Government Funding For A Voice Prosthesis Assistive Devices Program printable pdf download

Government Funding For A Voice Prosthesis Assistive Devices Program

Government Funding for a Voice Prosthesis

Assistive Devices Program (ADP)

• Put the Equipment Supply Authorization form (green copy) in a safe place.

You need to keep this form for 3 years.

• The red number at the top of the form EA#:

is your

registration number with the ADP Program.

• You get 75% of the cost of the supplies back, up to a maximum of $1600

over the next 3 years. After 3 years has passed, contact your Speech –

Language Pathologist for another form. This will be filled out so you can

apply again for another 3 years.

• Keep the receipt and paperwork for the prosthesis that you received from

the company. Write the EA # near your name at the top of the original copy.

On: __________________________ date (or later) send the invoice to:

Ministry of Health

Supply and Financial Services Branch – ADP Payments Unit

Floor, 49 Place d’Armes

P.O. Box 48

Kingston, ON K7L 5J3

Keep this address and copies of all invoices for your records.

Call: 1-800-267-9458 for inquiries about your ADP account.

• After you have been reimbursed for your first prosthesis, you will be

registered in the Kingston office.

• For the next prostheses or tracheostoma supplies, send the original copy of

the receipt (with the EA # written by your name) to the address above as

soon as you receive the invoice. You do not have to wait 4 weeks for your

second prosthesis

• For questions call the Speech-Language Pathology Department at:

905-521-6101

Department of Communication Disorders

Speech-Language Pathology

PD 6604 (Rev 06-2009) File: peyles

Government Funding For A Voice Prosthesis Assistive Devices Program