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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

 

NYS Workers' Compensation Board
Riverview Center
150 Broadway
Attn: WCB Medical Director's Office
Suite 195
Menands, NY 12204
(800) 781-2362
WCBMedicalDirectorsOffice@wcb.ny.gov

Overview

In December 2010, the New York State Workers' Compensation Board implemented legislatively mandated Medical Treatment Guidelines (MTG) that fundamentally changed the delivery of health care to injured workers. The MTG initially included four evidence-based guidelines for the treatment of injuries involving the neck, back, shoulder and knee. These became the mandatory standard of care for dates of service on or after December 1, 2010. On March 1, 2013, the Carpal Tunnel Syndrome MTG and updated versions of the then existing MTG, including a new maintenance care program, were adopted. The Non-Acute Pain MTG, as well as updated versions of the existing MTG, were implemented for dates of treatment on or after December 15, 2014.

On May 20, 2020, Guidelines for Hip/Groin Injuries, Foot/Ankle Injuries, Elbow Injuries and Occupational Interstitial Lung Disease were adopted and become effective for dates of treatment on or after January 1, 2021.

Please contact the Medical Director's Office at 1-800-781-2362 or WCBMedicalDirectorsOffice@wcb.ny.gov with any questions regarding this program.


What's New to Medical Treatment Guidelines Program

October 16, 2020: New Medical Treatment Guideline Lookup Tool & Training

  • The NYS Workers' Compensation Board's Medical Treatment Guideline Lookup Tool (MTG Lookup) allows users to search any of the Board's adopted Medical Treatment Guidelines (MTGs) by diagnosis (condition) and treatment or test. While the full MTGs that are posted on the Board's website and available via the Medical Portal should be referenced for detailed MTG information, the Lookup Tool will assist providers in quickly determining if the condition/treatment combination is "Recommended," "Not Recommended" or "Conditional." This will help provide quicker, better care for injured workers.

    The MTG Lookup Tool also has a feature that produces a verification (in PDF format) that a lookup was completed, provides the specific MTG recommendation and includes patient-specific case information. While utilizing the MTG Lookup Tool and generating the PDF are not a guarantee of payment, it does provide for fast, efficient search of the MTG recommendations. The PDF can be kept in the medical record and may also be sent to the insurer as an attachment to the bill, or request for prior authorization, as verification of the MTG recommendation.

    Learn more: Access the MTG Lookup Tool recorded presentation (8 minutes)

October 16, 2020

September 21, 2020