New York Codes, Rules and Regulations › Title 12 - DEPARTMENT OF LABOR › Chapter V - Workers' Compensation › Subchapter C - Medical Treatment and Care › Part 323 - Medical Provider Authorization › Section 323.1 - Application for New York Workers' Compensation Authorization

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Providers who can apply to become
				  authorized. A duly New York State licensed acupuncturist, chiropractor, nurse
				  practitioner, occupational therapist, physical therapist, physician, physician
				  assistant, podiatrist, psychologist or social worker as defined in section 13-b 
				  of the Workers' Compensation Law may apply to become an authorized provider
				  under the Workers' Compensation Law by complying with the provisions of this
				  section.
(b) Providers listed in
				  subdivision (a) of this section who wish to be authorized by the Chair shall
				  submit their application in the electronic format prescribed by the Chair. A
				  hospital, as that term is defined in Article 28 of the Public Health Law, may
				  submit a single collective application for each provider type employed by such
				  hospital when such employer hospital affirms that the providers listed in the
				  collective application are currently employed and meet the qualifications
				  required to become Board authorized,
(c) Affirmations. Such application shall
				  contain an affirmation that the information provided by the applicant(s) is
				  correct and complete, and that all bills, variances, medical reports, requests
				  for prior authorization, and requests for review of billing disputes will be
				  submitted in the electronic format prescribed by the Chair.
(d) Required license and certification
				  information. An application for authorization under this section must also
				  provide the provider's license information and certification of completion of
				  the required training, including:
(1) For
				  acupuncturists, New York State licensed and having completed a formal course of
				  study and having passed an examination in accordance with the education law,
				  the regulations of the commissioner of education, and the requirements of the
				  Board of regents.
(2) For
				  chiropractors, New York State licensed and having completed two years of
				  preprofessional college study and a four-year resident program in chiropractic
				  in accordance with the education law, and consistent with the licensing
				  requirements of the commissioner of education.
(3) For nurse practitioners, certification of
				  licensure as a registered professional nurse (certified pursuant to section sixty-nine hundred ten  of the education law) acting within their lawful scope
				  of practice.
(4) For occupational
				  therapists, New York State licensed and having at least a bachelor's or
				  master's degree in occupational therapy from a registered program with the
				  education department or receipt of a diploma or degree resulting from
				  completion of not less than four years of postsecondary study, which includes
				  the professional study of occupational therapy in accordance with the education
				  law and the regulations of the commissioner of education.
(5) For physical therapists, New York State
				  licensed in accordance with the education law and licensing requirements of the
				  commissioner of education.
(6) For
				  physicians, New York State licensed with a degree of doctor of medicine, M.D.,
				  or doctor of osteopathic medicine, D.O., or an equivalent degree in accordance
				  with the education law and the licensing requirements of the state board of
				  medicine and the regulations of the commissioner of education.
(7) For physician assistants, New York State
				  licensed as a physician assistant pursuant to section sixty-five hundred forty-one  of the education law. In order to become authorized to practice under
				  the Workers' Compensation Law, such physician assistants' supervising physician
				  must have an active Board authorization to treat injured workers.
(8) For podiatrists, New York State licensed
				  and having received a doctoral degree in podiatric medicine in accordance with
				  the regulations of the commissioner of education and the education law, and
				  satisfactorily meeting all other requirements of the state board for podiatric
				  medicine.
(9) For psychologists,
				  New York State licensed and having received a doctoral degree in psychology
				  from a program of psychology.
(10)
				  For social workers, New York State licensed as a clinical social worker having
				  completed a master's degree of social work that includes completion of a core
				  curriculum of at least twelve credit hours of clinical courses or the
				  equivalent post-graduate clinical coursework, in accordance with the education
				  law and the regulations of the commissioner of education.