Document name
Secondary and Tertiary Treatment
Document number
PRO 13/2023

Effective date: November 1, 2023

Application: All secondary and tertiary treatment program health care providers.

Policy subject: Health care services – providers


To provide administrative guidelines for approving and evaluating secondary and tertiary treatment.


Policy section content
Section detail
  1. Upon Workers’ Compensation Board (WCB) approval, a worker entitled to benefits under The Worker’s Compensation Act, 2013 (the “Act”) is also entitled to (Section 103):
    1. Any medical aid that may be necessary as a result of the injury.
    2. Any other treatment by a health care professional.
    3. Any prosthetic or apparatus that may be necessary as a result of the injury, and
    4. Any transportation or sustenance occasioned by the medical aid.
  2. The WCB is authorized to determine health care services fees (Section 104).
  3. The WCB strives to ensure the injured worker’s best recovery from a work injury. This includes a safe and suitable return to work as soon as medically possible. This goal can be achieved by ensuring:
    1. Active treatment at the primary level, and
    2. Timely access to secondary and tertiary services where required.
  4. The WCB has established the Health Care Advisory Committee (HCAC) to evaluate the medical care provided to injured workers. This includes recommendations regarding secondary and tertiary treatment.


Policy section content
Section detail
  1. All secondary and tertiary treatment centres who are accredited by the WCB to provide services to injured workers can access the following at
    1. The Secondary and Tertiary Treatment Centre Manual.
    2. Accreditation standards.
    3. Fees.
    4. Reporting forms.

The Coalition of Physical Rehabilitation Centres of Saskatchewan (CPRCS) and the WCB will negotiate changes to these documents as needed.


  1. An assessment team review may be requested by a health care provider or the Operations staff where:
    1. The worker is not working and has no confirmed return-to-work (RTW) date and:
      1. The expected recovery date has been exceeded; or
      2. A passive treatment plan is in place where active treatment is appropriate; or
      3. A definitive diagnosis has not been achieved and is hindering recovery and RTW planning; or
      4. Significant risk factors for chronic disability have been identified (as per Appendix II of the Secondary and Tertiary Treatment Centre Manual).
    2. The worker continues in employment but has not returned to full duties and/or full hours after the work injury.
  2. Assessment teams:
    1. Recommend specialist or diagnostic services.
    2. Identify the appropriate level of treatment for the worker (i.e., primary, secondary or tertiary).
    3. Provide a timeline for RTW planning and indicate if there is anything that would preclude the worker from a return to their pre-injury employment.
  3. The secondary or tertiary treatment of a WCB customer will require:
    1. Prior approval by the Primary Care Provider (PCP).
    2. Recommendation by an assessment team, and
    3. Intake arranged by a WCB Health Care Services (HCS) Coordinator, or
    4. Direct referral from the PCP who received the assessment team recommendations.
  4. Where the PCP does not choose a treatment centre, the WCB will try to retain a customer in the same clinic that provided primary care. The WCB will make efforts to:
    1. Maintain a one week intake standard, and
    2. Ensure fair distribution of these customers to secondary and tertiary treatment centers.
  5. The HCS Facilitator acts as a liaison between the treatment center and other WCB staff to:
    1. Ensure adequate supports are in place to achieve a successful recovery and return-to-work (RTW).
    2. Assist the treatment team with health-related issues.
    3. Inform WCB’s operations staff team of the customer’s progress and the direction health and disability management is taking.
    4. Advise the WCB customer care facilitator team of any interventions required and to advise the treatment team of any actions the WCB will take to resolve any non-health related issues.
  6. The HCS Facilitator, with the assistance of the Operations staff, will intervene if a RTW plan cannot be established and to determine if vocational services are required.
  7. The HCS Facilitator will monitor and intervene where barriers are identified in the customer successfully completing a return-to-work plan. This may include arranging expedited diagnostics or referring the file to a WCB orthopedic consultant.
  8. The HCS Facilitator must notify Operations staff and HCS Manager where a customer sustains an injury during rehabilitation.
  9. The HCS Facilitator will communicate monthly with the treatment centre. Additional communication may occur if the HCS Facilitator requires more information on the customer’s progress.
  10. The WCB will determine a Composite Index Score and an employer-attached RTW Score for each treatment program. The WCB will use this data to evaluate the performance of the treatment centre
  11. Workers can report complaints of any nature to HCS. Complaints regarding professional incompetence or misconduct by a care provider will be directed by the Manager of HCS to the care providers’ regulatory body or association. HCS will note all complaints and resolutions internally on the care provider’s accreditation file.

Policy references

Policy reference content

Section heading

Legislative Authority

Section detail

The Workers’ Compensation Act, 2013
Sections 55, 103, 104, 111, 115

Section heading

Document History

Section detail
  1. PRO 51/2016, Secondary Tertiary Treatment (effective May 1, 2016 to October 31, 2023).
  2. Fee schedule updated May 1, 2020. Procedure reviewed; no changes required at that time.
  3. PRO 57/2013, Medical Fees – Secondary and Tertiary Treatment Centres (effective January 1, 2014 to April 30, 2016).
  4. PRO 54/2011, Medical Fees – Secondary and Tertiary Treatment Centres (effective May 1, 2009 to December 31, 2013). Fee codes 2517 and 3517 added effective September 1, 2011, in response to WCB Request for Permanent Functional Impairment (PFI) Rating Information.
  5. PRO 55/2007, Medical Fees – Secondary and Tertiary Treatment Centres (effective May 1, 2006 to April 30, 2009).
  6. PRO 52/2004, Fee Increase for Secondary and Tertiary Treatment Centres (effective April 1, 2004 to April 30, 2006).
  7. PRO 56/1999, Fees – Early Intervention Program (EIP) Secondary and Tertiary Assessment Teams and Treatment Centres (effective July 1, 1999 to March 31, 2004).

Section heading


Call to action
Two people signing documents
Two people signing documents

Looking for the full policy manual?

Click here to download the WCB’s current Policy and Procedure Manual.

Call to action button
Download full manual