ALC patients being considered for long-term care home admission
 240.1 (1) This section and sections 240.2 and 240.3 apply in the special circumstances of processing the admission of an ALC patient to a long-term care home for a long-stay bed, in accordance with section 60.1 of the Act. O. Reg. 484/22, s. 2. (2) Where a person described in subsection (1) is being considered for admission to a long-term care home, placement co-ordinators and licensees are exempt from complying with the requirements under Part IV of the Act to the extent necessary to effect the admission, and the modifications provided for in this section and sections 240.2 and 240.3 are made respecting the application of Part IV of the Act. O. Reg. 484/22, s. 2. (3) If, at any time during the admission process, the ALC patient or their substitute decision-maker, if any, submits an application for determination of eligibility for admission to a long-term care home or an application for authorization of admission or consents to the admission, the applicable provisions of Part IV of the Act apply to the application and the admission, subject to subsection (4) of this section and subsections 240.2 (1), (3), (10) and (11) and 240.3 (2), (4), (6) to (8) and (10) to (12) of this Regulation. O. Reg. 484/22, s. 2. (4) If a determination of eligibility has started under this section without the consent of the ALC patient or their substitute decision-maker, as the case may be, and the ALC patient or substitute decision-maker subsequently agrees to the application, the ALC patient is not required to submit an application if the assessments are already underway. O. Reg. 484/22, s. 2. (5) Where a placement co-ordinator receives a request from an attending clinician to determine an ALC patient’s eligibility for admission to a long-term care home or the ALC patient has already been determined eligible for long-term care home admission and the ALC patient’s applying to additional homes is being considered, the placement co-ordinator shall, (a)  meet with the patient or the patient’s substitute decision-maker, if any; (b)  provide information to the patient or their substitute decision-maker, if any, about the long-term care home placement process under section 60.1 of the Act and related regulations, and the admission process under sections 49 to 54 of the Act and related regulations; (c)  where applicable, ask the patient or their substitute decision-maker, if any, whether they will submit an application for determination of eligibility for admission to a long-term care home in accordance with subsection 50 (1) of the Act; (d)  where applicable, inform the patient or their substitute decision-maker, if any, that if they do not consent to submit an application for a determination of eligibility that, (i)  the placement co-ordinator shall proceed to determine eligibility, and if eligible, identify a home or homes for the patient, and (ii)  the patient or the substitute decision-maker may choose to participate in the admissions process at any stage; (e)  where applicable, inform the patient or their substitute decision-maker, if any, of the implications of a choice described in subparagraph (d) (ii); (f)  provide the patient or their substitute decision-maker, if any, with information about a resident’s responsibility for payment for charges for accommodation and the maximum amounts that may be charged by a licensee for accommodation; and (g)  advise the patient or their substitute decision-maker, if any, that a resident may apply to the Director for a reduction in the charge for basic accommodation and that a resident who makes such an application may be required to provide supporting documentation including, (i)  the resident’s Notice of Assessment issued under the Income Tax Act (Canada) for the resident’s most recent taxation year, (ii)  the resident’s proof of income statement (option “C” print) from the Canada Revenue Agency for the resident’s most recent taxation year, or (iii)  the resident’s written authorization to electronically obtain income information for the resident’s most recent taxation year from the Canada Revenue Agency. O. Reg. 484/22, s. 2. (6) Where the ALC patient or their substitute decision-maker, if any, refuses to apply for a determination of eligibility, the placement co-ordinator shall make a determination of eligibility for admission to a long-term care home based on as much information as is available in the circumstances about the patient’s, (a)  physical and mental health; (b)  requirements for medical treatment and health care; (c)  functional capacity; (d)  requirements for personal care; and (e)  behaviour. O. Reg. 484/22, s. 2. (7) The placement co-ordinator may request that an assessment of the matters described in clauses (6) (a) to (e) be conducted by a physician, a registered nurse in the extended class or a registered nurse on the staff of the hospital for the purpose of determining the ALC patient’s eligibility for admission to a long-term care home. O. Reg. 484/22, s. 2. (8) Where a placement co-ordinator requests an assessment of an ALC patient under subsection (7) in a situation where the patient or their substitute decision-maker, if any, does not consent to the patient being assessed for the purpose of determining their eligibility for admission to a long-term care home, the person conducting the assessment shall base their assessment solely on a review of existing hospital records relating to that patient. O. Reg. 484/22, s. 2. (9) In addition to an assessment conducted under subsection (7), the placement co-ordinator may collect the information referred to in subsection (6) about an ALC patient through any or all of the following: 1.  Consultation with, i.  the attending clinician and any other member of the hospital staff who has directly been involved in providing care to the patient while in hospital, ii.  a primary health care provider of the patient, iii.  a home and community care services provider who provided home and community care services to the patient immediately before the patient was admitted to hospital, or iv.  an application entity or service agency as defined in the Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008. 2.  Review of records of personal health information relating to the patient that are held by the hospital or by a primary health care provider, a home and community care services provider or an application entity or service agency referred to in subparagraph 1 ii, iii or iv. O. Reg. 484/22, s. 2. (10) The following persons are prescribed for the purposes of paragraph 5 of subsection 60.1 (3) of the Act as persons who are authorized to collect, use and disclose personal health information about an individual, where the collection, use or disclosure, as the case may be, is necessary to determine an ALC patient’s eligibility for admission to a long-term care home or to effect the admission of a patient to a home in accordance with section 60.1 of the Act and the regulations: 1.  A home and community care services provider. 2.  A primary health care provider. 3.  An entity that provides community mental health and addiction services. 4.  An application entity or service agency as defined in the Services and Supports to Promote the Social Inclusion of Persons with Developmental Disabilities Act, 2008. O. Reg. 484/22, s. 2. (11) In this section, “home and community care services provider” means, (a)  a health service provider or Ontario Health Team that provides home and community care services under the Connecting Care Act, 2019, or (b)  a local health integration network as defined in section 2 of the Local Health System Integration Act, 2006; (“fournisseur de services de soins à domicile et en milieu communautaire”) “primary health care provider” means any person or entity that provides primary health care services, including, (a)  a person who is a member within the meaning of the Regulated Health Professions Act, 1991, (a.1)  an out of province registered nurse in the extended class or an out of province physician, (b)  an entity that operates a group practice of persons referred to in clause (a), (c)  an entity that operates a community health centre, (d)  an entity that operates a family health team, or (e)  an entity that operates an Aboriginal health access centre. (“fournisseur de soins de santé primaires”) O. Reg. 484/22, s. 2; O. Reg. 202/23, s. 8.