Who can bill Family Medicine Plus (FM+) tariffs in Manitoba?
In Manitoba, you can bill Family Medicine Plus (FM+) tariffs 8180 to 8191 only for patients enrolled on your own Home Clinic panel (Manitoba Physician's Manual, page A-122). A patient is enrolled when you have reached an understanding to be their most responsible provider, and that enrolment is recorded in your EMR and sent to Manitoba Health. You must also provide ongoing, comprehensive primary care and have given Manitoba Health your clinic's location and the number and type of practitioners there. Tariffs 8180 to 8190 on page A-123 run from $3.91 per three-month period (8182) to $104.04 once per patient (8180); 8191 pays $44.49 per full 15 minutes (A-124).
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
Manitoba fees for 8180 to 8191
| Tariff | Description | Fee | Manual page | Manual dated |
|---|---|---|---|---|
| 8180 | Newborn and infant acceptance of ongoing care, under age 2 | $104.04 | A-123 | |
| 8181 | Patient age, 0 to 16 years | $7.80 | A-123 | |
| 8182 | Patient age, 17 to 49 years | $3.91 | A-123 | |
| 8183 | Patient age, 50 to 64 years | $13.01 | A-123 | |
| 8184 | Patient age, 65 to 74 years | $19.51 | A-123 | |
| 8185 | Patient age, 75 years or greater | $26.01 | A-123 | |
| 8186 | One chronic disease in the Medical Cluster Group | $33.81 | A-123 | |
| 8187 | Two chronic diseases in separate clusters within the Medical Cluster Group | $45.52 | A-123 | |
| 8188 | Three chronic diseases in separate clusters within the Medical Cluster Group | $53.33 | A-123 | |
| 8189 | Four or more chronic diseases in separate clusters within the Medical Cluster Group | $58.53 | A-123 | |
| 8190 | A chronic disease in the Mental Health Cluster | $31.21 | A-123 | |
| 8191 | Indirect Clinical Services provided to the physician’s enrolled panel of patients, per full 15 minutes, to a maximum of 12 units per week | $44.49 | A-124 |
When it applies
The manual sets these conditions on page A-122:
- “Family Medicine Plus tariffs may only be claimed for enrolled patients on the claiming physician’s Home Clinic panel.” (A-122)
- “‘Enrolled patient’ means a patient whom the family physician has reached an understanding to be the patient’s most responsible provider and is responsible for their ongoing primary care.” (A-122)
- The enrolment must be recorded in your EMR and sent securely to Manitoba Health, in a form Manitoba Health's system can read. There are two ways to send it. One is the Home Clinic Portal, an enrolment website. The other is a file your EMR sends securely to Manitoba Health each month. The manual calls that file a data extract. (A-122)
- “Family Medicine Plus tariffs may only be claimed by physicians who provide ongoing, comprehensive primary care to enrolled patients and have provided Manitoba Health the location of the clinic (address and contact information), and number and type of practitioners providing services at that location.” (A-122)
Each tariff then adds its own condition. The detail is on the linked pages.
- 8180: once per patient, when a child under 2 is enrolled on your panel. You must have provided a medical service to the child in the preceding 24 months. (A-123)
- 8181 to 8185: one age tariff per enrolled patient, once per three-month period. (A-123)
- 8186 to 8190: once per three-month period. Claim one of 8186 to 8189 where it applies. You may also claim 8190 where it applies. The patient must have had a medical service in the preceding 24 months. It can be from you, from an allied health member of your clinic or from a physician covering for you. (A-123)
- 8191: you provided primary care to your enrolled panel during the calendar week you claim. You may claim 30 minutes (2 units) per calendar week for each 250 patients on your panel, and no more than 12 units a week. (A-124)
The manual also sets these conditions on page A-124, in the notes under 8186 to 8190:
- “Claims for additional services rendered to a patient on the physician’s enrolled panel (e.g., visits) may be made in addition.” (A-124)
- The services you claim must be documented in your EMR and sent to Manitoba Health. This is done each month by a file from your EMR, or each quarter on an encrypted device such as a flash drive. The quarterly device is due within 15 calendar days of the quarter's end. (A-124)
- You care for these patients to current standards and keep up your competency to manage them, or you work in a team that shares care plans for its patients. (A-124)
When it does not apply
- For a patient who is not enrolled on your Home Clinic panel. A visit with that patient is billed as usual, with no FM+ claim. (A-122)
- “Family Medicine Plus tariffs may not be claimed in combination with Chronic Disease Management Tariffs: 8431, 8432, 8433, 8434, or 8435.” (A-124) These are not the Family Medicine Plus chronic disease tariffs, 8186 to 8190.
- Not settled by the manual: pages A-122 to A-125 do not say whether a physician paid by salary or another payment model can claim FM+. Ask Manitoba Health before you claim.
Worked example
You work three days a week at your own clinic. The clinic has given Manitoba Health its address and its list of practitioners. Your EMR sends its file to Manitoba Health each month. One evening a week you also work at a walk-in clinic.
A 58-year-old patient agreed in 2025 that you are her most responsible provider. The enrolment is in your EMR and has been sent to Manitoba Health. She has hypertension. You saw her in September 2026, which is within the 24 months that 8186 requires (A-123). For the October to December 2026 period, claim 8183 ($13.01) and 8186 ($33.81) for her: $46.82. Tariff 8183 is her age tariff. Tariff 8186 is for one chronic disease in the Medical Cluster Group. Any visits are claimed as usual, in addition.
Another 58-year-old with hypertension sees you twice at the walk-in clinic. She is not enrolled on your panel. Bill the two visits with the usual visit tariff. There is no FM+ claim for her. The diagnosis is the same. What decides it is enrolment on your Home Clinic panel (A-122).
What is often not billed
Some patients already treat you as their most responsible provider, but their enrolment was never recorded and sent to Manitoba Health. Until it is, you cannot claim any FM+ tariff for them (A-122). That includes the age tariff (8181 to 8185) each three-month period (A-123). Enrolment rests on an understanding with the patient that you are their most responsible provider (A-122). The enrolment must be recorded in your EMR and sent to Manitoba Health, through the Home Clinic Portal or the monthly file from your EMR (A-122).
Source
Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), pages A-122 to A-125. Manitoba Health publishes the manual at gov.mb.ca/health/manual.
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
Unbilled is not Manitoba Health or Doctors Manitoba. This page is general information, not a ruling on any claim. Manitoba Health decides what is payable. Check the current manual before you bill.
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