Residential Care Services
When people have an injury at work, we may refer them to our network of Residential Care Services providers. This is a network made up of providers who have agreed to the terms and conditions of a contract with us.
Overview of services
Services are provided in a facility or family care home, and typically include room and board.
The goal of this program is to help injured workers optimize their function in a safe and supportive environment, offering as much supervision or care as needed. The program maximizes the person's independence, and addresses physical, psychological, and behavioural intervention needs as required.
Services may include:
- Help with eating, mobility, dressing, grooming, bathing, personal hygiene and other daily activities
- Storing, distributing, administering and monitoring medication
- Wound care
- Monitoring intake of food and therapeutic diets
- Maintenance therapy (physical therapy, occupational therapy, recreational therapy)
- Structured behaviour management and intervention
- Providing common equipment and furnishings
Becoming a provider
Your first step in working with us is to get a payee number, which you'll use in all communications with us. To get your payee number, please call our Purchasing team.
To join our network of Residential Care service providers, please contact our Purchasing team for information. We will send you a qualification documents package that needs to be completed and sent back to Purchasing.
Please note that we require all facilities to have 24-hour RN supervision, and that you must get our approval before beginning any treatment.
Residential Care Services fee schedule
Our fee schedule sets out the rates we pay for your services. Please make sure you use our fee codes in your reporting and invoicing. Only services listed in the fee schedule will be covered.
Submitting reports and invoices
Using our reporting and invoicing forms is the easiest way for you to get paid. At the top of each form, you'll find instructions for completing and submitting it to us. Type your information and complete all required sections.
When you provide services to an injured worker, you will need to submit the following forms to us:
- Clinical Care Plan within 30 days of the worker's admission
- Monthly Update Reports and invoices within seven days of the end of each month. Please be sure to include the appropriate fee code.
- Discharge report within seven days of the last date of service.
If there's a problem with your invoice, we'll send a letter explaining why we're requesting corrections.
Checking your payment status
The fastest, easiest way to check the status of your invoice is through our online check invoice status tool.
Need more information?
We're here to help. Please contact our Health Care Services team.
Paperless invoicing for providers coming soon
In the coming months, we will be introducing a new online portal for health care providers who currently submit paper invoices by fax or mail. The new portal is designed to make submitting invoices more convenient and efficient, and is part of our ongoing work to improve our online services to health care providers.AnnouncementPublished on: Jul 03, 2020