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Several Payers Discontinue Medicare Advantage Benefits

by Insurance Committee | Jan 3, 2026 | Aetna, Cigna, Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only, UHC

The NYSCA Insurance Committee (The NIC) monitors various aspects of rules, regulations and trends which impact our reimbursement. Over the past several years we have reviewed some of these during our meetings and presentations, and discussed possible changes that we...

Special Funds Updates to Claims Administrators

by Insurance Committee | Dec 24, 2025 | Insurance Updates, Members Only, Workers' Compensation

The NYSCA Insurance Committee (The NIC) has been communicating with both the Workers’ Compensation Board and Third-Party Administrators to define and advise our members on a recent change impacting the Special Fund for Disability Benefits, the Uninsured...

NYS WCB: Updates to Form C-8.1B

by Insurance Committee | Dec 23, 2025 | Insurance Updates, Public, Workers' Compensation

On October 1, 2025, the Workers’ Compensation Board (Board) announced updates to the Notice of Objection to a Payment of a Bill for Treatment Provided (Form C-8.1B) requiring payers to provide a detailed explanation of their objections to bills for...

Clarification on Medicare Advantage (Part C) Chiropractic Coverage for 2026

by Insurance Committee | Nov 10, 2025 | Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only

It has come to the attention of the NYSCA that some plan materials for certain 2026 Medicare Advantage (Part C) plans have included language that may appear confusing and contradictory.  We want to assure members that chiropractic spinal manipulation to...

NYS WCB at the NYSCA 2025 Fall Convention in Syracuse

by Education and Events Committee | Sep 15, 2025 | Insurance Updates, NYSCA News, Public, Workers' Compensation

The NYSCA is pleased to announce that New York State Workers’ Compensation Board (WCB) Executive Director Steven Scotti and Medical Director Dr. James Tacci will join us at the Fall Convention in Syracuse on Friday, October 17, 2025, at 4:00 p.m. This session is...

NYS Workers’ Compensation Board Updates Form C-4.3

by Insurance Committee | Aug 22, 2025 | Insurance Updates, Members Only, Workers' Compensation

Today the NYS Workers’ Compensation Board released an updated version of the C-4.3 permanent impairment form. Since all providers are now required to bill electronically, the billing section of the Form has been removed. If your patient has achieved Maximum...
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