12 CRR-NY 325-2.2NY-CRR
STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 12. DEPARTMENT OF LABOR
CHAPTER V. WORKERS' COMPENSATION
SUBCHAPTER C. MEDICAL PROVIDER AUTHORIZATION
PART 325. MEDICAL AND SURGICAL CARE AND TREATMENT
SUBPART 325-2. RECOMMENDING OF AUTHORIZED PHYSICIANS BY INSURANCE CARRIERS AND EMPLOYERS; PROCEDURE FOR MEDICAL INSPECTORS AND CONSULTANTS
12 CRR-NY 325-2.2
12 CRR-NY 325-2.2
325-2.2 Parties authorized to direct or recommend care of injured workers.
(a) For purposes of this Subpart, direction of care shall mean the binding referral of an injured employee to a designated network or health care provider as authorized under the statutory programs set forth in subdivision (b) of this section. Recommendation of a designated network or health care provider shall mean the act of actively endorsing or promoting the utilization of a designated network or health care provider for the treatment of an injured employee.
(b) Only those parties who are either:
(1) participating in a certified preferred provider organization (PPO) arrangement under article 10-A of the Workers' Compensation Law; or
(2) participating in the alternative dispute resolution pilot program under section 25(2-c) of the Workers' Compensation Law may direct the care of injured employees to a designated network or health care provider.
Only those parties who are complying with the provisions of sections 13-a(1) and 13-i of the Workers' Compensation Law may recommend a designated network or health care provider to an injured employee.
12 CRR-NY 325-2.2
Current through August 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: The "Current through" date indicated immediately above is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Administrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of NYS Rules.