Resources

Physician Billing & Compensation Models in Ontario

Family Health Organization (FHO)

A blended capitation model where physicians receive a base payment per enrolled patient, with additional incentives and bonuses.

Key Features:

• Group Practice: Requires 6+ physicians working in close proximity or within the same clinic.
• Patient Enrollment: Physicians commit to enrolling patients.
• After-Hours Care: The group must provide 5+ after-hours clinics (3 hours each) based on its size

Steps to Immigration

Most internationally trained physicians recruited to Ontario begin practice on a temporary, employer-specific work permit and later pursue Permanent Residency (PR).

Your community physician recruiter can assist with the work permit process and help identify potential immigration pathways.

Please note: Immigration programs and requirements change frequently. This information is intended as general guidance only and does not replace legal or immigration advice. Always confirm current requirements with https://www.canada.ca/en/services/immigration-citizenship.html.

Licensing in Ontario

Ontario offers several pathways to licensure for family physicians and specialists trained outside Canada.

All physicians practising medicine in Ontario must be registered with the College of Physicians and Surgeons of Ontario (CPSO). Your first step should be to review the CPSO pathways and complete the Self-Screening Questionnaire through the CPSO Portal. CPSO assesses credentials directly for Ontario registration.

Start here: CPSO – Apply for Registration

Onboarding Support

With your CPSO certificate in hand, you’re well on your way to launching your practice in Ontario. Our comprehensive onboarding resources are designed to ensure a smooth transition and equip you with the essential tools to succeed as a physician. Here’s how to get started:

• Social Insurance Number (SIN): Required for banking and can be applied for using your LMIA letter.
• Medical Insurance: Apply for coverage through the CMPA.
• Ontario Medical Association (OMA): Become a member for support and resources.
• OHIP Billing: Apply for billing with your CPSO certificate and a Canadian bank account.

Incentives for Rural and Remote Communities

The objective of the Northern and Rural Recruitment and Retention Initiative (NRRRI) is to attract physicians to establish a full-time practice in eligible underserviced communities.

The NRRRI offers taxable financial recruitment incentives to each eligible physician who establishes a full-time practice in an eligible community of the province. The grants range between $84,851 and $124,730 paid over a four-year period. The financial recruitment incentives will be awarded based on eligibility criteria and considerations related to total NRRRI budget allocations.