Program Guide

Ontario Autism Program Explained

The Ontario Autism Program (OAP) provides funding for autism services through Childhood Budgets ($5,000-$55,000/year based on needs) and Core Clinical Services. Eligibility requires a formal diagnosis, Ontario residency, and OHIP coverage. Wait times are 2-5+ years, with 60,000+ children currently waiting. Funding covers only 10-15% of actual therapy costs.

$5K-$55K

Annual Childhood Budget range

60,000+

Children waiting for services

2-5 years

Average wait time

What is the Ontario Autism Program?

The Ontario Autism Program (OAP) is the provincial government's system for providing funding and services to children and youth diagnosed with autism spectrum disorder (ASD). Launched in its current form in 2019 after significant controversy and ongoing reforms, the program aims to provide needs-based support to Ontario families.

The program has two main components: Childhood Budgets, which provide direct funding to families to purchase services from registered providers, and Core Clinical Services, which are delivered directly by government-contracted agencies. Both components have significant wait times that leave many children without critical early intervention.

Childhood Budgets

Direct funding to families based on assessed needs. Families choose their own service providers from the OAP registry and manage their budget.

Core Clinical Services

Evidence-based services delivered by government-contracted providers, including foundational family services and comprehensive clinical services.

Who is Eligible for the Ontario Autism Program?

Eligibility Requirements

  • Age Requirement

    Child must be under 18 years of age

  • Formal Diagnosis

    ASD diagnosis from a qualified professional (psychologist, psychological associate, or physician)

  • Ontario Residency

    Must be a resident of Ontario with valid OHIP coverage

  • Program Registration

    Must register through AccessOAP intake organization

Required Documentation

  • 1.
    Diagnostic Report

    Complete psychological assessment confirming ASD diagnosis

  • 2.
    OHIP Card

    Valid Ontario health card for the child

  • 3.
    Proof of Residency

    Documentation showing Ontario residence

  • 4.
    Parent/Guardian ID

    Identification for the primary caregiver/guardian

Important Notes on Eligibility

  • Children with "provisional" or "suspected" ASD diagnoses may not be eligible until a formal diagnosis is completed
  • Youth who turn 18 while on the waitlist lose eligibility for OAP services
  • Families who move out of Ontario lose their place in the queue
  • A diagnosis alone doesn't guarantee services - needs assessment determines funding level

How Much Funding Does the OAP Provide?

OAP Childhood Budgets are determined through a needs assessment process that considers the child's age, diagnosis severity, functional needs, and family circumstances. Budgets are allocated annually and can be used for approved services from registered providers.

Age GroupNeeds LevelAnnual BudgetCovers
Under 6High Needs$40,000-$55,00040-50% of intensive therapy
Under 6Moderate Needs$20,000-$40,00025-35% of therapy
6-17High Needs$20,000-$35,00020-30% of therapy
6-17Moderate Needs$10,000-$20,00010-20% of therapy
All AgesLower Needs$5,000-$10,0005-10% of therapy

The Funding Gap

Intensive ABA therapy costs $60,000-$120,000 annually. Even maximum OAP funding of $55,000 leaves families paying $5,000-$65,000+ out of pocket. Average funding of $8,000-$12,000 covers only 2-3 months of recommended therapy.

Budget Management

Families must manage their budgets carefully. Unused funds don't roll over to the next year. Many families supplement OAP funding with private insurance, RDSPs, or remortgaging their homes.

How Do I Apply for the Ontario Autism Program?

Step-by-Step Application Process

1

Obtain a Formal Diagnosis

Get your child assessed by a qualified professional (psychologist, psychological associate, or physician with autism expertise). This can be done publicly (12-24 month wait) or privately ($2,500-$4,000).

Timeline: 1-24 months
2

Register with AccessOAP

Contact AccessOAP to register for the Ontario Autism Program. You'll need your child's diagnostic report and OHIP information. Call 1-888-284-3627 or visit ontario.ca/autism.

Timeline: 2-4 weeks
3

Complete Needs Assessment

A care coordinator will assess your child's needs using standardized tools. This determines the funding level for your Childhood Budget.

Timeline: 1-3 months
4

Receive Budget Determination

You'll receive a letter with your Childhood Budget amount. If you disagree with the assessment, you can request a review or appeal.

Timeline: 2-4 weeks
5

Select Service Providers

Choose from registered OAP service providers. You can use your budget for ABA, speech therapy, OT, mental health services, and other approved services.

Timeline: Ongoing
6

Wait for Core Clinical Services

If registered for Core Clinical Services (intensive therapy), you'll be placed on the waitlist. Current wait times are 2-5+ years depending on region.

Timeline: 2-5+ years

Contact Information

AccessOAP Registration

Phone: 1-888-284-3627

TTY: 1-877-424-1842

ontario.ca/autism

Hours of Operation

Monday - Friday: 8:30am - 5:00pm ET

Closed weekends and statutory holidays

What Services Can OAP Funding Pay For?

ABA Therapy

  • • Intensive Behavioral Intervention (IBI)
  • • Verbal Behavior (VB) therapy
  • • Natural Environment Teaching
  • • Parent training & coaching
  • • BCBA supervision

Speech-Language Therapy

  • • Speech therapy sessions
  • • AAC device training
  • • Social communication
  • • Feeding therapy
  • • Parent coaching

Occupational Therapy

  • • Sensory integration
  • • Fine motor skills
  • • Daily living skills
  • • Handwriting support
  • • Equipment recommendations

Mental Health Services

  • • Psychology services
  • • Anxiety/mood support
  • • Behavior consultation
  • • Family counseling
  • • Crisis intervention

Respite & Support

  • • Respite care services
  • • Social skills groups
  • • Day programs
  • • Summer camps
  • • Recreation programs

Equipment & Technology

  • • AAC devices
  • • Visual supports
  • • Therapy materials
  • • Adaptive equipment
  • • Educational tools

Provider Requirements

Services must be purchased from providers registered with the OAP. Check the OAP Provider Directory at ontario.ca/autism or call 1-888-284-3627 to verify a provider is registered. Unregistered providers cannot be paid through OAP funding.

What Are the Current Wait Times?

The Crisis: 60,000+ Children Waiting

Despite ongoing reforms and funding announcements, the Ontario Autism Program remains in crisis. Wait times continue to grow as demand outpaces capacity, and thousands of children are missing their critical early intervention window.

Service TypeCurrent WaitChildren WaitingImpact
Core Clinical Services2-5+ years60,000+Missing early intervention window
Childhood Budget12-24 monthsVariesInsufficient funding when received
Foundational Services6-12 monthsVariesBasic support only
Urgent ResponseDays-weeksLimited spotsCrisis situations only

Why Are Wait Times So Long?

  • Autism diagnoses increasing (1 in 50 children)
  • Chronic underfunding of the program
  • Provider shortage across Ontario
  • Complex needs assessment process
  • Regional disparities in service availability

What Happens During the Wait?

  • Critical developmental window closes
  • Behaviors may become entrenched
  • Families pay out-of-pocket or go without
  • Parent mental health deteriorates
  • Siblings impacted by family stress

Frequently Asked Questions - Ontario Autism Program

What is the Ontario Autism Program (OAP)?

The Ontario Autism Program (OAP) is the provincial government program that provides funding and services for children and youth with autism spectrum disorder. It includes Childhood Budgets for purchasing services and Core Clinical Services provided directly by the government.

Who is eligible for the Ontario Autism Program?

To be eligible for OAP, a child must: be under 18 years old, have a diagnosis of autism spectrum disorder from a qualified professional, be an Ontario resident with valid OHIP coverage, and be registered with the Ontario Autism Program through an Ontario Autism Program intake organization.

How much funding does the OAP provide?

OAP Childhood Budgets range from $5,000 to $55,000 annually based on assessed needs and age. Children under 6 with higher needs may receive up to $55,000/year. Children 6+ typically receive $5,000-$35,000. The average is approximately $8,000-12,000 annually, which covers only 10-15% of actual therapy costs.

How long is the wait for OAP funding?

Wait times for OAP services range from 18 months to 5+ years depending on region and service type. As of 2025, over 60,000 children are waiting for core clinical services. Childhood Budgets have shorter waits (12-24 months) but provide insufficient funding for intensive therapy.

What services can OAP funding pay for?

OAP Childhood Budgets can pay for: ABA therapy from registered providers, speech-language pathology, occupational therapy, mental health services, social skills programs, respite care, and equipment/technology. Services must be from providers registered with the OAP.

How do I apply for the Ontario Autism Program?

To apply: 1) Get a formal autism diagnosis from a qualified professional, 2) Register with an Ontario Autism Program intake organization (AccessOAP) at 1-888-284-3627, 3) Complete the needs assessment, 4) Receive your Childhood Budget determination, 5) Select registered service providers.

The OAP Needs Reform Now

Current funding is insufficient and wait times are unacceptable. Join 70,000+ families demanding immediate action to fix the Ontario Autism Program.

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