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Workers’ Compensation Board

New York State
Workers' Compensation Board
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo

Subject No. 046-621

Clarification on the Treatment Categories and Requirements
for Obtaining PT, OT, and Chiropractic Care

Date: September 3, 2013

In order for injured workers to expeditiously obtain appropriate care under the medical treatment guidelines (MTGs) program, all stakeholders including medical providers, attorneys, and claimants should understand the requirements of the MTG treatment categories as they relate to physical medicine and chiropractic modalities.

Physical medicine modalities, including physical and occupational therapy and chiropractic treatments, are therapeutic options that are available for the care of injured workers when provided in a manner consistent with MTG recommendations. The guidelines and regulations provide for four (4) basic MTG treatment categories: care of the initial injury; treatment requiring a variance; exacerbations; and ongoing maintenance care. Physical medicine modalities are available within each treatment category.

The Medical Director's Office has developed an aid, "Medical Treatment Guidelines Category of Treatment Quick Reference," to clarify the differences between MTG treatment categories. This clinical aid summarizes the prerequisites for obtaining physical medicine modalities, treatment requirements, forms to be used, and limitations on the frequency and duration of care within the categories.

We invite you to direct questions about this clinical aid or about the MTGs to the Medical Director’s Office by e-mail at


Robert E. Beloten