Limits and claims

Support-time ratios

Keep indirect care and clinical administration within the two monthly ratios.

Quick answer: Q312A plus Q313A can be no more than 25% of total monthly hourly-code time. Q313A alone can be no more than 5% of Q310A plus Q311A plus Q312A time.

Last reviewed September 9, 2026

Combined support pool

Indirect care and clinical administration together can be no more than 25% of total monthly hourly-code time.
The same relationship can be expressed as support time no greater than one third of direct care plus out-of-office telephone care.
Example: 90 direct-type hours create room for up to 30 combined indirect and clinical-administration hours, subject to the other limits and the work actually performed.

Clinical-administration ratio

Clinical administration can be no more than 5% of direct care plus out-of-office telephone care plus indirect care.
Example: 100 combined direct and indirect hours create room for up to five clinical-administration hours, subject to the combined support limit.

Year 1 reconciliation

For April 1, 2026 through March 31, 2027, OMA guidance says the Ministry system does not program the two percentage caps at claim entry. Claims may pay first and be reconciled later. Review the ratios every month even when the billing system accepts the claims.

Important notes

A ratio shows the maximum eligible amount. It does not create billable support time when the work was not performed.

Sources

Browse all FHO+ Billing guides

Introduction — Use this help center to understand the app, the FHO+ hourly categories, and the checks to make before billing.
Start here — Set up the app once, record the day while it is fresh, and review the month before you prepare claims.
Log a day — Enter the time you worked for one service date and keep the four categories separate.
Read your billing snapshot — Understand the room calculations and prompts that change as you edit a day.
Use the time tools — Measure one work block or total several blocks before applying the result to Today.
Review a month — Use Calendar to find blank days, correct records, and check the month before claim preparation.
Create presets and weekday rules — Reduce repeated entry while keeping the saved record tied to what actually happened.
Export records and prepare claims — Create a readable date-range report and a code-by-code summary for your normal billing workflow.
Manage local data, sync, and backups — Know where your records live before you change browsers, devices, or accounts.
Use FHO+ Billing across devices — Set up FHO+ Billing on web and iPhone with the same account, then check whether your preferences and saved billing records have synced.
Review FHO+ billing records before export — A practical review checklist for Ontario FHO+ physicians using FHO+ Billing to check service dates, categories, limits, saved entries, and reports.
FHO+ billing terms for Ontario physicians — A plain-language glossary of FHO+, hourly-rate categories, Q-codes, rostered patients, billing units, and continuity terminology used in Ontario physician guidance.
If the numbers look wrong — A short diagnostic checklist for totals, room calculations, missing days, and saved data.
Check eligibility — Use the patient, service, physician, and location as the starting point before you choose an hourly code.
Choose a fee code — Keep the four hourly categories consistent in Today, reports, and billing software.
Indirect care vs clinical administration — Separate the two support categories that are easiest to confuse.
Rates, units, and rounding — Convert the time in each category into claim units and the correct base value.
Daily and monthly caps — Check the shared daily maximum and the prorated monthly maximum before submitting a large day or month.
Support-time ratios — Keep indirect care and clinical administration within the two monthly ratios.
Document a claimed day — Keep the daily totals and activity summaries needed to support hourly claims.
Prepare and check a claim — Move from the app's saved records to your normal OHIP billing process without missing the claim details.
Virtual care and other settings — Use location and service type to place virtual care, home visits, and long-term-care work in the right category.
Learners and locums — Apply the hourly guidance when teaching during care or covering an FHO practice as a locum.
Fix common mistakes — Run this checklist before you send a large claim or finish the month.
What changed on April 1, 2026 — A short guide to the FHO+ changes that sit beside the hourly-rate program.
Continuity and outside use — Understand the continuity measure without confusing it with hourly time tracking.
Official sources and dates — Go to the documents that govern or explain FHO+ billing when a rule is unclear.