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Staff: county will stop accepting New York State workers' compensation payments for certain services after unpaid claims
Summary
Staff told the committee there are four clients with roughly $8,396 in unpaid New York State workers' compensation claims and said the department will inform clients it will not accept workers' compensation because the therapist authorization process is lengthy and uncertain.
A staff member told the Human Services Committee July 7 that four individuals had sought services under New York State workers' compensation, leaving about $8,396 in unpaid claims, and said the department will not accept workers' compensation going forward for these clients and will instead bill primary insurance.
The staff member said the county discovered that to be reimbursed through workers' compensation an individual therapist must be approved and authorized for workers' compensation reimbursement, a process described on the record as "very long and tedious" and one that often results in denial. The staff member said the department checked surrounding counties and found many do not accept workers' compensation for similar services.
The staff member framed the decision as an administrative one to avoid unpaid claims and lengthy reimbursement waits. The committee did not record a formal vote on this policy change in the transcript; the staff member characterized the item as an FYI and asked whether the committee wanted to vote or had questions.
The transcript records no opposition or formal direction from the Chair; the matter was left for departmental handling and will be carried forward to future meetings if necessary.
