WHAT PAYERS NEED TO KNOW - ARCHIVED UPDATES
February 21, 2024
HP-1.0 forms without proper documentation
Effective March 1, 2024, any Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0) submitted to the Board without proper documentation will be rejected.
Read more in a notification dated February 21, 2024 .
Level three PAR review backlog reduced to zero!
Since launching the first, limited release of OnBoard in May 2022, the Board has reduced the backlog of level three prior authorization request (PAR) reviews from over 8,000 down to zero! Currently, every level three PAR review is now handled within two to three weeks.
Read more in notification dated January 29, 2024 .
New York State workers compensation minimum weekly benefit rate increases
In accordance with legislation signed into law by Governor Kathy Hochul on September 6, 2023, New York State increased the minimum weekly benefit rate for workers' compensation indemnity benefits effective January 1, 2024.
Read more in Subject Number 046-1649.
Updated disability benefits forms
The Board has posted the updated Notice and Proof of Claim for Disability Benefits (Form DB-450) and the new Notice of Denial of Claim for Disability Benefits (Form DB-DEN) will be available upon request. This conforms to the updated disability benefits regulations that took effect January 1, 2024.
Read more in Subject Number 046-1650.
Form changes to allow affirmations in lieu of affidavits
Legislation was signed that removes the notarization requirement and allows affirmations to have the same force and effect as affidavits.
Read more in notification dated December 22, 2023 .
Board to index every complete case by mid-2024
In order to provide clarity and promote efficient resolution of workers' compensation claims, the Board plans to begin indexing every complete case by mid-2024.
Read more in notification dated December 15, 2023 .
Form RFA-2 and other Board form updates
The Request for Further Action by Insurer/Employer (Form RFA-2) has been modified to better align with the process for resolving payer denials of the Workers' Compensation Board's New York Medical Treatment Guidelines (MTGs) Variance and MTG Special Services Prior Authorization Requests.
Read more about this and other Board form updates in a notification dated December 4, 2023 .
Reminders
Telehealth is now a permanent option in the workers' compensation system. Read more in Subject Number 046-1613, and see our new telehealth webpage for additional information.
Use of the CMS-1500 form is mandatory. Visit CMS-1500 initiative for more details and send your questions to CMS-1500@wcb.ny.gov.
Visit the Board's website for OnBoard training guides, webinar recordings, and other resources.
The Board is hosting free COVID-19 & workers' comp webinars. The Board has been hosting a series of webinars to aid workers with long COVID workers' compensation claims. Additional dates will be added soon!
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.
Stay Informed!
Check out the Board's Payers Recorded Webinars and Guides web page for past webinars.
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