In 2020, a law was implemented expanding the types of medical providers that can be authorized to treat injured workers in the New York State workers' compensation system. As of January 1, 2020, licensed clinical social workers, nurse practitioners, acupuncturists, physician assistants, occupational therapists and physical therapists may apply to become Board-authorized providers.
This law is expected to bring thousands of providers into the NYS workers' compensation system and dramatically improve injured workers' access to health care.
Note: All providers who can be authorized by the NYS Workers' Compensation Board to treat injured workers must be Board-authorized to continue treating injured workers after Jan. 1, 2020.
Frequently Asked Questions
What is the purpose of the Expanded Provider Law?
The Law is designed to modernize and improve the workers' compensation health care options available to injured workers. It is expected to bring thousands of new providers into the NYS Workers' Compensation system.
What provider types are currently able to treat injured workers in the NYS Workers' Compensation System?
Prior to this law taking effect, only physicians, chiropractors, podiatrists, and psychologists were able to be authorized to treat injured workers. Nurse practitioners, physician assistants, occupational therapists and physical therapists could treat injured workers, but only under the personal supervision of a Board-authorized provider.
How do new providers apply to become Board authorized?
To apply, medical providers need to:
- Sign up to use the Medical Portal.
- Complete the required training courses — training must be completed before the application can be submitted.
- Fill out the New Provider Authorization Request online application, accessible on the Medical Portal, and submit it to the Board.
- Physician Assistants must have their Board authorized supervising physician sign the Supervising Physician Affirmation form and attach the signed form to their application.
When can the new provider types apply to receive Board authorization to treat injured workers?
The new online application for authorization is now available to LCSWs, acupuncturists, PTs, OTs, NPs and PAs.
How long after applying will new providers know if they have been approved for authorization?
All authorization applications will be handled as expeditiously as possible.
When can new providers who are granted Board-authorization begin to treat injured workers?
New provider types, if authorized, can begin treating injured workers on January 1, 2020. Ancillary providers who currently treat must become authorized (or have an authorization application pending with the Board) to continue treating after January 1, 2020.
Once approved, will providers need to renew authorization?
New and existing authorized providers, will be expected to re-register with the Board every two to three years, consistent with the renewal of their New York State license. This will help ensure the Board's records and public listings remain up-to-date.
I am a new provider, and I am not familiar with the Workers' Compensation system. Will training be available?
Yes, required training for new providers is available through the Medical Portal. You can also access introductory training on the NYS Workers' Compensation System in the resources section of this page.
Where can injured workers find a listing of Board-authorized providers?
To find an authorized and registered health care provider or IME, please use the Health Care Provider & IME Search.
If a patient is referred to a specialist (e.g., Family Care to an Orthopedic group) or to a different type of practice (e.g., Orthopedic to Neurologist), may a Physician Assistant (PA) treat the injured worker during the initial visit to the new practice?
While the PA may participate in the office visit, for the initial treatment in the office (even if it is a referral), the supervising physician must submit the report of treatment offering an opinion on causal relationship and diagnosis.
What if a provider wishes to no longer treat injured workers?
Providers authorized by the NYS Workers' Compensation Board (Board) to treat injured workers who wish to cease treating injured workers shall submit a signed letter of resignation to the Board together with a transition plan to ensure continuity of care for injured workers under their care. The transition plan shall list all injured workers under the provider's care, together with the authorized provider(s) who will be assuming injured workers' care. This transition plan shall include the following:
- Injured worker's name
- Injured worker's address
- Date of accident
- Board case number
- Insurer and insurer case number
- Name of the provider with similar specialty and credentials who will be continuing injured worker's care.
The resignation letter and transition plan shall be sent to the Board's Medical Director's Office (MDO) at the address below at least thirty (30) days before the effective date of the provider's resignation. Whenever feasible, providers are encouraged to provide to the MDO and initiate a transition plan at least ninety (90) days prior to their resignation date. Failure to provide a transition plan may result in a provider's referral to the Office of Professional Medical Conduct or Office of the Professions, as appropriate, to investigate potential professional misconduct.
New York State Workers' Compensation Board
Medical Director's Office
150 Broadway, Suite 195
Menands, NY 12204
The resignation letter and transition plan may also be faxed to (518) 408-5599 or emailed to email@example.com
Watch this space for additional resources and information for new providers.
- Video: CMS-1500 and Expanded Provider Law (26 min)
- WCB authorized providers: Who can do what
- Video: NYS Workers’ Compensation 101 for Medical Providers (16 min)
- Subject Number 046-1207: Adoption of Expanded Provider Regulations
- Addition of Part 323 of 12 NYCRR (Medical Provider Authorization)
- Amendment of 12 NYCRR Part 324 and Section 325-1.4
- Amendment of 12 NYCRR 329-1.3, Part 333, Section 348.2, Section 301.3, and Addition of New Part 329-4 (Medical Fee Schedules)
- Video: Signing up to access the Medical Portal (5 min)
- Supervising Physician Affirmation
- Video: Medical Society Provider Authorization Training (13 min)
- Medical and Billing Form Updates/Clarifications (5/2/22)
- Video: Billing Updates for Providers: CMS-1500 and Expanded Provider Initiatives (24 min)
- Licensed Clinical Social Workers
- Nurse Practitioners
- Occupational Therapists
- Physical Therapists
- Physician Assistants