4123-6-46 Standardized or negotiated payment rates for services or supplies.

 

 

 

4123-6-46                    Standardized  or  negotiated  payment  rates  for  services  or supplies.

 

 

 

(A)   The bureau or self-insuring employer may negotiate payment rates with health care providers for services and supplies provided in the treatment of workers' compensation claims.

 

(B)    Volume-based contracts The bureau or self-insuring employer may be made enter into volume-based contracts with medical providers for services including, but not limited to, the purchase or rental of durable medical equipment and supplies.

 

(C)    Injured workers The bureau or self-insuring employer may be informed inform injured workers of the availability of services, supplies, or equipment from particular health care providers with whom a contract for services or supplies, a negotiated a payment rate for services or supplies, or a contract for cost-effective payment levels or rates has been made. In each case, entered into, so long as access to quality and convenient medical services or supplies must be for injured workers is maintained for claimants.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4123-6-46                                                                                                                              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, 4123.651, 4123.66

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