N.Y. Comp. Codes R. & Regs. tit. 12 § 325-2.2

Current through Register Vol. 46, No. 25, June 18, 2024

Section 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.

N.Y. Comp. Codes R. & Regs. Tit. 12 § 325-2.2