The key mandate of the department is to administer the program for insured/non-insured health benefits (INIHB) which consists of all additional services provided to beneficiaries recognized and registered under the James Bay and Northern Quebec Agreement (JBNQA).
The beneficiaries of the JBNQA residing outside Nunavik, no matter when this residency commenced, are not eligible under the INIHB program, with the exception of post-secondary students and trainees (sponsored by the Kativik School Board) returning to their communities, prisoners and patients receiving medical care outside the territory.
The INIHB program is additional to the services offered to all of Québec's population under the various plans and the medication program administered by the Government of Québec. These additional services consist of a limited range of goods and services not previously provided to beneficiaries of the JBNQA by other agencies or under other programs in Quebec.
The Nunavik Regional Board of Health and Social Services manages the NIHB program as well as the financial policies in order to ensure that services are offered efficiently and equitably.
The NRBHSS maintains the systems appropriate for rendering of statistical and financial accounts.
The NIHB program is funded and managed on a basis of 100% coverage of the actual costs of goods and services, as long as the expenses respect the program criteria.
The NRBHSS manages the NIHB program as a distinct program. It establishes and maintains the appropriate systems for the distinct accounting of the actual costs of the NIHB program for each of the components covered in the budget.
The following expenses are covered as components of the NIHB budget:
- prescription drugs;
- medical supplies and equipment;
- medical transport, escorts, interpreters and accommodations;
- vision care, including glasses and contact lenses if required for medical reasons;
- dental care, including prosthodontics and orthodontics;
- hearing aids;
- mental-health services (short term);
- cataract surgery;
- ambulance services.
This policy is under the responsibility of the Department of Out-of-Region Services and is applied by the Inuulitsivik Health Centre and the Ungava Tulattavik Health Centre. The current policy was adopted by the NRBHSS board of directors on February 28, 2013, and replaced previous versions adopted in August 1996 and June 2004. It applies to institutions in Region 17 (Nunavik) for medically approved travel within and outside the Nunavik region.
The key purpose of this policy is to allow institutions in the health and social services network headquartered in Nunavik to send users to referral institutions equipped to provide the care or services their condition requires. The policy’s provisions apply to beneficiaries under the terms of the James Bay and Northern Quebec Agreement (1975) and whose residence is Nunavik.
The MNQ relocation project has been one of the department’s main files for several years with a target completion date of November 2016.
The new MNQ installation will be a four-story structure, equipped with a cafeteria, administrative sector and 91 bedrooms furnished with 143 beds; it will offer 87 single and double beds, four bachelor units, 12 rooms for persons lacking autonomy, a country-food eating area, a main living room with television and Internet services, and a chapel. It will be located in Dorval.
The department has the mandate to cover services provided in the region other than patient services.
This includes rehabilitation services offered to youth outside the region. A rehabilitation unit in Montréal serves the clientele aged 12 to 18 years requiring greater and more-dynamic supervision. The presence of Inuit educators is among our guidelines, the goal being to ensure that rehabilitation activities respect Inuit traditions and values.
Management of youth rehabilitation services is the responsibility of the Ungava Tulattavik Health Centre in Kuujjuaq.