Overview

The Workers' Compensation Board (Board) now requires authorized Acupuncturists, Chiropractors, Licensed Clinical Social Workers, Nurse Practitioners, Occupational Therapists, Physical Therapists, Physician Assistants, Physicians, Podiatrists and Psychologists to renew their authorization every two or three years. The renewal of a provider's authorization will coincide with their New York State Education Department license registration renewal. To streamline the process, the Board has transitioned to a fully electronic online renewal process through the Board's Medical Portal.

The authorization renewal process will ensure that our public directory of providers contains up-to-date information, enabling injured workers to easily identify and contact doctors available to treat. The Board's online Health Provider Search will include only those providers who are authorized.

Providers who fail to renew their authorization will:

• Have their authorization rescinded (323.1[g] of 12 NYCRR).
• Be removed from the Board's Health Care Provider and IME online search.
• Be ineligible for the bill dispute resolution process if they were not authorized on the date of service.

Information collected on the Authorization Renewal form

• Are you accepting new cases and/or patients?
• Disciplinary action information
• Mailing and Practice Address information
• Phone/Fax number
• Email (Use of Health Care Provider Emails)
• Practice website
• Can you accommodate patients whose language is other than English?
• Physician Assistants - If your supervising physician changed, please enter the supervision end date for any physician listed that is no longer supervising you. If you are adding a supervising physician, attach a Supervising Physician Affirmation, signed by the Board authorized supervising physician.
• Request authorization type change - e.g., you are currently authorized to treat and now you want to apply to become authorized to perform Independent Medical Examinations as well (only applicable for a Physician, Chiropractor, Podiatrist or Psychologist).
• Additional medical license(s)

Note: if you are a provider who holds multiple medical licenses, when you access the renewal form, the first license number you see may not be the license number you need to renew. Confirm all the information is correct for the first license (update as needed) and proceed through the form using the continue buttons until you get to the section about Another Medical License. Select the other medical license and review that information. Make any necessary changes and submit your form.

If you don't see additional medical license numbers you are authorized in, contact provider@wcb.ny.gov

Renew Your Authorization

• Have access to a computer or device with internet access. The Authorization Renewal form works best when accessed using Google Chrome.
• Access the Medical Portal with your NY.gov account. If you do not have a NY.gov account, you must sign up for access
• Complete and submit the WCB Authorization Renewal form
• Attach PDF documents to form, if applicable, using the paper clip icon in the upper right corner of the form.

Complete Authorization Renewal

Update Your Authorization

You can update your information with the Board at any time by logging into the Medical Portal and selecting the Update Authorization Information link .

Update Authorization Information

Resources

• Sign up to access the Medical Portal.
• WCB Training courses specific to each provider type are available in the Portal to help providers learn more about the workers' compensation system. These courses are not mandatory for authorization renewals but can be taken anytime.
• Having trouble with NY.gov account? Use the NY.gov "Forgot your User name or Password" features to reset your information.
• National Provider Identifier (NPI) Look Up
• NY State Education Office of Professions

Authorization Resignation

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
• Employer
• 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 provider@wcb.ny.gov

Need Help?

• Contact the WCB Medical Director's Office at (800)-781-2362, option 6.