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

  • Text Box: ACTION: Final Text Box: DATE: 11/02/2015 10:16 AM

     

     

     

    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 (A)(1) or (A)(2) of this rule.

     

    (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 bureau.

     

    (2)   A provider may report an injury to the bureau via through the bureau's internet site website 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:                                                             11/13/2015

    Five Year Review (FYR) Dates:                         08/26/2015 and 08/25/2020

    CERTIFIED ELECTRONICALLY

    Certification

    11/02/2015

    Date

    Promulgated Under:                           119.03

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

    4121.441, 4123.05

    Rule Amplifies:                                  4121.12, 4121.121, 4121.44, 4121.441, 4123.66

    Prior Effective Dates:                         2/16/96, 1/1/01, 2/1/10

Document Information

Effective Date:
11/13/2015
File Date:
2015-11-02
Last Day in Effect:
2015-11-13
Five Year Review:
Yes
Rule File:
4123-6-02$8_PH_FF_A_RU_20151102_1016.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-02.8. Provider requirement to notify of injury