4123-6-02.8 Provider requirement to notify of injury.  

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

     

     

     

    4123-6-02.8                 Provider requirement to notify of injury.

     

     

     

    (A)  HPP: Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease in accordance with either paragraph (B) (A)(1) or (C) (A)(2) of this rule.

     

    (B)(1) A provider may report an injury to the MCO responsible for medical management of the employee's treatment. When reporting the injury to the MCO, the provider shall do so in accordance with procedures established by the MCO, pursuant to paragraph (E) of rule 4123-6-04.3 of the Administrative Code bureau. The injury shall be reported to the MCO responsible for medical management of the employee's treatment.

     

    (C)(2) A provider may report an injury to the bureau via the bureau's internet site pursuant to rule 4125-1-02 of the Administrative Code.

     

    (B)QHP: Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease to the QHP or employer.

     

    (C)Self-insuring employer (non-QHP): Within one working day of initial treatment or initial visit of an injured worker, a provider must report the employee's injury or occupational disease to the self-insuring employer.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    4123-6-02.8                                                                                                                           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, 4121.30, 4121.31, 4123.05

    Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4123.66

    Prior Effective Dates:                         2/16/96, 1/1/01

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$8_PH_FF_A_RU_20100122_1340.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-02.8. Provider requirement to notify of injury