Providers: Use of the CMS-1500 Form is Mandatory Starting Today

Use of the CMS-1500 form is mandatory starting today.  

You can read more about the requirements and form changes in the GovDelivery dated June 27, 2022.

Please be reminded that health care providers must include in the medical narrative attachment the injured worker’s temporary impairment percentage, work status, and the causal relationship of the injury either at the top of, or prominently displayed on the medical narrative that accompanies the CMS-1500 form. 

If any of these elements are missing, the medical narrative report may be found legally defective, which means you may not be paid for rendered services. 

Additional Resources

Visit the Workers' Compensation Board’s (Board's) website for CMS-1500 news, FAQs, and more. The Board has also created a special webpage dedicated to sharing timely updates on various Board initiatives with a health care provider focus. Visit What Providers Need to Know to view the latest! 

For CMS-1500 feedback and questions, email CMS1500@wcb.ny.gov. For clinical feedback and questions, email provider@wcb.ny.gov.