Information for Health Providers

​​​​​​​​​​Become a Provider for Health Benefits Clients

The following providers can register with Pacific Blue Cross to provide services for our clients:

 Dental

 Pharmacy

 Vision

 Hearing

 Medical Supplies and Equipment

The provider reference guides and FNHA fee supplements on the Pacific Blue Cross site contain information about registering as a provider, claiming procedures, and eligible benefits for clients of the FNHA. ​

Registering as a Mental Health Provider

Mental health providers who would like to deliver services to FNHA clients, should review the Guide to Mental Health Counselling Services, as well as the Mental Health webpage. This guide outlines the terms and conditions, criteria, guidelines, and policies under which the First Nations Health Benefits Mental Health Program operates. 

To be eligible to provide services to FNHA clients, providers must be currently registered with one of the following professional bodies:

 The BC Association of Clinical Counsellors

 The BC College of Social Workers

 The Canadian Counselling and Psychotherapy Association

 The College of Psychologists of BC


To register, eligible providers will need to complete and submit the Mental Health Provider Agreement Form, and include all of the following in their registration package:


 A description of any previous training and/or experience working with First Nations clients; or a certificate of completion for San'yas Indigenous Cultural Safety Training (Core Health or Mental Health);

 Verification of current liability insurance (minimum $2,000,000 coverage); and

• For registers social workers, a copy of a Master's degree in a counselling related discipline.


The registration package should be submitted to mhproviderreg@fnha.ca. Updates to approved providers' information can also be sent to this email.

Please note that approved providers must complete the San'yas Indigenous Cultural Safety Training (Core Health or Core Mental Health) run by the Provincial Health Services Authority within a year of FNHA's confirmation of registration. If you require assistance with the ICS program, please contact ics@phsa.ca.​

Prior Approval for New Mental Health Clients

Before the initial two hour mental health assessment, providers must submit a Mental Health Counselling Prior Approval Form to FNHA to determine if a client is eligible for funding. If the client is eligible, FNHA will reply with an approval letter. Providers must have approval in writing to be assured of funding. If the client is not eligible, FNHA will contact the provider.

If the client is verified and approved, our Health Benefits team will fax (or mail for those without fax) a letter authorizing hours of treatment. If you require assistance with forms or any client related matters such as approvals or invoices, please call Health Benefits Provider Relations at 1-877-477-0775.

A new prior approval form must be submitted and approved before a client can start any additional sessions beyond the approved initial assessment. The second prior approval should be submitted with a completed FNHA Mental Health Counselling Invoice Form, which is initialed by the client under each appointment listed on the Invoice.

For assistance with prior approvals and invoices email hbmentalhealth@fnha.ca, call 1-877-477-0775, or use the FNHA confidential fax at 1-604-658-2833.

Recent Announcements for Mental Health Providers:

June 14, 2019: Improvements to​ the Mental Health Counselling Benefit

For information about the transition of some benefits to Pacific Blue cross, see the PBC transition page.

Provider Forms and Resources

Forms should be submitted according to the information or instructions listed on the form. If a form does not provide submission instructions, it can be mailed or faxed to First Nations Health Benefits.​

PBC Forms

Providers should use the PBC Provider Claim Form to submit claims involving vision care or MS&E items and services. Dental providers should use the Dental Claim Form​​. Providers submitting a Predetermination request for wound care should use the Wound Care Assess​ment Form​.

Forms for Mental Health Providers

Mental Health Provider Agreement Form

Mental Health Counselling Prior Approval Form

Mental Health Counselling Invoice Form

Guide to Mental Health Counselling Services

Appointment Confirmation and Private Vehicle Reimbursement Form​ (For IRS RHSP and MMIWG HSS programs only; for MWCP travel please see the Medical Transportation​ page.

Direct Deposit Form (Optional. Submit form with void cheque. If not submitted, providers will receive payments from FNHA by cheque instead)​

Forms for Pharmacy Providers

These are a list of resources for pharmacy providers: Pharmacy Benefit Quick Links

The Transitional Coverage Request Form permits a one-time fill per drug per patient, if appropriate. Pharmacists will be reimbursed $10 in addition to the usual drug cost plus dispensing.​​

To enroll Health Benefits clients with Plan W, or to update client information, use the MSP Registration Form and the MSP Change Request Form.​

Transition Resources

Dental Providers Webinar

 

Dental Provider Webinar Slides (1.70 MB)​

Pharmacy Providers Webinar

 

Pharmacy Provider Webinar Slides (PDF 2.39 MB)​

​Info Sheets

Vision Care Providers ​Benefits Plan Info Sheet​ (PDF 304 KB)

Home Medical Equipment Distributers - Medical Supplies & Equipment Info Sheet (PDF 277 KB)

Social Workers - Medical Supplies & Equipment Info Sheet (PDF 275 KB)

Respiratory Therapists - Medical Supplies & Equipment Info Sheet (PDF 260 KB)

Podiatrists and Pedorthists - Medical Supplies & Equipment Info Sheet (PDF 274 KB)

Occupational Therapists - Medical Supplies & Equipment Info Sheet (PDF 276 KB)

Nurses - Medical Supplies & Equipment Info Sheet (PDF 258 KB)​​

Hearing Aid Providers - Medical Supplies & Equipment Info Sheet (PDF 238 KB)​​

 Do you have questions?

Contact us at 

HealthBenefits@fnha.ca 

or call

1-855-550-5454 (Toll Free)​​

 Provider Relations

Providers who would like to contact First Nations Health Benefits with questions or comments about the program can contact Provider Relations at provider@fnha.ca.​

Providers who would like to contact a First Nations band that provides vision care and/or mental health coverage independently through a Funding Agreement with the FNHA, visit the link ​here.

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