A New York provider who wants the claim administrator to confirm that planned treatment rests on a correct application of the Medical Treatment Guidelines files an MTG Confirmation PAR in OnBoard. The request is optional for providers, but once it is submitted the claim administrator must respond, within 8 business days. It replaced the paper Form MG-1 in May 2022.
The Board-authorized treating provider makes the request, and delegates with their own Board-assigned user IDs can draft it for the provider's review. The claim administrator's reviewer answers in OnBoard.
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MTG Confirmation Prior Authorization Request (PAR)
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No. The Board describes it as optional for providers, used to confirm treatment is based on a correct application of the Medical Treatment Guidelines. Once a provider submits one, however, the claim administrator is required to respond, within 8 business days.
The MTG Confirmation PAR in OnBoard replaced Form MG-1, the Attending Doctor's Request for Optional Prior Approval and Carrier's/Employer's Response. It launched on May 2, 2022, as part of OnBoard: Limited Release, and paper requests are no longer accepted.
The PAR's due date shows on the OnBoard Active tab. If the claim administrator does not respond within the timeframe, the Board says an Order of the Chair may be issued. Deadlines falling on a weekend or public holiday may extend under General Construction Law 25-a.