- Primary contact with the Workers' Compensation Board regarding Medical Treatment Guidelines Insurer Contact information. Designated contacts must be kept up to date.
- Designate Contact(s) for Variance Request, Optional Prior Approval and Pre-Authorization Requests – Provide name and contact information including direct telephone number, fax number, and email address. If the designated contact changes at any time for any reason, the Board shall be notified within 10 business days of the change.
- Designate additional administrators – An insurer may designate more than one administrator, including an administrator from its TPA.
The administrator is responsible for notifying the Board that the insurance carrier has incorporated the Medical Treatment Guidelines into its policies, procedures and practices so that its utilization review and management criteria are consistent with the Medical Treatment Guidelines.
To notify the Board of insurance carrier certification, the administrator should login and select the button for Insurer Options and Certifications. On the next page, select the button for Certification..
- Notify the Board if the insurance carrier is opting out of the Optional Prior Approval process An insurance carrier that has participated in the Optional Prior Approval process may opt out by notifying the Board. The effective date will be 60 days from notification. An insurer may also opt in to the process by providing notice 60 days prior to beginning participation.
Insurers are required to designate an administrator on the Medical Treatment Guidelines Insurer Registration. A user ID and password will be provided so the Administrator can login to perform administrator responsibilities on the Board's website. The user ID will be emailed and the password sent via the US Postal Service to the address provided on the registration.
NYS Workers' Compensation Board
Attn: WCB Medical Director's Office
Menands, NY 12204