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 benefit 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 access:
- Drug Formulary Prior Authorizations (View Only)
- Drug Formulary Lookup Tool
- MTG Lookup Tool*
*If you are an insurance carrier that has previously licensed the ReedGroup Medical Treatment Guidelines in states other than New York, you may be able to access the New York State MTGs via the MTG Lookup Tool at no additional charge.
OnBoard: Limited Release is the first phase of the Workers' Compensation Board's new business information system called OnBoard, designed to move several key processes for health care providers and payers from paper to online. Included is the prior authorization request (PAR) process for medication, durable medical equipment and medical treatment/testing.
|MTG Confirmation||Requests (previously done using the Attending Doctor's Request for Optional Prior Approval and Carrier's/Employer's response (Form MG-1)).|
|MTG Variance||Requests (previously done using the Attending Doctor's Request for Approval of Variance and Carrier's response (Form MG-2)).|
|MTG Special Services
||Requests, which only include the 12-MTG related requests on the Attending Doctor's Request for Authorization Carrier's Response (Form C-4 AUTH).
|Non-MTG Over $1000||Requests for treatment costing over $1000 for Non-MTG body parts previously done on Form C-4 AUTH.|
|Non-MTG Under or = $1000||Requests for treatment costing $1000 or less for Non-MTG body parts (new PAR type).|
|Medication||Requests (replacing the current New York Workers' Compensation Drug Formulary (Drug Formulary) prior authorization request process).|
|Durable Medical Equipment||Requests in accordance with the new Official New York Workers' Compensation Durable Medical Equipment (DME) Fee Schedule (new PAR type).|
Learn more about OnBoard.
Accessing the Medical Portal
Medical Portal access is granted using organizational profiles based on eClaims Trading Partner information.
Payers who had access to the Drug Formulary were automatically given access to OnBoard. However, online administrators should ensure that Workload Administrators and Reviewers are designated for all PAR types and the email address for notifications is correct.
Medical Portal Access and Administration: Payers
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