Payment Schedule Modernization (PSM)

Section Updates for April 1st Implementation

The Payment Schedule Review Committee and the Minister of Health approved physician fee code changes for April 1st in the Payment Schedule For Insured Services Provided by a Physician.

Family Practice: Special Care Home Management 627A/628A (former 626A)

Physician Documents:

Facilities Documents:

Resident and Families Document:




Payment Schedule Modernization (PSM) Overview

What is PSM? Medicine has changed significantly, and fee-code descriptions have not kept pace with the evolution of modern practice. The SMA and the MoH have embarked on the process to modernize Saskatchewan’s payment schedule for insured services, to bring it in line with current medical practices. This is the first-ever comprehensive review of the Payment Schedule.

PSM is cost neutral, and provides opportunities to: Ensure fee-code descriptors align with current standards of medical practice, clarify descriptors to reduce variation in billing practices, and ensure fees accurately reflect the service provided.

How are we approaching the work? PSM is a collaborative complex, multi-year, shared initiative involving multiple Stakeholders: Physicians, SMA, and the Ministry of Health – (MSB) Medical Services Branch.

Physicians lead the process for building consensus and developing recommendations within the Section, with support from SMA staff. Collaborative work also occurs between the Section and the Ministry. The project is guided by overarching principles: Patient-Centered Care, Appropriateness, and Fairness.

The process has a structured and planned approach, working through the PSM decision-making process, and using timelines that align with existing (PSRC) Payment Schedule Review Committee meetings (January & June).

Prioritization Criteria for PSM includes:

  • Frequently reviewed codes at the Joint Medical Professional Review Committee (JMPRC)
  • Frequently reviewed/rejected codes by the Medical Services Branch
  • Relativity/Disparity (Within and between Sections)
  • Misalignment with PSM Principles:
    • Patient-centered Care
    • Appropriateness: 1) Medically Required and 2) Value for Money
    • Fairness
  • Unintended Consequences from previously modernized codes

A committee of the minister (PSRC) reviews all proposed recommendations, and the Minister of Health has final approval on all modernization changes.

A Section recommendation is ready for PSRC when:

  1. Codes are modernized in alignment with PSM principles;

  2. Savings and reinvestment are identified (cost neutral);

  3. Section members are informed with opportunities for feedback; and

  4. Section Executive builds consensus on recommendation and receives MSB agreement, to forward the recommendation to PSRC.

Key Resources


For more information, email: or phone, (306) 657-4556.