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The Workers’ Compensation Board is in the process of building a new online business information system, OnBoard, which will eventually replace the Board’s legacy paper-based claims systems and the eCase system with a single, web-based platform. OnBoard will provide stakeholders with increased accuracy, paperless transactions and a user-friendly interface for interacting with the Board.
OnBoard: Limited Release, the first phase of OnBoard, will be implemented March 7, 2022. Health care providers and medical suppliers should be aware of some key dates and updates ahead of the phased launch of OnBoard: Limited Release. Please share this information with any medical suppliers you use.
For complete details about OnBoard: Limited Release, see Subject Number 046-1496, OnBoard: Limited Release Implementation Update for Health Care Providers and Subject Number 046-1494, OnBoard: Limited Release Implementation Update for Medical Suppliers.
OnBoard: Limited Release (OBLR), which will roll out in three phases, is designed to move several key processes for health care providers and insurers from paper to online. This includes the prior authorization request (PAR) process for medication, durable medical equipment, and medical treatment or testing. It also includes the submission of Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0) within OBLR.
The first phase to launch is explained in detail below, but here is a quick look at the full implementation schedule:
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Phase One
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Medication PARs & Form HP-1.0
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March 7, 2022
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Phase Two
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Durable Medical Equipment PARs
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April 4, 2022
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Phase Three
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Treatment/Testing PARs
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May 2, 2022
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Medication PARs will be used for medication requests (replacing the current New York Workers’ Compensation Drug Formulary [Drug Formulary] prior authorization request process). With the implementation of OnBoard: Limited Release Phase One, medical marijuana will also be requested via a Medication PAR, which will replace the current process using the Attending Doctor’s Request for Approval of Variance and Carrier's Response (Form MG-2).
Drug Formulary
It is important to note that the current Drug Formulary application within the Medical Portal will not be accessible as of 5 p.m. on Friday, March 4, 2022, but will be available again as “read-only” on March 7, 2022, so that previously approved medication requests may be reviewed. All prior authorization requests that are in progress as of 5 p.m. on March 4, 2022, will be suspended and converted to a Medication PAR within OnBoard: Limited Release. Processing will continue in OBLR as of 7 a.m. on Monday, March 7, 2022.
Refills and renewals of prescription medications must comply with the Drug Formulary as of March 7, 2022, when the OBLR Medication PAR process takes effect. As communicated in Subject Number 046-1408, the effective dates were previously amended to coincide with the launch of OnBoard: Limited Release.
Form HP-1.0
As of March 7, 2022, health care providers and medical suppliers will request Board action on unpaid medical bills by submitting Form HP-1.0 online, ensuring accuracy and timely receipt. For now, health care providers will continue to receive administrative and arbitration awards by mail, and the objection and judgement processes will remain paper based.
If you haven't already, ensure delegates are assigned who can assist with the drafting of PARs for the health care provider, and the drafting and submission of Form HP-1.0. For registration and administration details, view the Medical Portal administration pages and registration instructions.
Health Care Providers: Medical Portal Administration & Registration Instructions
Medical Suppliers: Medical Portal Administration & Registration Instructions
The Board has developed instruction guides for health care providers and medical suppliers. These instruction guides are available now and will help you during each phase of OnBoard: Limited Release. See the list below for a quick overview of what each instruction page includes.
OnBoard Training: Health Care Providers
OnBoard Training: Medical Suppliers
The Board will be hosting separate OnBoard: Limited Release webinar opportunities specific to health care providers and medical suppliers.
Health Care Providers
February 24, 2022
12:00 p.m. - 1:00 p.m.
Add to your calendar
Join webinar
The health care provider session will cover:
- Accessing and navigating the new system.
- Drafting and submitting Requests for Decision on Unpaid Medical Bill(s) Form HP-1.0.
- Drafting and submitting Medication prior authorization requests (PARs).
- Escalating Medication PARs for further review.
- How to review payer responses to Medication PARs.
Registration is not required, but take a moment now to add the training webinar to your calendar. If you cannot attend, a recording will be available on the Board's YouTube channel and resources page.
Medical Suppliers
March 2, 2022
12:00 p.m. - 1:00 p.m.
Add to your calendar
Join webinar
This medical supplier session will cover:
- Accessing and navigating the new system.
- Drafting and submitting Requests for Decision on Unpaid Medical Bill(s) Form HP-1.0.
Registration is not required, but take a moment now to add the training webinar to your calendar. If you cannot attend, a recording will be available on the Board's YouTube channel and resources page.
Additional Resources
- For any other questions, contact Customer Service at (877) 632-4996.
We urge you to share this and future communications with your administrative staff and billing company representatives. They can also subscribe to receive these communications and engagement opportunities directly.
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