Accommodation via an intermediate resource
RAMQ administers the program concerning the financial contribution by persons entrusted to an intermediate resource. The contribution is the amount required by government to pay for your accommodation.
What is an intermediate resource?
The purpose of an intermediate resource is to provide a substitute residential environment to a person following a referral by a health and social services facility (e.g. CISSS, CIUSSS). Both the intermediate resource and the facility are bound by contract. The following situations are examples of when a person may be taken in charge by an intermediate resource:
- Loss of autonomy
- Intellectual or physical disability
- Autism spectrum disorder
- Mental health problem
- Drug dependence
Intermediate resources welcome persons requiring support to foster their autonomy, social re-integration and social participation. To qualify for the program, you must be:
- covered by the Québec Health Insurance Plan
- age 18 or over
- referred to an intermediate resource by a public health facility
You must also undergo an assessment by an integrated health and social services centre (CISSS) or an integrated university health and social services centre (CIUSSS). These facilities take into consideration your health condition, the urgency of your situation and the availability of places in intermediate resources. RAMQ has no say in this process.
Accommodation of children under age 18 falls under the responsibility of child and youth protection centres. More information is available from your CISSS or CIUSSS.
Setting the contribution amount
When a public health facility refers you to an intermediate resource, it notifies us accordingly. We then determine the amount of your contribution.
The contribution is established with a concern for fairness for accommodated adults and those living at home. Indeed, when you are accommodated, you must pay the expenses related to your room and board. The required social services and health services are free for all Quebeckers.
Factors determining the amount of your contribution
The amount of your contribution is determined on a monthly basis and takes into account several factors.
Whether or not you are the recipient of a last-resort financial assistance program
If you are the recipient of a last-resort financial assistance program of the Ministère du Travail, de l’Emploi et de la Solidarité sociale, your employment constraints determine the amount of your contribution.
- Recipient under the Social Solidarity Program
- With severe employment constraints: $838
- With severe employment constraints and meeting certain criteria: $1025
- Recipient under the Social Assistance Program
- With temporary employment constraints: $575
- Without any employment constraints: $435
If you are not the recipient of a last-resort financial assistance program, the amount of your contribution is established according to the prognosis for your social reintegration.
If your prognosis for social reintegration is less than 2 years after you were taken in charge by an intermediate resource, the calculation of your contribution takes into account your age:
- Age 18 to 64: $838
- Age 65 or over: $973
Change after 2 years of continuous accommodation
If your reintegration prognosis is for less than 2 years, it is automatically adjusted to “2 years and more” if it turns out that you have been accommodated continuously for 24 months. The change comes into effect the month following your 24th month of accommodation.
If your reintegration prognosis is for 2 years or more, the maximum contribution applies: $1,299.30.
Applying for a reduction to your contribution amount
If you feel that you are not able to pay the amount indicated on your notice of decision, you may apply for a reduction by completing an Application for Exemption or for Re-Evaluation. Your contribution will then be based on your ability to pay. After your application has been assessed, you will receive a new notice of decision indicating the amount you have to pay for your accommodation. The resulting amount may be less than or the same as that previously set.
To authorize us to disclose information to your representative, you must also fill out and attach the form entitled Identity of Representative and Authorization to Release Information.
Change to the rules in effect for the calculation of the contribution
On January 1, 2021, the following changes will take effect for the calculation of your contribution.
- The amount for a main residence will be increased from $40,000 to $235,401.
- The total amount for property will be increased from $1,500 to $2,500 for a single adult and from $2,500 to $5,000 for a family.
- An amount of $10,000 will be added for an automobile.
- The amount for liquid assets will remain at $2,500 for a single adult and increased from $2,500 to $5,000 for a family.
- The amount for a person with a spouse (non-accommodated, married or in a civil union) will be increased from $1,252 to $1,265.
- The amount for a dependent child under age 18 will be increased from $501 to $506, and for a dependent child age 18 or over pursuing full-time studies increased from $629 to $635.
- The personal expense allowance will be increased from $260 to $273.
- The cost for lodging will be increased from the fixed amount of $325 or $650 (depending on your age) to the actual amount paid for 2 months as of the first day of accommodation (excluding services).
- Certain government compensations are to be excluded (e.g. Hôpital Saint-Julien, Duplessis orphans).
Registered retirement savings plan (RRSP)
This amount is now excluded up to age 65.
Registered disability savings plan (RDSP)
This amount is now excluded until the sums can be cashed in without a penalty. Furthermore, if the sums are converted to a lifetime payment, an exclusion applies up to the maximum amount of $950 per month.
Renouncing, disposing of or squandering property or liquid assets
If you or your spouse decide to renounce your rights, squander your property or liquid assets or dispose of them without due consideration, a penalty will be applied, in effect for a maximum period of 24 months.
Obligation to obtain aid
If you or your spouse are entitled to aid, a benefit or any other advantage and you are aware of this, you must obtain it within a reasonable time. Otherwise, your contribution will be maintained at the maximum rate.
A retroactive exemption is automatically granted, if you qualify, going back 6 months before you filed your application. This period may be extended if you or your representative can prove that you were unable to act sooner.
Change in your situation
You must notify us within 30 days of any change concerning the information or documents sent with your application for exemption.
Notice of decision
Upon your arrival in an intermediate resource, the facility welcoming you will send us your registration form. We then issue to you or your representative a notice of decision indicating the following:
- the amount to be paid for your accommodation
- the procedure to follow if you believe that your financial or family situation justifies a reduction of your contribution (only if you are not a recipient of last-resort financial assistance and your reintegration prognosis is 2 years or more)
Payment of your contribution
On the 1st day of each month, you have to pay the facility in which you are accommodated the amount indicated on your notice of decision. The contribution is payable as of the 1st day of accommodation indicated by the facility. It is calculated according to the number of days of accommodation (30 days for a full month). Your arrival date is included but not your departure date. The contribution amount is indexed on January 1 of each year.
Simulation tool to estimate your financial contribution
We have made available for you a simulation tool to help you estimate your financial contribution subsequent to an application for exemption.
Cost of services
The cost of services rendered by an intermediate resource is paid both by you and the facility that has concluded an agreement with the intermediate resource. You contribute toward the cost of your accommodation by paying a contribution to the facility. In turn, the facility pays the intermediate resource an amount corresponding to the cost of the services rendered.
If you are dissatisfied with the quality of services
If you consider that you are not receiving appropriate care and services, you can contact the commissioner for complaints and the quality of services of the facility that concluded an agreement with the intermediate resource where you are living.
For additional information on the program, contact the management at the facility. For more information on calculating your contribution, contact us:
425, boul. De Maisonneuve Ouest, bureau 213
Montréal (Québec) H3A 3G5
Application for review
You can apply for a review of a RAMQ decision. To find out more, refer to the page Request a review of a decision.