Guide

How to Prepare for Your Ontario Autism Program Annual Review

Families in OAP core clinical services complete a determination of needs process with a care coordinator at least once a year. The process reviews each child’s strengths, support needs, and priority goals across ten areas, along with developmental, health, and environmental factors. The information from the process results in a corresponding funding allocation for core clinical services and supports.

What should I know first?

Families in OAP core clinical services complete a determination of needs process with a care coordinator at least once a year. The process reviews each child’s strengths, support needs, and priority goals across ten areas, along with developmental, health, and environmental factors. The information from the process results in a corresponding funding allocation for core clinical services and supports.

Ontario Ministry of Children, Community and Social Services · Autism Ontario · Verified 2026-02-27

Steps in this guide

  1. Gather Progress Reports from All Providers

    Request written progress reports from every therapist and service provider your child has seen in the past year. Reports should include measurable outcomes, hours delivered, and goals achieved. Compile these into a single folder for easy reference at the review meeting.

  2. Review Current Goals and Service Plan

    Read your child's existing service plan carefully. Note which goals have been met, which are in progress, and which were not addressed. Identify any goals that are no longer relevant and any new needs that have emerged over the year.

  3. Document Unmet Needs with Specific Examples

    Write down any services your child needs but is not receiving. Use specific examples from daily life, school, or therapy. If wait times prevented access to a recommended service, document the timeline and impact on your child.

  4. Prepare Talking Points for the Meeting

    Create a one-page summary of your child's current status, key concerns, and requests for the coming year. Practise presenting your points clearly and concisely. Having written notes ensures you cover everything important during the meeting.

  5. Attend the Review Meeting with Your OAP Coordinator

    Bring all documentation to the meeting. Present your child's progress and unmet needs. Ask the coordinator to explain any changes to funding or eligibility. Request that all agreed-upon changes be documented in writing before you leave.

  6. Update the Service Plan and Confirm Next Steps

    Review the updated service plan for accuracy before signing. Confirm the date of the next annual review. Ask for a copy of the signed plan and any related correspondence. Follow up on any action items within two weeks of the meeting.

Sources for this guide

Sources listed for this guide · Updated 2026-02-27
SourceRecord or guidance
Ontario Ministry of Children, Community and Social ServicesOntario Autism Program guidelines for annual reviews and service plan updates (ontario.ca/autism)
Autism OntarioFamily resources and advocacy tools for navigating OAP processes (autismontario.com)

Frequently asked questions

Ontario does not publish what happens if a family misses this annual review. Contact your AccessOAP care coordinator and ask them to confirm the next steps for your child in writing.

Yes. You can bring a support person, family member, or professional advocate to any OAP meeting. Having someone with you can help you stay focused and ensure all your concerns are addressed.

Funding for core clinical services is set through the determination of needs process, which takes place at least once a year. During the meeting, the care coordinator works with your family to understand your child’s current strengths, support needs, and priority goals, and also considers developmental, health, and environmental factors. The information from the process results in the corresponding OAP funding allocation.

Where the waitlist stands

Families navigating autism services in Ontario face a documented multi-year wait. Here is the Ontario data — and a two-minute way to push back, when you are ready.

Verified references and sources

Watchdog Reports

  • [2024]
    Ministry of Children, Community and Social Services: Spending Plan Review
    Financial Accountability Office of Ontario (FAO) • Watchdog report • 2024-06-05

FOI Records

  • [2026]
    Ontario Autism Program figures as of May 13, 2026 (MCCSS, released under Freedom of Information to the Ontario Autism Coalition; published in the OAC "OAP At A Glance" update, July 2026)
    Ministry of Children, Community and Social Services (Ontario), obtained by the Ontario Autism Coalition • FOI record • 2026-05-13

Official Organizations

  • [2025]
    Autism Spectrum Disorders Fact Sheet (updated September 17, 2025)
    World Health Organization (WHO) • Official • 2025-09-17

About this page

Check the author’s context, review method, and how to report an error.

Written by

Founder & Autism Advocate

Lived experience: Parent of autistic child navigating OAP system