EXTRAOral Maxillofacial Reconstruction Program (OMRP)

Description:

Funding is provided for patients who require implants to properly retain an auricular, nasal, orbital or midface extraoral prosthesis, in order to remove barriers to access for those patients who are at risk for social isolation, undue stress and anxiety regarding prosthesis retention, and who cannot retain their highly-specialized ADP prosthesis without implants.

Region of Administration:

Provincial

Government / Department:

Ministry of Health and Long-Term Care (MOHLTC)

Eligibility:

To be eligible, applicants must be OHIP insured and 18 years of age and older. Individuals must also be eligible for an Assistive Devices Program Maxillofacial Extraoral Prosthesis, assessed to be unable to retain their ADP funded prosthesis without implants, and who are deemed suitable for implant surgery by the treatment team.

Coverage:

The program provides funding for 100% of the treatment costs for a defined list of services, including the surgical placement of craniofacial implants and the modifications to the ADP funded prosthesis that are required to attach it to the implants.

Providers:

A team of head and neck surgeons, a maxillofacial prosthodontist and anaplastologists, led by the maxillofacial prosthodontist.

Therapeutic Responsibility:

Surgeons, prosthodontist.

Compensation:

Fee-for-service through a Transfer Payment Agreement to one designated hospital. A cost per case model, with a funding cap and a maximum number of patients for the year, is determined by the Ministry.

How it Works:

Patients are assessed for eligibility by a head and neck surgeon - prosthodontist team, who provide all aspects of implant related care and oversee the anaplastologists.