Serving the Greater Rochester Community for over 20 years.

Learn about our Process

Our Mission

CTAAB’s purpose is to augment and provide an independent, professional, and community-oriented appraisal to the health care planning process in a nine- county region (Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Wayne, Wyoming, and Yates). The organization will advise the payers, the providers, and other interested parties on the need for, or efficacy of, certain health care services and technologies on a community-wide basis. The payers, in turn, may use the recommendations of the organization in the development of their reimbursement or network adequacy policies. This role of the organization is advisory only, and its recommendations shall not be binding in any way on the payers. CTAAB will assess community need for new or expanded medical services, new or expanded technology, and major capital expenditures as proposed by public and private physicians and health facilities.

A review by CTAAB will be guided by the following principles:

  • Achieving and maintaining a health care system with adequate capacity to support community need,
  • Promoting patient access to necessary services,
  • Avoiding duplicative health care services and technology, and
  • Appropriately containing costs.


The Community Technology Assessment Advisory Board (CTAAB) was established in 1993 to augment the health care planning process in the Rochester area and to continue the Rochester ccommunity's legacy of high quality, affordable health care. CTAAB is an independent board that:

  • Reviews selected issues such as new or expanded technology, new or expanded services, and capital expenditures,
  • makes judgments on these issues
  • communicates its decisions to the health care community.

CTAAB is an advisory board only, though CTAAB decisions may have reimbursement implications for applicants. Although its recommendations are not binding to health insurers, the community benefits from this cooperative approach among physicians, community members and payers alike. Payers may use CTAAB's non-binding decisions to help formulate reimbursement policies.

The CTAAB Board reflects the diversity of the Rochester community. There are members representing the business and insurance community, consumers, physician groups, health systems and other community groups. Members are drawn from the area covered by CTAAB -- Genesee, Livingston, Monroe, Ontario, Seneca, Wayne, Wyoming and Yates Counties. The CTAAB relies heavily on the Technology Assessment Committee and a Capacity Consultant. Both the Technology Assessment Committee and the Capacity Consultant report their findings to CTAAB for consideration.

The CTAAB represents a wide range of constituencies who share a common interest in the community's total health care system. Accordingly, recommendations of the CTAAB will be communicated to all interested parties, as well as to the community at large.

Board Members

Technology Assessment Committee

The Capacity Consultant assesses current use and need for technology, services, and capital expenditures utilizing a set of capacity assessment criteria. The Capacity Consultant's services may be provided by Finger Lakes Health Systems Agency or other bodies as designated by CTAAB.

Both the Technology Assessment Committee and the Capacity Consultant report their findings to CTAAB for consideration.

The Technology Assessment Committee reviews issues of new technology utilizing technology assessment criteria. The committee is comprised of approximately one-half primary care physicians and on-half specialists, thereby providing a broad base of knowledge for reviews of medical technology. In some cases, information from outside experts is utilized in understanding technological issues.


Q: What geographies does CTAAB represent?
A: CTAAB represents the 9 Counties surrounding Rochester, NY (Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Wayne, Wyoming and Yates)

Q:  Does my project require an application?
A: Review our process page for details on screening criteria. If after review you are still unsure, please contact the CTAAB staff director to assist you in your determination. 

Q: Who is influenced by CTAAB’s decisions?
A: While the entire community receives CTAAB’s recommendations, the local commercial payers are the primary target audience.  The payers are able to utilize CTAAB’s non-binding recommendations in their billing and payment policies and contracting methodologies as they see fit.

Q: Should I submit an application or a letter of intent?
A: While the process of CTAAB traditionally begins with a letter of intent, you can submit an application without a letter.  However, the waiting periods associated with a letter of intent still apply to new applications.