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CMS-1500 electronic submission is mandatory

Health Care Providers

CMS-1500 mandatory electronic submission took effect August 1, 2025.

CMS-1500 Mandate Provider Toolkit

Important: TPA changes for 25a and other claims. Effective 12/1/25, many 25a and other claims changed TPAs, moving from NCAComp, Inc and S.A.F.E., LLC to FCS Administrators. Learn more.

Health Care Provider Quick Links

Medical Portal

Learn about features of the Board's web-based application that enables health care providers to request and renew authorization to treat injured workers, submit medical information electronically, and access lookup tools for the Board's Medical Treatment Guidelines and Drug Formulary. Health care providers and their assigned delegates, use the Medical Portal to access OnBoard to submit prior authorization requests (PARs) for Medication, DME, medical treatment/testing and Request for Decision on Unpaid Medical Bills (Form HP-1.0).

Resources Health Care Providers

Specialty Services

Health Care Provider Recorded Webinars

View the latest provider presentations for updates on several improvement initiatives underway here at the Board.

HIPAA Privacy Rules

Read Workers’ Compensation Guidelines regarding HIPAA restrictions and medical records.

Latest Health Care Provider News

TPA changes for 25a and other claims

Effective December 1, 2025, the third-party administrator (TPA) for the Fund for Re-opened Cases (25a), Uninsured Employers Fund (UEF), Special Fund for Disability Benefits (SFDB) and Defaulted Self-Insured Employers (DSIE) changed from NCAComp, Inc (NCA) and S.A.F.E., LLC (SAFE) to FCS Administrators, Inc (FCS). Claimants were notified of this change by mail. A small subset of 25a cases currently administered by Triad will also be switching to FCS in February 2026.

For the claims that moved to FCS on December 1:

  • Provider authorization requests (PARs) were automatically re-routed to FCS, including any PARs that were in progress. Providers do not need to change anything with respect to submitting PARs going forward as the carrier remains the same, it's just a different administrator.
  • Due to the switch over, FCS has a backlog of PARs and medical bills, which they are working to get through as quickly as possible.
  • Providers should bill all dates of service, even those prior to 12/1/25, to FCS. FCS is granting a grace period to avoid late submission rejections for medical bills submitted to the prior TPA and re-routed.

For more information on FCS, please visit Workers' Compensation Cost Solutions – NYS Certified Women-Owned Business Enterprise.

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February 17, 2026

Updated 2026 Board Closures

February 11, 2026

Get your claims notices faster! Download on demand

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Webinar series: What Providers Need to Know

January 27, 2026

Proposed Amendments to Sections 329-1.3, 329-4.2, 333.2, 343.2, and 348.2 of Title 12 of the NYCRR (Fee Schedule Updates)

January 15, 2026

Upcoming depositions regulation update

January 7, 2026

ICYMI: Claimants and witnesses must appear on video when testifying during virtual hearings

December 17, 2025

Process update: Amending Board decisions for typographical or other minor errors

December 9, 2025

Important changes to Form C-8.1B

October 1, 2025

Code Enforcement webinar resources now available

July 22, 2025

WEBEX UPDATE REQUIRED! New version of the Webex application for virtual hearings

July 18, 2025

No AM hearings 7/21/25 - planned virtual hearings maintenance

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Efficiency Enhancements: Issue 6, RFA-1LC

April 22, 2025

Contact

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