A patient fitting her own CPAP mask, seen from above.

For registered vendors and clinic administrators

Assistive Devices Program (ADP) billing for CPAP clinics.

Q: How does Ontario's Assistive Devices Program (ADP) funding work for a vendor?

The client is examined and an application is signed by a prescriber, your registered location submits the completed application, and once the programme approves it you supply the device and invoice the programme for its share. For respiratory equipment the programme pays 75% of its approved price straight to the business that sold the equipment, and the client pays the other 25% to that same business. Your invoice to the programme carries sixteen required data items, including the device code, the serial number, the programme portion and the client portion, and an original signed proof of delivery is kept with the invoice at your location.

Q: Who pays the remaining 25% of a CPAP funded by the Assistive Devices Program (ADP)?

The client does, directly to the business that sold the equipment, and a vendor cannot charge more than the approved price for a funded device. There is one exception that matters at the counter: when the client receives Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities as at the date the prescriber reviewed and approved the application, the programme pays 100% of the approved price, and the invoice carries the benefit code for that programme instead.

Q: Does norvelle submit claims to the programme?

No. The programme takes invoice files by email to its Financial Management Branch and says it supplies and supports no software for making that file. norvelle holds the split, the approval number, the payer invoice and the money, and your team sends the claim.

Q: Where do we keep the signed declaration for an audit?

On the invoice. The printed invoice can carry a funding-audit signature declaration naming the parties, configured per brand and per location, which gives you one document holding the sale, the shares and the signature.

The Assistive Devices Program (ADP) is the Ontario Ministry of Health programme that pays part of the price of respiratory equipment, and this page is about what that does to your invoice, not about whether a patient qualifies.

Book a demo See the 75% split

75% of the approved price The client's 25% What the invoice must carry

Who does what

The programme, the vendor and the person who signs.

Three roles the programme defines, and the one that is different for respiratory equipment.

The Assistive Devices Program (ADP)

An Ontario Ministry of Health programme that helps people with long-term physical disabilities pay for equipment. For respiratory equipment it pays its share directly to the business that sold the equipment, and it funds the devices listed in its own product manual.

An ADP registered vendor

A business that has met the programme's registration requirements and holds a signed Vendor Agreement. Registration is per location and per device category, changes have to be reported within 10 days, and the programme aims to review a new application within six months of receiving everything.

Becoming an Assistive Devices Program vendor sets out what registration asks for, step by step.

An ADP authorizer, and who signs for respiratory

An authorizer is an individual registered with the programme to assess people who want to apply for funding. Respiratory equipment works differently: a prescriber, meaning a physician or a nurse practitioner, signs the application, and a positive airway pressure system has to be prescribed by a physician registered with the programme as a prescriber of those systems.

The 75% model

What the 75% model does to your invoice.

The programme pays a percentage of a price it sets, not a percentage of what you charge.

The usual case: 75% and 25%

The programme pays 75% of its approved price for the device, and the client's portion is at least 25% of the cost of the device.

You cannot charge the client more than the approved price for a funded device.
Items that are not part of the positive airway pressure system can be billed to the client in full.
Replacement masks and headgear for a CPAP machine are not funded, so resupply is a private or patient-paid line.
A service package has to be offered as a separate, optional purchase.

Social assistance: 100%

Where the client receives Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities as at the date the prescriber reviewed and approved the application, the programme pays 100% of the approved price.

The invoice carries a benefit code saying which programme that is.
The share the client would have paid is settled between the ministries, not at your counter. See ODSP and Ontario Works on a funded invoice.
Where the programme cannot confirm the status itself, the vendor is asked to get confirmation from the client.

Sample

A positive airway pressure system at the approved price

A positive airway pressure system at the approved price
Item	Amount
Positive airway pressure system, approved price	$554.00
Invoice total	$554.00
Assistive Devices Program (ADP) 75% of the approved price	-$415.50
Patient owed	$138.50

Sample figures, not a real patient. The client pays their 25% directly to the business that sold the equipment.

Sample figures, not a real patient. Invoice lines carry no tax unless the catalogue item is taxable, and respiratory supplies are set up zero rated.

What the invoice must show

The data the programme asks every vendor for.

Sixteen essential items on every invoice submitted to the programme, plus the proof of delivery kept at your location.

Who, which claim, which invoice

Your vendor registration number, the claim number, the last four digits of the client's health number, a vendor invoice number that has never been used before, the invoice date and the delivery date.

Which device, and how much

The device code, the quantity, the unit price, the programme's portion and the client's portion. Serial numbers are required for respiratory equipment and supplies, and components with their own product manual number are itemised on their own lines.

The benefit code

A code saying whether the client is on the Ontario Disability Support Program, Ontario Works, Assistance for Children with Severe Disabilities, or none of them. It is what turns the 75% case into the 100% case.

Proof the client received it

An original client signature and date, on or with every invoice on file at your location, because the programme is not present at the sale. A signed delivery receipt or courier confirmation attached to the invoice is accepted where a signature on the invoice itself is not possible.

An itemized invoice for the client

The device goes out with a fully itemized invoice for the client, the warranty terms and the manufacturer's warranty and user manual.

One error holds the whole invoice

Invoice files go to the ministry's Financial Management Branch by email. An invoice with bad data is put on hold in full, with no partial payment, and it is dropped if the error is not corrected inside ninety days.

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Invoices / INV-10482

Payer allocations

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On this invoice

Payer	Rule	Status
Assistive Devices Program (ADP)	75% of approved price	Approved
Patient portion	Remainder	Open

Programme share

Approved price: $554.00
Programme share: $415.50
Approval number: Recorded
Patient portion: $138.50

In norvelle

The programme share, built once and applied.

The Assistive Devices Program is the payer whose coverage rule is already set up in the payer directory. The rest is your clinic's own setup.

The rule is a percentage of a named approved price, which is how the programme pays.
The approval number is captured on the programme's share, and the payer can be set to require one.
The patient's remainder is what is left after every payer share, worked out rather than typed.
The programme's share can be billed as its own numbered invoice, so that debt ages apart from the patient's.
The printed invoice can carry a funding-audit signature declaration with named parties, set per brand and per location.
Your team submits the claim to the programme. norvelle records the split, the number and the money.

Questions vendors ask.

How does Ontario's Assistive Devices Program (ADP) funding work for a vendor?

Who pays the remaining 25% of a CPAP funded by the Assistive Devices Program (ADP)?

What is an Assistive Devices Program (ADP) authorizer, and what is an ADP registered vendor?

Does norvelle submit claims to the programme?

Does the programme share come set up, or do we build it?

Where do we keep the signed declaration for an audit?

What about the resupply the programme does not fund?

Sources

Captured 2026-10-16. Every programme fact on this page was read from the Ontario Ministry of Health's own published pages and manuals on that date. Programme rules change: check the source before you rely on it.

75% of the approved price, the client's portion of at least 25%, and the rule that a vendor cannot charge the client more than the approved price: Policies and Procedures Manual for the Assistive Devices Program, policy 305, files.ontario.ca/moh-adp-policies-and-procedures-manual-assistive-devices-program-2023-07-01.pdf (July 2023).
Definitions of Authorizer and Vendor: the same manual, policies 110.09 and 110.22.
The sixteen essential invoice data items, serial numbers required for respiratory equipment and supplies, separate itemisation of components, and the benefit codes: the same manual, policies 915.01 to 915.04.
Invoice files submitted by email to the ministry's Financial Management Branch, and the programme supplying no software for making that file: the same manual, policies 920.03 and 920.04. Invoices held in full on an error, no partial payment, dropped after ninety days: policies 925.02 to 925.05.
Original client signature and date on or with every invoice on file at the vendor location as proof of delivery, and the accepted alternatives: the same manual, policy 935.
Respiratory specifics: the prescriber definition, the physician registered as a prescriber of positive airway pressure systems, the client paying the vendor the 25% portion, 100% of the approved price for recipients of Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities, items outside the system billable to the client, optional service packages, and the fully itemized invoice handed over with the device: Respiratory Equipment Policy and Administration Manual, policies 110.09, 115, 300, 600, 605, 610 and 615, ontario.ca/files/2024-11/moh-adp-policy-and-administration-manual-respiratory-equipment-2024-11-08.pdf (July 2024).
What is covered and what is not, including replacement masks and headgear for CPAP machines, and the share paid directly to the business that sold the equipment: ontario.ca/page/respiratory-equipment-and-supplies (page updated 2026-02-18).
Vendor registration: the forms, the signed Vendor Agreement, reporting a change within 10 days, and the six month target for reviewing an application: ontario.ca/document/assistive-devices-program-health-care-professionals/register-authorizer-or-vendor (page updated 2026-04-30).
Coverage of the client's contribution for people on social assistance: Ontario Disability Support Program directive 9.6, ontario.ca/document/ontario-disability-support-program-policy-directives-income-support/96-assistive-devices (updated 2026-03-10), and Ontario Works directive 7.8, ontario.ca/document/ontario-works-policy-directives/78-assistive-devices (updated 2026-04-14).
Device codes and approved prices are listed in the programme's own product manual: Respiratory Devices Product Manual, ontario.ca/files/2026-04/moh-adp-policy-and-administration-manual-respiratory-equipment-en-2026-04-01.pdf (effective 2026-04-01).

See a funded CPAP invoice built.

Watch the programme share, the approval number and the patient remainder land on one invoice.

Book a demo See funding and payer billing