WHAT PAYERS NEED TO KNOW - ARCHIVED UPDATES
February 10, 2026
Notice of Controversy and Pre-Hearing Conference Statements must be timely filed
The failure to file a timely notice of controversy using First Report of Injury 04-Denial (Form FROI-04) or Second Report of Injury 04-Denial (SROI-04) may result in the payer waiving several defenses to the claim. Additionally, failure to file a timely Pre-Hearing Conference Statement (Form PH-16.2) may result in the payer waiving all defenses to the claim. If a payer believes the untimely filing of a Notice of Controversy or a Form PH-16.2 should be excused, they should submit relevant supporting evidence at the pre-hearing conference.
Read more in a notification dated February 5, 2026.
Coming early 2026: Electronic submission mandate for Form RFA-2
As announced via Subject Number 046-1715 on September 12, 2024, and via GovDelivery notification on May 2, 2025, the Board is transitioning to the electronic submission of the Request for Further Action by Insurer/Employer (Form RFA-2) as we continue to expand our eForm capabilities within the OnBoard family of services.
Read more in a notification dated December 15, 2025.
Updated Form C-8.1B
This is a reminder that use of the updated Notice of Objection to a Payment of a Bill for Treatment Provided (Form C-8.1B) is now mandatory, effective January 5, 2026.
Read more in a notification dated January 2, 2026.
Proposed Depositions regulation now available for public comment
The Chair proposes amendments to Sections 301.1, 301.3, and 300.10 of Title 12 of the NYCRR to update the depositions process and fees.
Read more in Subject Number 046-1789.
Proposed regulation with billing guidance for residents and fellow physicians now available for public comment
In 2025, an amendment to Section 13-b of the New York State Workers' Compensation Law went into effect, extending the ability of resident and fellow physicians to treat injured workers (under the supervision of an authorized physician). In December 2025, the Chair of the NYS Workers’ Compensation Board proposed amendments to help implement this law by providing guidance about billing procedures for services performed by residents and fellows.
Read more in Subject Number 046-1786.
Proposed Medical Fee Schedule updates now available for public comment
The Chair proposes amendments to Sections 329-1.3, 329-4.2, 333.2, 343.2, and 348.2 of Title 12 of the NYCRR to update the Official New York Workers' Compensation Medical Fee Schedule, the Official New York Workers' Compensation Acupuncture and Physical Therapy and Occupational Therapy Fee Schedule, the Official New York Workers' Compensation Behavioral Health Fee Schedule, the Official New York Workers' Compensation Podiatry Fee Schedule, and the Official New York Workers' Compensation Chiropractic Fee Schedule.
Read more in Subject Number 046-1788.
Required: Use new version of Section 32 waiver agreement
This is a reminder that the Board has updated the "Resolution of Outstanding Medical Bills" section of the Waiver Agreement - Section 32 WCL (Form C-32) and that parties should only be using the new (8-25) version of this form.
Read more in a notification dated December 26, 2025.
Process update: Amending Board decisions for typographical or other minor errors
Effective immediately, the process for addressing minor or typographical errors in Board decisions has been updated and streamlined — removing the need to email the district’s Senior Law Judge or file a Request for Further Action (Form RFA-1LC or RFA-2) or Application for Board Review (Form RB-89).
Read more in a notification dated December 9, 2025.
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Reminders
The What Payers Need to Know section of the Board's website walks payers through getting started in the workers' compensation system, becoming a trading partner, administering claims, and more.
Electronic submission of the CMS-1500 form is mandatory. Visit CMS-1500 initiative for more details and send your questions to CMS1500@wcb.ny.gov.
Visit the Board's website for OnBoard training guides, webinar recordings, and other resources.
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The latest versions of several Paid Family Leave presentations are available, including family care, foster care/adoption, military leave, and bonding. Visit the Paid Family Leave website for more information.
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