Care providers say Ottawa takes far too long to pay for health services for First Nations kids


Some health care providers say the federal government is withholding essential services for First Nations children, causing some children to delay development and leave their businesses economically vulnerable.

A number of spoken language experts interviewed by CBC News said their clients are waiting six to 12 months to receive funding from Indigenous Services Canada (ISC) to start divisions under Jordanian principles.

It stipulates that if federal and state governments are in conflict with the federal government, they must first provide for the child and then dispute the payment.

Speaking language experts told CBC News that it could take a long time for the department to pay for their services. Some say they have been waiting for pay for a year.

He also said that most third party payers accept cash within 10 to 30 business days and pay within 30 days.

Rachel Pessah, owner of Bright Spot Therapy Services in Timmins, Ont., Suspended the activities of 22 First Nations children this month. He also said that he was not paid by the department for these meetings and that he should pay his employees.

“It’s been a very stressful year and I had to consider hiring staff,” Pessah said. “I had to consider closing my business because of the delay.”

Rachel Pessah, owner of Bright Spot Therapy Services in Timmins, Ont., Is concerned about the long delay in getting treatment through Jordan Law facing children of First Nations. (Rachel Pessah / given)

Gail Tippeneskum Olivia’s six-year-old daughter – one of Pessah’s clients – will not be able to access the speakers until the ISC pays Bright Spot Therapy Services.

“I’m worried about my son now … what if he doesn’t study or talk anymore because he doesn’t spend time with the staff?” Tippeneskum said.

Providers say the delay is making more independent activities at its peak, while exposing children to other developmental problems and returning to school.

“I love the program and what it was designed to do … but I feel like it is failing their ultimate goal of having children,” Pessah said.

“When children wait for these services, the difference becomes huge between where they are and where they should be because of their age.”

The Minister of Indigenous Services has offered a review

Jordan’s concept is named after him Jordan Anderson River Norway House Cree, who died in 2005 at the age of five during a two-year dispute between Manitoba and Ottawa over who would pay for it.

In 2017, the Canadian Court of Human Rights ruled in Canada to apply for First Nations children. within 12 to 48 hours and to stop putting delays in work before money is paid.

But donors and families say the plan is failing.

Crystal Jacobs, a member of Moose Cree First Nation, is trying to get speech therapy for her 6-year-old daughter Mercy – who is speechless, has a rare, undiagnosed illness and needs constant care.

Jacobs said he had received assistance from the government in the past to pay for the cost of a very poor driver and to stay for a while in a hotel.

But last year, Jacob said, he had to wait several months to hear from Indigenous Services that his application had been rejected.

“I was told … several times, he has already helped me and I have to be thankful for this,” Jacobs said.

“I just feel like my daughter is being discriminated against because of her disability.”

Crystal Jacobs waited several months for the government to pay for speech therapy for her six-year-old daughter Mercy, who is speechless and has a rare genetic disorder. His request was denied. (Crystal Jacobs / Subscriber)

Indigenous Services Minister Patty Hajdu said Thursday that he had volunteered to review the federal government’s application to the Jordan Act.

“If there is a delay in accessing treatment for children, I would like to know about this and I would like to reconsider why this is the case,” Hajdu said. “Providers must be paid on time.”

In a statement to CBC News, the department said it had processed 81 percent of all invoices within 15 business days between April and September 2021.

“Our goal is to pay invoices within 15 working days of receipt,” said Megan MacLean, an ISC spokeswoman.

“If the agent advises the ISC that it has been delayed or reimbursed a large amount, the ISC is working with them to resolve the issue.”

Call to end red tape

Timmins-James Bay NDP MP Charlie Angus said his office had been trying for months to get an answer from unpaid language professionals like Pessah.

“When work is needed for a child and family, it is better to be there,” Angus said.

“For the government to delay and refuse to pay so that children are deprived of work – they are playing with life and the future of this generation of children.”

Timmins-James Bay New Democrat MP Charlie Angus said he wanted to know why physicians were slow to accept and pay for Jordan’s Principle cases. (Canadian Parliament)

Cindy Blackstock, executive director of the First Nations Child and Family Caring Society, said she was disappointed by the delay, but not surprised.

“It saddens me because I know the child has been away for one year without the service, and there is no reason to apologize,” he said.

Blackstock said he had also heard of similar problems from other physicians. He also said he had raised the issue with the Canadian Human Rights Tribunal last September.

Now, he said, it’s time for the federal government to take action.

“We want to see if they release the red tape around Jordan’s Point,” Blackstock said.

“They have to go back to basics. All we need is an expert letter and the supervisor’s permission. This should be enough to process the application. They should also upgrade their staff, if there is a problem.”

Cindy Blackstock, executive director of the First Nation Child and Family Careing Society, is appealing to the government to end the red-hot issue of Jordan. (CBC News)

Carla Willock, medical director and owner of Victoria Speech and Language Center in Victoria, BC, said Jordan’s Principle government interpretation requires the family to provide more documents than all of its clients, leaving them for several months.

“It’s like they’re trying to create a barrier for families to get the money,” Willock said.

Businesses refuse to work with Jordan Law

Doctors told CBC News that even when funding is approved, it is sometimes difficult to change programs to meet the growing needs of the child.

The federal government pays providers only for services that they approve. Doctors say that if they are paid to give one part a week to a child, and the child needs a second part, it can be difficult to convince the department to pay more.

He further added that the department was required to pay compensation to families for the loss of their livelihoods – a burden on many families.

They are asking the department to repeal the rules so they can change the programs as they wish.

“Many businesses are refusing to work with JP (Jordan Principle) because we are not paid or looking for financial potential,” said Alana MacIntyre, a language specialist and owner of Spark Rehabilitation at Sault Ste. . Marie, Ont.

MacIntryre said it wants government representatives to sit down with caregivers to do something that does not punish children who need help.

“When the methods work, they work best for children,” MacIntyre said.

“But when it doesn’t work, it has a huge impact on children and caregivers because we can’t afford the money.”

Listen | Donors suffer from government wage delays under Jordan Law:

Morning North9:58Families in Northern Ontario, caregivers are experiencing delays even in Jordan

The Federal bureaucratic process is delaying essential care for First Nation children, despite the 2017 implementation of the Jordan Policy. The law states that First Nation child care should be at the forefront of disputes that the government should pay, to prevent such incidents. The family and the caregiver share their thoughts. 9:58

This problem also affects the waiting list for other children.

Chelsey Chichak, a linguist specialist in Langley, BC, said they often had to have children who needed help according to Jordan’s policy while waiting for the government to make a decision.

“My biggest fear was that someone would come up to us and say, ‘I want your job, but I can use Jordan’ s policy, ‘and we could say,’ I’m sorry. of late forms and refunds because it affects our businesses across Canada, “he said.


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