Recommendation Of Care Program Medical Provider Network

NYSIF offers policyholders a Recommendation of Care (ROC) program with the potential of up to 15% savings on the medical cost of claims. The program is administered by the Conventry medical provider network, now totaling more than 34,000 participating providers. ROC participation by NYSIF policyholders is voluntary. To drive down the medical cost of claims, take the following steps:

A.) Send NYSIF a signed "Recommendation of Care Program (ROC) Acknowledgement Form"

  • E-mail a signed copy of the form to Roc@nysif.com
  • Or, fax a signed copy of the form to 212-312-7120
  • If you cannot e-mail or fax the form, send the signed original to:
    New York State Insurance Fund
    199 Church Street
    Attention: ROC
    4th Floor Claims Administration
    New York NY 10007

B.) When an employee sustains a work-related injury/illness the policyholder must provide the injured worker with the Claimant Information Packet (available in multi-languages from the Forms page) at the time of injury, and if participating in the ROC program:

  1. Give the injured worker Form C-3.1, “Notice of Right to Select a Workers' Compensation Board Authorized Health Care Provider,” at the time of injury or immediately following the injury.
  2. Have the injured worker sign and return the form to the policyholder.
  3. Keep a record of receipt of the signed C-3.1 form, and maintain the signed original.
  4. Follow-up to obtain the signed form if the injured worker fails to return the C-3.1 form.
  5. Clearly document all attempts to obtain the signed C-3.1 form (letters, phone calls, etc.).

Receipt or non-receipt of the signed C-3.1 form must not hinder any injured employee in securing timely, appropriate treatment for a work-related injury/illness.

C.) If you choose to post or provide employee communication regarding the ROC program it must clearly indicate that:

  1. Use of the ROC medical provider network is strictly voluntary.
  2. For the treatment of any work-related injury or illness, the injured worker retains the right to be treated by any physician, podiatrist, chiropractor, or psychologist who is authorized by the NYS Workers' Compensation Board.
  3. The injured worker may obtain a list of authorized healthcare providers from the Workers’ Compensation Board.
  4. The injured worker may choose or change a healthcare provider at will without jeopardizing medical or indemnity benefits.

To locate a network provider use www.talispoint.com/cvty/wcnyg or request a local provider listing at 1-800-842-2917.