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Provider Updates What Providers Need to Know

Health Care Providers

November 15, 2022

Changes to Schedule Loss of Use (SLU) / EC-81.7 Process

The Board recently implemented a new process for Schedule Loss of Use awards as well as changes to the related EC-81.7 form.

These changes are detailed in a Board announcement dated November 8, 2022, along with an important update to the process timeframe requirements.

Adoption of Amendments to 12 NYCRR 324.3(a)(1) (Special Services)

The Chair has adopted amendments to 12 NYCRR 324.3(a)(1) to ensure that sacroiliac joint (SIJ) fusion and peripheral nerve stimulation (PNS) are not performed unnecessarily, and that if these procedures are medically necessary, that a Special Services Prior Authorization Request (PAR) for them has been submitted, and an authorization obtained.

Read more in Subject Number 046-1551.

Revision to Subject No. 046-237R Video Recorded Evidence

The Board will no longer be accepting video evidence via DVD-R and will be transitioning to receive video evidence via USB flash drive. DVD-Rs will be accepted for 60 days following this announcement. If a video is received via DVD-R after the end of the 60-day period, the submitter will be informed, and they will need to re-submit the evidence via USB flash drive.

Read more in Subject Number 046-237-R2.

Proposed Amendments to 12 NYCRR 355.4, 363.1, 363.11, 363.13, and Addition of 12 NYCRR 363.15 and 363.16 (Disability Regs Update)

The Chair proposed amendments to sections 355.4, 363.1, 363.11, 363.13, and the addition of sections 363.15 and 363.16 of Title 12 NYCRR to update and clarify the disability benefits regulations and disability benefits claims process, conform the regulations to the statute, and align several sections with Paid Family Leave.

Read more in Subject Number 046-1556.

Emergency Adoption of Amendments to 12 NYCRR 325-1.8, 329-1.3, 329-4.2, 333.2, and 348.2 (Telemedicine)

The Chair has adopted, on an emergency basis, amendments to 12 NYCRR 325-1.8, 329-1.3, 329-4.2, 333.2, and 348.2 to allow telemedicine in some circumstances. These amendments supersede the previous emergency telemedicine adoption to keep telemedicine in effect during the regulatory process for the permanent telehealth proposal.

Read more in Subject Number 046-1557.

Reminders

Use of the CMS-1500 form is now mandatory. Visit CMS-1500 initiative for more details and send your questions to CMS-1500@wcb.ny.gov.

OnBoard is now live. Visit the Board's website for training guides, webinar recordings, and other resources.

Training is available on the new and updated MTGs.

The Board has been hosting a series of webinars to aid workers with long-haul COVID-19 workers' compensation claims. Additional webinar dates are now available.

The latest versions of several Paid Family Leave presentations are now available, including family care, foster care/adoption, military leave, and bonding. Visit the Paid Family Leave website for more information.

The Board has been hosting a webinar series for health care providers who want to learn more about becoming Board-authorized to treat injured workers in the NYS workers' compensation system. If you missed our October session, you can view the slides and recording on our website.

If you are interested in applying for Board authorization, the process is easy and is done online. Read more about becoming authorized here on the Board's website.

Stay Informed!

Check out the Board's Health Care Providers Recorded Webinars web page for past webinars.

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Archived Updates