What it is

The Centralized Surgical Services Program (CSSP) offers faster access to select non-emergency surgical and related services by using available capacity in the public health-care system.

If you provide care to a worker with a WCB claim, you’ll bill through MSI (Medical Services Insurance)—the same system you use for Department of Health and Wellness (DHW) patients.

Resources, guidance, and programs to help physicians support recovery and a safe return to work.

Chart of adjudication response codes and messages used by pharmacies to show WCB formulary coverage status, quantity/time limits, and required actions.

This document lists the codes and coverage criteria that determine when prescribed medications will be covered under WCB drug benefits.

Information on the conditions under which WCB coverage applies, including eligibility and scope of coverage.

Guidance for pharmacies on WCB drug coverage rules, special authorization procedures, and reimbursement requirements.

Guidance for service providers on invoicing requirements, billing procedures, and payment processes.

WCB Special Authorization Process — information on how WCB drug coverage and special authorization for medications is handled (as of May 2015)

The WCB Special Authorization Formulary outlines drug coverage criteria, quantity limits, and generic substitution rules, with case-by-case review possible for exceptional requests.