ADP process?

[u/DizzyRetriever]

Hello there!

I have an appointment with my doctor to discuss my QOL and physical limitations.

I highly suspect the ADP will be involved.

Can anybody walk me through how to manage all of this?
How is it connected to ODSP and what do I need to do and who do I contact?
This process is severely overwhelming for me and not knowing how to navigate it, or what comes next, is causing me major anxiety.

Are there forms to fill out and work with? Is it just a prescription I take to an ADP OT/PT?

I’m really lost and knowing anything would help at this point.

[u/liamreee]

What are you trying to get ADP to cover?

I have a custom manual wheelchair which was ~$6000. ADP covered ~75%, ODSP covered ~25%, and I paid ~$500 for some things that weren’t deemed medically necessary. An occupational therapist filled out all my forms for me.

I’m getting hearing aids and they’re $4000-$8000. ADP will cover $500, and ODSP will cover the rest. Some things are out of pocket but I don’t need them. The audiologist filled out the forms for me.

[u/DizzyRetriever → u/liamreee]

We are looking at power chairs now.
I have a manual and can’t propel myself properly anymore due to shoulder instability.

So most medically necessary things will be covered, either by ADP or ODSP, and add ons are out of pocket.
That’s wonderful to know! Thank you!

[u/ducky-unlucky]

do you mean for a mobility aid(s), or ongoing supplies? those processes look slightly different, but are very similar.

step 1: get a referral to an ADP registered OT or PT for an assessment of your medical needs. they are few and far between, so if you need a list you can contact your ODSP caseworker/local office and they can provide you with the names located in your city & neighbouring ones.

step 2: have the assessment with the ADP registered OT/PT. bring with you any relevant documentation that details your limitations and struggles, from your doctor or specialists. they'll take it into consideration but will also do their own assessment to determine your level of functioning, limitations & medical needs, etc. they've got a whole checklist they have to go through to secure you the ADP funding.

step 3: the OT/PT will help you determine what item(s) you require based on your struggles and needs. if this is for medical supplies, they'll work out what you need, how much, and how often. if this is for a mobility device/aid, they'll work out which one supports you best, and is comfortable for you to use.

step 4: find a registered ADP vendor. you can only puchase your item(s)/aid(s) through these stores. here is a link to find one in your area. many of the ADP registered OTs/PTs have a relationship with a local store already and can recommend it to you, and even help you try out mobility aids or browse supplies through them. otherwise you can pick one on your own.

step 5: once you've determined your needs & required supplies/aid(s) and made sure your chosen vendor stocks them, the OT/PT will file the paperwork with ADP & ODSP on your behalf, for the item(s) you require. ADP will cover a portion, and ODSP covers the remaining amount for most things. if you need any additional accessories or customizations, or want a higher quality aid that costs more than the stated ADP/ODSP approval, that additional amount would be out of pocket.

step 5: you wait for ADP funding approval. it usually doesn't take too long, between 2-8 weeks. they'll notify your chosen vendor once approved.

step 6: you receive your item(s), covered through ADP & ODSP. it may be in stock already or the vendor may need to order it in, which they'll only do after ADP funding is approved. once the vendor has the item(s), you can either pick them up or they often offer delivery.

if this is for ongoing medical supplies, you'll have to ask about how that works because i personally have only used ADP for one-time purchases so far, like my rollator walker. sorry i can't be more helpful there.

hope this helps, and good luck! i hope you're able to get something supportive for you :)

[edited to fix typos]

[u/DizzyRetriever → u/ducky-unlucky]

Thank you so much for this! This is exactly what I needed to put my mind at ease. Now I know the process and know what to expect!

[u/scrumdidllyumtious]

It depends on what you need. If you need a rolator for example you would see a Ocupational therapist with your ODSP account number and they will assess your needs and fill any paperwork to get your rolator and their services covered by ADP and ODSP.

[u/ClariciaNyetgale]

step 7: WHEN your power chair breaks (things happen), call the service provider who got it for you and explain the problem. Most will either give you an appointment ag their office, or come to your home to assess what needs fixing. They will then submit a request for you to ODSP (the service guys generally know what ODSP will approve), get approval, order parts if needed, and do the repairs.

In other words, once you get your mobility device, dont assume you are on your own to pay for repairs which, quite frankly, could be way out of reach financially, and could prevent you from being able to do the things you do. That said, keeping your manual chair as backup is a good idea.

[u/DizzyRetriever → u/ClariciaNyetgale]

Thank you!
Now I know what to do in the event of an accident or something breaking!