4123-6-02 Provider access to the HPP - generally.  

  • Text Box: ACTION: Final Text Box: DATE: 01/22/2010 1:40 PM

     

     

     

    4123-6-02                    Provider access to the HPP - generally.

     

     

     

    (A)     The bureau is authorized to credential and certify a provider who wishes to participate in the HPP. The bureau is authorized to recredential and recertify a provider at least every two years. The bureau may, but is not required to, recredential and recertify providers on a staggered basis, in order of the provider's initial certification date.

     

    (B)   A provider shall be certified or recertified by the bureau to treat employees under the

    HPP injured workers if the provider

    agrees to provide care to injured workers;

    participate in provider outcome measurement, peer review, quality assurance and utilization reviews; meet is a direct service provider; meets and maintain maintains basic credentialing criteria under rule 4123-6-02.2 of the Administrative Code; and as established by the bureau meets and maintains all other applicable criteria under the workers' compensation statutes and rules; and completes and signs a provider application and agreement or recertification application and agreement with the bureau.

    4123-6-02                                                                                                                              2

    Effective:                                                     02/01/2010

    R.C. 119.032 review dates:                         11/17/2009 and 02/01/2015

    CERTIFIED ELECTRONICALLY

    Certification

    01/22/2010

    Date

    Promulgated Under:                           119.03

    Statutory Authority:                           4121.12, 4121.121, 4121.31, 4123.05

    Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4123.66

    Prior Effective Dates:                         2/16/96, 1/5/99, 1/1/01, 3/29/02

Document Information

Effective Date:
2/1/2010
File Date:
2010-01-22
Last Day in Effect:
2010-02-01
Five Year Review:
Yes
Rule File:
4123-6-02_PH_FF_A_RU_20100122_1340.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-02. Provider access to the HPP - generally