Skip to Content

Workers’ Compensation Board

Search menu

Save the Date – COVID-19 and Workers’ Compensation Webinars

Language Access Policy  |  Disclaimer Regarding the Use of "Google Translate"

Subject Number 046-1494 OnBoard: Limited Release Implementation Update for Medical Suppliers

Board Bulletins and Subject Numbers

February 3, 2022

The Workers' Compensation Board is in the process of building a new online business information system, OnBoard, which will eventually replace the Board's legacy paper-based claims systems and the eCase system with a single, web-based platform. OnBoard will provide stakeholders with increased accuracy, paperless transactions and a user-friendly interface for interacting with the Board.

OnBoard: Limited Release, the first phase of OnBoard, will be implemented March 7, 2022. Medical suppliers should be aware of some key dates and updates ahead of the phased launch of OnBoard: Limited Release.

Overview

OnBoard: Limited Release (OBLR), which will roll out in three phases, is designed to move several key processes for health care providers and insurers from paper to online. This includes the prior authorization request (PAR) process for medication, durable medical equipment, and medical treatment or testing. It also includes the submission of Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0) within OBLR.

The three phases are explained in detail below, but here is a quick look at the implementation schedule:

Phase Process Implementation Date
One Medication PAR & Form HP-1.0 March 7, 2022
Two Durable Medical Equipment PAR April 4, 2022
Three Treatment/Testing PARs May 2, 2022

Phase One (3/7/22): Medication PAR & Form HP-1.0

Medication PARs will be used for medication requests (replacing the current New York Workers' Compensation Drug Formulary [Drug Formulary] prior authorization request process).

Form HP-1.0

As of March 7, 2022, health care providers and medical suppliers will request Board action on unpaid medical bills by submitting Form HP-1.0 online, ensuring accuracy and timely receipt. For now, health care providers and medical suppliers will continue to receive administrative and arbitration awards by mail, and the objection and judgement processes will remain paper based.

Phase Two (4/4/22): Durable Medical Equipment (DME) PAR (new)

DME Fee Schedule

The Board's new DME Fee Schedule, which lists the DME that may be supplied to an injured worker when medically necessary and in accordance with the applicable New York Medical Treatment Guidelines (MTGs), becomes effective on April 4, 2022, to coincide with the rollout of the new DME PAR in OnBoard: Limited Release. The Chair adopted a new DME Fee Schedule and PAR processes that were published in the State Register on March 3, 2021. The DME Fee Schedule was later updated on December 22, 2021, and another proposed update was published January 19, 2022. Information regarding all of these adoptions and proposals is available on the Regulations page of the Board's website.

Some items on the DME Fee Schedule require prior authorization and are marked as "PAR"; the treating provider will need to request prior authorization for these items. Any item not on the DME Fee Schedule also requires prior authorization by the provider. DME suppliers are not able to request prior authorization. Detailed information is available in the DME supplier fact sheet at wcb.ny.gov/onboard.

For more information about the DME Fee Schedule and updates, go to the Durable Medical Equipment Fee Schedule page of the Board's website.

Phase Three (5/2/22): Treatment/Testing

The PAR types for treatment/testing will be implemented in Phase Three. OBLR will use the information that health care providers enter to determine which type of PAR needs to be submitted.

MTGs

In recent months, the Board has adopted more than a dozen new or updated MTGs. These will all become effective on May 2, 2022, when the remaining PAR types roll out within OnBoard: Limited Release.

The Board has training available on the new and updated MTGs. Each training provides an overview of the General Guideline Principles, diagnoses associated with the body part or condition, as well as diagnostic and treatment recommendations.

To register for the training courses and receive CME credits, go to MTG Training for CME Credit.

For the non-CME training, go to Training for Non-medical and Administrative Staff.

Information for Medical Suppliers

Current Forms

The Form HP-1 will become obsolete with the implementation of OBLR and will not be accepted after the launch date of the corresponding functionality in the system, which is March 7, 2022.

How to Prepare

Medical suppliers can take steps now to prepare for OnBoard: Limited Release, including:

Medical Supplier Registration

Medical suppliers will need access to the Board’s Medical Portal to submit Form HP-1.0 through OnBoard: Limited Release. Suppliers who currently have access to the Medical Portal will automatically be granted access to OnBoard: Limited Release using the same login credentials. This will enable suppliers to add delegated users to assist with the drafting and submission of Form HP-1.0 submissions.

Note: Health care providers whose specialty is not listed in the Who Can Do What in the Medical Portal table and who need access to OnBoard: Limited Release to submit Form HP-1.0 will need to request access to the Medical Portal as a medical supplier. Detailed information about assigning delegated users and requesting access as a medical supplier is available on the Medical Portal information page (wcb.ny.gov/medicalportal/). Select the Access and Administration links under Health Care Providers and Medical Suppliers.

Resources

The Board has a number of resources available to keep medical suppliers informed about OnBoard: Limited Release and answer questions:

Clarissa M. Rodriguez
Chair