The following updated MTGs and new MTGs are effective for treatment on or after May 2, 2022: The Non-Acute Pain MTG, as well as updated versions of the existing MTGs, were implemented for dates of treatment on or after December 15, 2014. On March 1, 2013, the Carpal Tunnel Syndrome MTG and updated versions of the then existing MTGs, including a new maintenance care program, were adopted.
These became the mandatory standard of care for dates of service on or after December 1, 2010. The MTGs initially included four evidence-based guidelines for the treatment of injuries involving the neck, back, shoulder and knee. In December 2010, the New York State Workers' Compensation Board implemented legislatively mandated Medical Treatment Guidelines (MTG) that fundamentally changed the delivery of health care to injured workers.
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