Application for the Supplement for Handicapped Children Requiring Exceptional Care

On 11 June 2019, the Québec government announced the addition of a second tier for the Supplement for Handicapped Children Requiring Exceptional Care.

In an effort to facilitate the process for parents, Retraite Québec will begin reassessing all applications for the Supplement for Handicapped Children Requiring Exceptional Care that it had initially rejected. As a result, no action is required from parents whose applications were rejected.

Your child's eligibility for the Supplement is assessed by Retraite Québec's team of physicians and health professionals, based on specific requirements.

Severity of the limitations

Your child's eligibility is not determined solely upon the diagnosis, but also based on the severity of his or her limitations in carrying out life habits. Different decisions could therefore be rendered for applications filed for children with the same diagnosis.

Absolute limitation

The child is absolutely incapable of carrying out a life habit, or always has extreme difficulty accomplishing a life habit in an autonomous manner for his or her age despite the presence of facilitating environmental factors, such as technical aids. Carrying out every element of the life habit depends entirely on the assistance of another person.

Serious limitation

The child always or nearly always has considerable difficulty carrying out a life habit, for his or her age, despite the presence of facilitating environmental factors, such as technical aids. Without the help of another person, the child cannot fully and adequately accomplish the life habit.

Life habits taken into consideration

The life habits taken into consideration when processing applications are those that a child must accomplish, depending on his or her age, with respect to his or her personal care and social life. The life habits are the following:

Main factors taken into consideration when analysing the child's ability in carrying out a life habit

  • Age of the child
    Exemple :

    A child's autonomy normally develops with age. A child becomes less and less dependent on the adult. Therefore, a child aged 2 who has difficulty handling utensils will not have the same limitations as a child aged 12 who has the same difficulties.

  • The effects of facilitating environmental factors on the ability of the child in carrying out a life habit
    Exemple :

    A child age 13 with cerebral palsy who is able to move about autonomously wearing supports will not be seriously limited in his ability to move about because of this technical aid.

  • The knock-on-effect of the limitations in carrying out a life habit on the child's ability to carry out other life habits
    Exemple :

    A child age 5 who has an autism spectrum disorder and who is unable to engage in a conversation because he does not speak will have at least a limitation in carrying out 2 life habits, namely communication and interpersonal relations.

  • Visual and/or hearing impairment
    Exemple :

    A child with significant limitations resulting from a visual and/or hearing impairment could be limited in his or her ability to move about or other life habits, such as his or her ability to communicate.

Information bulletins

For more information on the eligibility requirements for the Supplement for Handicapped Children Requiring Exceptional Care, consult the following publications from the Ministère des Finances:

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