Coming soon: Durable medical equipment prior authorization request enhancement

New York State Workers' Compensation Board sent this bulletin at 03/24/2025 02:00 PM EDT

Coming soon: Durable medical equipment prior authorization request enhancement

The Board is implementing a new enhancement to durable medical equipment (DME) prior authorization requests (PARs) on Thursday, March 27, 2025.  

If the Official New York Workers’ Compensation Durable Medical Equipment (DME) Fee Schedule does not specify the cost of an item, the estimated cost provided by the provider for the DME item in a PAR will be noted on all subsequently issued Orders of the Chair. 

IMPORTANT: Draft PARs and draft insurer responses on all PARs will be deleted 

Once the DME enhancement is implemented, all draft PARs from providers and their delegates and draft PAR responses from payer reviewers that are currently in the system – including draft responses from payers for Medication, Special Services, Confirmation, Variance, and DME PARs – will be automatically removed on the evening of Thursday, March 27, 2025. To avoid having to re-create PARs or responses, please finalize and submit any drafts you have in the system before 6:00 p.m. on Thursday, March 27, 2025. All PAR due dates will be extended by one business day to Friday, March 28, 2025. 

More information

Please visit the OnBoard webpage for more information.

Questions? Email OnBoard@wcb.ny.gov
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