Locum Physician Reimbursement

Locum Physician Daily Stipend

• Eligible to receive a daily stipend as outlined in the contract with the rural physician:
  • Fee For Service (FFS), Family Health Group (FHG) or Blended Salary Model Family Health Team (FHT); $600/day
  • Family Health Network (FHN) or Family Health Organization (FHO); $700/day
  • Rural and Northern Physician Group Agreement (RNPGA) 1 & 2; $800/day
• Basic stipend is based on the number of days a locum physician commits to in his/her HFO MRA program contract
• Weekend coverage (Saturdays only) is only reimbursed when the locum is providing coverage at a clinic that is open on Saturdays

Locum Physician Premium

• A premium is added to the stipend for locums who provide coverage in communities with Rurality Index of Ontario (RIO) scores that are greater than 60:
  • RIO ≥ 60 and < 75; $50/day
  • RIO ≥ 75; $100/day 

Locum Physician Travel Stipend

• Maximum of two days per assignment
  • < 2 hours of travel; $0
  • ≥ 2 hours and ≤ 4 hours with a minimum of 150 km travelled; $300/day
  • ≥ 4 hours, for placements < 4 days; $300/day
  • ≥ 4 hours, for placements ≥ 4 days; $500/day

Other Locum Physician Billings/Earnings

Fee-For Service (FFS)

• Locum physician covering for an eligible fee-for-service physician will use his own billing number
• Billings will be split based on percentage agreed upon between locum and rural physicians prior to start of assignment
• Billings split will be outlined in the contract and signed by locum and rural physicians
• Locum physicians are eligible to access hospital on-call stipends

Rural and Northern Physician Group Agreement (RNPGA)

• Locum physicians are eligible to access hospital on-call stipends
• Locum physicians are not eligible to receive any additional payments from a RNPGA physician group

Blended Payment Model

• Locum physician will negotiate with the Physician Group for any additional compensation beyond the stipend available through the Rural Family Medicine Locum Program (RFMLP)
• The amount will be set out in the contract that is signed between the locum physician, the Physician Group and HealthForceOntario Marketing and Recruitment Agency
• Locum physicians are eligible to access hospital on-call stipends and bill fee-for-service for non-enrolled patients; not required to share these additional earnings with Physician Group