Policy 2.3.1R - Provision of Health Care Services

POLICY NUMBER: 2. 3. 1R

Effective Date: June 1st, 2004
Date Issued: May 14th, 2004
Date Approved by Board of Directors: May 13th, 2004
Topic: Provision of Health Care Services
Section: Health Care
Subsection: General

Policy Statement

1. The WCB will assist in providing health care (services and treatments) by WCB-approved service providers to injured workers. Assistance is provided where the health care is:

(a) appropriate for the type of compensable injury, and
(b) consistent with standards of health care practices in Canada.

2. The WCB uses the following information to determine the most appropriate, effective and efficient health care for its clients:

a) recommendations from WCB-approved health care providers;

b) up-to-date scientific evidence about effective health care;

c) evidence-based guidelines developed by professional health organizations across Canada and the United States; and

d) standards developed by the WCB to ensure quality health care.

3. The WCB may obtain additional information and opinions, as needed, to determine the appropriateness of any type of health care.

4. The WCB will not pay for health care that is not considered appropriate as set out in this policy.

Application

This Policy applies to all decisions made on or after June 1st, 2004.

References

Workers' Compensation Act (Chapter 10, Acts of 1994 - 95), Sections 102, 104.

Executive Corporate Secretary