A worker may be entitled to a home care program if the worker's treating health professional specifies at least one professional health service is needed.
The eligibility criteria are as follows
- the worker is under the clinical supervision of a treating health professional
- the worker's work-related clinical condition is such that the worker can be treated adequately at home with the services available through the home care program
- the worker's needs cannot be met on an out-patient basis
- the worker is in need of at least one of the professional services, such as nursing, physiotherapy, occupational therapy, or speech therapy
- the home is suitable from a health care standpoint to enable the required care to be given
- the worker's family, where applicable, is willing and able to participate in the program where and when required
- the worker resides in the area designated as being covered by the home care program
- when there is doubt pertaining to eligibility criteria, the case should be referred to the WSIB's medical consultant.
Home making services do not qualify in the category of a professional service but may be included as one component of the program.
Home care program services are paid at the per diem rate approved by the WSIB.
This policy applies to all decisions made on or after December 31, 1985, for all accidents.
This document replaces 06-05-03 dated July 1989.
Workplace Safety and Insurance Act, 1997, as amended
Sections 32, 33
Workers' Compensation Act, R.S.O. 1990, as amended
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