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Authorized Provider Shortage in Rochester Obstacle for Injured Workers

Posted on Jan 29, 2010

In the past two years a number of physicians have voluntarily surrendered their authorizations to treat workers' compensation claimants. This Authorized Provider Shortage, primarily in Rochester, provides an obstacle for injured workers.

To address this siuation, effective immediately, The New York State Workers Compensation Board has included in the list of prescribed medical report forms the CMS-1500 (or HCFA-1500) form with detailed narrative reports or office notes. Authorized physicians, podiatrists, chiropractors and psychologists in the Provider Shortage Area may submit a CMS-1500 with a detailed narrative report or office notes instead of one of the prescribed C-4 forms. Once it is determined that the shortage no longer exists, the C-4 forms will again be required.