Overview
It would be great if all providers were considered Authorized Medical Practitioners (AMP). However, the Canada Revenue Agency (CRA) does have something to say here!
Provider eligibility depends on a few things:
- Location of practice
- What type of care is being provided
- Provider licensing and registration
This article explains what makes a Provider eligible, why some are not, and how to check before submitting a claim.
The details
What makes a Provider eligible?
Authorized Medical Practitioner status is set by the CRA and varies by province and territory.
Not all provinces and territories recognize all provider types.
For a Provider (such as a Physiotherapist, Chiropractor, or Psychologist) to be eligible, two things will need to be true:
- The provider type is recognized by the CRA, and
- The provider is licensed and registered in the province or territory where the service was provided
Not all provinces and territories recognize all provider types, which is why location matters!
This handy chart can show you which provider type is eligible in each province or territory.
Why a Provider might not be eligible
There are a couple reasons a Provider may not qualify:
- The provider type isn’t recognized by the CRA in the province of practice
- The provider isn’t licensed or registered in the province or territory where the service was provided
Even when a service is legitimate, eligibility depends on registration and provincial authorization, not just the type of care.
What about regulatory bodies?
When processing claims, we always verify that the Provider is:
- Registered with the appropriate regulatory body
- In good standing
- Practicing legally in the province where the service took place
This helps ensure claims are reimbursed correctly and according to CRA guidelines.
Anything else?
If you’d like to confirm whether a provider is eligible before booking an appointment, our team can help. Let us know their name, location of service and provider type and we’ll investigate for you.
Use the support form in your Member Centre or send us an email.