Community Care Facility Services
When people have an injury at work, we may refer them to our network of Community Care Facility providers. This is a network made up of providers who agree to the terms and conditions of a contract with us, and meet our criteria in providing care services to injured workers.
- Overview of services
- Becoming a provider
- Fee schedule
- Submitting reports and invoices
- Checking your payment status
- Need more information?
Overview of services
Services are provided in a community facility that includes care services, room, and board.
The goal of these services is to assist injured workers in optimizing their function in a safe and supportive environment, offering supervision and/or care as required. These services are intended to maximize the individual’s independence and proficiency in self-care tasks and include physical, psychological, and behavioural interventions as indicated.
Services may include but are not limited to:
- Assistance with eating, dressing, grooming, bathing, personal hygiene, mobility and other daily activities
- Storing, distributing, administering and monitoring medication
- Wound care
- Monitoring intake of food and therapeutic diets
- Structured behavioural management and intervention
- Provision of common equipment and furnishings, i.e. hospital bed, transfer equipment
Becoming a provider
In order to join our network of Community Care Facility providers, please follow the instructions to complete and submit an Application form, as well as a Value Added form. These forms must be submitted and reviewed prior to accepting any referrals.
Please note that we require all facilities to have 24-hour RN supervision and oversight of our injured workers, including the development of an initial assessment and care plan and monthly reporting.
Fee schedule
Our fee schedule sets out the rates we pay for your services. Please make sure to use these fee codes in your invoicing. Only services listed in the fee schedule will be paid.
Submitting reports and invoices
Using our reporting and invoicing forms, or our online portal, My Provider Services, is the quickest way to get paid. At the top of each form, you will find instructions for completing and submitting these forms. Please note, these forms must be type written and all sections must be completed. When providing services to injured workers, the following forms need to be submitted as outlined in the contract:
- Clinical Care Plan within five business days from date of admission.
- Monthly Update Reports (Progress Reports) within five business days from the end of each month.
- Monthly Update Report (Discharge report) within five Business Days upon discharge for any reason.
- Invoices within seven days of the last day of each month for services delivered in the previous month.
If there are difficulties with your invoice, Payment Services will contact you to explain any actions required to facilitate payment.
Additional option for submitting invoices online
You can also use our online portal, My Provider Services, to submit your invoices and supporting documents to us. It’s a fast and easy way to save draft invoices, attach additional documents to your invoice, get confirmation when we receive an invoice, and see status and payment details.
To get started, you’ll need to set up an online services account with us. To learn more, watch this video for instructions on setting up your My Provider Services account.
All the information with what you need to submit is available in the contract documents you sign with us.
Contact our Payment Services team with any invoicing questions.
Checking your payment status
The fastest and easiest way to check the status of your invoice is through our online check invoice status tool.
If you need more detailed invoice data, you can use My Provider Services, which allows you to filter invoices by date range, invoice number, or claim number.
Need more information?
We want to make sure you have all the information you need to work with us as a health care provider. If you have questions, please contact us for help. You can also download a copy of our contact information.
| Question about: | Please contact: |
|---|---|
| Your existing contract and payee information | Procurement Services |
| Invoicing or billing | Payment Services |
| Information about a claim | Claims Call Centre |
| Understanding the terms of your contract and contracted clinical services | Health Care Programs |
