Per Rule of Application 56, Manitoba Health and Doctors Manitoba regularly agree to establish new services as provisional tariffs. A provisional tariff is denoted in the Physician’s Manual by a tilde (~) preceding the tariff number.
Submit all claims for provisional tariffs in accordance with Rule of Application 56 which states:
A provisional tariff means that the particular service is under evaluation for a period of time not to exceed eighteen (18) months from its effective date. Payment for claims shall be made in accordance with the same Rules of Application that apply to permanent tariffs. In addition to the normal requirements for submitting a claim as set out in Claims Submission and Payment Procedure-Part III Instructions for Completion of Claim Forms, for surgical procedures an operative report and for non-surgical services a descriptive report, including the length of time for the procedure or service, must be submitted with any claim for a provisional tariff.
The reports may be reviewed by Manitoba Health and Doctors Manitoba as part of the evaluation of the provisional tariff. At the end of the evaluation period the tariff shall either become a permanent tariff or amended/deleted upon the agreement of Manitoba Health and Doctors Manitoba.
- Suppose you intend on providing a service claimable under a provisional tariff number. In that case, you or your billing staff should contact the Manitoba Health Claims Unit (204−786−7269) directly to confirm an efficient reporting mechanism that will satisfy Manitoba Health’s information requirements.
- All other Rules of Application apply to provisional tariffs in the same manner as they would apply if the tariff were permanent (e.g., multiple surgical services rules, eligibility for After Hours Premiums etc.).
- Payment of claims for provisional tariffs follows the Rules of Application at the Physician’s Manual rate. There will be no retroactive adjustments (up or down) for services rendered during the evaluation period.