# NY IME / SLU Program Guide > New York IME and schedule loss of use guide: 2018 SLU guidelines, MMI rules, Form C-4.3. Verified 2026-08-15. Canonical page: https://medrecords.ai/content-hub/states/ny/ --- [Content Hub](https://medrecords.ai/content-hub/) › States ## NY IME / SLU Program Guide New York evaluates permanent impairment through its own Schedule Loss of Use guidelines (2018) rather than the AMA Guides, certified on Form C-4.3 at maximum medical improvement. 2 sections·3 sources·Verified 2026-08-15 ✓ 01 ### Program overview The Board's 2018 SLU guidelines apply when a claimant reaches MMI; examiners measure active range of motion and compare to the contralateral side where applicable. The doctor reports MMI and permanent impairment on Form C-4.3. 02 ### MMI definition 12 NYCRR 324.1 defines MMI as the point where the claimant has recovered to the greatest extent expected and no further improvement is reasonably expected; in non-surgery/non-fracture cases MMI cannot be found before 6 months from injury. Rating basis by jurisdiction — 10 states profiled [California — QME — Labor Code § 4660(b)(1) — **AMA Guides 5th** ](https://medrecords.ai/content-hub/states/ca/) [Pennsylvania — IRE — 34 Pa. Code § 123.105; Act 142 — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/pa/) [Tennessee — IR training — State-approved training list — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/tn/) [Colorado — DIME — Rule 11 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/co/) [Ohio — IME / DME — BWC policy — **Edition set by agency** ](https://medrecords.ai/content-hub/states/oh/) [Texas — Designated Doctor — 28 TAC 130.1 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/tx/) [Washington — IME — L&I Medical Examiners' Handbook — **Edition set by agency** ](https://medrecords.ai/content-hub/states/wa/) [Florida — IRE / Schedule — 1996 Florida Impairment Rating Schedule — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/fl/) New York — IME / SLU — 2018 SLU guidelines — **State schedule, not AMA** [Arizona — DME — No canonical state source verified — **Not confirmed** ](https://medrecords.ai/content-hub/states/az/) New York runs a **IME / SLU** programme and rates on **state schedule, not ama** (2018 SLU guidelines). The rating standard is set by the jurisdiction, not by the examiner, so the same clinical findings can produce different numbers across the 10 states profiled here. ### Key facts | Program | IME / SLU | | --- | --- | | Agency | New York Workers' Compensation Board | | Statute / rules | 12 NYCRR 324; 12 NYCRR 325-1.6 | | AMA Guides edition | Not AMA-based (New York SLU guidelines) | | Edition basis | 2018 Guidelines for Determining Permanent Impairment and Loss of Wage Earning Capacity | | MMI rules | MMI defined at 12 NYCRR 324.1; no MMI before 6 months for non-surgical/non-fracture cases | | Key forms | Form C-4.3 (Doctor's Report of MMI/Permanent Impairment) | | Fee schedule | WCB medical fee schedule (verify current) | | Telehealth | Not confirmed | ### Sources - [NY WCB 2018 SLU Guidelines](https://es.wcb.ny.gov/content/main/TheBoard/2018-impairment-guidelines-determining-schedule-loss-use-slu.pdf) - [NY WCB Subject Number 046-472](https://www.wcb.ny.gov/content/main/SubjectNos/sn046_472.jsp) - [12 NYCRR 324 (definitions)](https://regulations.justia.com/states/new-york/title-12/chapter-v/subchapter-c/part-324/section-324-1/) Medrecords AI Every line cited back to its page. Send one real record set. We return a cited chronology you can check line by line, and a human decides what it means. [Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-ny) [Book a demo](https://medrecords.ai/demo/?src=content-hub-ny) ### Meeting these requirements with Medrecords AI Medrecords AI assembles the record against the standard this jurisdiction applies — sorted, deduplicated and cited, so the reviewer checks the read instead of rebuilding it. [Solution — **Workers' compensation** — QME, SOAF, impairment rating and federal program record work. Read more →](https://medrecords.ai/solutions/workers-comp/?src=content-hub-ny) [Solution — **Utilization review packets** — The clinical record assembled against the criteria the reviewer applies. Read more →](https://medrecords.ai/solutions/utilization-review-record-packet/?src=content-hub-ny) [Product — **Medical chronology** — A dated, deduplicated timeline with a citation on every entry. 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