Designated Contact Information

NY-ADR

3/31/21 N.Y. St. Reg. WCB-13-21-00003-EP
NEW YORK STATE REGISTER
VOLUME XLIII, ISSUE 13
March 31, 2021
RULE MAKING ACTIVITIES
WORKERS' COMPENSATION BOARD
EMERGENCY/PROPOSED RULE MAKING
NO HEARING(S) SCHEDULED
 
I.D No. WCB-13-21-00003-EP
Filing No. 252
Filing Date. Mar. 12, 2021
Effective Date. Mar. 12, 2021
Designated Contact Information
PURSUANT TO THE PROVISIONS OF THE State Administrative Procedure Act, NOTICE is hereby given of the following action:
Proposed Action:
Addition of section 323.2 to Title 12 NYCRR.
Statutory authority:
Workers' Compensation Law, Parts 117 and 141
Finding of necessity for emergency rule:
Preservation of public health and general welfare.
Specific reasons underlying the finding of necessity:
The addition of section 323.2 is adopted as an emergency measure because the Board wants to avoid confusion and provide carriers, self-insured employers and carriers ample notice and time to comply with the requirement to provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for a prior authorization request (PAR) on or before May 1, 2021.
Subject:
Designated contact information.
Purpose:
To provide a compliance date for carriers, self-insured employers, or TPAs to designate points of contact in the PAR process.
Text of emergency/proposed rule:
A new section 323.2 of Title 12 NYCRR is hereby added to read as follows:
323.2 Designating contacts for the portal.
As more fully set forth in section 324.3, section 324.4, section 325-1.4 and section 442.4 of Title 12 NYCRR, insurance carriers, self-insured employers, or third-party administrators must provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for a prior authorization request (PAR) on or before May 1, 2021.
This notice is intended:
to serve as both a notice of emergency adoption and a notice of proposed rule making. The emergency rule will expire June 9, 2021.
Text of rule and any required statements and analyses may be obtained from:
Heather MacMaster, NYS Workers' Compensation Board, Office of General Counsel, 328 State Street, Schenectady, NY 12305, (518) 486-9564, email: [email protected]
Data, views or arguments may be submitted to:
Same as above.
Public comment will be received until:
60 days after publication of this notice.
This rule was not under consideration at the time this agency submitted its Regulatory Agenda for publication in the Register.
Regulatory Impact Statement
1. Statutory authority: WCL § 117(1) and 142 authorizes the Chair of the Workers’ Compensation Board (Board) to adopt reasonable rules consistent with, and supplemental to, the provisions of the WCL.
2. Legislative objectives: The emergency adoption requires that insurance carriers, self-insured employers, or third-party administrators must provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for PAR review by May 1, 2021.
3. Needs and benefits: The emergency adoption provides clarity for when insurance carriers, self-insured employers, or third-party administrators must comply with the requirement to designate contacts for the portal process. This requirement has been proposed in the regulations creating the portal and prior approval process, and went through a public comment period. The emergency adoption puts an updated deadline into place to ensure that carriers, self-insured employers, and third-party administrators have ample notice and time to comply with the requirement by May 1, 2021.
4. Costs: The emergency adoption does not impose additional costs – it simply provides the date for compliance with the requirement to designate contacts.
5. Local government mandates: The proposed amendments do not impose any additional program, service, duty, or responsibility upon any county, city, town, village, school district, fire district, or other special district – they simply require carriers, self-insured employers, or third-party administrators to designate contacts by May 1, 2021.
6. Paperwork: The emergency adoption requires carriers, self-insured employers, and/or third-party administrators to designate a contact for the portal in the format prescribed by the Chair.
7. Duplication: The emergency adoption does not duplicate other regulatory initiatives.
8. Alternatives: An alternative would be to not file an emergency adoption addressing a compliance date for designating contacts. However, this would lead to confusion and issues when the prior approval process becomes effective.
9. Federal standards. There are no applicable Federal Standards.
10. Compliance schedule: The emergency adoption takes effect immediately upon filing to ensure carriers, self-insured employers, or third-party administrators have ample time to designate contacts.
Regulatory Flexibility Analysis
1. Effect of rule
The emergency adoption requires insurance carriers, self-insured employers, or third-party administrators to provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for a prior authorization request (PAR) on or before May 1, 2021.
2. Compliance requirements
Designated contact information will be required from carriers, self-insured employers and third-party administrators for the point of contact in utilizing the process by May 1, 2021.
3. Professional services
It is believed that no professional services will be needed by small businesses or local governments to comply with this emergency adoption.
4. Compliance costs
Compliance with the proposed regulations should not impose compliance costs on small businesses or local governments, as this emergency adoption provides a compliance date.
5. Economic and technological feasibility
Compliance with the proposal is economically and technologically feasible for small businesses and local governments. The emergency adoption simply provides a compliance date for designating contacts, and should not require any additional technology than is already utilized by insurance carriers, self-insured employers or third-party administrators.
6. Minimizing adverse impact
The emergency adoption is being filed now to provide carriers, self-insured employers, and third-party administrators ample notice and time to comply with the requirement before the prior approval process takes effect.
7. Small business and local government participation
The Board does not have a small employer or municipality database, but has sent an electronic communication describing the proposal to subscribers for Board updates (3,960 employers) on March 12, 2021.
The Board will also duly consider all public comments received from small businesses or local governments during the public comment period.
Rural Area Flexibility Analysis
1. Types and estimated numbers of rural areas:
The emergency adoption requires insurance carriers, self-insured employers, or third-party administrators to provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for a prior authorization request (PAR) on or before May 1, 2021. The designated contact must be used by all affected carriers, self-insured employers and third-party administrators across New York State, including rural areas.
2. Reporting, recordkeeping and other compliance requirements; and professional services
The same compliance and recordkeeping requirements apply to rural areas as metropolitan ones. Designated contact information will be required by May 1, 2021 from carriers, self-insured employers and third-party administrators for the point of contact in utilizing the PAR process.
No special professional services should be required by rural or any other areas.
3. Costs
There are no additional costs expected as a result of this proposal – the process for prior authorization will be electronic and available with no additional required costs. Carriers, self-insured employers and third-party administrators are required to designate the contact as provided for in the prior approval process regulations by May 1, 2021.
4. Minimizing adverse impact
The emergency adoption is being filed now to provide carriers, self-insured employers, and third-party administrators ample notice and time to comply with the requirement before the prior approval process takes effect.
5. Rural area participation
The Board will duly consider all public comments received from rural areas during the public comment period.
Job Impact Statement
A Job Impact Statement is not required because the emergency adoption will not have any impact on jobs or employment opportunities. The emergency adoption requires that insurance carriers, self-insured employers, or third-party administrators must provide the Chair or his or her designee in the manner prescribed by the Chair with the name and contact information for the point(s) of contact for PAR review by May 1, 2021.
End of Document