4123-6-39 Payment for prosthetic device or other artificial appliances.  

  • Text Box: ACTION: Final Text Box: DATE: 01/22/2010 2:11 PM

     

     

     

    4123-6-39                    Payment for prosthetic device or other artificial appliances.

     

     

     

    In

     

    (A)In all cases arising under division (B) of section 4123.57 of the Revised Code, if a claimant requires the purchase or repair of an artificial appliance, as determined by any one of the following: (1) the amputee clinic at the Ohio state university medical center; (2) the rehabilitation services commission; (3) a multidisciplinary amputee clinic or prescribing physician approved by the administrator or the administrator's designee, the bureau shall pay the cost of purchasing or repairing the artificial appliance out of the surplus fund. The purchase or repair is made regardless of whether the appliance is part of the claimant's vocational rehabilitation, or if the claimant has, or will ever be able, to return to work.

     

    (B)The bureau is responsible for processing requests for prosthetics and travel expenses associated with the prosthetic in all self-insured claims. When a prosthetic device is needed in a self-insured claim, the provider will send a request for the prosthetic and/or request for repair, as well as the subsequent bills, to the bureau.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    4123-6-39                                                                                                                              2

    Effective:                                                     02/01/2010

    R.C. 119.032 review dates:                         11/17/2009 and 11/01/2014

    CERTIFIED ELECTRONICALLY

    Certification

    01/22/2010

    Date

    Promulgated Under:                           119.03

    Statutory Authority:                           4121.12, 4121.121, 4121.30, 4121.31, 4121.44,

    4121.441, 4123.05, 4123.66

    Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4121.61, 4123.57,

    4123.66

    Prior Effective Dates:                         2/12/97, 2/14/05

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:
4123-6-39_PH_FF_A_RU_20100122_1411.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-39. Payment for prosthetic device or other artificial appliances