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WCB Procedures

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  • 5 - Claim-related expenses
    • 5-1 Travel and subsistence benefits
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Child and animal care

Procedure summary

Published On

Apr 24, 2024
Purpose

To determine if a worker is eligible for financial assistance for child or animal care, ensuring their rehabilitation process is not delayed or interrupted. 

Description

This procedure starts when the worker submits a request to have child or animal care expenses covered or reimbursed. The decision maker considers the worker's situation to ensure they meet the criteria to be eligible to have child or animal care expenses covered and also confirms the expected care expenses are reasonable.

The decision maker discusses the childcare/animal care needs with the worker to confirm the need and the level of care required.

The decision maker then communicates the decision about coverage to the worker. When it is approved and the necessary forms are received, the payment arrangements are made. 

The decision maker reviews any requests to extend the coverage for care beyond the initial approved period and determines if supervisor approval is required. The decision maker shares whether the request is approved or not approved with the worker.

Key information

Child and animal care assistance is provided to help prevent a delay or interruption of the rehabilitative process. The WCB covers child or animal care expenses for workers who didn't need such care before their accident but now require this support during their recovery from the injury.

WCB only considers paying child or animal care expenses when a worker who meets the criteria did not have to pay for child or animal care before their accident and is now incurring these costs due to their injury. This benefit is not payable when a worker is unable to provide child or animal care after the acute period due to long term or permanent restrictions. 

Expenses related to livestock or other animals that are part of the worker's business are not entitled to be covered by WCB. The cost for care of these animals is a business expense. Livestock such as backyard chickens, cattle or horses that are owned and used by the family and/or cattle being raised for personal use are eligible.

Detailed business procedure

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1. Discuss the request for child or animal care with the worker

A worker who did not pay for child or animal care before their workplace accident may be eligible to receive financial assistance to offset costs when they need to hire child or animal care due to their injury in the following circumstances:

  • Attending a WCB sponsored treatment or re-employment program.
  • Recovering at home.
  • In the hospital.  

When the worker makes the request, ask questions to determine eligibility based on the reasons for the care and what their child or animal care circumstances were before and after the injury.

If the worker is requesting an extension to pay for child or animal care coverage beyond the initially approved period, go to step 5.

Questions could include (but may not apply to every situation): 

  • Was childcare or animal care provided before the accident? If so, who looked after the child(ren) or animals during the day, such as school, daycare or doggy daycare?
  • How did the child(ren) or animal(s) get to and from their day activities, such as school or daycare? 
  • Where did the child(ren) stay until the parent(s) returned from work? 
  • How did the worker previously transport the child(ren) or animal(s) to the care facility or the person who came to the home?
  • Is the worker able to walk their dog and/or bend down to scoop waste?
  • Does the worker need help with irregular animal/pet care, such as bathing, grooming, etc.?
  • Is the worker receiving a personal care allowance that can be used towards the cost? 
  • Is a family member reasonably able to care for the child or animal?

Establish who will provide the care and discuss the expected duration and cost. Confirm that the need is related to a workplace injury.

Note: Financial assistance for child or animal care is not considered for virtual physiotherapy or a virtual return-to-work program.

If the worker has requested assistance to pay for livestock care, in order to be eligible for the benefit, confirm the livestock is not part of the worker's business. For example, chickens, horses or cattle raised for personal and family use would be eligible. The WCB does not cover the cost of animals that are part of the worker's business as the cost of care for these animals is a business expense. 

Administrative tasks

Document the discussion in a file note claimant/contact.

2. Determine whether the worker meets criteria and the cost is reasonable

Determine if the worker meets one or more of the following eligibility criteria to receive financial support for child or animal care:

  1. The worker needs to leave home to attend a WCB sponsored treatment or re-employment program.
  2. The worker is recovering at home after their workplace accident or surgery and the medical reporting supports that they are not able to perform some aspect of care for their child(ren) or animal(s).
  3. The worker is in the hospital. 
  4.  Any other exceptional circumstances not listed here.

Confirm whether the cost for the child or animal care is reasonable. The average cost per hour/day for child or animal care depends on a number of factors including the worker's circumstances, type of care required and location. Ask questions to ensure the suggested cost is reasonable. 

 Questions to consider: 

  • Where does the worker live?
  • How many weeks of care is required?
  • For childcare:
    • How many children require care?
    • What type of care do the children receive (daycare, day home or private)?
    • What ages are the children (rates differ for infant, toddler, preschool)?
    • What level of care (part time, full time, overnight, before and after school) is needed?
  • For animal care:
  • What type of care do the animals need (feeding, ensuring their wellbeing)?
  • Do the animals require care full time, part time, daytime or overnight?
  • Is the care provided by an individual or an agency? 

Reasonable cost for childcare

Based on information on childcare costs in Alberta: 

  • For full-time care- $700 to $1000 per month per child is a reasonable amount to pay. If a worker is in a four week program and has two children, the cost could be around $1500 to $2000. If the program is extended to 6 weeks, that cost would go up to $2100 to $3000 for the program period. 
  • For part-time care - the hourly amount of $15.00 to $50.00 is a reasonable amount to pay depending on whether the childcare is private or agency.

Reasonable cost for animal care

An hourly amount of $15 to $50 is reasonable depending on whether care is provided by an individual or an agency.  

The estimated cost for full time care per animal is between $700 and $1000 per month (four weeks). When the worker has multiple animals, the cost may be up between $1500 and $2000 for the duration of a four-week program. When the program is extended to six weeks, costs can increase to between $2100 and $3000 for the program period. 

Approve the request for child or animal care coverage when the criteria are met and the proposed costs do not exceed $400 per month.

When the monthly cost for child or pet care will be over $400 per month request approval from the supervisor.

Note: Supervisor approval is required each time the period of child or animal care is extended, and/or when occasional coverage becomes more regular, the period is beyond six months and/or costs exceed $400 per month. See step 5 for extensions for child or animal care.

Administrative tasks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If supervisor approval is required, send a file note (Entitlement Decision) documenting the reason for recommending the payment, the duration and the cost. 

3. Communicate the decision

Call the worker to discuss the decision to approve or not approve child or animal care.  

If approved, ask the worker to complete the childcare expense form, confirm the agreed upon terms, including the cost and how long the benefit is approved for and document the conversation. Explain that the childcare expense form is required for all claimed childcare expenses prior to issuing payment.  This ensures payments are made to the correct party.

For animal care coverage, discuss with the worker that a receipt is:

  • Required when the animal/pet care is regular (more than three times per month). 
  • Not required for occasional care, unless the animal/pet care becomes more regular (more than three times per month), extends beyond a six-month period or the total costs paid exceed $400 in the month.

Explain that payment is made directly to the animal/pet care provider agency (i.e. an incorporated company). If the care is not provided by an agency, discuss the amount and periods payable. 

When the request is not approved, clearly explain the reasons for the decision verbally and in writing. Address any questions or concerns the worker has. End this procedure.

Administrative tasks

Document the discussion in a file note (Entitlement Decision). Include the reason for approval, duration, amount, payee and whether the worker is required to submit a receipt.

For childcare expenses advise the worker to complete the Childcare Invoice (C1441)The form captures all relevant details about childcare expenses in order to ensure proper payments are made to the right party. form. They can submit the form by mail, fax or emailing the Customer Contact Centre. 

Complete the Claim Expenses line. Use EX19 for both animal and childcare reimbursement.

Include the details in the Care Plan Update (CL041F) letter.

When the request is denied, send a Claimant Custom (CL000A) letter. 

4. Action the payment once all information is on file

Childcare expense payments are issued by Medical Aid once the required form has been received from the worker. Payment is made to whomever is indicated on the form the worker submitted. 

When a receipt is required for animal care, payment is issued once it is received. Payment can be made directly to the animal/pet-care provider if they are an agency (e.g., an incorporated company). If the animal/pet care was not provided by an agency, issue payment for the approved period.  The amounts shown for animal/pet care expenses on the Payment Request screen are examples only and can be over-written.

If a receipt is not required for animal care, the decision maker can issue the payment for the approved period. When animal care is not provided by an agency, payment can be made directly to the private provider. 

If the receipt is for more than what you approved, call the worker to discuss the reason and determine if it is appropriate to issue payment for the entire amount.  

Administrative tasks

Once the Childcare Invoice (C1441) formThe form captures all relevant details about childcare expenses in order to ensure proper payments are made to the right party. is on file, a task is automatically sent to the medical aid team to make the payment or reimburse the worker for the cost of childcare.

 

5. Review requests for an extension

Review all requests to extend child or animal care coverage beyond the initially approved period. Consider the circumstances when determining if the extension is reasonable. 

For example, a reasonable extension would be if the worker required child or animal care three times per week for six weeks while attending treatment or a return-to-work program, and the length of treatment or program has been extended. 

When an extension is reasonable, document the decision and forward the request for supervisor approval.

Note: Supervisor approval is required each time the period of child or animal care is extended, and/or when occasional coverage becomes more regular, the period is beyond six months and/or costs exceed $400 per month. 

Call the worker to share the decision and confirm the agreed upon terms, including the cost and how long the benefit is approved for.

Repeat this step until the child or animal care is no longer required or the extension is not approved.

If the extension is not approved, contact the worker and share the decision, clearly explaining the rationale. Document the decision and send a letter outlining the conversation. 

 

Administrative tasks

 

 

 

 

When approved, send a file note (Entitlement Decision) to the supervisor documenting the reason for the extension, the additional period required, and the cost. 

Document the discussion in a file note (Claim Expenses, Childcare) and include the decision in the next Care Plan Update (CL041F) letter. 

When the request for an extension is denied, send a custom letter (CL000A) outlining the rationale for denying the extension.

Supporting references

Policies

  • Policy 04-07, Part I; Services for workers with severe injuries

Workers’ Compensation Act

Applicable sections

  • Section 89 (1)-Board to provide vocational and rehabilitation services

General Regulation

Applicable sections

Related Legislation

Applicable sections


Procedure history

January 16, 2024 - April 23, 2024
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