| Description |
Item |
Maximum Amount |
| Persons with Disabilities |
Fee for medicalpractitioners completing Section 2 of the Persons with Disabilities Designation Application (HSD2883) and Persons with Disabilities Designation Review (HSD2883R) |
$130 per form |
| Fee for medicalpractitioners completing Section 3 of the Persons with Disabilities Designation Application (HSD2883) and Persons with Disabilities Designation Review (HSD2883R) |
$75 per form |
| Fee for prescribed professionals completing Section 3 of the Persons with Disabilities Designation Application (HSD2883) and Persons with Disabilities Designation Review (HSD2883R) |
$75 per form |
| Persons with Persistent Multiple Barriers |
Fee for medical practitioners completing the Medical Report - Persons with Persistent Multiple Barriers (HSD2892) |
$50 per form |
| Expected to Work - Medical Condition |
Fee for medical practitioners completing the Medical Report - Employability (HSD3069) |
$25 per form |
| Special transportation subsidy |
Fee for physician for completing Application for Special Transportation Subsidy (HSD2818) |
$20 per form |
| Sole Recipient with a Disabled Child |
Fee for medical practitioners completing the Medical Report Child (HSD3103) |
$25 per form |
| Monthly Nutritional Supplement |
Fee for medical practitioners or nurse practitioners completing Part B of the Application for Monthly Nutritional Supplement (HSD2847) |
$25 per form |