Is the utilization of C-4 AUTH form required for requesting authorization for special medical services, or can we continue using our current office practice to request authorization?
The C-4 AUTH form was developed to expedite medical treatment of injured workers by developing a faster process for the Board to issue an Order of the Chair to the medical provider in the event the insurance carrier or self-insured employer fails to respond timely to the request for authorization. The new form allows providers to highlight the special services they feel are medically needed, enables carriers to easily respond to such requests in writing, and enables the Board to track requests and responses to ensure that all statutory timeframes are met. Failure of the medical provider to utilize the C-4 AUTH form does not relieve the carrier or self-insured employer from timely responding to a request for authorization, nor does it prevent the Board from issuing an Order of the Chair pursuant to 12 NYCRR 325-1.4(7). The Board strongly encourages medical providers to incorporate the use of the C-4 AUTH form into their office practices so that appropriate treatment is not delayed. If t
Related Questions
- Is the utilization of C-4 AUTH form required for requesting authorization for special medical services, or can we continue using our current office practice to request authorization?
- For injuries not currently covered under the Medical Treatment Guidelines does the C-4 Auth process still apply?
- Does an enrollee need prior authorization before he/ she can access medical services?
