How to Check OHIP Fee Increases on Your RA After April 1, 2026

How to Check OHIP Fee Relativity Rate Increases on Your RA After April 1, 2026

Quick Answer

Bill OHIP the normal way using the the fee codes as they are. Then check your RA to see whether the payment equals the SOB rate plus the increase for your specialty.
For example: For many family doctors in the FFS group (00_2), the increase is 6.2901%.
Other specialties in the image below; Source: the attached PDF copy of the PHYSICIAN SERVICES AGREEMENT.

Summary

This article explains, in simple language, how a family physician should think about OHIP fee increases after April 1, 2026

The short version is:

  • bill the normal OHIP code
  • wait for the RA
  • compare the amount paid to the usual SOB fee plus your group’s increase

Simple Rule

  1. You do not change the way you bill.
  2. You still submit the normal OHIP billing code.
  3. OHIP does the increase calculation on the payment side.

What This Means

Think of it like this:

Normal fee + your group increase = about what you should be paid

So the workflow is:

  1. bill the service normally
  2. wait for the RA
  3. check whether the amount paid is about the listed fee plus your increase

Main Idea for 00_2 Family Medicine

If you are in 00_2 Family Medicine – FFS, a simple check is:

Expected paid amount = the current SOB fee × 1.062901

That is because payment should be 6.2901% more (see table above) than the current SOB fee.

Easy Example

If the normal fee is $100.00:

  • increase = 6.2901%
  • expected payment ~ $106.29

So if you bill a service with a listed fee of $100, you would usually expect the RA to show ~$106.29.

Important Notes

This is a simple check only.
Sometimes the amount paid may be different because:

  • a billing rule changed the payable amount
  • a frequency limit applied
  • the service was reduced
  • the service was not eligible as billed
  • the service was a technical fee
  • the service was paid under a different payment rule

Special Note About Technical Fees

Not all technical fees work the same way.

  • some office-based technical fees use the global rate
  • hospital technical fees do not receive this increase

If You Are Not Sure Which Group You Are In

Start by checking your payment model.
As a general guide:

  • FHO / FHN / GHC = usually 00_1
  • FHG / CCM / FFS = usually 00_2
  • salary / contract programs = usually 00_3

Best Practice

Use this as a simple habit:

  • bill normally
  • review your RA
  • compare the paid amount to the listed fee plus your group increase
  • investigate when the amount looks off

Troubleshooting

The RA amount is lower than I expected

Check whether:

  • the code was correct
  • the service was eligible
  • a payment limit applied
  • the service was reduced by a Schedule rule
  • the claim was not paid under a simple base-fee calculation

I am not sure whether I should change my billed amount

Do not change the billed amount just because of the increase. Use the normal OHIP code and let OHIP apply the increase when the payment is processed.

I am not sure where to look for payment results

Check your RA. In HYPEMedical, payment and response tracking is tied to the OHIP / MCEDT workflow and Billing Cycle review.


Short Answer Bot Version

Bill OHIP the normal way using the usual fee code. Then check your RA to see whether the payment is about the listed fee plus the increase for your family medicine group. For many family physicians in 00_2 FFS, the simple check is listed fee × 1.062901. For your specialty's particular relativity payment increase, open the "How to Check OHIP Fee Increases on Your RA After April 1, 2026" Knowledgebase article below.

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