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Prosthetic Devices Tariffs Regulations
made under subsections 13(1) and 17(2) of the
Health Services and Insurance Act
R.S.N.S. 1989 c. 197
O.I.C. 1999-146 (April 7, 1999), N.S. Reg. 32/1999
amended to O.I.C. 2022-307 (effective January 1, 2023), N.S. Reg. 320/2022
Table of Contents
Please note: this table of contents is provided for convenience of reference and does not form part of the regulations.
Click here to go to the text of the regulations.
Schedule “A”—Arm and Leg Prostheses Tariff
Schedule “B”—Mastectomy Prosthesis Tariff
Minister may grant financial assistance
Insured Ocular Prosthetic Services
1 These regulations may be cited as the Prosthetic Devices Tariffs Regulations.
1A In these regulations, “resident” means a resident as defined in the regulations respecting hospital insurance made under the Health Services and Insurance Act.
2 (1) The tariff of fees for arm and leg prostheses is as set out in Schedule “A”.
(2) The tariff of fees for arm and leg prostheses is in effect from April 1, 1999, to March 31, 2008.
3 (1) The tariff of fees for mastectomy prostheses is as set out in Schedule “B”.
4 Residents are entitled to the ocular prosthetic services listed in Schedule “C”.
5 The Minister may authorize payments in respect of the tariffs prescribed by these regulations.
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Schedule “A”—Arm and Leg Prostheses Tariff
(effective April 1, 1999, to March 31, 2008)
1 This tariff is subject to the following increases:
(a) effective April 1, 1999, an increase of 2%;
(b) effective April 1, 2000, an additional increase of 2%; and
(c) effective April 1, 2001, an additional increase of 2%.
2 In this Schedule,
(a) “prosthetist” means an individual who is certified as a prosthetist by the Canadian Board for Certification of Prosthetists and Orthotists;
(b) “qualified supplier” means
(i) a prosthetist who is located in the Province,
(ii) a company that is located in the Province and that employs a prosthetist; or
(iii) a company that is not located in the Province and that employs a prosthetist;
3 A resident who is missing part or all of a limb will be provided with the following insured services, if, in a physician’s opinion, they are required:
(a) for all residents,
(i) the initial fitting and provision of a prosthesis, including initial stump shrinkers, and
(ii) repairs to a prosthesis;
(b) for a resident 17 years of age or younger, a replacement prosthesis once every 2 years; and
(c) for a resident 18 years of age or older, a replacement prosthesis once every 4 years.
4 (1) Subject to subsection (2), an invoice submitted by a qualified supplier for an insured service under this tariff will be paid directly to the qualified supplier from the M.S.I. Plan on behalf of the resident.
(2) An invoice submitted by a qualified supplier as defined in subclause 2(b)(iii) will not be paid unless there has been pre-approval under the M.S.I. Plan for the insured service specified in the invoice.
(3) A qualified supplier will not be paid for an invoice not submitted within 12 months of the date of the insured service specified in the invoice.
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Schedule “B”—Mastectomy Prosthesis Tariff
1 A resident who
(a) has undergone a mastectomy or lumpectomy; and
(b) in the opinion of a physician requires the use of a conventional mastectomy prosthesis,
will receive financial assistance up to a maximum of $300 per prosthesis once every two years.
Minister may grant financial assistance
2 (1) The Minister may grant financial assistance in the following amounts to a resident who meets the criteria in Section 1 of this Schedule and who the Minister has determined has a low income:
(a) up to a maximum of $450 for a single prosthesis or $750 for a double prosthesis, once every two years; and
(b) $75 for the purchase of a supporting bra, once every two years.
(2) The assistance referred to in subsection (1) is alternative to, and not in addition to, the assistance referred to in Section 1 of this Schedule.
3 (1) Payments made under this tariff will be made directly to the qualified supplier, on behalf of the resident, by the M.S.I. Plan or, if so desired, payment may be made directly to the qualified supplier by the resident who will seek reimbursement from the M.S.I. Plan.
(2) A “qualified supplier” in this Section means an individual or company that has received a certificate of training from a prosthetics distributor.
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Insured Ocular Prosthetic Services
1) Scleral prosthetic;
2) Conventional prosthetic;
3) Build-up;
4) Adjustment;
5) Reglazing and recheck;
6) Conformer;
7) House call, including home, hospital and continuing care facilities.
Legislative History
Reference Tables
Prosthetic Devices Tariffs Regulations
N.S. Reg. 32/1999
Health Services and Insurance Act
Note: The information in these tables does not form part of the regulations and is compiled by the Office of the Registrar of Regulations for reference only.
Source Law
The current consolidation of the Prosthetic Devices Tariffs Regulations made under the Health Services and Insurance Act includes all of the following regulations:
N.S.
RegulationIn force
date*How in force
Royal Gazette
Part II Issue32/1999
Apr 7, 1999
date made
Apr 23, 1999
8/2003
Apr 1, 2001 &
Apr 2, 2002date specified
Feb 7, 2003
83/2005
Apr 1, 2005
date specified
Apr 15, 2005
287/2013
Aug 20, 2013
date specified
Sep 6, 2013
95/2021
Jun 8, 2021
date specified
Jul 2, 2021
320/2022
Jan 1, 2023
date specified
Dec 30, 2022
The following regulations are not yet in force and are not included in the current consolidation:
N.S.
RegulationIn force
date*How in force
Royal Gazette
Part II Issue
*See subsection 3(6) of the Regulations Act for rules about in force dates of regulations.
ad. = added
am. = amendedfc. = fee change
ra. = reassignedrep. = repealed
rs. = repealed and substitutedProvision affected
How affected
1A.....................................................
ad. 320/2022
2(2)...................................................
am. 8/2003, 83/2005
3(2)...................................................
am. 8/2003, 83/2005; rep. 320/2022
4........................................................
rs. 95/2021
4(2)...............................................
rs. 287/2013
Schedule “A”
title....................................................
am. 83/2005
1........................................................
am. 8/2003
2........................................................
ad. 8/2003
2(c)...............................................
rep. 320/2022
3........................................................
ad. 8/2003
4........................................................
ad. 8/2003
Schedule “B”
title....................................................
am. 83/2005, 320/2022
1........................................................
am. 320/2022
2........................................................
rs. 320/2022
Schedule “C”
Schedule “C”....................................
rs. 287/2003, 95/20211
Note that changes to headings are not included in the above table.
Editorial Notes and Corrections
Note
Effective
date1
The fees for ocular prosthetic services are contained in the Tariff of Fees for Insured Ocular Prosthetic Services, N.S. Reg. 103/2021.
Jun 8, 2021
Repealed and Superseded
N.S.
RegulationTitle
In force
dateRepealed
date
Note: Only regulations that are specifically repealed and replaced appear in this table. It may not reflect the entire history of regulations on this subject matter.