Hospital Services Insurance and Administration Regulation

Hospital Services Insurance and Administration Regulation, M.R. 48/93 The Health Services Insurance Act , C.C.S.M. c. H35 Regulation 48/93 Registered March 19, 1993 bilingual version (HTML) Table of Contents Section DEFINITIONS 1 Definitions HOSPITAL SERVICES IN MANITOBA 2 Entitlement to hospital services 2.1 Act applies to dental services in a hospital 3 Dental services in a hospital 4 Out-patient services provided if possible 5 Minister may cease to pay 6 Determination of hospital stay 7 Authorized charges for services not medically required 7.1 Basic authorized charges for persons needing personal care 7.2 Income-based reduction in authorized charges 7.3 Review of authorized charges 7.4 Appeal of authorized charges 8 Authorized charges for chronic care patients 8.1 Waiver — spouse or common-law partner living in the community 9 Authorized charges for dental services 10 Authorized charges for private and semi-private accommodation 11 No charge for private and semi-private accommodation in certain cases 12 Charges for person for whom minister not liable for payment 13 Access to chart and records HOSPITAL SERVICES OUTSIDE MANITOBA 14 In-patient hospital services 15 Limitation 16 Payment for in-patient services 17 Where in-patient services no longer required 18 Out-patient hospital services 19 Minister may increase amount 19.1 Insured person may assign benefits 20 Dental services in a hospital 21 Payment conditional on receipt or account 22 Services for the mentally ill 23 Reimbursement for a dependant HOSPITAL ADMINISTRATION 24 Hospital to furnish information 25 Books, records and returns 26 Repealed 27 Budgets 28 Approval of loan 29 Repealed 30 Funding 31 Year-end settlement 32 Coming into force Schedule A Hospital In-patient Services B Hospital Out-patient Services C Dental Services in a Hospital DEFINITIONS Definitions 1 In this regulation, "Act" means The Health Services Insurance Act ; («  Loi  ») "assessment panel" means a person or group of persons designated by the minister for the purpose of assessing a person's need for personal care in a personal care home or chronic care in a hospital; (« comité d'évaluation ») "board" means the Manitoba Health Appeal Board established under section 9 of the Act; (« Conseil ») "common-law partner" in relation to an insured person, means a person who, not being married to the insured person, cohabitated with the insured person in a conjugal relationship for at least one year immediately before the insured person's admission to a health facility; (« conjoint de fait ») "family registrant" means a person who has registered with the minister in his or her own name and on behalf of one or more of his or her resident dependants; (« chef de famille ») "in-patient services" means the hospital services set out in Schedule A that are not excluded under the Excluded Services Regulation , Manitoba Regulation 46/93, made under the Act; (« services en hôpital ») "nurse practitioner" means a registered nurse (nurse practitioner) under the College of Registered Nurses of Manitoba General Regulation , Manitoba Regulation 114/2017; (« infirmière praticienne ») "out-patient services" means the hospital services set out in Schedule B that are not excluded under the Excluded Services Regulation made under the Act; (« soins en consultation externe ») "practitioner" means a physician, nurse practitioner, midwife or licensed dentist; (« praticien ») "separated" in relation to an insured person, means an insured person living separate and apart from his or her spouse or common-law partner because of a breakdown in their relationship and not because of a medical necessity; (« séparé ») "spouse" , in relation to an insured person, means a person to whom the insured person is married. (« conjoint ») M.R. 152/96; 83/2000 ; 106/2003 ; 87/2007 ; 160/2014 ; 35/2022 ; 71/2024 HOSPITAL SERVICES IN MANITOBA Entitlement to hospital services 2 An insured person who has been admitted to a hospital in Manitoba as an in-patient or an out-patient on the order of (a) a physician, nurse practitioner or midwife; or (b) subject to section 3, a licensed dentist; is entitled to receive in-patient services or out-patient services as a benefit under the Act without paying any charge to the hospital other than the authorized charges referred to in sections 7, 8 and 9. M.R. 160/2014 Act applies to dental services in a hospital 2.1 For the purpose of section 71 of the Act, the Act applies to the dental services described in section 3 when provided by a person described in Schedule C. M.R. 242/94 Dental services in a hospital 3(1) Subject to subsection (2), an insured person is entitled to receive, as an in-patient or an out-patient, the dental services described in Schedule C without paying any charge to the hospital for the in-patient or out-patient services. 3(2) An insured person who is admitted to a hospital by a licensed dentist is entitled to receive in-patient services for up to two days, but payment for in-patient services shall cease after two days unless there is a further admission order by a physician, nurse practitioner or a certified oral and maxillofacial surgeon. M.R. 160/2014 Out-patient services provided if possible 4 No practitioner shall authorize an in-patient admission to a hospital if, having regard to the condition of the patient, the diagnosis, treatment or care required can be provided as an out-patient service. M.R. 160/2014 Minister may cease to pay 5 The minister may cease to pay for in-patient or out-patient services on the day preceding the day on which the attending practitioner discharges the patient. M.R. 160/2014 Determination of hospital stay 6(1) To determine the period of time for which an insured person is entitled to in-patient services, the minister may require a hospital to secure from the attending practitioner and forward to the minister a written statement regarding the patient's condition and the reason or necessity for the patient receiving in-patient services during all or any part of the patient's stay in hospital. 6(2) If in the opinion of the minister a doubt exists concerning the necessity for continuing in-patient services, the minister may designate a physician, nurse practitioner or midwife to investigate and report on the case. 6(3) If in the opinion of the physician, nurse practitioner or midwife referred to in subsection (2) the in-patient services are not required, the minister shall cease to pay for in-patient services in accordance with the report of the physician, nurse practitioner or midwife and shall notify the hospital of the date on which payments will cease. M.R. 160/2014 Authorized charges for services not medically required 7(1) If the minister determines that services provided by a hospital to an insured person (a) are not medically required; or (b) are not in-patient or out-patient services to which an insured person is entitled under section 2 or 3; the hospital may make a daily authorized charge to the insured person equal to the per diem rate of payment approved by the minister. 7(2) Notwithstanding subsection (1), if in-patient services are not medically required but are provided to an insured person who meets the criteria for short-term respite care in a hospital, the hospital shall make an authorized charge to the insured person of $43.10 per day effective August 1, 2025. M.R. 144/93; 153/93; 152/96; 130/97; 115/98; 88/99; 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Basic authorized charges for persons needing personal care 7.1(1) If in-patient services are not medically required but are provided to an insured person whose need for placement in a personal care home has been determined by the assessment panel, the hospital shall make an authorized charge to the person of $104.20 per day, subject to any reduction available under section 7.2. 7.1(2) If a personal care bed is made available to an insured person described in subsection (1) and he or she has refused to accept it, the hospital may, instead of the authorized charge referred to in that subsection, make an authorized charge to the person equal to the per diem rate of payment approved by the minister. M.R. 144/93; 152/96; 130/97; 115/98; 181/98; 88/99; 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Income-based reduction in authorized charges 7.2(1) When the net income of an insured person who is single, widowed, separated or divorced is an amount set out in Column 1 of Schedule B to the Personal Care Services Insurance and Administration Regulation , Manitoba Regulation 52/93, the insured person is entitled to have the authorized charge under subsection 7.1(1) reduced to the amount set out opposite the person's net income in Column 3. 7.2(2) In the case of an insured person who is the spouse or common-law partner of another insured person who resides in a health facility, when the combined net income of the two spouses or common-law partners is divided by two and the resulting amount is an amount set out in Column 1 of Schedule B to the Personal Care Services Insurance and Administration Regulation , each of them is entitled to have the authorized charge under subsection 7.1(1) reduced to the amount set out opposite the person's net income in Column 3. 7.2(3) When the combined net income of (a) an insured person; and (b) his or her spouse or common-law partner who resides outside of a health facility; is an amount set out in Column 2 of Schedule B to the Personal Care Services Insurance and Administration Regulation , the insured person is entitled to have the authorized charge under subsection 7.1(1) reduced to the amount set out opposite that net income in Column 3. 7.2(3.1) If an insured person is required to pay service fees to the Public Trustee because the Public Trustee is the person's committee or substitute decision-maker for property, the amount of the reduction in the authorized charge under this section is to be adjusted as follows: 1. If the insured person's net income is between $21,961.07 and $45,561.98, that income is to be reduced by 5.66038% for the purpose of calculating the reduction under subsection (1) or (2). 2. If the insured person has a spouse or common-law partner who resides outside of a health facility and the spouses' or common-law partners' combined net income is between $66,853.07 and $89,157.98, that income is, for the purpose of calculating the reduction under subsection (3), to be reduced by an amount equal to 5.66038% of the combined net income minus $44,892. 7.2(4) An insured person entitled to a reduction under this section must apply for the reduction to the minister or, with the approval of the minister, to the hospital or health facility in which he or she resides. 7.2(5) In this section, "net income" means an individual's net income for the taxation year that ended immediately before the beginning of the year in which an authorized charge is payable less the total combined federal and provincial tax payable by the individual for that taxation year, determined in accordance with the Income Tax Act (Canada); (« revenu net ») "year in which an authorized charge is payable" means the period from August 1 of one year to July 31 of the next year. (« année pendant laquelle les frais admissibles sont exigibles ») M.R. 115/98; 181/98; 56/2000 ; 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Review of authorized charges 7.3(1) If an insured person is unable to pay an authorized charge under subsection 7.1(1) because of extenuating circumstances, he or she may request the minister to review the amount of the authorized charge. 7.3(2) On a review, the minister may (a) confirm the authorized charge; or (b) reduce the authorized charge to an amount that is not less than $43.10 per day. M.R. 115/98; 181/98; 88/99; 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Appeal of authorized charges 7.4(1) If an insured person is not satisfied with the outcome of a review under section 7.3 he or she may appeal the amount of the authorized charge calculated under subsection 7.1(1) and section 7.2 to the board. 7.4(2) On considering an appeal, the board may (a) confirm the original amount of the authorized charge; or (b) order the authorized charge to be reduced to an amount that is not less than $43.10 per day. M.R. 115/98; 181/98; 88/99; 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Authorized charges for chronic care patients 8(1) In this section, "chronic care patient" means an insured person who (a) lives more or less permanently in a hospital; (b) has reached his or her maximum level of functional ability and shows little or no potential for improvement; and (c) requires a level of care or special treatment that cannot be provided either at home with supports or within the personal care home program. 8(2) The hospital may make an authorized charge to a chronic care patient in the amount determined in accordance with subsection 7.1(1) and section 7.2 if (a) acute care services are not medically required by the patient; and (b) the patient's need for personal care in a hospital has been established to the satisfaction of an assessment panel or, in the absence of an assessment panel, the attending physician. 8(3) Sections 7.3 and 7.4 apply in respect of authorized charges payable under this section. M.R. 152/96; 115/98; 181/98; 160/2014 Waiver — spouse or common-law partner living in the community 8.1(1) Notwithstanding any other provision of this regulation, the minister may waive payment of all or part of an authorized charge payable by an insured person under subsection 7.1(1) or section 8 in order to ensure that the spouse or common-law partner of the insured person does not suffer undue financial hardship, but only if the following conditions are met: (a) the spouse or common-law partner must reside outside a health facility; (b) the combined net income of the insured person and his or her spouse or common-law partner must be less than $41,100 plus $8,500 for each dependant of the insured person residing outside a heath facility; and (c) the insured person and his or her spouse or common-law partner must have attempted to obtain income from all sources for which they are eligible, including but not limited to income assistance, Old Age Security and the Guaranteed Income Supplement. 8.1(2) In this section, "dependant" means a child of an insured person who is (a) under 18 years of age; (b) over 18 years of age and mentally or physically incapacitated; or (c) over 18 years of age and attending a university, secondary school or other educational institution. M.R. 83/2000 ; 105/2001 ; 90/2002 ; 106/2003 ; 128/2004 ; 99/2005 ; 139/2006 ; 87/2007 ; 107/2008 ; 108/2009 ; 78/2010 ; 74/2012 ; 95/2013 ; 96/2015 ; 118/2016 ; 81/2017 ; 69/2018 ; 115/2019 ; 70/2020 ; 85/2022 ; 71/2024 ; 49/2025 Authorized charges for dental services 9 If an insured person is entitled to receive insured services under section 3 and the two days referred to in subsection 3(2) have elapsed, a hospital may make a daily authorized charge to the insured person that is equal to the rate approved by the minister. M.R. 77/97; 160/2014 Authorized charges for private and semi-private accommodation 10(1) The maximum authorized charge that may be made by a Manitoba hospital directly to an insured person for private or semi-private accommodation is (a) in respect of semi-private accommodation, $97.00 per day; (b) in respect of private accommodation, $139.00 per day. 10(2) Accommodation that is used as private accommodation in a hospital shall not have more than one bed per room and accommodation that is used as semi-private accommodation shall not have more than two beds per room. 10(3) In the case of an emergency, no hospital with available private or semi-private accommodation shall refuse to admit a person because there is no standard accommodation available. M.R. 98/93; 98/94; 13/97; 78/2010 ; 85/2022 No charge for private and semi-private accommodation in certain cases 11 If the attending physician, nurse practitioner or midwife certifies that an insured person's condition is such that he or she requires emergency admission as an in-patient, and standard accommodation is not available in the hospital, or if the attending physician, nurse practitioner or midwife certifies that the insured person is an isolation case or is in such a condition that he or she requires private or semi-private accommodation, the hospital shall not make any charge to the patient for private or semi-private accommodation unless that accommodation was requested by or on behalf of the insured person. M.R. 160/2014 Charges for person for whom minister not liable for payment 12 The charges that may be made by a hospital to a person for whom the minister is not liable for payment are the rate of payment approved by the minister. M.R. 77/97; 160/2014 Access to chart and records 13 Every hospital shall, on request, give a person designated by the minister free access to the hospital chart and other records pertaining to any insured person. HOSPITAL SERVICES OUTSIDE MANITOBA In-patient hospital services 14 Subject to sections 15 to 23, where an insured person receives in-patient services in a hospital outside Manitoba, the minister may (a) reimburse the insured person for all or part of the cost of the in-patient services received on presentation to the minister of a detailed receipt from the hospital for payment made to the hospital by the insured person; or (b) make payment directly to the hospital for the in-patient services received by the insured person. Limitation 15(1) It is a condition of payment for in-patient services under section 14 that, (a) the hospital that supplied the services (i) is licensed or approved as a hospital by the governmental hospital licencing authority in the jurisdiction in which the hospital is situated or by the Government of Canada, (ii) is the type of institution that in the opinion of the minister properly falls in the category of an active treatment hospital as that term is understood and applied by the minister to hospitals in Manitoba, and (iii) is not an institution associated with a mineral spring or spa; (b) the minister receives from the hospital which provided the services a certified statement that shows, (i) that the patient was admitted by a practitioner, (ii) the diagnosis of the condition for which the patient was admitted, (iii) the date of admission and the date of discharge or death of the patient, (iv) the nature of complications or sequelae, if any, that would explain a longer than average stay in hospital for a person with the disease or condition diagnosed, (v) the nature of any special treatment procedures or surgery that were performed on the patient, (vi) the discharge diagnosis or cause of death, as the case may be, and (vii) such other information as may be requested by the minister; (c) in any case where the in-patient services continued beyond a period of 30 days, the minister was notified of that fact in writing not later than the 40th day following admission; and (d) a claim is submitted within six months of the date of separation or discharge. 15(2) The minister may extend the time referred to in clause 1(d) if in the minister's opinion there are extenuating circumstances that prevented the filing of the claim within the six-month period. M.R. 160/2014 Payment for in-patient services 16(1) Where in-patient services are provided in a hospital in a participating hospital province, the amount payable shall be in accordance with the rates approved by the provincial authority in that participating hospital province. 16(2) Where in-patient services are provided in a hospital outside a participating hospital province and, (a) the insured person has been referred outside a participating hospital province by a physician practising in Manitoba who is a specialist in the appropriate field of practice; and (b) the minister determines that the services could not be adequately provided in a hospital in Manitoba or elsewhere in Canada; the amount payable is the greater of (c) 75% of the hospital charges for the in-patient services; and (d) a per diem rate of payment as follows: (i) for a newborn, $150.00, (ii) for other insured persons, a rate based on the number of beds in the hospital in which the services are provided, as set out below: No. of beds Per diem rate 1-100 $349.00 101-500 $491.00 over 500 $1,043.00 16(3) Where in-patient services are provided in a hospital outside a participating hospital province and the conditions set out in clauses (2)⁠(a) and (b) have not been met, but the in-patient services (a) are required because of an accident or sudden attack of illness; (b) are provided to a person named in an out-of-province registration certificate referred to in the Residency and Registration Regulation , Manitoba Regulation 54/93, made under the Act; (c) are provided to an insured person or his or her dependants, if any, temporarily employed outside Manitoba; or (d) are provided to an insured person or his or her dependants, if any, temporarily absent for the purpose of furthering his or her education; the minister shall reimburse the insured person or make payment directly to the hospital in an amount which is the lesser of (e) the actual hospital charges for the insured in-patient services provided; and (f) the per diem rate of payment based on the number of beds in the hospital in which the services are provided, as set out below: No. of beds Per diem rate 1-100 $280.00 101-500 $365.00 over 500 $570.00 16(4) No payment shall be provided if the conditions set out in subsections (2) and (3) have not been met. M.R. 126/93; 226/94; 47/2003 ; 160/2014 Where in-patient services no longer required 17 Where the minister, after such inquiries and on such evidence as the minister may require, determines that an insured person receiving in-patient services in a hospital outside Manitoba no longer requires those in-patient services, the minister shall notify the insured person and the hospital of the determination and the minister shall not make any payment to the hospital or to the insured person for in-patient services received after the date specified in the notification. Out-patient hospital services 18(1) Where out-patient services are provided to an insured person in a hospital in a participating hospital province, the minister may reimburse the insured person or make a direct payment to the hospital in accordance with the rates approved by the provincial authority in that participating hospital province. 18(2) Where out-patient services are provided to an insured person in a hospital outside a participating hospital province and (a) the insured person has been referred outside a participating hospital province by a physician practising in Manitoba who is a specialist in the appropriate field of practice; and (b) the minister determines that the services could not be adequately provided in a hospital in Manitoba or elsewhere in Canada; the minister shall reimburse the insured person or make payment directly to the hospital in an amount which is the greater of (c) 75% of the actual hospital charges for the insured out-patient services; and (d) $62.00 per visit. 18(2.1) Where out-patient services are provided to an insured person in a hospital outside a participating hospital province, and the out-patient services (a) are required because of an accident or sudden attack of illness; (b) are provided to a person named in an out-of-province registration certificate referred to in the Residency and Registration Regulation made under the Act; (c) are provided to an insured person or his or her dependants, if any, temporarily employed outside Manitoba; or (d) are provided to an insured person, including dependants, if any, temporarily absent for the purpose of furthering his or her education; the minister shall reimburse the insured person or make payment directly to the hospital in an amount which is the lesser of (e) the actual hospital charges for the insured out-patient services; and (f) $100.00 per visit or, in the case of hemodialysis, $215.00 per treatment. 18(3) No payment shall be provided if the conditions set out in subsection (2) or (2.1) have not been met. M.R. 126/93; 225/93; 54/94; 226/94; 47/2003 Minister may increase amount 19 Upon receipt of an application in a form and manner as the minister may require, the minister may pay amounts greater than the amounts otherwise payable in respect of services that meet the requirements set out in subsection 16(2) or clause 18(2)⁠(b) if in the minister's opinion it is fair and reasonable to do so having regard to the services provided and the financial circumstances of the insured person. Insured person may assign benefits 19.1 An insured person may assign any benefit that the person is entitled to receive for in-patient or out-patient services provided outside Canada if the assignment is made to a person or organization with whom the government has entered into an agreement governing payment of such benefits. M.R. 206/94 Dental services in a hospital 20(1) Where an insured person receives, as an in-patient or an out-patient, the dental services described in Schedule C outside of Manitoba but within Canada, the amount payable is an amount up to but not exceeding the amount that is approved by the Health Care Insurance Plan of the province in which the services are provided, but if there is an agreement that apportions cost between the respective Health Care Insurance Plans in a different manner, then payment shall be made in accordance with the agreement. 20(2) Where (a) an insured person receives the dental services described in Schedule C outside of Canada; and (b) the dental services, (i) are required because of an accident or sudden attack of illness, (ii) in the opinion of the minister could not be adequately provided in Manitoba, (iii) are provided to a person named in an out-of-province certificate, (iv) are provided to an insured person or his or her dependants, if any, temporarily employed outside Manitoba, or (v) are provided to an insured person or his or her dependants, if any, temporarily absent for the purpose of furthering his or her education; the amount payable is an amount up to but not exceeding the amount set out in Schedule C. 20(3) No payment shall be provided if the conditions set out in subsection (2) have not been met. Payment conditional on receipt or account 21(1) It is a condition of payment for insured dental services provided outside of Manitoba that within six months from the date upon which the services were provided the insured person submit to the minister an itemized receipt or account that shows the services provided and the fees paid or payable. 21(2) The minister may extend the time referred to in subsection (1) if in the minister's opinion there are extenuating circumstances that prevented the filing of the claim within the six-month period. 21(3) Rather than making payment directly to an insured person for insured dental services provided outside Manitoba, the minister may pay the person who provided the services if the insured person has not paid the fees for the services provided. Services for the mentally ill 22(1) Where in-patient services are provided to an insured person in a psychiatric hospital outside a participating hospital province and the hospital is approved by the minister, the amount payable is $240.61 per day for a period of not more than 60 days in a calendar year. 22(2) Despite subsection (1), payment may be made for more than 60 days if the minister is satisfied that there are extenuating circumstances that necessitate in-patient services being provided for more than 60 days. M.R. 126/93; 226/94 Reimbursement for a dependant 23 Where an insured person who is entitled to reimbursement under sections 14 to 22 is a dependant, reimbursement may be made to the family registrant. HOSPITAL ADMINISTRATION Hospital to furnish information 24 Every hospital in Manitoba that is entitled under the Act to receive payments from the minister or a health authority in respect of in-patient and out-patient services provided in that hospital shall forward to the minister, (a) within two weeks after an in-patient is discharged from hospital or dies in a hospital, a notification of the discharge or death including any additional information that may be required by the minister in the form required by the minister; and (b) within two weeks after a patient has received services on a non-admission basis, a notification of such services as may be required by the minister including additional information that may be required by the minister in the form required by the minister. M.R. 77/97; 35/2022 Books, records and returns 25(1) Every hospital in Manitoba shall keep and maintain such books and records as will comply with the established and recognized accounting procedures and practices for hospitals, and such particular books and records as the minister and the health authority that provides operational funding to the hospital may require in writing. 25(2) Every hospital in Manitoba shall provide the health authority that provides operational funding to the hospital such hospital records and statements as the health authority requests from time to time. M.R. 77/97; 160/2014 ; 35/2022 26 [Repealed] M.R. 77/97 27(1) [Repealed] M.R. 77/97 Budgets 27(2) The minister shall not approve any part of capital debt incurred on or after July 1, 1958 that is greater than the lesser of (a) the cost approved by the minister for land acquisition, buildings constructed, fixed equipment installed and other equipment, less the sum of (i) any construction grant paid by the Government of Canada or the Government of Manitoba, (ii) the total cost of serviced land, and (iii) such funds in the capital fund account as the minister may determine; and (b) the actual amount borrowed for land acquisition, building construction, fixed equipment installed and other equipment. M.R. 77/97 Approval of loan 28 When making application for approval of a loan, a hospital shall furnish such information as may be required by the minister. 29 [Repealed] M.R. 77/97; 160/2014 ; 35/2022 30(1) [Repealed] M.R. 160/2014 Funding 30(1.1) A hospital shall be funded in accordance with any agreements between the operator of the hospital and the health authority responsible for providing for the delivery of the hospital services. 30(2) [Repealed] M.R. 35/2022 M.R. 77/97; 160/2014 ; 35/2022 Year-end settlement 31(1) On or before June 25 in each year, every hospital shall submit to the minister an audited financial statement and statistical report which shall be in the form and contain the information as the minister may require, respecting the operations of the hospital for the preceding 12-month period ending March 31. 31(2) to (9) [Repealed] M.R. 35/2022 M.R. 35/2022 Coming into force 32 This regulation comes into force on March 31, 1993. SCHEDULE A HOSPITAL IN-PATIENT SERVICES The following services are hospital in-patient services: 1. Accommodation and meals that are supplied to standard ward patients. 2. Necessary nursing services. 3. Laboratory, radiological, and other diagnostic procedures together with the necessary interpretations (except where payment has been provided under the Payments for Insured Medical Services Regulation under the Act) for the purpose of maintaining health, preventing disease and assisting in the diagnosis and treatment of any injury, illness, or disability. 4. Drugs, biologicals and related preparations. 5. Use of an operating room, case room, and anaesthetic facilities, including necessary equipment and supplies. 6. Routine medical and surgical supplies. 7. Radiotherapy facilities where available. 8. Physiotherapy, occupational therapy and speech therapy facilities where available. 9. Services provided by persons who receive remuneration for those services from the hospital. 10. Other services that are approved by the minister. SCHEDULE B HOSPITAL OUT-PATIENT SERVICES The services described in this Schedule are hospital out-patient services: PART 1 The following services provided to an out-patient by a hospital: 1. Use of an operating room and anaesthetic facilities, including the necessary equipment and supplies. 2. Use of an emergency or examining room. 3. Necessary nursing service. 4. Laboratory, radiological, and other diagnostic procedures together with the necessary interpretations (except where payment has been provided under the Payments for Insured Medical Services Regulation under the Act) for the purpose of maintaining health, preventing disease and assisting in the diagnosis and treatment of any injury, illness, or disability. 5. Routine medical and surgical supplies, drugs, biologicals and related preparations administered in a hospital but excluding the provision of routine, medical and surgical supplies and medications (unless otherwise approved by the minister) for the patient to take home. 6. Services provided by persons who receive remuneration for those services from the hospital. PART 2 The following services including drugs, biologicals and related preparations administered in a hospital: 1. Physiotherapy, occupational therapy and speech therapy, when provided in a hospital approved by the minister. 2. Physiotherapy, occupational therapy and speech therapy, when provided in a hospital located outside of Manitoba, where available. 3. Services provided by the Pre-School Development Clinic under the administration of Health Sciences Centre–Children's Centre. 4. Services provided by CancerCare Manitoba including the services of therapeutic radiologists. 5. Geriatric and psychiatric day hospital services in hospitals authorized by the minister to provide these services. 6. Same-day services in hospitals providing these services. PART 3 The following services, when provided in an approved facility, other than a hospital: 1. Dialysis. 2. Laboratory, radiological and other diagnostic procedures, together with the necessary interpretations for the purpose of maintaining health, preventing disease and assisting in the diagnosis and treatment of an injury, illness or disability. M.R. 160/2014 SCHEDULE C DENTAL SERVICES IN A HOSPITAL The services described in this Schedule are insured services when performed by a certified oral and maxillofacial surgeon or a licensed dentist in a hospital when in the opinion of the surgeon or dentist hospitalization is required for the proper performance of the procedure. The basis for hospitalization is determined by dental necessity, the medical status of the patient, or both. PART 1 INSURED SERVICES DIVISION 1