Fee schedule: Speech-language pathology

Note: Payment for reports is included in the fee for speech-language pathology services. Therefore, a separate report fee should not be submitted to the WSIB. Additionally, visit and payment is not time based. However, a visit is generally one hour in duration.

Additional notes:

Functional Abilities Form for Planning Early and Safe Return to Work (FAF)

• Request for the completion of the form must be initiated by either the worker or employer. Do not include clinical/diagnostic information on the form.

Telephone consultation with treating health professional

• Call must be initiated by the WSIB to treating health professional.
• Paid at a flat rate fee regardless of the duration of discussion.

Overview of speech-language pathology services

Payment for speech-language pathology services will be considered when it is recommended by the worker’s primary health professional.

Treatment guidelines

Speech-language pathology services must be provided by a Speech-Language Pathologist who is registered with the College of Audiologists and Speech-Language Pathologists of Ontario.

Entitlement to speech-language pathology services is handled on a claim-by-claim basis and the length of treatment must be pre-authorized by the WSIB.

To assist the WSIB in determining the allowable length of treatment, the Speech-Language Pathologist should submit a written treatment plan/report that outlines the expected duration and outcomes. Ensure that the worker’s name and claim number are clearly written on the report.

Requests for extension of treatment should be submitted in writing before the end of the initial treatment period to ensure there is no interruption in treatment. The treatment plan/report should provide details on expected duration, outcomes and progress to date.

Note: If there is evidence that the worker is not improving, the WSIB may not pay for continuing treatment.

You may not bill more than one treatment visit per patient per day. Exception for a second same-day treatment will be considered on an individual claim basis.