Treatment Plan
Learn what Treatment Plans are and how to use them.
Treatment Plans are a means of documenting our customers' recovery progress to date and the functional outcomes that they will achieve with further treatment. This information enables ICBC claim representatives to make timely and informed benefit decisions.
To prevent gaps in treatment, practitioners should proactively submit Treatment Plans if they identify that the customer will require additional care beyond the end date of the current treatment period or exceeding the number of pre-approved sessions. For example, a practitioner should submit a Treatment Plan 2 weeks prior to the end of the 12-week early access treatment period if additional treatment sessions are recommended to support a return to pre-accident function.
Submit
Treatment Plans using the Health Care Provider Portal (HCPP) or the Health Care Provider Invoicing and Reporting (HCPIR) application, as outlined on the
Invoicing and reporting page. They provide a streamlined and efficient way to receive timely responses.
Once the practitioner has submitted a Treatment Plan, ICBC will respond with the funding decision upon consideration of the available information. If the
Treatment Plan is partially approved or denied, reasons for the decision will be included in the response.
Treatment Plan requirements
Treatment Plans must outline
- The functional progress made to date and the functional or return-to-work goals that will be achieved through additional treatments.
- The active interventions that are planned to achieve the listed recovery goals.
- Other factors that may be contributing to our customers' recovery.
ICBC claims representatives may contact health care providers when further information about the treatment recommendations and function-based outcomes outlined in a
Treatment Plan is required. Although
Treatment Plan are non-compensable, an ICBC claim representative may authorize funding for a telephone consultation, a care plan meeting or a Progress report when appropriate.
Treatment Plan submission
Treatment Plans are submitted through the Health Care Provider Portal (HCPP) or the Health Care Provider Invoicing and Reporting (HCPIR) application. Treatment Plans submitted manually through email will result in a significant processing delay of up to 20 business days. This mode of delivery for Treatment Plans should not be used unless necessary, for example, if HCPIR or HCPP experiences a service outage, or you do not have a vendor number.
If you are submitting a Treatment Plan outside of the HCPP or HCPIR application, please complete a fillable form (listed on the right sidebar) and submit it to the applicable email:
Plans for massage therapy and acupuncture can be submitted directly to the ICBC claims contact.
