Pursuant to section 202-d of the State Administrative Procedures Act, notice is hereby provided of the following rules which the Workers' Compensation Board (Board) is considering proposing but for which a rule making proceeding has not been commenced. All references are to Title 12 of the New York Code of Rules and Regulations unless otherwise noted. The Board’s regulatory plans are subject to change, and the Board reserves the right to add, delete, or modify any item herein. The Board is not required to propose for adoption any rule summarized in this regulatory agenda. In addition, the Board may propose a rule for adoption that was not under consideration at the time that this regulatory agenda was submitted for publication.
This notice is also intended to provide small businesses, local governments, and public and private interests in rural areas with the opportunity to participate in the rule-making process, as provided for in sections 202-b and 202-bb of the State Administrative Procedures Act. All rules described below may require a Regulatory Flexibility Analysis for Small Businesses and Local Governments and a Rural Area Flexibility Analysis pursuant to sections 202-b and 202-bb of the State Administrative Procedures Act, respectively.
The public is welcome to send written comments on the Board's Regulatory Agenda to the contact person at the end of this list.
The Chair and/or the Board is considering proposing the rules described below:
- Amend section 325-1.3 to implement the transition to CMS-1500 as the Chair prescribed format for medical reporting and provide for electronic submission of medical reports and narrative attachments.
- Amend the Durable Equipment Fee Schedule (Part 442) to include a more robust list of durable medical equipment for which there is a fee identified, provide for prior authorization for specified or unlisted items and include billing disputes procedures.
- Continue to add Medical Treatment Guidelines, including treatment for hand, wrist and forearm, as well as occupational asthma.
- Amend sections 300.22 and 300.23 as needed to implement EDI version 3.1 for eClaims transactions.
- Amend Part 302 to update the licensing regulations for third-party administrators and qualifying officers.
The Board will continue to review its rules in an effort to provide for clearer and more accurate references to Board policies and procedures, while also eliminating typographical errors and obsolete forms/practices, etc.
To obtain information about or submit written comments concerning any item in this Regulatory Agenda, contact: Heather M. MacMaster, Deputy General Counsel, Workers' Compensation Board, 328 State Street, Schenectady, New York 12305-2318, telephone: (518) 486-9564, email: email@example.com.