12 CRR-NY 325-4.3NY-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 325-4. AUTHORIZATION OF HOSPITALS AND HEALTH MAINTENANCE ORGANIZATIONS
12 CRR-NY 325-4.3
12 CRR-NY 325-4.3
325-4.3 Failure to treat.
A hospital or health maintenance organization authorized by the chair to provide out-patient medical treatment and care:
(a) shall accept and treat injured employees in a manner corresponding to that accorded other patients, provided they are otherwise eligible to be treated by the hospital or health maintenance organization, without discriminating against such injured employees because they are or may be covered by the provisions of the Workers' Compensation Law or because the manner of payment is pursuant to the provisions of such law; and
(b) shall not refuse to provide treatment and care to such injured employees because the hospital or health maintenance organization wishes to charge a fee greater than that set forth in the applicable prescribed fee schedule. Any fee dispute shall be submitted to arbitration in accordance with the Workers' Compensation Law. Nothing contained in this section shall prevent a voluntary payment by the employer or carrier of an amount higher than the fees and charges found in the fee schedule where agreed to by the employer or carrier.
12 CRR-NY 325-4.3
Current through August 31, 2021
End of Document

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.