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Part II .

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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 N.S. Reg. 103/2024 (effective June 1, 2024)

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 .

Citation

Definition

Arm and leg prostheses tariff

Mastectomy prosthesis tariff

Authorization of payments

Schedule “A”—Arm and Leg Prostheses Tariff

Tariff

Definitions

Insured services

Payments

Schedule “B”—Mastectomy Prosthesis Tariff

Assistance to resident

Minister may grant financial assistance

Payments

Citation

1 These regulations may be cited as the Prosthetic Devices Tariffs Regulations .

Definition

1A In these regulations, “resident” means a resident as defined in the regulations respecting

hospital insurance made under the Health Services and Insurance Act .

Arm and leg prostheses tariff

(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.

Mastectomy prosthesis tariff

(1) The tariff of fees for mastectomy prostheses is as set out in

Schedule “B”.

4 [repealed]

Authorization of payments

5 The Minister may authorize payments in respect of the tariffs prescribed by these

regulations.

________________________________________________________________

Schedule “A”—Arm and Leg Prostheses Tariff

(effective April 1, 1999, to March 31, 2008)

Tariff

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%.

Definitions

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;

(iii) a company that is not located in the Province and that employs a

prosthetist;

Insured services

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.

Payments

(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.

________________________________________________________________

Schedule “B”—Mastectomy Prosthesis Tariff

Assistance to resident

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

(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.

Payments

(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.

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.

Regulation

In force

date*

How in force

Royal Gazette

Part II Issue

32/1999

Apr 7, 1999

date made

Apr 23, 1999

8/2003

Apr 1, 2001 &

Apr 2, 2002

date 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

103/2024

Jun 1, 2024

date specified

Jun 14, 2024

The following regulations are not

yet in force and are not included in the current consolidation:

N.S.

Regulation

In 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.

Amendments by Provision

ad. = added

am. = amended

fc. = fee change

ra. = reassigned

rep. = repealed

rs . = repealed and substituted

Provision 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; rep. 103/2024

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, 95/2021 1 ; rep. 103/2024

Note that changes to headings are not

included in the above table.

Editorial Notes and Corrections

Note

Effective

date

The fees for ocular prosthetic services are contained

in the Tariff of Fees for Insured Ocular Prosthetic Services , N.S.

Reg. 103/2021.

(repealed by N.S. Reg. 104/2024)

Jun 8, 2021

Repealed and Superseded

N.S.

Regulation

Title

In force

date

Repealed

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.