CPC Program Update 2025

Here’s the Issue

Clinics participating in the Community Physiotherapy Clinic (CPC) Program through a Transfer Payment Agreement (TPA) with the Ministry of Health (MoH) continue to face issues although improvements were made in 2024. As a new TPA is expected in April 2026, OPA continues to advocate with the Ministry about the issues that physiotherapists encounter with the program. Consulting with OPA’s CPC working group prior to meeting with the Ministry, the current concerns include:

High threshold for the # of visits in an episode of care

Wait lists for clinics not able to provide service because they have met their EOC allocation

Inadequate compensation for an episode of care

Lack of timely data sharing

How We Are Advocating

On September 10, 2025, Sarah Hutchison, OPA CEO, and Don Gracey, Government Relations for OPA, met with the CPC Program staff in Kingston to address some of these issues.

In the summary data for fiscal year 2024-25, the average number of treatments per EOC was 5, and the overall utilization of program EOCs was 93.7%. Members of the working group noted that the demand for the CPC program has continued to increase as have waitlists for many providers. The Ministry does not currently track waitlists raising the question of whether there is a need to track unmet demand along with its potential impact on patient care and practices.

Commitment to Increase Data Sharing

One of the concerns identified by the working group has been timely data sharing. This is an ongoing challenge given the retrospective nature of the program and the timing for billing/submissions/reconciliation. The Ministry has committed to providing quarterly data at the end of the following quarter.

What We Are Working Towards

OPA is holding its next meeting with the CPC working group on October 9 to discuss issues and priorities for the 2026 Transfer Payment Agreement.

We invite everyone who participates in the CPC Program to comment below by October 8, 2025.

CPC Program Feedback

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OPA welcomes the opportunity to follow up with you for further information sharing.

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Please share specific changes you would suggest to the CPC Transfer Payment Agreement.(Required)

(e.g. increase compensation per EOC; define # of visits within an EOC, or any other specific changes)

Critical for Physiotherapist Profession

The Community Physiotherapy Clinic Program provides publicly funded physiotherapy to residents of Ontario that may not have access otherwise. OPA was pleased to see changes made to the previous TPA in March of 2024 that included:

An increase in fees: 3% in the first year of the TPA, and 2% in the second year

One diagnosis for one Episode of Care (EOC) rather than the previous ‘whole body’ multiple diagnoses approach

Replacement of the annual Review Engagement Financial Statement with an annual attestation

Support access to virtual care as per College of Physiotherapists of Ontario guidelines

Enabling of reallocation of available EOCs when a clinic closes or identifies they are unable to fulfill all EOCs assigned, or when the Ministry chooses to allocate unused EOCs

Remove the requirement for referral from physicians or nurse practitioners

Current Challenges

With feedback from the CPC working group and members who deliver care in the CPC program, OPA will continue to advocate for needed improvements to the CPC Program, including inadequate compensation for an episode of care, high wait lists and high thresholds within an episode of care. The Ministry has previously included OPA’s feedback into changes to the TPA and we are hopeful about conversations moving forward.