4123-6-03.9 MCO participation in the HPP - MCO disclosure of relationship.

 

 

 

4123-6-03.9                 MCO    participation    in    the    HPP    -    MCO     disclosure    of relationship.

 

 

If the managed care organization is related to affiliated with another corporation or entity, as defined in rule 4123-6-05.1 of the Administrative Code, that has had or contemplates activities of any nature with the Ohio workers' compensation system and such relationship creates or presents either the opportunity for a conflict of interest or the appearance of a conflict of interest for the managed care organization and/or the other corporation or entity, the managed care organization shall provide to the bureau a description of the resolution of such opportunity for or the appearance of a conflict of interest satisfactory to the bureau.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4123-6-03.9                                                                                                                           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, 10/26/00