Fee schedule: Musculoskeletal program of care

Effective April 3, 2023

Musculoskeletal program of care block one - single zone
Services included	Service code	Minimum visits	Fees
Initial assessment Treatment: four weeks	MPOCSB1	5	$560.00

Musculoskeletal program of care block one - multiple zones
Services included	Service code	Minimum visits	Fees
Initial assessment Treatment: four weeks	MPOCMB1	5	$840.00

Musculoskeletal program of care block two - single zone
Services included	Service code	Minimum visits	Fees
Treatment: four weeks	MPOCSB2	4	$350.00

Musculoskeletal program of care block two - multiple zones
Services included	Service code	Minimum visits	Fees
Treatment: four weeks	MPOCMB2	4	$525.00

Musculoskeletal program of care supplementary block - single zone
Services included	Service code	Minimum visits	Fees
Treatment: four weeks	MPOCSSB	3	$245.00

Musculoskeletal program of care supplementary block - multiple zones

New musculoskeletal program of care supplementary block
Services included	Service code	Minimum visits	Fees
Treatment: four weeks	MPOCMSB	3	$370.00

Reporting
Services included	Service code	Fees
Initial assessment	MPOCIAF	$50.00
Mid-point	MPOCMPF	$30.00
Care and outcomes summary	MPOCCOS	$50.00
Supplementary	MPOCSBF	$50.00

Requirements

The health care provider must:

Complete and submit all musculoskeletal program of care reports online.
Sign up for an online services login or sign into their online services account to submit musculoskeletal program of care reports.
Complete the initial assessment report and submit it within two business days of the assessment. If the WSIB has not received the initial assessment report within 14 business days of the assessment, the report fee will not be paid.
Complete the mid-point report at the end of block one and submit it within two business days of the last treatment session in block one. If the WSIB has not received the mid-point report within 14 business days of the last block one treatment session, the report fee will not be paid. Payment of block one will be withheld until the WSIB has received both the initial assessment and mid-point reports.
Complete the care and outcomes summary report at end of block two, or whenever discharge occurs, and submit it within two business days of the last treatment session in block two. If the WSIB has not received the care and outcomes summary report within 14 business days of the last block two treatment session, the report fee will not be paid. Payment of block two will be withheld until the WSIB has received the report.
Complete the supplementary report at the end of the supplementary block and submit it within two business days of the last treatment session. If the WSIB has not received the supplementary report within 14 business days of the last treatment session, the report fee will not be paid. Payment of the supplementary block will be withheld until the WSIB has received the report.
Deliver the minimum number of visits in each block to receive the full block fee; otherwise, the block fee will be reduced by 50 per cent.
Bill for treatment blocks that include multiple zones with WSIB approval.

Billing instructions

Electronic billing is required for all treatment blocks and reporting.
When billing for block one, block two and supplementary block treatment (if applicable), please enter the service code with the number of visits (units) in the appropriate field and the corresponding fee. When billing treatment services, always enter the service date as the date of the first treatment visit in the block. If HST is applicable, record it on the same bill but on a separate line using the service code “ON-HST”.
Payment for treatment will be withheld until the WSIB has received the corresponding reports.
Please submit completed reports using WSIB online services.
For more information on electronic billing, please contact the TELUS Health Support Centre at 1-866-240-7492 or visit TELUS Health.