Fee Schedule Adjustments and New Fees. (i) The Parties agree to continue a committee, called the “Fee Committee” to review requests for new fees, to amend current fees, and for additions, revisions or clarifications of the MSI Physician’s Manual, including any changes to the wording of the MSI Physician’s Manual that may be needed as a result.
(ii) The Fee Committee will be governed by the terms of reference for the Fee Committee in effect as of March 31, 2019, unless amended by the Fee Committee. The Parties agree to review the Fee Committee process to identify opportunities for improved efficiency and additional supports required.
(iii) Fee Committee shall have decision-making authority to approve adjustments to the fee schedule for all items where the Committee reaches consensus and for which the Committee has sufficient budget as described in article 4(d)(iv).
(iv) The Fee Committee may approve new fees, fee adjustments or MSI Physicians’ Manual changes, provided that the financial expenditure resulting from any such approval in a fiscal year may not exceed the Fee Committee’s budget for that fiscal year, as follows:
a) 1 April 2023 – 31 March 2024: $1M;
b) 1 April 2024 – 31 March 2025: $2M;
c) 1 April 2025 – 31 March 2026: $1.5M;
d) 1 April 2026 – 31 March 2027: $1.5M.
(v) In addition to the amounts in (iv), the Fee Committee may also approve new fees, fee adjustments or MSI Physicians’ Manual changes for purposes of transitioning the existing Collaborative Practice Incentive Program (CPIP) to fees that capture collaboration time. For that purpose, the Fee Committee will use the current CPIP funding (less the LFM portion), and may use a portion of the amounts in (iv) in addition if necessary.
(vi) For greater certainty:
a) the budget amount set out in article 4(d)(iv) for any given fiscal year is in addition to the amounts from previous fiscal years;
b) any budget amount set out in article 4(d)(iv) for any given fiscal year which is not committed by Fee Committee to new fees, fee adjustments or MSI Physicians’ Manual changes shall be available to Fee Committee in the next fiscal year, in addition to the budget amount for that fiscal year set out in article 4(d)(iv); and,
c) budget funds set out in article 4(d)(iv) which are not spent in any fiscal year shall not carry forward to or be otherwise available to Fee Committee in any subsequent fiscal year.
(vii) The Fee Committee will consider new fees for the following:
a) in priority to all other proposed fees, replacement of the Collaborativ...
Fee Schedule Adjustments and New Fees. (i) The Fee Committee (FC) will review requests for new fees, to amend current fees, and for additions, revisions or clarifications of the Preamble to the MSI Physician’s Manual, including any changes to the wording of the MSI Physician’s Manual that may be needed as a result.
(ii) The Fee Committee will be governed by the terms of reference for the Fee Committee in effect as of March 31, 2019, unless amended by FC.
(iii) Notwithstanding (ii) above and (iv) below, Fee Committee shall have decision-making authority to approve adjustments to the fee schedule for all items where the Committee reaches consensus and for which the Committee has sufficient budget. Items which exceed the Committee’s budget or about which the Committee is not able to reach agreement will proceed to the MAMG for decision.
(iv) The Parties agree that $1.5 million shall be provided by DHW to the Fee Committee on April 1, 2021 exclusively for new fees, fee adjustments or preamble changes in response to applications.
(v) The Parties agree that base funding will not be reduced as a result of unspent fee schedule funding in a year. The Fee Committee shall, by October of each year and periodically thereafter as requested by MAMG, notify the MAMG of any projected funds that may be unused each fiscal year.
Fee Schedule Adjustments and New Fees. DOH shall provide funding for Fee Schedule Adjustments and New Fees as outlined in Schedule “A” – Fee Schedule Adjustments and New Fees.
