The following providers can register with Pacific Blue Cross to provide services for our clients:
• Dental• Pharmacy• Vision• Hearing• Medical Supplies and Equipment
• 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.
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
• 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.
• 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 email@example.com. 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 firstname.lastname@example.org.
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 email@example.com, call 1-877-477-0775, or use the FNHA confidential fax at 1-604-658-2833.
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.
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.
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 Assessment Form.
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)
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.
If a Health Benefits client experiences a gap in MS&E coverage due to the Pacific Blue Cross transition, the Transitional Coverage Request Form allows for the payment of a claim and extra time to resolve a coverage issue. This form only extends transitional coverage to MS&E items that are urgent and eligible for coverage. Please contact Health Benefits for further clarification of when it is appropriate to use the Transition Coverage Request Form.
Dental Providers Webinar
Dental Provider Webinar Slides (1.70 MB)
Pharmacy Providers Webinar
Pharmacy Provider Webinar Slides (PDF 2.39 MB)
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)
1-855-550-5454 (Toll Free)
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.