Saskatchewan Government-Legislated Programs Table 13-C: Saskatchewan Legislation Governing Programs Table 13-D: Saskatchewan Charitable Organization Programs Table 13-E: Saskatchewan Other Resource Programs References

Table 13-A: Government of Saskatchewan Programs

Program Are devices funded or What devices are Are services available What are the program’s Who are the providers or Are there restrictions on References supplied? (Yes / No) covered under the and/or covered? (Yes / inclusion and exclusion authorizers? the assistive technology program? No) (eligibility) criteria? devices that are funded How does the funding What is the process for or supplied? system work? What services are provision or available? authorization? What are the restrictions? Ministry of Health - Yes – Devices are Orthotics – e.g. upper and Yes Be resident of Clients must be referred Least costly available to Government of Saskatchewan Aids to funded, cost shared or lower extremity, custom Saskatchewan and for service by authorized meet basic needs, Saskatchewan, 2016b) Independent Living supplied helmets Maintenance and repair possess valid health care professional otherwise pay fee in most (SAIL) – 14 Prosthetics – conventional for all program-owned Saskatchewan Health and service must be cases Subprograms under 2 Must not be eligible to (and accessories), equipment is covered. Services Number. obtained in categories receive service from any myoelectric, C-leg Specific criteria for types Saskatchewan. Not a benefit: Universal Benefits - other government agency. (microprocessor knee) Replacements as needed of devices Ocular prostheses Prosthetics and Adaptive and specialized under certain conditions e.g. Orthotics /prosthetics: All equipment is referred Breast prostheses orthotics program seating (e.g. not if result of abuse) Must be prescribed by and requisitioned by Ear (auricular) prostheses Adaptive and rehab appropriate specialist (e.g. medical professional with Weighted items https://www.saskatchewan equipment physiatry, orthopaedics) appropriate authority. Compression vests .ca/residents/health/acces Standing frames and depends on item and Soft back braces, cervical sing-health-care- Functional electrical certain clinics; requires Types of eligible collars, rib belts, hernia services/health-services- stimulation for foot drop device for daily activities medical/health truss, off-the-shelf wrist or for-people-with- Craniofacial prostheses or prevention; case by professionals are hand braces, back disabilities/sail Palatial prostheses case basis for items not dependent on device. corsets, hand or finger listed splints Specific providers (e.g. Sit-to-stand lifts and/or Adaptive and Specialized orthotics, or rehab standing frames Seating centres) may be indicated Any base for standing e.g. Referral by OT or PT, with direct billing. frames that is not basic or

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APPENDIX 13: SASKATCHEWAN PROGRAMS

some items need special is intended to move the review/approval child in the stander (e.g. wheels, pivot base, etc.) Adaptive and A second prosthesis for Rehabilitation Equipment the same facial site **Be 17 years of age or Surgical costs associated younger. with prostheses, including Standing Frames surgical implants and **children’s rehabilitation posts only Travel or accommodation costs to iRSM Functional Electrical FES devices for upper Stimulation (FES) for Foot extremities Drop FES costs such as e.g. referred by batteries, replacement appropriate specialist parts (other than Upper motor neuron injury electrodes), trial costs, or disease or central shipping costs, extended nervous system warranties and private involvement physical therapy services. Ministry of Health - Yes – Devices are Wheelchairs and Yes Be a resident of Clients must be referred Non-benefit items Government of Saskatchewan Aids to loaned from a pool accessories Saskatchewan and for service by authorized Medical alarm systems Saskatchewan, 2016b) Independent Living Maintenance and repair possess a valid health care professional Four wheeled walkers with (SAIL) – 14 Must not be eligible to Cushions, including for all program owned Saskatchewan Health and service must be seats Subprograms receive service from any specialty equipment is covered. Services Number. obtained in Scooters. Universal Benefits - other government agency. Walkers Saskatchewan. Mobility and Assistive Canes and crutches Neither Saskatchewan Depends on health Equipment will not be Devices (Special Needs Bathroom accessories Health nor Saskatchewan coverage and program Equipment must be ordered with features that Equipment) Program Transfer assists Abilities Council install or eligibility criteria requisitioned by medical are not benefit of program Hospital beds and fund installation of professional with (i.e. seats on walkers, https://www.saskatchewan accessories equipment in client’s Program benefits are appropriate authority. environmental controls on .ca/residents/health/acces Pressure mattresses residences. provided to people wheelchairs or an elevated sing-health-care- Reachers residing in community. Requisitioning authority seat in a wheelchair). services/health-services- depends on device – e.g. Clients cannot pay the for-people-with- Personal Care Home and physiatrist, occupational difference in cost to have disabilities/sail Special Care Home therapist, physical an additional feature residents are eligible only therapist, home care nurse added to a loan item.

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Saskatchewan Health for walkers, wheelchairs (? May result in long wait contracts with the and cushions. (Individuals times) Specialized wheelchair Saskatchewan Abilities residing in a Personal and seating cushions Council to operate this Care Home (these are (Justification letters (e.g. tilt, pressure relief air) program privately run) or a Long- required for specialized must be approved by Term Care Facility are equipment.) committee http://www.abilitiescouncil. NOT eligible for Special sk.ca/html/life/special_nee Needs Equipment loan (? Few options available to ds_equipment/sne_loan_p program items.) select from - May have 1 rogram/Equipment- type of standard manual Manual/index.cfm. Patients in acute care chair with limited facility are not eligible for adjustability, standard Special Needs Equipment aluminum walker, one air benefits except as part of mattress; recycling a definitive discharge plan. program so dependent on what is available; may be For some equipment, loan long wait times for is restricted to those specialized equipment) clients with coverage through Supplementary Health Program, Seniors Income Plan, or Family Health Benefits Program. (e.g. some canes, crutches, bathroom accessories) Ministry of Health - Yes – Devices are Low vision eyewear Yes Be a resident of Clients must be referred One device for each Government of Saskatchewan Aids to funded, cost shared or Loan of braillers, white Saskatchewan and for service by an functional purpose Saskatchewan, 2016b) Independent Living loaned canes (identification, Maintenance and repair possess a valid authorized health care (SAIL) – 14 mobility and/or support), for all program owned Saskatchewan Health professional and service Aids provided at most Subprograms Must not be eligible to magnifiers and book equipment is covered. Services Number. must be obtained in basic device required to Special Benefits - receive service from any playback machines Saskatchewan. complete ongoing daily Program Aids to the other government service. Low vision rehabilitation Have a vision assessment visual tasks Blind program CNIB - assessments of that shows their vision to Low vision eyewear must functional vision and, in be 20/150∗ or worse in be requisitioned by one of For purchased devised https://www.saskatchewan consultation with health better eye with corrected Low Vision Clinics. which are subsidized .ca/residents/health/acces professionals (as required) lenses or with visual fields Equipment may be through SAIL,

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APPENDIX 13: SASKATCHEWAN PROGRAMS sing-health-care- and client, determine no greater than 20 supplied by any optometric maintenance, repair or services/health-services- goals and objectives for degrees or ophthalmic dispenser batteries are not included. for-people-with- low vision rehabilitation Be referred by an disabilities/sail optometrist, a physician Loaned Low Vision Aids Assistance with purchase specializing in and Devices – purchased, In contract with Canadian of talking or braille ophthalmology or by a housed, maintained, National Institute for the watches, talking scales, Low Vision Clinic; and distributed at CNIB Blind (CNIB) for many large button or talking Require low vision aids or services. phones, talking labellers, devices that are not digital playback units and exclusively for educational multifunctional electronic and/or employment devices purposes

CNIB provides instruction on use of these items when initially loaned. Ministry of Health - Yes – Devices are Specialized rehabilitation Yes Be a resident of Clients must be referred Requests for home access Government of Saskatchewan Aids to funded, cost shared or equipment (with prior Saskatchewan and for service by authorized and vehicle modification Saskatchewan, 2016b) Independent Living supplied approval) Maintenance and repair possess a valid health care professional benefits in writing by a (SAIL) – 14 for all program owned Saskatchewan Health and service must be physiatrist, occupational Subprograms Must not be eligible to Also home access equipment is covered. Services Number. obtained in therapist, or physical Special Benefits - receive service from any equipment e.g. loan of Saskatchewan. therapist for prior Program Paraplegia other government service. outdoor wheelchair lift (? may not cover purchase Have paralysis of all or approval. program of replacement batteries, most of lower limbs and slings for lifts.) trunk due to lesion or https://www.saskatchewan disease affecting spinal .ca/residents/health/acces cord, and sing-health-care- Referred to Paraplegia services/health-services- Program by physiatrist (or for-people-with- other specialist physician) disabilities/sail associated rehab centre

Adult criteria Amyotrophic Lateral Sclerosis / ALS Traumatic spinal cord injury

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Cerebral palsy with spastic quadriplegia or diplegia Multiple sclerosis in advanced stages Primary lateral sclerosis

Not be on Paraplegia program and MS Drug program Ministry of Health - Yes – Devices are Hearing devices Yes - Government wards; Most of services require (Government of Supplementary Health partially covered, but Inmates of provincial prior approval from Saskatchewan, 2017b) Benefits – Hearing coverage is very limited Batteries and repairs are correctional institutions; Ministry of Health. Services free. Residents of special care May pay for replacement facilities who are eligible https://www.saskatchewan.c of lost or broken hearing Audiology services and for Senior's Income Plan; a/residents/health/prescriptio aid on individual basis hearing aids provided n-drug-plans-and-health- Replacement subject to a through Hearing Aid Plan Those enrolled in following coverage/extended-benefits- 30% co-payment for in regions. income support programs: and-drug- clients over age 20. plan/supplementary-health- Saskatchewan Assured benefits Income for Disability (SAID) Saskatchewan Assistance Program (SAP) Transitional Employment Allowance (TEA) Provincial Training Allowance (PTA) Ministry of the Economy, Yes – Devices are Adaptive equipment Yes For an individual applicant, All applicants need to fill There is a list of approved (Government of Labour Market Services funded, funding varies (Braille writers, low vision must be a resident of out a labour market survey devices, but requests can Saskatchewan, 2016) – Workforce aids, ergonomic supports), Assessment Saskatchewan over the registration and workforce be made for devices not (Government of Development, People Applicants are assessed Alternate format materials age of 16. development application. on the list. Saskatchewan, 2013) with Disabilities (WFD- on a case by case basis. (audio, braille, large print) PD) Electronic software (e.g. Must require extraordinary Confirmation of disability Applicants are assessed (Workforce Development - Individuals may apply, but basic and specialized) supports to prepare for, and a description of the on a case by case basis. People with Disabilities, http://www.saskatchewan. the program may also be Electronic hardware (e.g. obtain or maintain supports needed in an 2016) ca/residents/jobs-working- delivered through computers, peripherals, employment because of a Individual Action Plan is Funding supports are for

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APPENDIX 13: SASKATCHEWAN PROGRAMS and-training/job-training- community-based sip and puff device) disability. needed. disability-related costs and-financial-support- organizations. Technical aids (e.g. talking only programs/job-support-for- calculator, visual aids, Note: assistance to people-with-disabilities organizer, personal digital individuals, community- assistants) based organizations and employers to support There is a list of approved education and devices, but requests can employment for people be made for devices not with disabilities. on list Note: students must apply for funding through Student Financial Assistance before WFD- PD Student Services and Yes, up to $10,000 per Specialized education- Yes, Have permanent disability Must have: Confirmation of Need (Government of Program Development program year related assistive Qualify for full-time or part- Confirmation of Enrolment form for all disability- Saskatchewan, 2017a) Branch - Canada- equipment, e.g. readers, Learning Disability time student loan form for period of study related services and/or Saskatchewan Grant for alternative format, assessment reimbursed is Be enrolled in full-time or identified for this school equipment, including an Services and Equipment computer, software grant approved part-time program at year. estimate of what it will cost for Students with designated post- for these services and/or Permanent Disabilities secondary institution Form needs to be filled out equipment (completed by Have no outstanding by someone at school who school’s disability advisor receipts from previous has student loan signing and/or a recognized services and equipment authority. disability organization) grant funding Proof of Permanent Disability - medical certificate completed by qualified medical practitioner OR Verification of Permanent Disability form (Ministry of Advanced Education) Documents must describe functional limitations of disability and impact it has

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APPENDIX 13: SASKATCHEWAN PROGRAMS

on ability to perform daily activities necessary to participate in postsecondary studies. or Learning Disability Assessment (i.e., psycho- educational assessment), or summary report of assessment, completed within last five years by registered psychologist.. or Documentation proving receipt of federal or provincial disability assistance

Table 13-B: Saskatchewan Government-Legislated Programs

APPENDIX 13: SASKATCHEWAN PROGRAMS

WCB is also required for authorization. Saskatchewan Yes – Devices are Varies, depends on claim Yes Must be a resident of A physician’s No (Saskatchewan Government Insurance funded, fully Saskatchewan recommendation is Government Insurance (SGI) – Saskatchewan Assessment, Injured in an auto accident needed. (SGI), 2016) Auto Fund** maintenance, repair Decisions are made with https://www.sgi.sk.ca/ the help of the physician, therapists, and SGI Public automobile representatives. insurance, Crown corporation There are SGI approved therapists, but a client may go to non-approved therapists as well. * Sole provincial agency providing workplace insurance, legislated. Others industries not in the legislation can apply for coverage. ** SGI Saskatchewan Auto Fund non-profit, not government subsidized or pay dividends to government.

Table 13-C: Saskatchewan Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Saskatchewan Aids to Independent Living (SAIL) Ministry of Health The Health Administration Act, RSS 1978, c H-0.0001 https://www.saskatchewan.ca/residents/health/accessin formerly known as the Department of Health Act (which is still in the documents) g-health-care-services/health-services-for-people-with- The Saskatchewan Aids to Independent Living Regulations, 1976, Sask Reg 292/76 , (Health Administration Act) disabilities/sail The Saskatchewan Assistance Plan Supplementary Health Benefits Regulations, Sask Reg 65/66 , (Health Administration Act) The Rehabilitation Act, RSS 1978, c R-17 The Rehabilitation Regulations, Sask Reg 265/72 , (Rehabilitation Act) Saskatchewan Assistance Act, The, RSS 1978, c S-8 The Saskatchewan Assured Income for Disability Regulations, 2012, RRS c S-8 Reg 11 , (Saskatchewan Assistance Act) The Saskatchewan Assistance Regulations, 2014, RRS c S-8 Reg 12 , (Saskatchewan Assistance Act) Public Health Act, 1994, SS 1994, c P-37.1 Paraplegia, Sask Reg 786/68 (Public Health Act)

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Ministry of Health - Supplementary Health Benefits Ministry of Health The Health Administration Act, RSS 1978, c H-0.0001 – Hearing Services formerly known as the Department of Health Act (which is still in the documents) The Saskatchewan Assistance Plan Supplementary Health Benefits Regulations, Sask Reg 65/66 , (Health Administration Act)

Workforce Development, People with Disabilities Ministry of the Economy Could not find specific legislation; policy documents available. (WFD-PD) http://www.saskatchewan.ca/residents/jobs-working- Canada – Saskatchewan Labour Market Agreement for Persons with Disabilities and-training/job-training-and-financial-support- programs/job-support-for-people-with-disabilities

Canada-Saskatchewan Grant for Services and Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28 Equipment for Students with Permanent Disabilities

Ministry of Advanced Education Post-Secondary Education and Skills Training Act, SS 2004, c P-16.11 Student Services and Program Development Branch Training Programs Regulations, RRS c D-22.01 Reg 1 , (Post-Secondary Education and Skills Training Act) Saskatchewan Assistance Act, The, RSS 1978, c S-8 The Saskatchewan Assistance Regulations, 2014, RRS c S-8 Reg 12 , (Saskatchewan Assistance Act)

Saskatchewan Workers Compensation Board Labour Relations and Workplace Safety The Workers' Compensation Act, 2013, SS 2013, c W-17.11 (WCB) Workers' Compensation General Regulations, 1985, RRS c W-17.1 Reg 1 , (Workers' Compensation Act, 1979) https://www.wcbsask.com/

Saskatchewan Government Insurance (SGI) The Saskatchewan Government Insurance Act, 1980, SS 1979-80, c S-19.1 https://www.sgi.sk.ca/ The Automobile Accident Insurance Act, RSS 1978, c A-35 The Crown Corporations Act, 1993, SS 1993, c C-50.101

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Table 13-D: Saskatchewan Charitable Organization Programs

Amyotrophic Lateral Unclear Communication aids such Unclear (ALS Society of Sclerosis (ALS) Society as computers, Saskatchewan, 2017) of Saskatchewan- environmental controls Assistive Technology that allow the person with ALS to maintain (Reg. charity, as communication Saskatchewan ALS (government does not Foundation) fund this)

Canadian National See under government Institute for the Blind programs (CNIB)

In contract with CNIB for many services.

Ministry of Health - Saskatchewan Aids to

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Independent Living (SAIL) – 14 Subprograms Special Benefits Program - Aids to the Blind program https://www.saskatchewan .ca/residents/health/acces sing-health-care- services/health-services- for-people-with- disabilities/sail

Canadian National No Yes (Canadian National Institute for the Blind – Institute for the Blind – Manitoba and Assistive technology Manitoba and Saskatchewan services - assessment and Saskatchewan, 2017; recommendations; Vision Loss Rehabilitation Vision Loss education on use; course; - Saskatchewan, 2017) Rehabilitation advice on financial Saskatchewan supports (operated by CNIB and funded by donors Career and employment and partially funded by the education and advice on Government of technology supports Saskatchewan) Outreach to rural (Reg. charity) communities to demonstrate technology

Saskatchewan Abilities See under government . (The Saskatchewan Council – Special Needs programs Abilities Council, 2016a) Equipment (The Saskatchewan Saskatchewan Health Abilities Council, 2016b) contracts with the (The Saskatchewan Saskatchewan Abilities Abilities Council, 2016c) Council to operate this program

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APPENDIX 13: SASKATCHEWAN PROGRAMS

Ministry of Health - Saskatchewan Aids to Independent Living (SAIL) – 14 Subprograms Universal Benefits Mobility and Assistive Devices (Special Needs Equipment) Program https://www.saskatchewan .ca/residents/health/acces sing-health-care- services/health-services- for-people-with- disabilities/sail http://www.abilitiescouncil. sk.ca/html/life/special_nee ds_equipment/sne_loan_p rogram/Equipment- Manual/index.cfm. Saskatchewan Deaf and No Yes (Saskatchewan Deaf and Hard of Hearing Services Hard of Hearing Services, – Discount Hearing Aid Extra Advanced Zinc Air 2017) Battery Program Hearing Aid Batteries http://sdhhs.com/discount- Discount hearing aid hearing-aid-battery- battery prices: members program/ pay $4.00 for a pack of 4, and non-members pay (Reg. charity) $5.00 Kinsmen Foundation Yes – Devices are funded, Mobility aids No Must be a resident of An assessment is required No (Kinsmen Foundation Saskatchewan- fully or cost shared Communication aids Saskatchewan from an occupational TeleMiracle, 2016) TeleMiracle For access of equipment therapist. (TeleMiracle) that would otherwise not (Reg. charity) be available. Items are All funding is decided by either fully paid or co- the Kinsmen Foundation

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APPENDIX 13: SASKATCHEWAN PROGRAMS

payed if other sources of Board funding are available (? Applications approved based on financial and (?unclear how frequently medical need.) this is accessed) Muscular Dystrophy Yes – Cost sharing Access: door opener, stair Repair and modifications, Must be a registered client A signed equipment Funding approvals are (Muscular Dystrophy Canada - Equipment lift, ramp batteries, mattress of Muscular Dystrophy prescription from the valid for 6 months Canada, 2017) Program- Maximum per item: $3,000 Bathroom equipment: replacement Canada appropriate licensed Western Canada Commode/toileting device, health care professional (BC, Alberta, Manitoba, Client minimum Bathing/shower device, (To register, you must such as: an occupational Saskatchewan) contribution: $200 others have a confirmed therapist, physiotherapist, Beds and mattresses: diagnosis of respiratory therapist, (Reg. charity) Equipment costing less Hospital bed – manual and a neuromuscular disorder orthotist, physiatrist or than $200 will not be electric, specialized under the Muscular podiatrist eligible for funding mattress, T-foam mattress Dystrophy umbrella, and alternative pressure signed by a physician or a Approval or denial letter Short term rentals mattress (eligible for health professional. You from insurance company replacement funding after must be a Canadian (if applicable) Is needed 1 year) citizen, landed immigrant, Quotes from 2 different Lifts: Hydraulic lifting or refugee resident in equipment vendors device and sling, Transfer Canada) needed aid, Sling for patient lifting, Track lift system, Chair lift Communication devices Mobility aids: Power wheelchair; Power tilt/recline seating; Manual wheelchair; Rollator /walker/walking device, Scooter

Table 13-E: Saskatchewan Other Resource Programs

None found.

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References

ALS Society of Saskatchewan. (2017). Programs and Services Retrieved Jun, 2017, from http://alssask.ca/en/programs-and-services Canadian National Institute for the Blind – Manitoba and Saskatchewan. (2017). Local Programs and Services Retrieved Jun, 2017, from http://www.cnib.ca/en/mb-sk/programs-services/Pages/default.aspx Government of Saskatchewan. (2013). Eligible Disability Related Support Costs Retrieved 06/27, 2016, from http://publications.gov.sk.ca/documents/310/93435-Eligible-Disability-Related-Support-Costs.pdf Government of Saskatchewan. (2016). Job Support for People with Disabilities Retrieved 06/27, 2016, from http://www.saskatchewan.ca/residents/jobs-working-and-training/job-training-and-financial-support-programs/job-support-for- people-with-disabilities Government of Saskatchewan. (2017a). Apply for Financial Help for Students with Permanent Disabilities Retrieved Jun, 2017, from https://www.saskatchewan.ca/residents/education-and-learning/scholarships-bursaries-grants/grants- and-bursaries/canada-saskatchewan-grant-for-services-and-equipment-for-students-with-permanent-disabilities Government of Saskatchewan. (2017b). Health - Supplementary Health Benefits Retrieved Jun, 2017, from https://www.saskatchewan.ca/residents/health/prescription-drug-plans-and-health-coverage/extended-benefits-and-drug- plan/supplementary-health-benefits Kinsmen Foundation TeleMiracle (2016). [Personal communication, 306-244-6400 (June 28, 2016)]. Muscular Dystrophy Canada. (2017). Equipment Program: Western Canada Retrieved Jun, 2017, from http://www.muscle.ca/we-can-help/financial-assistance/equipment-program-western-canada/ Saskatchewan Deaf and Hard of Hearing Services. (2017). Discount Hearing Aid Battery Prorgram Retrieved Jun, 2017, from http://sdhhs.com/discount-hearing-aid-battery-program/ Saskatchewan Government Insurance (SGI) (2016). [Personal communication, Injury Department 1-800-667-9779 (June 29, 2016)]. Saskatchewan Workers Compensation Board. (2016). Policy Manual Retrieved 06/28, 2016, from https://www.wcbsask.com/wp-content/uploads/2016/02/policy-manual.pdf TeleMiracle. TeleMiracle Retrieved 02/21, 2017, from http://www.telemiracle.com/index.cfm The Saskatchewan Abilities Council. (2016a). Special Needs Equipment Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/index.cfm The Saskatchewan Abilities Council. (2016b). Special Needs Equipment Items for Loan Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_requisition_items/index.cfm The Saskatchewan Abilities Council. (2016c). Special Needs Equipment Loan Program Retrieved 06/29, 2016, from http://www.abilitiescouncil.sk.ca/html/life/special_needs_equipment/sne_loan_program/index.cfm Vision Loss Rehabilitation - Saskatchewan. (2017). Vision Loss Rehabilitation Retrieved Jun, 2017, from https://sk.visionlossrehab.ca/en Workforce Development - People with Disabilities (2016). [Labour Market Services Office Saskatchewan, Personal communication, 306-694-3699 (June 27-June 29, 2016) ].

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APPENDIX 14: YUKON PROGRAMS

Table 14-A: Government of Yukon Programs Table 14-B: Yukon Government Legislated Programs Table 14-C: Yukon Legislation Governing Programs Table 14-D: Yukon Charitable Organization Programs Table 14-E: Yukon Other Resource Programs References

Table 14-A: Government of Yukon Programs

Other devices not listed must be approved by the Program Director.

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Health and Social Yes – Devices are Mobility aids – walking Yes Must be registered with Providers and authorizers All devices must come (Government of Yukon- Services - Extended funded, fully or cost aids, manual wheelchairs the Yukon Health Care not specified on website, from approved vendors Health and Social Health Care Benefits to shared Bathroom aids - Repair and adjustment of Insurance Plan. but devices must be Services, 2016; Seniors commodes hearing aids is allowed recommended by a Hearing aids can be Government of Yukon, Benefits are partial or full. Prosthetics – limbs and once every 6 months. Must be at least 65 years qualified medical specialist purchased once every four 2016b) http://www.hss.gov.yk.ca/e eyes of age or aged 60 and years. xtendedcare.php All other funding sources Hearing aids (not married to a living Yukon Assessment for some must be sought prior to batteries) resident who is at least 65 devices is through an OT approval. Health insurance years of age. or PT benefits from employer or (Manual wheelchairs are 3rd party insurance must only covered up to $5000). Must be a resident of be accessed first. Yukon with no more than (Batteries for power 183 days per year absent. wheelchairs are not covered).

Health and Social Yes Assistive listening devices Yes Individuals can self-refer (Government of Yukon, Services – Hearing Hearing assessments; 2016c) Services Hearing aid consultations and fitting; Hearing aid http://www.hss.gov.yk.ca/h repairs; Drop-in for basic earingservices.php hearing aid clean and check

Government of Yukon - Yes Technical aids, computer, No Must have a permanent Statement describing (Government of Yukon, Student Financial up to $8000 per loan year program software, other disability disability and whether it is 2017a, 2017b) Assistance Advanced equipment Services unrelated to expected to be permanent Education Branch – Detailed cost estimates technology A medical certificate, OR - from usually two sources A learning disability Grant for Services and are required. assessment, OR - A Equipment for Students document confirming that with Permanent you receive federal and/or Disabilities provincial disability assistance. (Federal and territorial joint program) Need for equipment completed by one of

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APPENDIX 14: YUKON PROGRAMS

Vocational Rehabilitation Services (VRS) case worker, OR official at centre for students with disabilities, guidance counselor or financial aid administrator at postsecondary institution

Table 14-B: Yukon Government Legislated Programs

Table 14-C: Yukon Legislation Governing Programs

Program name Ministry or department responsible Statute, act, regulation, order

Chronic Disease Program Health and Social Services Health Act, RSY 2002, c 106 http://www.hss.gov.yk.ca/chronicdisease.php Chronic Disease and Disability Benefits Regulation, YOIC 1994/168 , (Health Act) AGE-WELL WP8.2 Jurisdictional Scan of Assistive Technology Programs in Canada – 2017 June Page 3 of 8

APPENDIX 14: YUKON PROGRAMS

Hearing Services Health and Social Services Health Act, RSY 2002, c 106 http://www.hss.gov.yk.ca/hearingservices.php Chronic Disease and Disability Benefits Regulation, YOIC 1994/168 , (Health Act) Extended Health Care Benefits to Seniors Health and Social Services Health Care Insurance Plan Act, RSY 2002, c 107 http://www.hss.gov.yk.ca/extendedcare.php Social Assistance Regulation, YOIC 2012/83 , (Social Assistance Act RSY 2002, c 205)

Canada student grant for services and equipment for Federal and provincial joint program Canada Student Financial Assistance Act, SC 1994, c 28 students with permanent disabilities https://studentaidbc.ca/explore/grants- scholarships/canada-student-grant-services-and- equipment-students-permanent

Yukon Workers’ Compensation Health and Safety Workers' Compensation Act, SY 2008, c 12 Board https://wcb.yk.ca/

Table 14-D: Yukon Charitable Organization Programs

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APPENDIX 14: YUKON PROGRAMS

For Bathroom Aids/Lifts/ Mobility/Misc./Beds and Mattresses: Equipment must be prescribed by a qualified health care professional, such as an Occupational Therapist, a Physiotherapist or in a rural area with limited resources, a Family Physician. Canadian National No Assistive technology Yes Vision rehabilitation (Canadian National Institute for the Blind sales: desktop and Assessment and specialists Institute for the Blind - BC (CNIB) –– Vision Loss portable video magnifiers, recommendation; and Northern Canada, Rehabilitation (operated magnifying and screen education; advice on 2017; Vision Loss by CNIB) reading software, text-to- financial support Rehabilitation - Yukon, BC and Northern Canada speech devices and 2017) (Yukon) software, DAISY talking Specialized rehabilitation book players and more. services and assistive An extensive range of technology solutions Vision Loss Rehabilitation equipment from brand Yukon is operated by name manufacturers at CNIB and funded by competitive retail prices. donations and the Government of Yukon

(Reg. charity)

Learning Disabilities No Assistive devices for Yes A resident of Yukon of any N/A N/A (Learning Disability Association of Yukon learning disabilities age with a learning Association of Yukon, Training, information, and disability 2016; Learning Disability (Reg. charity) orientation to assistive Association of Yukon devices (LDAY), 2017)

Red Cross British Yes – Devices are Hospital beds and patient Yes (Need password to access Referrals must come from Devices are those which (Canadian Red Cross - BC

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APPENDIX 14: YUKON PROGRAMS

Columbia and Yukon – provided on a loan basis lifts forms and manuals) designated occupational are available in the and Yukon, 2017b, 2017c, Health Equipment Loan Delivery and set up, some or physical therapists equipment bank. 2017d) Program (HELP) – Items are loaned free of locations Customized Community charge for as long as Through 5 health Health Equipment needed authorities. Services HELP Plus http://www.redcross.ca/ho w-we-help/community- health-services-in- canada/bc-health- equipment-loan- program.aspx

(Reg. charity) Red Cross British Yes – Devices are Wheelchairs (manual and YES Must reside in BC lower Referrals must come from Devices are those which (Canadian Red Cross - BC Columbia and Yukon – provided on a loan basis recliners, tilt-in-space) and mainland (2 health designated occupational are available in the and Yukon, 2017a, 2017b, Health Equipment Loan specialty cushions Maintenance and repairs authorities – Vancouver or physical therapists equipment bank. There is 2017d) Program (HELP) – Items are loaned free of Transfer aids, including Installation of grab bars Coastal, and Fraser a waiting list for some Customized Community charge for as long as lifts Health) Therapist does home visit, items Health Equipment needed Bathing aids and application made to Services Toileting aids Must have under $20,000 program Stock is new or used Beds and accessories in savings and income of Aids to Independent (mattresses, rails) up to $20,000 per person Living Program Walking aids (walkers, with a disability or up to canes, crutches) $26,000 per person with a http://www.redcross.ca/ho Grab bars spouse or child with a w-we-help/community- disability health-services-in- canada/bc-health- Seniors coping with long- equipment-loan- term illness and injury program.aspx No financial resources to (Reg. charity) purchase or rent medical equipment.

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APPENDIX 14: YUKON PROGRAMS

Vancouver only (operates palliative care program) Red Cross British Yes – Short term loan Bath boards No Assist people coping with Referral from one of the Devices are those which (Canadian Red Cross - BC Columbia and Yukon – Bath stools illness, injury or end-of-life following registered health are available in the and Yukon, 2017b, 2017d) Health Equipment Loan Bath transfer benches at home care professionals listed equipment bank. Program (HELP) – Short Bathtub safety rails below: Term Loan Program Bed cradles  Doctor Bed handles  Chiropractor http://www.redcross.ca/ho Canes – standard and  Licensed Practical Nurse w-we-help/community- quad  Nurse health-services-in- Commodes - wheeled,  Occupational Therapist canada/bc-health- stationary and shower  Physical Therapist equipment-loan- Crutches – axilla and  Respiratory Therapist program.aspx forearm I.V. poles (Reg. charity) Overbed tables Raised toilet seats Toilet safety frames Wheelchairs - standard and companion Walkers – frame, 2 wheeled, 4 wheeled

Multiple Sclerosis Provides equipment or Mobility Aids: manual Yes – repair Be diagnosed with MS, Be Occupational Therapist, (Multiple Sclerosis Society Society of Canada – financial assistance to wheelchairs, power a resident of BC or Yukon, Physical Therapist, or of Canada - British Quality of Life Grants acquire a new piece of wheelchairs, walkers, Have limited or no other other health professional Columbia and Yukon BC/Yukon equipment scooters program eligibility and fall must complete a needs Division, 2017) Personal Care: shower within the Low Income Cut assessment https://mssociety.ca/suppo chairs, bath lifts, bath Off as determined by rt-services/programs-and- transfer board, grab bars, Statistics Canada services/financial- safety rails assistance Home Care: patient lifts, lift chairs, hospital beds, (Reg. charity) mattresses, air conditioners

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APPENDIX 14: YUKON PROGRAMS

Table 14-E: Yukon Other Resource Programs

None

References

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