Special services and equipment

Severely injuredA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care.   A worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. workers who are immobile for prolonged periods of time and at risk for skin breakdown (e.g., paraplegics, quadriplegics, wheelchair confined) may be eligible to receive a bed, mattress or lift chair when medically recommended by the worker's treatment provider or through an assessing clinician or nurse. Refer to Policy 04-07, Part II, Application 3, Question 2.

The decision maker reviews the recommendation to determine if the worker meets eligibility requirements (i.e., the worker has a compensable severe injury). The decision maker makes a referral for an OT assessment to determine the need for a bed/mattress or lift chair and/or related equipment (e.g., mattress overlay) is required due to the compensable injury. The decision maker then determines if the item will be approved in accordance with policy. Approvals must remain consistent with the existing levels of authority.

Non-specialty beds/mattresses

Non-specialty beds (hospital style beds) may be authorized for severely injuredA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. workers who require standard adjustable support and/or safety features (e.g. bed rails) due to their work-related injury.  

A non-specialty bed or mattress refers to a hospital style bed or mattress. It does not include standard beds or mattresses that can be purchased from general retail or department stores.

An OT assessment is required before approval of non-specialty beds/mattresses to provide clinical rationale demonstrating how the equipment will improve function and/or safety. Before approving the purchase of a non-specialty bed/mattress, the decision maker should explore other options to alleviate a worker's symptoms (e.g., wedge pillow to elevate the head to relieve breathing issues).

Approval guidelines for non-specialty beds/mattresses

• An OT assessment is required to provide clinical rationale for the non-specialty bed/ mattress.
• The recycle program will be checked first for available non-specialty bed/mattress before purchasing new.
• All beds/mattresses must be purchased and provided to the worker by a WCB approved vendor. The worker should wait for WCB approval and vendor procurement.
• The maximum approved costs for a bed is $1,920.
• The maximum approved cost for a mattress is $1,920. 

Note: If a worker purchases a bed/mattress without prior approval, reimbursement will not exceed the maximum allowable amount.

Specialty treatment beds

Specialty treatment beds are reserved for specific medical conditions such as bariatric needs, advanced pressure and/or sore prevention. Assessment by a wound care nurse or OT is required prior to approving specialty treatment beds.  

Approval guidelines

• An assessment completed by a wound care nurse or OT is required to provide clinical rationale for specialty beds/mattresses.  
• The recycle program will be checked first for available specialty bed/mattress before purchasing new.
• All beds/mattresses must be purchased and provided to the worker by a WCB approved vendor.  The worker should not purchase a specialty bed/mattress without WCB approval and vendor procurement.

Regular beds or mattresses

WCB may provide a regular bed or mattress when a medical need related to the compensable injury requires a different bed than the one the worker currently uses or has previously used.

Approval is limited to situations where the compensable injury has caused increased wear and tear on the worker’s existing bed or mattress, such as:

• bowel or bladder management routines, or
• frequent bed transfers for a worker who is bedridden.

When a worker's regular bed or mattress needs replacement, consider approving a non-specialty (e.g., hospital style bed) or when recommended a specialty bed. A regular bed or mattress is not considered the most appropriate option when there is a medical need resulting in increased wear and tear (i.e. hygiene or cleaning challenges related to incontinence, bed transfers).

Approval guidelines 

• An assessment completed by a wound care nurse or OT is required to provide clinical rationale for the bed or mattress. Future replacements also require an OT assessment.
• Refer to the approval guidelines for a non-specialty bed (e.g. hospital style bed) or a specialty bed (if a specialty bed was recommended by the OT) instead of approving purchase or replacement of a regular bed or mattress.

Note: If a worker will only consider replacement of their regular mattress with another regular mattress, the worker is responsible to purchase the mattress. WCB may consider reimbursement up to a maximum amount of $1,920.00 on a one-time basis. Future replacement costs for a regular mattress are the worker's responsibility as this type of mattress is not considered the most appropriate option to fully support the worker's medical needs. WCB may consider future replacements if the worker chooses to proceed with the recommended mattress or bed (i.e. specialty or non-specialty) that supports their medical needs. 

Lift chairs

An OT assessment is required to provide recommendations for lift chairs based on the worker's compensable work injury.

Approval guidelines

• An OT assessment is required to provide clinical rationale for the lift chair.  
• The recycle program will be checked first for available lift chairs before purchasing new.
• All lift chairs must be purchased and provided to the worker by a WCB approved vendor. The worker should not purchase a lift chair without WCB approval and vendor procurement.
• The maximum approved cost for a lift chair is $1,472.00.

Note: If a worker purchases a lift chair without prior approval, reimbursement will not exceed the maximum allowable amount.

Replacements and repairs

Requests for replacement of beds, mattresses and lift chairs may be considered no sooner than 7 years from the original purchase date. Some exceptions to consider earlier replacement may apply. Refer to Policy 04-07, Part II, Application 3, Question 2. 

Replacement of a bed, mattress or lift chair is considered only when an OT determines it is clinically indicated, there are clear signs of deterioration or damage, and it is determined that repair is not feasible. 

Additionally, replacement of a regular bed or mattress may be reimbursed one-time only. Any future replacements are the worker’s responsibility unless a recommended option that better supports medical needs is selected. Refer to the regular beds and mattress section above.

Replacement of beds, mattresses, and lift chairs will be sourced through the recycle program first before purchasing new.

Refer to the step 8 of the detailed business procedure.

A worker with a compensable seriousSerious injuries include injuries such as rotator cuff tears, ruptured discs, severe ankle/wrist fractures, severe knee injuries [e.g., torn anterior cruciate ligament (ACL)]. Soft tissue injuries are not considered serious, unless there is unusual severity (e.g., bilateral epicondylitis, hernia repairs). or severeA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. Severe injuries include such injuries as spinal cord injuries, severe burns, moderate to severe brain injuries, major amputations, significant respiratory conditions, total loss of vision, terminal cancers, bilateral arm or bilateral leg fractures, and any other injuries of similar severity. injury may be eligible for aids and/or equipment to help them remain independent with interior housekeeping tasks and exterior home maintenance tasks. To determine if a worker meets the criteria for a serious or severe injury, refer to Policy 04-10, Part I and Policy 04-07, Part I Services for Workers with Severe Injuries. 

Any housekeeping or home maintenance support, including equipment or aids requires an OT assessment. 

When the OT recommends housekeeping or home maintenance equipment, the decision maker first determines if the equipment will support the worker in performing tasks independently. When the equipment recommendations:

• support the worker's ability to perform housekeeping or home maintenance tasks independently, refer to the Equipment arranged by Health Care Strategy (HCS) referral section.
• does not support the worker's ability to perform housekeeping or home maintenance tasks, refer to the appropriate procedure to determine if the worker is eligible for a housekeeping or level one personal care allowance and/or home maintenance allowance. 

A worker may require one or more aids or pieces of equipment to promote independence, improve function and support safety at home. The equipment and/or aids are intended to help workers manage activities of daily living as independently as possible.

All aids/equipment must be recommended by an OT or a community health nurse and approved by the decision maker prior to purchase. The decision maker reviews each request and determines eligibility based on the worker's individual needs and functional requirements. 

Self-care aids and equipment

Equipment and aids may be authorized to support activities of daily living, including feeding, dressing, bathing, toileting, etc.

Examples of approved aids:

• Long-handled reaching tools: Long-handled reachers/grabbers, long-handled sponges, bath brushes, foot brushes, lotion applicators. These tools assist workers who are unable to bend or reach due to their work-related injury.
• Adaptive eating devices, such as specialty cutlery, cups, dishes, non-slip mats, and bibs, for workers who have difficulty holding or manipulating utensils.
• Dressing and hygiene aids: Dressing sticks, sock aids, long-handled shoehorns, button hooks, zipper pullers, electric toothbrushes, waterpiks, and reaching or grabbing tools.
• Bathroom aids: Bathtub lifts, grab bars, shower commodes, bath seats or stools, commodes, raised toilet seats, toilet arm rests, telephone showers, showers, shower trolleys.

These aids can improve a worker's ability to complete daily activities independently and may reduce the need for caregiver assistance.

Wheelchairs may be approved for temporary or permanent use for seriously Serious injuries include injuries such as rotator cuff tears, ruptured discs, severe ankle/wrist fractures, severe knee injuries (for example, torn ACL), and any other injuries of similar severity. It would not include most soft tissue injuries unless the injury is of unusual severity.  or severelySevere injuries include injuries such as spinal cord injuries, severe burns, moderate to severe brain injuries, major amputations, significant respiratory conditions, total loss of vision, terminal cancers, bilateral arm or bilateral leg fractures, and any other injuries of similar severity. injured workers.

Temporary wheelchairs are approved for seriously Serious injuries include injuries such as rotator cuff tears, ruptured discs, severe ankle/wrist fractures, severe knee injuries (for example, torn ACL), and any other injuries of similar severity. It would not include most soft tissue injuries unless the injury is of unusual severity. injured workers during their recovery as their injury is expected to improve. Typically, a manual wheelchair is rented for these circumstances. For example, a worker with an ankle fracture may need a wheelchair while they are non-weight-bearingThe worker is unable to safely stand, walk or put pressure on the injured area.. Once the worker can safely stand and walk, the wheelchair is returned.

Permanent wheelchairs and scooters are only approved for severelySevere injuries include injuries such as spinal cord injuries, severe burns, moderate to severe brain injuries, major amputations, significant respiratory conditions, total loss of vision, terminal cancers, bilateral arm or bilateral leg fractures, and any other injuries of similar severity. injured workers. For example, a workplace injury left the worker quadriplegic, creating a permanent need for a specialized wheelchair, such as a power wheelchair. The type of wheelchair must be consistent with the worker's needs. 

In some circumstances, such as when the worker lives where the land is rugged, an all-terrain vehicle (ATV) might be considered. The scooter must be consistent with the worker's specific needs. For example, a scooter may be provided to a worker who typically uses an electric wheelchair if it improves outdoor mobility or if the terrain around their home is not suitable for manual or electric wheelchairs. If the land is too rough or uneven for a scooter such as farmland or an undeveloped acreage, WCB may provide an ATV as an alternative. Refer to Policy 04-07, Part II, Application 2, Question 12. 

In all circumstances, a referral for a seating and mobility assessment are necessary to make recommendations on seating needs, balance, mobility needs, terrain and storage of equipment. The health care consultant responsible for OT services can assist in choosing an OT provider to assess the worker's seating needs.

Note:  WCB may cover the cost for a wheelchair rental, but deposits for the rental are not covered.

Approval guidelines

• For permanent wheelchairs, one is generally purchased while the worker is still in the hospital, and a second wheelchair or scooter is purchased within the first six months of the injury. The purchase of the second wheelchair is to provide mobility at all times.
• Eligibility for a scooter is dependent on the need of an electric wheelchair for terrain, seating needs, etc.  Upgrades to scooters are not approved.
• A cover for the outdoor wheelchair or scooter is payable. Storage buildingsA storage building may be considered in some circumstance (i.e., to prevent batteries from freezing up/draining in the winter). are not normally approved but may be considered on a case-by-case basis.
• Durable equipment (e.g., wheelchairs and scooters) does not need to be returned.
• Payment requests over $5,000 require supervisor approval.

Wheelchair and scooter aids

When the worker requires aids to assist with the use and operation of their wheelchair or scooter, the following items may be approved:  

• Arm rests
• Cushions
• Trays
• Vehicle liftsA vehicle lift helps load a mobility aid (wheelchair or scooter) independently into a vehicle when a worker is unable to do so on their own. or trailers for scooters supplied in place of wheelchairs 

Replacement guidelines

Replacement wheelchairs or scooters requires approval by the decision maker and a new OT assessment and a seating assessment. Refer to step 8 of the detailed business procedure.

Vehicle assessment 

A vehicle assessment should be considered for workers approved for a permanent wheelchair or scooter. A vehicle assessment is completed by an OT to determine:

• The worker's ability to transfer independently by manual wheelchair (at least four transfers)
• Need for a power wheelchair.
• Whether vehicle modifications are recommended for safe transfers or whether a new vehicle purchase would better suit the worker's needs.

Contact the health care consultant responsible for OT services when there are questions about vehicle modifications needed to accommodate a worker's wheelchair. 

A permanently, totally disabled worker may be approved to receive an environmental control unit to meet their vocationalThe equipment is required for re-employment.  The equipment is required for re-employment.and avocationalThe equipment is recommended for activities un-related to employment.  The equipment is recommended for activities un-related to employment.needs. The type of unit purchased may be a battery driven stand-alone unit or require a separate computer unit for operation. The type of unit is determined by the worker's assessed capabilities and needs.

Refer the worker for an assistive technology needs assessment with an authorized assistive technology service provider.

Note: When a worker requests a referral to a service provider not contracted with WCB, contact the designated health care consultant to obtain approval.

This assessment may be completed in conjunction with the computer resource assessment. The provider will submit a report and recommendations may given in areas such as:

• Computers and adaptations, hardware, and software
• Augmentative communication devices
• Adapted electronic toys
• Micro switches
• Environmental controls
• Other technical aids

Review the service providers assessment findings and recommendations including the type of equipment recommended, cost for the equipment and the training requirements. Participate in the assessment case conference and approve the care plan in a timely manner. The decision maker requests approval from the appropriate level of authority when the cost exceeds their authority level (see the Levels of Authority manual). 

Note:  The provider cannot proceed with the care plan until the decision maker approves the recommendations. 

When the computer and assistive technology services are approved, the service provider will:

• Make recommendations about which computer technology and technical aids are suitable for the worker's needs.
• Loan the worker equipment for a period of up to one-month to determine the suitability.
• Order all approved equipment, supplies and/or services.
• Coordinate implementation and monitor the work.
• Assist with preparing and setting up the equipment for both the assessment and training.
• Provide training on the use of the adaptive equipment.
• Provide a written assessment of the worker's skill and ability to operate the computer equipment, software, and technical aids.
• Follow up with the worker to assist with troubleshooting and further training on the use of any equipment in the worker's home environment.

Note: Approve up to a maximum of three-months of rental costs for all approved computer peripherals, software and devices per worker.

The provider is pre-approved for up to eight hours of in-home or worksite troubleshooting and extra equipment and software training. Any requests beyond eight hours of service provider support require approval. 
 

Voice recognition technology

Voice recognition technology (VRT) is a software product that enables the user to operate a computer by voice, eliminating the need to use a keyboard or mouse. This tool can be customized to work with most software applications. 

VRT allows an injured worker to operate a computer hands-free and can help a worker recover from a repetitive strain injury by alleviating symptoms.  VRT may increase a worker's job options for re-employment, increase self-esteem and support the worker to remain in control of their environment.

The assistive technology service provider will: 

• Assess, recommend and acquire the most appropriate software at the best market price.
• Test devices to recommend the most appropriate one for the worker's needs.
• Deliver customized voice software training to the worker.
• Assist the employer and worker with integrating the technology into the workplace, if appropriate.
• Follow up with the worker to ensure the effective usage and sustainability in the workplace/home.

Repairs

Maintenance and repairs of computers purchased solely for the workplace are the worker's responsibility.

For other assistive technology equipment purchased by the WCB, the provider may provide maintenance or repair on an emergency basis to address health and safety issues up to a maximum of $1000. Costs over $1000 require approval from the decision maker. Refer to step 8.

Note:  Review the worker's personal care allowance when the adaptive devices increase their independence. 

Workers who are incontinent, bedridden long-term and regularly bathed in bed, such as a worker who is quadriplegic and/or uses a respirator as a result of a work-related accident or condition may receive bed linens or towels.

Approval guidelines

• White bed linens and towels that can be bleached should be considered for purchase.
• Bed linens may be authorized up to a maximum of $150 per year.
• Towels may be authorized up to a maximum of $100 per year.

The approval amounts are a guideline.  If the cost exceeds this amount, consider the reason(s) for the excess cost when making and documenting the decision to approve the purchase of additional bed linens or towels.   

Decrease the number of bed linens and towels accordingly when the worker's need reduces with treatment or time. 

Workers may be eligible for a clothing allowance when a worker uses a prosthesis, appliance or a wheelchair as a result of their compensable work injury.  WCB may pay the allowance, on application by the worker, to help replace clothing worn or damaged as a consequence.  See Policy 04-07, Part II, Application 4: Self-Care.

There are three categories of clothing allowance:

• Upper extremity
• Lower extremity
• Wheelchair 

Determine which category applies based on the prosthesis, appliance, or wheelchair that the worker uses and what clothing has excessive wear and tear. 

In exceptional circumstances, the worker may receive allowances for both the wheelchair and the upper extremity. For example, when the worker is partially confined to a wheelchair and partially able to walk but requires constant use of crutches/forearm crutches to do so. 

Notes:

• The provision of custom-made shoes alone does not qualify the worker for a clothing allowance, unless the worker also meets that criterion, such as a worker who has a brace or prosthesis.
• Consider the worker's gender identification, and any work-related position, when determining the payable clothing allowance amounts.
• When an annual clothing allowance is payable on a pension or economic loss payment claim, all arrears must be paid before referring the file to the Medical Aid Department.

See Policy 04-07, Part II - Addendum A for clothing allowance rates.

The clothing allowance is paid yearly, usually on the anniversary of the date the prosthesis or appliance was first fitted or the wheelchair supplied. The allowance continues uninterrupted, unless the worker no longer uses the prosthesis, appliance or wheelchair. 

Review yearly for ongoing eligibility.  When no further claim management is required by the decision maker, transfer the claim for monitoring and yearly reviews.

When the clothing allowance is no longer payable, notify the worker and send a letter. Notify the Medical Aid Department to stop the allowance.  See Policy 04-07, Part II, Application 4 - Self-Care to review the criteria for stopping a clothing allowance.

Workers with severe injuriesA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. may be at risk for dental problems. Damage or deterioration of a worker's teeth may result from the work-related accident, receiving emergency medical treatment, or the medication prescribed for the compensable injury/condition. 

The WCB pays for dental assessment and cleaning following discharge from hospital or when medically related to the compensable injury/condition. Discuss the results of the assessment with the dental consultant to determine WCB's long-term responsibility. See the 1-1 Initial entitlement decision procedure. 

Note:  WCB may pay for additional travel costs (for dental care unrelated to the claim) if a worker must travel an extra distance to attend the nearest wheelchair accessible dentist.

A worker who does not receive a personal care allowance and, as a result of the workplace injury or condition, is unable to maintain their own personal foot care may be authorized to receive a maximum of up to six visits per-year to a skin care facility. 

If the worker requires more than six visits per year, consider the reasons why more visits are required, and determine whether to authorize additional visits. 

The service provider hired must be appropriate for the service required.  For example, nail care must be done by a podiatrist, a licensed practical nurse (LPN) or a registered nurse (RN) with foot care training. 

A severely injuredA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. worker, such as those with spinal cord injuries may benefit from fitness equipment and supervised fitness programs, when it is medically recommended to support their recovery. To determine if a worker is considered to be severely injured, refer to Policy 04-07, Part I. 

For requests related to sports and recreational activity, refer to the Sports and recreational equipment section. 

Home exercise equipment

The purchase of home exercise equipment is restricted to paraplegic, quadriplegic, or severely injuredA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. workers.

Approval guidelines

Home fitness equipment may be considered for approval when the fitness equipment is: 

• Basic and there is no specialized fitness program within the worker's community.
• Required for a medically prescribed course of treatment for the compensable injury.
• Purchased at a reasonable cost. Consider obtaining three quotes to ensure the price is fair for the equipment.
• Monitored by an individual approved by WCB (e.g., a physical therapist or exercise therapist). 

Supervised fitness and swim passes

A fitness or swim pass is approved initially for a three-month period, starting when the worker is coming to the end of the treatment program or upon discharge.  An extension beyond this period may be approved if it continues to be medically recommended as part of the treatment plan, medical information supports the worker is making progress, and the worker is using the pass on a consistent basis. Typically, the maximum length of time the pass can be extended to is one year. Extensions beyond one year may be considered if medically supported (i.e., medical reporting).

Approval guidelines

Fitness passes including swim passes may be considered when:

• The worker has a severe disability.
• A medical practitioner recommends swimming or other fitness activities as part of a prescribed course of treatment.
• The pass is for a swim or fitness facility that provides supervised activities, such as the Steadward Centre for Personal & Physical Achievement.
• The worker is motivated to attend and has committed to using the fitness or swim pass at least two to three times per week.
• The pass is economical. 

If all of the above criteria are not met, the fitness or swim pass should not be approved.

A worker with a severe injuryA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care.   A worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. may receive a phone, intercom or home safety devices to support their independence for tasks that have become difficult as a result of their compensable injury and to improve their safety. See Policy 04-07, Part II, Application 1 - Communication. 

Types of injuries where supports may be needed include:

• Spinal cord injuries resulting in reduced hand function (e.g. a voice activated cell phone supports their independence as they do not have the fine motor hand function to use a regular cell phone).
• A brain injury and the worker needs support with memory and organization.
• Hearing impaired workers may require an amplified or cordless phone.
• Severe vision impairment and the worker requires a device to provide lighting, scanning, magnifying lens. 

An OT assessment will assist in determining the type of communication aid and/or safety device that will best suit the worker's needs.

Home safety devices may include, but are not limited to:

• Phones such as voice activated cellular phones, cordless phones, or a LifelineA Lifeline is a medical alert system that allows a person to summon help in emergency situations, any time of the day at the press of a button, even if they can't speak.. When a Lifeline is recommended, a monthly plan for the Lifeline is covered. The worker is responsible to set up a monthly plan with the service provider and submit receipts for reimbursement.
• For workers with a compensable mobility issue:
  • Video doorbells or cameras for front and rear door visuals.
  • Intercoms that facilitate front and rear door communication.
• For workers with a compensable hearing impairment:
  • Special fire alarm systems, visual and electronic alarms for compensable hearing impairment
• For workers with a compensable visual impairment (e.g., blindness):
  • Intercoms that facilitate front and rear door communication.
  • Auditory signaling systems or alarms which provide cues to help a person map their environment. For example, emergency warning systems, talking thermostats that will allow the worker to change temperature settings.
• For workers with a compensable brain injury:
  • A security system to ensure a worker who is prone to wandering away from home and at risk of getting lost (e.g., due to a brain injury, etc.) does not leave home. The home or property must be properly secured (e.g., doors, enclosed patio, fence). The system secures all exterior doors or gates when opened from the inside.  

Stand-alone units that require no major home renovations can be purchased once approved by the decision maker. When major home modifications are required to install the device, the costs and requests for installation must be documented in the home modification proposal. Supervisor approval is required if the costs exceed the decision makers level of authority.

Note: The WCB does not usually approve purchase of fire extinguishers or gas monitors.

Discuss the request with the worker and ask questions about the reason for the safety aid and what type of research they have already done. The type of device approved may vary depending on the compensable disability and need of each individual.

If approved, explain the expenses covered including:

• The cost for the communication aid or safety device.
• Cellular phones are covered up to a maximum of $1300, including the phone case and screen protectors.
• Monthly phone plans are not included and become the worker's responsibility.
• Monthly LifelineA Lifeline is a medical alert system that allows a person to summon help in emergency situations, any time of the day at the press of a button, even if they can't speak. plans are covered.  The worker is responsible to set up monthly plan with a service provider and submit receipts for reimbursement.
• Home modifications, when required.

Repairs and Replacement

Additional costs covered by WCB include repairs, batteries for normal usage and replacement every 3 to 4 years, when it is still required by the worker. Review the request and the reason for replacing the device and approve, if appropriate. 

Valid reasons may include:

• The worker’s disability will be better addressed by new technology.
• The worker's level of disability has changed, and a new device will better support them.
• The phone has an issue.

Meals on Wheels is a program that delivers meals to individuals at home. A worker may be approved to receive meal service when they are unable prepare and cook meals for themselves due to a work-related injury.

To determine the worker's eligibility for a meal delivery program, the decision maker will consider whether the worker is in receipt of a personal care allowance level that covers meal preparation.  When the worker is not in receipt of this allowance, the decision maker will consider authorizing this service.

The WCB provides a worker with medical supplies, such as those required for bowel routines, catheterization, etc., in a reasonable quantity to ensure the health and safety of the worker. 

Supplies may include include:

• Incontinence supplies
• Laryngeal supplies
• Meal replacement supplements
   

Consider the unique needs of each individual worker to determine what is considered a reasonable quantity. Lifetime authorization can be provided

The worker may receive items, equipment and supports to assist with the treatment of a psychological injury when recommended by their treating psychologist or a clinician from a psychological injury treatment program. 

Recommended items may include grounding tools such as thera-tappers and fidgets, noise cancelling headphones and weighted blankets.  

The treating psychologist or clinician may also recommend a heart rate monitor, such as a Fitbit or other brand of fitness tracker, to a worker during exposure therapy for traumatic psychological injury. Heart rate monitors add objective and measurable evidence of what the worker is physiologically experiencing during exposure therapy.

Approval Guidelines

• No formal documentation is needed from the provider and only verbal approval is required from the decision maker.
• Items and equipment purchases are approved on a one-time basis.
• Noise-cancelling headphones may be reimbursed up to a $100 maximum.
• Weighted blankets may be reimbursed up to a $150 maximum.
• Fitbit monitors (or other brand of fitness tracker) must include a heart rate monitor and may be reimbursed up to a $300 maximum.  A member from the treatment team may purchase the monitor and submit the invoice for billing or the worker can submit a receipt for reimbursement.
• Grounding tools, such as thera-tappers and fidgets, should be cost effective.
• WCB is not responsible for repairs, replacements, etc.

A receipt is required to confirm that the worker purchased the recommended item(s). Originals are not required.

Self Defense Course

A self-defense course or program may be recommended by the treating psychologist or clinician to assist a worker in their recovery from a psychological injury if the injury resulted from being physically assaulted or threatened.

Consider the recommendation on a case-by-case basis. In most cases, the treatment provider will recommend a specific course.

Sports and recreation refers to physical or leisure activities that a person participates in for health, enjoyment, social participation, or personal well‑being. These activities may be adapted, including through the use of modified equipment or supports, to ensure individuals with disabilities can participate safely, effectively, and to the fullest extent possible.

A severely injured A worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. worker may request that WCB purchase sports or recreational equipment to support their quality of life. To determine if a worker is considered to be severely injured, refer to Policy 04-07, Part I.

WCB may assist with rehabilitation to reduce disadvantages resulting from a compensable injury as outlined in Section 89 of the Workers' Compensation Act (WC Act). Requests for sports or recreational equipment are reviewed case‑by‑case and considered only for a very limited group of workers. Approval may be granted only when the worker’s injury, experience or interest, and the specific equipment requested, meet all required eligibility criteria.

For requests related to home fitness equipment or supervised fitness programs, refer to the Home fitness equipment, supervised fitness club and swim passes section.

Before considering whether an sports/recreational equipment purchase request meets the criteria, confirm the following information from the worker. 

• Did the worker participate in the activity before their work injury?
• Does the worker already own the equipment related to the activity? When the worker:
  • Owns equipment, will the existing equipment require adaptations or modification to be used safely and effectively?
  • Does not own equipment, will the newly purchased equipment require adaptations or modification to be used safely and effectively?
• How often does the worker plan to participate in the activity (e.g., bike riding, swimming).
• Can they provide any information that supports their interest in the activity and their commitment to engage in it after receiving the appropriate equipment.
• Will the worker require training/instruction or certification to safely participate in the activity? Is so, confirm the cost for training or certification and where it will be completed.
• What personal protective equipment (PPE) will be required?

Eligibility criteria

• The worker has a severe injury affecting their mobility (e.g., spinal cord injuries, amputations, severe burns, blindness, and severe injuries that impact mobility).
• The worker participated in the activity before the accident. If the worker did not participate in the activity before their accident, approval may still be considered if:
  • The activity is considered part of everyday recreation/leisure for all people in general (e.g., bike riding, swimming),
  • The activity is for specific injuries or disability (e.g., wheelchair basketball) or
  • Evidence supports the worker is interested in the activity and they are likely to engage in the activity if they receive the appropriate equipment.
• The activity supports the worker's mental and/or physical well-being (e.g., promotes community connection and opportunities for meaningful social engagement).
• The worker can perform the activity safely with appropriate training/instruction and PPE.

Approval guidelines

Sports and recreation equipment purchases or modifications may be considered for approval when the worker meets all the eligibility criteria.

To proceed with approval:

• An OT assessment must be completed to determine the worker’s functional needs. The OT will:
  • review any existing equipment and identify required modifications,
  • recommend purchase of appropriate equipment with modifications if required,
  • recommend PPE to safely participate in the activities, and
  • arrange for the worker to trial the equipment to ensure suitability.
• A trial of the equipment must be arranged if the worker did not participate in the activity before their accident, unless they could not have engaged in the activity before their accident (e.g. wheelchair basketball).
• Ensure the worker has completed any required training or certification. Final approval for purchasing equipment will be made after the completed trial period and successful completion of any required training or certification
• The worker must confirm how they plan to store the equipment (i.e., do they have room in their home to store the equipment?) and transport the equipment (i.e., how will they get the equipment to the location they intend to use it?). Note: WCB will not approve payment for storage or transportation of the equipment.

Obtain approval from the appropriate level of authority, if required. 

Note: A worker who purchases equipment independently is not eligible for reimbursement, unless they obtain pre‑approval for the purchase. 

Approval frequency

Modifications to existing equipment or new equipment may be approved up to a lifetime maximum amount. Purchase of specialized equipment for one summer sport and one winter sport may be considered for the lifetime of the claim, unless the worker’s restrictions change and they can no longer engage in one of these activities or there is some other exceptional reason it is appropriate to consider additional equipment.  

Limitations

Sports and/or recreational equipment purchases and/or modifications are done on a one-time only basis. WCB does not accept any liability for use or misuse of the equipment.

The worker is responsible for:

• equipment repairs and maintenance,
• purchasing necessary PPE unless they require additional PPE (beyond what would normally be required for the sport /recreation) solely due to their compensable injury,
• storage and transportation of the equipment.

Therapies that improve an injured worker's quality of life and activities, such as massage, life coaching, art, etc., may be considered for severe injuries and diseasesA worker is considered severely injured when: a) because of the compensable injury, the worker has severe and prolonged functional limitations; and b) because of those functional limitations, needs temporary or permanent assistance with communication, mobility, or self-care. , such as a significant brain injury, spinal cord injuries, severe burns and cancers.

Therapy must be medically recommended through a treatment provider or an assessment (e.g., an OT assessment, brain injury assessment, etc.).

The decision maker must approve the therapy before it is purchased.

TENS is a modality used to control pain by applying electrical stimulation via skin electrodes over or around the painful body part.

The TENS program is cancelled for new clients effective July 1, 2007. The TENS program is only available for workers who were using a WCB provided TENS machine prior to or on June 30, 2007.The WCB continues to pay for TENS supplies for these workers, as required.

The decision maker may authorize ongoing operational TENS supplies (electrodes, gel, wires, etc.) beyond those originally approved by the provider without further assessment. Review the provider's report for the recommended frequency for supplies (e.g., six months, one year, two years, lifetime).

Unit replacements may be considered. In these cases, arrange for the worker to be reassessed to determine if the response to a unit remains favorable. Send the referral for the re-assessment to Millard Health. 

Service dogs are considered a type of medical aid to help workers following their workplace injury do tasks they are unable to do because of their compensable disability.  Disability types include mobility limitations, psychological injuries, hearing impairments, etc. 

For workers with a psychological injury, a service dog can orient them into the present moment using tactile stimulation, alert the worker if their level of anxiety increases, or wake them up if they are having nightmares.

Effective January 1, 2019, the WCB may cover the costs of a service dog when the worker meets the criteria, and the dog is certified by the Government of Alberta (GOA).  This date does not apply to guide dogsGuide dogs (also known as "seeing-eye dogs") are specially trained to help people who are sight impaired. .

For sight impaired workers, entitlement for a guide (i.e., seeing eye) dog is considered under Policy 04-07, Application 4 - Communication. For these workers, the CNIB (if involved) may connect them with a guide dog provider. 

The decision of whether a dog is qualified to be a service dog is not made by the decision maker; it is made by the GOA's Service Dog Licensing department.  The decision maker determines if the worker needs a service dog because of their compensable injury and whether the costs for the service dog will be paid for by the WCB. 

Service dogs will generally be approved by the Special Care Services teams. For compensable psychological injuries, provision of a service dog is considered non-standard medical aid and all criteria outlined in Policy 04-06, Application 1, Question 11 must be met in addition to the criteria below. All reviews to consider a service dog must have a consultation with a Psychological Injury Coach before proceeding.

Criteria for coverage of a service dog

For WCB to consider paying the costs of a service dog, the following criteria must be met: 

• The worker has a work-related condition, which has led to a disability that requires a service dog to help with tasks related to that disability.
• There is a confirmed medical requirement and recommendation indicating a need for a service dog due to their compensable condition and disability. This medical recommendation must be submitted in writing by the worker's family physician, psychiatrist or psychologist. A psychologist recommending a service dog must have training or education in this field.
• An assessment and provision of the service dog is completed by one of WCB's contracted service providers: Aspen Service Dogs or BC Guide Dogs. These providers submit their initial assessment followed by yearly progress reports and incident reports, if needed.
• For non-contracted providers, even if they are GOA accredited, they are considered owner trained until they are qualified under the Act (not until WCB approves them). Once they have their GOA ID card (proof of qualification), WCB can review them for approval. The expiry date should be noted as owner trained dogs get one year approval from GOA and require yearly renewal, program dogs get approval for the life of the dog, as they agency is required to make sure they are up to GOA standards yearly
• The dog meets the conditions outlined in Alberta's Service Dogs Qualification Regulations, section 1(1) of the Government of Alberta's Service Dog Act.
• For compensable psychological injuries, provision of a service dog is considered non-standard medical aid. In addition to the above criteria, the worker must meet the criteria for non-standard medical aid as outlined in Policy 04-06, Application 1, Question 11.
   

In some cases, an accredited out-of-province or out-of-country dog provider organization may be the best option, based on availability or specialized training needed.

If a service dog is pre-qualified in Nova Scotia or British Columbia these dogs would meet the conditions outlined in Alberta’s Service Dogs Qualification Regulations. As noted on the GOA's website, both of these provinces' training standards are equivalent to the Alberta Training Standards and are accepted in Alberta. An Alberta Service Dog Identification card would not be required, if they have a similar card issued by the government in either of these provinces. Payment would not be made until the dog is granted the identification card by that province. 

Notes:

• Emotional support and therapy dogs are not considered service dogs under Alberta's Service Dogs Act and Regulations.
• For non-sight-impaired workers, coverage for service dogs is considered a type of medical aid given under Policy 04-06, Application 1 - Heath Care. 

Guide Dogs

Guide dogs are specially trained to help people who are sight impaired. The Government of Alberta (GOA) requires that both types of dogs qualify under Alberta Legislation.  

For sight impaired workers, entitlement for a guide (i.e., seeing eye) dog is considered under Policy 04-07, Application 4 - Communication. For these workers, the CNIB (if involved) may connect them with a guide dog provider. 

The decision maker determines if the worker meets the policy criteria for a guide dog and must ensure the provider is accredited before approving (see Alberta's Guide Dogs Qualification Regulation). The coverage of costs is generally the same as for service dogs. Costs exceeding the amounts listed, may be paid depending on the reasons (e.g., guide dogs require more training). 

Call the worker to discuss the request and the process for approving a service dog.

Discuss the following information:

• If the worker's physician or psychologist has completed a Government of Alberta medical recommendation for a service dog they can submit a copy of it to the contracted service provider for the written medical recommendation. Note: Psychologists recommending a service dog must have training or education related to this field.
• WCB recommends its two contracted providers—Aspen Service Dogs and BC Guide Dogs—because they have demonstrated program standards and policies that provide the required support for the lifetime of the service dog. These providers help match the right dog to the worker and assess whether the worker is a suitable candidate for a service dog.
• If a worker obtains a dog from another GOA-accredited provider, the dog is considered owner trained until qualified as a service dog under the Regulations. At that time, WCB can consider if the service dog is a necessary medical aid and meets the eligibility criteria. Owner-trained service dogs or those from non-contracted providers are not eligible for pre-approval.
• WCB does not participate in or guide any part of the training or certification process. Refer the worker to the Government of Alberta's website for information.
• Confirm where the worker is in the application process. The process for obtaining a service dog can take up to 2 years.
• Explain the expenses that are covered and that the process for obtaining a service dog can take up to two years. See Expenses Covered below. 

Covered expenses 

If a service dog is approved for the worker, the initial cost to purchase a licensed service dog up to a maximum of $35,000 is covered. This may include the cost for the dog (approx. $30,000, plus start-up costs of owning a service dog including vests, a bed, toys, as long as initial start-up costs don't exceed the $35,000 threshold). WCB contracted Service Dog providers submit invoices for payment. When a worker purchases a dog through another provider (GOA accredited), financial costs are not covered until the dog is confirmed to meet the qualification under the Alberta Service Dog Act.  

Note:   If an existing dog fails to achieve certification or does not requalify on their yearly test, ongoing expenses related to that dog will not be covered. 

Effective January 1, 2024, annual maintenance costs are paid at a rate of $2000 to cover expenses such as food, routine veterinarian care, etc.

Note:  Prior to January 1, 2024, yearly maintenance costs are covered to a maximum rate of $1400.

Coverage for pet health insurance is required when:

• The worker submits 3 quotes for the insurance cost and provides receipts for reimbursement.
• A reasonably priced plan is selected (usually between $150-$300 per month).
• Where insurance is used due to injury or illness (not routine veterinary care or follow up), WCB will reimburse the deductible and any amount not payable by insurance.
• If there is a health issue that is determined to be pre-existing, follow up with the service dog provider is required.

Send a letter confirming the discussion and that payment cannot be issued until all the criteria are met. 

Determine whether the worker meets the eligibility criteria.  Refer to the Key information section for eligibility criteria.

Review the assessment information from the WCB contracted service dog provider, if one was used. Consider the Anderson service dog prescriber guidelines located in the resource library for assistance in determining if a service dog is required for the worker's compensable injury and to determine if the worker has any contraindications for owning a dog (e.g. substance abuse, history of abusive behavior, active psychosis, inability to interact with a dog using humane methods, etc.)

Once the information is confirmed, consult with a Psychological Injury Coach prior to approving a service dog. When the service dog is not being approved, consultation is not required.  End this procedure.

Note:  Refer to Policy 04-07, Application 4 - Communication and the 1-1 Initial entitlement decision procedure to determine entitlement for a guide (seeing-eye) dog.

Send the recommendation and rationale to the supervisor for approval or pre-approval of the service dog, including any assessments from the WCB contracted service dog provider.

For pre-qualified dogs include the status of the application process (applied or approved).

Owner-trained service dogs or those from non-contracted providers are not eligible for pre-approval. Once a GOA ID card (proof of qualification) is issued, send the recommendation to the supervisor for approval as a medical aid benefit. Ensure the expiry date is documented as owner-trained dogs have one year approval from GOA and require yearly renewal. 

Review the supervisor's recommendations and contact the worker to discuss the decision (pre-approved, approved or not approved).  Explain the facts and reason for the decision. Communicate the decision in writing.

Monitor the claim for the worker to obtain the service dog or for receipt of the Alberta Service Dog Identification Card.  When no further claim management is required by the decision maker transfer the claim to a case assistant and request that they monitor:

• Where the worker is in the process of obtaining a service dog or having their own dog or a dog from an organization not recognized in Alberta assessed.  
• For the worker to submit three quotes for Pet Health Insurance, just prior to obtaining the service dog or submitting the Alberta Service Dog Identification Card
   

Acquiring the service dog

The worker can:

1. Obtain a service dog from an approved WCB contracted provider.
2. Purchase a dog through another GOA accredited provider.  In this circumstance, the dog is considered owner trained until approved by WCB. All service dogs must meet Alberta's Service Dogs Qualification Regulations, section 1(1) of the Government of Alberta's Service Dog Act.
3. Have their own dog or a dog they have bought from an organization not recognized in Alberta undergo a Service Dog Qualification Assessment.

When the worker wants their own dog certified, they must apply to the Government of Alberta's Service Dog Licensing department for a decision about whether a dog is qualified to be a service dog. 

The worker receives reimbursement only after the dog undergoes the assessment is granted an Alberta Service Dog Identification Card. 

In some cases, an accredited out-of-province or out-of-country dog provider organization may be the best option, based on availability or specialized training needed. 

Note: If the worker's own dog or dog they bought from an organization not recognized in Alberta fails to achieve certification, WCB cannot reimburse for the costs related to that animal.

When the worker is not approved, share the outcome, explaining any facts or rationale that led to the decision and whether they may be approved in the future. Send the appropriate letter outlining the details of the discussion. 

Once the service dog is received, action the claim as appropriate based on the type of approval process the service dog underwent.

Service dog from a contracted provider

When the service dog comes from a contracted provider the provider requires the money up front to proceed with the purchase and training of a service dog.  

Notify medical aid to pay for the quotes or receipts received including service dog purchase and training, pet health insurance, and the annual dog maintenance payment for the remainder of that year (if purchased in the middle of year, the annual payment is pro-rated).   

Owner trained, non-contracted provider or a dog purchased from an organization not recognized in Alberta

When the worker has the dog successfully certified by the Government of Alberta, British Columbia, or Nova Scotia and the Service Dog Identification Card is received, obtain final approval for the service dog from to the supervisor. 

Once final approval is received, notify medical aid to pay for the cost of the dog or certification, pet health insurance (quotes and receipt on file) and annual dog maintenance payment for the remainder of that year.

When no further claim management is required, transfer the claim for annual reviews.  

Annual reviews

Review the yearly reports from the contracted provider or GOA certified agency. WCB Contracted providers submit yearly updates as part of their contract. When the service dog comes from a program, GOA certified agencies also complete yearly reviews. 

If the dog is owner trained, ensure proof of recertificationOwner trainers are responsible to pay the yearly recertification fee and additional recertification fees if the service dog does not pass. is received yearly. The GOA provides certification for owner-trained service dogs for one year.  Following this, the owner is responsible to ensure the dog is recertified. Annual maintenance costs and reimbursement for pet health insurance is not payable until recertification is confirmed. When an owner-trained dog is not recertified, WCB's financial responsibility for the service dog ends.

Call the worker to ensure everything is going well with the service dog.  Address any issues/concerns reported by the worker. 

Continue to pay annual maintenance costs and reimbursement for pet health insurance (when receipts are submitted) if the dog continues meet certification requirements.

A service dog may retire due to health or age, ending WCB's financial responsibility. A succession dog may be considered if it remains an appropriate medical intervention that supports the worker's compensable injury and meets the certification requirements. To assess eligibility for a succession dog, repeat steps 1 through 5.

A worker may be eligible for home oxygen approval when it is medically prescribed by a requesting physician or nurse practitioner and the need for supplemental oxygen relates to the worker's compensable injury/condition.

Review the prescription submitted by the physician or a nurse practitioner for supplemental home oxygen and determine if the worker's need for oxygen is related to the compensable injury or medical condition.  

Consider a referral to a medical consultant for a medical opinion if assistance is required to determine if the need for oxygen is due to the accepted injury or medical condition.

Note:  If the request comes from a source other than the requesting physician or nurse practitioner (e.g. respiratory therapist, authorized nurse, treating physician, the worker, etc.), advise that the request cannot be approved until a written prescription is received. When the service provider has a copy of the prescription, request it be submitted to the claim for consideration.

Determine if the oxygen is approved or not approved.

When oxygen is not approved, call the worker to discuss the decision and rationale.  Communicate the decision in writing.

When oxygen is approved, call the service provider to arrange a referral for a respiratory assessment, if not already completed.  

Call the worker to discuss the decision and the referral for a respiratory assessment. Explain that the assessment will include assessing vital signs, breathing patterns and how well the lungs are working. Following the assessment, the respiratory therapist will provide recommendations for supplemental oxygen.  

Note: In some cases, the worker may already have been referred to a service provider by their treatment provider.

Review the respiratory assessment results along with their recommendation for oxygen equipment, supplies, and the estimated cost of services.  A medical consultant can assist with interpreting respiratory assessment results and recommendations.

Refer to the Alberta Aids to Daily Living (AADL) guidelines when determining reasonable costs for respiratory equipment.

Send a letter to the oxygen service provider outlining the following:

• The approved oxygen equipment, supplies, and the duration for coverage. Recommended equipment and supplies may include:
  • Stationary concentrator
  • Portable concentrator
  • Nasal cannula and tubing
  • Face mask
  • Humidifier
  • Nasal lubricants
• Who is responsible for repairs, replacement and maintenance of the oxygen and related equipment.  

Note:  The oxygen provider is responsible for repairs, replacement and maintenance of all rented oxygen equipment.  Purchased equipment would be the responsibility of the WCB.  The decision maker considers the option that is most cost effective when determining approval.

Call the worker 4-6 weeks after receiving the equipment and confirm if they have any questions or concerns.  Arrange a follow-up assessment with the provider, is required.

Transfer the claim to a case assistant for monitoring when no further claim management is required by the decision maker.  The case assistant will monitor the invoices for oxygen to confirm they remain consistent and the worker's oxygen needs have not changed.  

The case assistant will arrange for yearly reviews or follow-up sooner, if required.

Assign the claim back to the decision maker when:

• The worker's oxygen levels, or equipment needs have changed.
• There are concerns with the invoices (e.g. inconsistency in the billed amounts)
• The worker has been hospitalized.
• The worker is travelling out of province and requires supplemental oxygen in another province.

When the oxygen needs have changed, the decision maker determines if the changes are related to the worker injury/condition.  Consider obtaining an opinion from a medical consultant or arranging further assessment, if not already done.  Return to step 2.

Monitoring continues until the worker no longer requires supplemental oxygen.

When a worker is receiving supplemental home oxygen and is hospitalized, the decision maker determines whether to temporarily or permanently discontinue oxygen delivery.

When a worker is admitted to a hospital on a temporary basis, determine whether the oxygen delivery should be temporarily stopped. For stays that extend beyond a four-week period, oxygen delivery is to be temporarily stopped (either the Case Manager or the designated family member can stop the service).

To determine whether oxygen should continue or end, consider the following:

• When a worker is confined to a hospital/institution on a permanent basis, discontinue the approval for oxygen.
• When a worker is admitted to a hospital on a temporary basis, determine whether the oxygen delivery should be temporarily stopped. For stays that extend beyond a four-week period, oxygen delivery is to be temporarily stopped (either the decision maker or the designated family member can stop the service). Once a discharge date is confirmed, WCB must ensure that oxygen delivery is reinstated.

Once oxygen is reinstated, return to step 3.

Oxygen for Out of Province Travel

When the worker advises that they will be leaving the province, review their request for oxygen at a second out-of-province residence. 

Obtain details about their travel:

• The reason for the trip, such as a death in the family, board directed appointment, vacation, etc.
• The length of the trip.
• The date the worker is leaving and returning.
• The worker has obtained medical clearance from their treating doctor confirming travel is medically approved and there are no health risks with travel, such as flying. 

If the travel period is not approved, notify the worker, explaining the reasons for the decision and send a letter outlining the discussion. End this procedure.

When the trip is reasonable, determine the length of time the worker will be gone and contact them to share the decision. Send a letter to the worker and the Alberta oxygen provider and include the following information based on the length of time the worker will be travelling. 

Travel less than two months:  

• The worker will continue to receive oxygen in Alberta.
• The equivalent Alberta monthly rate (to be determined by contacting the Alberta provider) will be issued directly to the worker to cover the costs in the second residence.
• The worker will be responsible for setting up oxygen services at the secondary location.
• The worker is responsible for any amount over the Alberta average monthly rate for oxygen and supplies.

Arrange for the worker to receive a monthly payment directly for oxygen and supplies for the period of travel. Specify the date the payment is released. 

Contact the Alberta oxygen vendor two weeks prior to the worker's return and arrange services to start again when the worker's travel is less than two-months. Return to step 3 to continue monitoring.

Travel greater than two months:

• The Alberta rental equipment will be cancelled for the period that the worker is away.
• The average Alberta monthly rate (to be determined by contacting the Alberta provider) will be issued directly to the worker.
• The worker is responsible for setting up oxygen services at the secondary location.
• The worker is responsible for any amount for oxygen and supplies over the Alberta average monthly rate.  
• The worker will be responsible for calling to have services started again prior to returning to Alberta.
• The worker is travelling with a portable unit and additional batteries may be required, when necessary due to the length and mode of travel. Typically, the worker needs up to a maximum of four batteries.

Return to step 3 to continue monitoring.

Inter-provincial medevac transfers may be arranged for severely injured workers who require specialized transportation to return to their home province. A transfer may be either from an Alberta-based hospital to an out-of-province hospital, or from an out-of-province hospital to an Alberta-based hospital. 

Each case is evaluated individually to best determine whether WCB will cover the costs related to the transfer. 

A designated social worker or staff member from the sending hospital will call the decision maker to discuss when a medevac transfer is being arranged, and the hospital treatment team has cleared the worker for transfer. 

Review the information on the claim 

Confirm the medevac transport request is reasonably related to the date-of-accident incident and the injuries accepted on the claim.

Note: If the initial entitlement decision on the claim is not clear, and/or the accepted injuries or conditions are not clearly noted, have a discussion with the medical consultant, if required. 

Authorize the transfer over the phone when the information confirms the transfer is reasonable. Follow up with an email when the hospital requests one. 

When the invoice is received, a benefit exception is generated.

Review the task and any supporting information, such as a file note from Medical Aid outlining the invoice and/or documents on file that support the exception. Confirm the medevac costs are acceptable and complete the exception approval, when invoice is received.

Review the hospital reporting from either or both the sending and/or receiving hospital to confirm the transfer was completed.

Complete the exception with the appropriate decision.