4123-6-06.1 Employee access to medical services - employee education by MCO and employer.  

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

     

     

     

    4123-6-06.1                 Employee access to medical services -- employee education by MCO and employer.

     

     

     

    An

     

    (A)An MCO selected by an employer and the employer shall educate employees regarding access to and use of services offered by the MCO for injuries resulting from an industrial accident, including information regarding MCO panel providers or providers with whom the MCO has arrangements. Education of the employee shall stress, among other things, the need for the employee to report any accident immediately to the employer, the employee's treating provider, and the bureau, and shall inform the employee how to seek care through the MCO. The MCO may, at the request of the employer or upon its own initiative, provide MCO identification cards to the employer for distribution to each employee.

     

    (B)The MCO shall assist the bureau in educating employers and shall educate providers, whether in-state or out-of-state, as to bureau initiatives, as set forth in the MCO contract.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    4123-6-06.1                                                                                                                           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

    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:
4123-6-06$1_PH_FF_A_RU_20151102_1016.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-06.1. Employee access to medical services - employee education by MCO and employer