325.955        Correcting Workers’ Compensation Board Policy

The Medical Society of the State of New York will seek legislation to allow that payment for services be made by the patient or the patient’s private insurance when the patient and physician agree that additional treatment is necessary to improve impairment beyond the services for which the Carrier’s independent medical exam and the Workers’ Compensation administrative law judge are willing to pay under the Workers’ Compensation Program.

MSSNY will seek legislation to ensure that the decision to deny coverage of care recommended by the treating physician may not be made by non-physician personnel under the Workers’ Compensation Program. (HOD 2017-260)