How to Appeal an Ontario Autism Program Decision

Steps in this guide

1. 1

   Review the Decision Letter Carefully

   Read your OAP decision letter in full. Identify the specific reason for the decision — whether it relates to eligibility, funding level, or service allocation. Note the date you received the letter because appeal deadlines are typically calculated from this date. Highlight any statements you believe are incorrect or incomplete.

2. 2

   Gather Supporting Documentation

   Collect all relevant clinical reports, assessments, therapy progress notes, and school documentation that support your case. Request copies of any records the OAP used to make their decision. Obtain updated letters from your child's clinicians explaining current needs and why the decision should be reconsidered.

3. 3

   Submit a Formal Internal Review Request

   First try to resolve the issue with your AccessOAP care coordination team. If it is not resolved, send the Independent Review Office the general complaint form, or use the separate form if your concern is about how AccessOAP administered the Determination of Needs process. Give a short summary of your concern.

4. 4

   Prepare Your Case Summary

   Draft a concise case summary that outlines your child's diagnosis, current functional needs, the services recommended by qualified professionals, and how the OAP decision falls short. Use specific examples and reference clinical documentation. Keep the tone factual and professional.

5. 5

   Attend the Review Meeting

   If an internal review meeting is scheduled, prepare talking points in advance. Bring copies of all documentation for the review panel. You may bring a support person or advocate. During the meeting, present your case clearly, reference your evidence, and ask questions about the review criteria being applied.

6. 6

   Review the Internal Decision and Escalate if Needed

   Once you receive the internal review decision, evaluate whether it addresses your concerns. If the outcome is still unsatisfactory, you can file a complaint with the Ontario Ombudsman, contact your MPP, or consult a lawyer specializing in disability rights. Document every interaction and keep copies of all correspondence.