ADP Fraud Scenarios, Authors Linda Norton – M.Sc.CH, PhD, OT Reg. (Ont.), Sue Gilpin and Leena Kirmani

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Credit: .2 CEU

Authors: Linda Norton – M.Sc.CH, PhD, OT Reg. (Ont.), Sue Gilpin and Leena Kirmani (Instructional Designer)

Funding and Public Policy

The Assistive Devices Program of Ontario governs the roles and responsibilities of the Authorizers and the vendors. The training is aimed at helping the vendors understand what constitutes fraud per the ADP policies and procedures. The training uses scenarios from daily life to help the sales reps understand the ADP policies and the consequences of choosing their response to the scenarios. For any questions or concerns, please contact us at learning@motioncares.ca.

Canadian Context In Canada, the government funding programs for mobility equipment are Provincially based, each with their own eligibility criteria, application process, approved amounts, roles and responsibilities etc. The major funding agency for mobility devices in the province of Ontario is the Assistive Devices Program under the Ministry of Health. The ADP funding system is very nuanced, because different codes and reimbursements are available for the same piece of equipment depending on the client’s assessed needs. This makes learning to understand the policies and legalities of roles and responsibilities under this system very complicated. In addition, the application is often jointly completed by the authorizer and the vendor, however components of the application are actually the prescription and can not be altered by the vender. As people become pressed for time, we have seen ethical fading occur and lines crossed into unethical behavior.