Memorandum of Agreement

The agreement is appended as Schedule R of the Memorandum of Agreement (MOA) and is available in its entirety here.

Exemption from After Hours Expectations during transition period

The provincial government has agreed to the NLMA’s request to amend Schedule “R” of the MOA to enable certain groups to apply for an exemption from the After-Hours obligations of the Blended Capitation Model during the transition period.

For the first two years of the program, groups that already provide regular, ongoing provision of services to the NL Health Services, such as hospitalist services, primary care services for unattached patients, hospital emergency room coverage, anesthesia services, obstetric services, and long-term care services, will be permitted to redistribute their after-hours service obligations to the Group’s nurse practitioner (NP) or, if the Group has not hired an NP, to seek an exemption from the Blended Capitation after-hours requirement. Groups may apply to the FPRP to determine if members of the group qualify for exemption. For a physician to qualify, they must be providing at least two hours of the types of services described above to NLHS for every one hour of after-hours BCM service exempted or redistributed. Groups that do not provide any of the types of services outlined above do not qualify for the exemption/redistribution.

This exemption will be in effect until August 31, 2025.

An application will be developed at a later date and communicated to BCM applicants who wish to apply for this exemption.

The full amendment to Schedule R is available here.