Health Care Facility | Insurers | Related Initiatives  


Regulatory Resources

HCAI Guideline
This FSCO guideline describes:

  • Which Insurers, Facilities, and health care professionals are subject to the Guideline and in what circumstances
  • What documents are to be delivered to HCAI, by what method, and in which circumstances
  • How Insurers are to provide information to the Central Processing Agency (CPA)
  • Billing procedures

Statutory Accident Benefits Schedule (SABS)
This Ontario regulation outlines the rules, regulations and procedures related to accident benefits.

Cost of Goods Guideline
This FSCO Guideline establishes the maximum expenses payable by auto Insurers for goods delivered under sections 15 and 16 of the SABS.

Professional Services Guideline
This FSCO Guideline establishes the maximum expenses payable by automobile Insurers for certain health care professions or providers.

Minor Injury Guideline
This FSCO Guideline sets out the goods and services that will be paid for by the Insurer without Insurer approval if provided to an insured person who has sustained a minor injury.

Attendant Care Hourly Rate Guideline
This FSCO Guideline, useful for filling out the Form 1, establishes the maximum expense that automobile Insurers are liable to pay under the SABS related to attendant care services. This Guideline applies to accidents that occur on or after April 14, 2018. View FSCO’s list of Superintendent Guidelines for hourly rates for accidents occurring before April 14, 2018.

FSCO Public Registry of Licensed Service Providers
Access FSCO’s public registry of licensed and formerly licensed service providers.

FSCO Service Provider Licencing FAQ
Learn more about FSCO’s Service Provider Licencing, including how to apply for a Licence.

FSCO Bulletins
Browse FSCO’s bulletins about the regulations that affect HCAI.

Insurance Act
Outlines the regulations administered by the Financial Services Commission of Ontario (FSCO)

LAT Decisions
The Licence Appeal Tribunal (LAT) is an adjudicative tribunal that is part of Safety, Licensing Appeals and Standards Tribunal (SLASTO). This link provides details on recent appeal decisions.

FSCO Decisions
FSCO maintains a database of arbitration and appeal decisions issued by the Financial Services Commission of Ontario and the former Ontario Insurance Commission. Starting April 1, 2016, responsibility for handling accident benefits disputes was transferred from FSCO to the LAT.

Professional Associations and Colleges

HCAI support staff do not have medical training and are unable to offer guidance on any topic other than the use of the HCAI application. If the web-based materials do not answer your questions, please contact your professional association or regulatory college for more information on the following topics:

  • How to start, operate or manage your health business in the auto insurance sector
  • Injury coding
  • Intervention coding
  • How to complete OCF forms

Information about Clinical Practice Guidelines

Accessibility Standards Policy

Click here to download the PDF.