The NYS Workers' Compensation Board Medical Portal is a web-based application that enables users to submit medical information and view Workers' Compensation Board information electronically. The Medical Portal is intended to create more efficient processes and enable greater levels of self-service and tracking, and ultimately improve the performance of the NYS workers' compensation system overall.
The Medical Portal is available to multiple Board stakeholders, including health care providers, payers (which include insurance carriers, third-party administrators and self-insured employers), pharmacy benefits managers (PBMs) and medical review organizations (MROs).
Functionality within the Medical Portal is specific to an individual user's role. For example, users may use the Medical Portal to:
- Apply to become Board-authorized medical providers;
- Renew Board authorization and/or update practice information;
- Get training on important topics relevant to the user's role;
- Request and review prior authorization for non-formulary drugs;
- Access the MTG Lookup Tool and the Drug Formulary Lookup Tool; and
- Use the Drug Formulary Case Lookup to obtain established/accepted sites of injury.
- Execute User Agreement to submit CMS-1500 medical bills through the XML submission process.
Over time, users will also be able to use the Medical Portal to:
- Submit and review responses to prior authorization requests (PARs) for treatment that falls outside of the Workers' Compensation Board's New York Medical Treatment Guidelines (MTGs); and
- Submit Request for Decision on Unpaid Medical Bills (Form HP-1.0).
Note: The Drug Formulary Prior Authorization application will be available in read-only mode when OnBoard: Limited Release launches to allow access to previously submitted requests.
Who Can Do What in the Medical Portal?
Web Applications available from Medical Portal
|Drug Formulary Prior Authorization Request||New Provider Authorization||Renew or Update Authorization||Web Submission of Medical Reports (C-4 Family of forms)||Drug Formulary Lookup Tool||Training||MTG Lookup Tool|
|Licensed Clinical Social Worker||x||x||x||x||x||x|
Coming Soon OnBoard: Limited Release
|Prior Authorization Requests (PARs)|
|Request for Decision on Unpaid Medical Bills (HP-1.0)||Medication||MTG Confirmation||MTG Variance||Non-MTG Under or = $1000||Non-MTG Over $1000||MTG Special Services||DME|
|Licensed Clinical Social Worker||x||x||x||x||x|
Accessing the Medical Portal
Health care providers who would like to request Board authorization or use the Medical Portal to access training, the MTG Lookup Tool, Drug Formulary Lookup Tool or OnBoard: Limited Release will need to request an NY.gov user ID and password.
This is separate and apart from an NY.gov ID that health care providers may have for another NYS agency (for example, Department of Motor Vehicles, Tax and Finance, etc.).
If you are a health care provider and your specialty is not one of those listed in the table "Who Can Do What in the Medical Portal", if you need access to OnBoard: Limited Release to submit Request for Decision on Unpaid Medical Bills (Form HP-1.0), you will need to request access as a Medical Supplier.
Watch a brief video on how to sign up for the Medical Portal.
Get Notified about Medical Portal News
Stay informed about news on the NYS Workers' Compensation Board Medical Portal and other topics by subscribing for email updates:
- Medical Portal Access and Administration: Health Care Providers
- Expanded Provider Legislation
CourseMill Learning Management System
Some of the training available through Medical Portal is accessed on the CourseMill Learning Management System. When accessing CourseMill for the first time, you will set up a new user account using the same email address you used when signing up for the Medical Portal. On future visits, you may be able to bypass the CourseMill login when signed into the Medical Portal.
If you are part of a group or practice that used a single email address (e.g., an administrator) to generate multiple Medical Portal credentials/log ins, you will not be able to utilize the Single Sign On feature from the Medical Portal. You will be required to sign in to CourseMill directly with your CourseMill User ID and Password.
Passwords must be a minimum of eight characters, using a combination of upper and lowercase letters, numbers, and at least one of the following special characters: ! @ # $ % ^ & *
See the below instructions for help setting up and managing a CourseMill account, and accessing specific training.
- Creating a CourseMill Account: Instructions for Providers
- Enrolling in a Course
- Completing a Course
- Forgot User ID or Password
- Updating Your User Profile