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Children In Need of Treatment Program (CINOT)

This page was reviewed or revised on Tuesday, October 20, 2009 11:40 AM

Fact Sheet

• Children in Need of Treatment (CINOT) is a program that pays for basic dental care for children and youth who meet certain criteria.
• It is a provincially-mandated dental program provided locally by the County of Lambton, Oral Health team and paid from the general operating budget.
• Families may attend a dentist of their choice, to receive the care, providing the dentist accepts patients covered by the CINOT program.
• Each health unit is responsible for residents living in their own area.

ELIGIBILITY CRITERIA:

• the child/youth is 17 years of age or younger.
• the child/youth needs immediate or urgent dental care as verified by a member of the Oral Health Assessment team.
• An urgent dental condition may be one or more teeth with visible tooth decay (cavities). A dentist or parent can request screening for eligibility by a member
• of the Oral Health Assessment team if an urgent condition is suspected.
• the child's family is not covered by a dental plan (insurance) including the Ontario Works dental coverage.
• the child's parents must sign a statement indicating that it would be a financial hardship to get the necessary care.

HOW TO GET CINOT COVERAGE

The family should contact the Oral Health team to arrange a CINOT screening appointment to determine if the child/youth qualifies or for more information 519 383-8331 ext.3536. The child must be determined to be eligible for CINOT coverage and appropriate form signed BEFORE dental care is provided.
 

DENTAL SERVICES THAT ARE COVERED

Most BASIC dental services are covered .The covered services are listed in the CINOT Schedule of Dental Services and Fees that each dentist has received from the Ministry of Health Promotion. Download.

It is important to know that only the dental care needed at the time of dental examination is covered. NO future checkups are covered.

HOW ARE PAYMENTS MADE TO THE DENTIST

The CINOT clerk sends a claim form to the dentist that will authorize care for covered services. After the treatment is completed, the dentist returns the form to the County of Lambton, Children's Services Department. The claim is then processed and payment sent directly to the dentist. Only covered services are paid for.

IDENTIFICATION REQUIRED

A numbered CINOT claim form (CCF) is faxed to the dentist, chosen by the parent, once eligibility has been confirmed. The CCF is valid for a period of six months from date of issue. The CINOT coverage is patient-specific; i.e. only the identified child qualifies for dental coverage.

FEE SCHEDULE / INFORMATION GUIDE: CINOT Schedule of Dental Services and Fees click here

FREQUENCY LIMITATIONS / MAXIMUM IN EFFECT

Yes; refer to CINOT Fee Schedule. NOTE: only one series of treatment is covered; future checkups are not covered. Services marked with a "P" require predetermination prior to service provision. Dentists may not extra-bill for covered services.

CINOT Schedule of Dental Services & Fees (Dentist Providers) Revised February 19, 2009. Effective April 1, 2009 to March 31, 2010. Ministry of Health Promotion. Download

Related Link: Ontario Works Dental Coverage

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For more information, please contact:

Children’s Services Department
Oral Health
160 Exmouth Street
Point Edward, ON N7T 7Z6
Phone: 519 383-8331 extension 3536

For Predetermination:
Address above
Or: Fax 519 383-6078
A response can be expected within 5 business days from date of request.

For Claim Submission:
Address above
Payment can be expected within 60 days.