4123-6-08 Bureau fee schedule.

 

 

 

4123-6-08                    Bureau fee schedule.

 

 

 

(A)    Pursuant to division (A)(8) of section 4121.441 of the Revised Code, the bureau administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, shall develop, maintain, and publish a provider fee schedule for the various types of billing codes. The administrator

hereby  adopts  the

fee

schedules  shall  be  schedule  indicated  in  the  attached

appendix A, developed with provider and employer input, effective February 19, 2009.

(B)    Whether the MCO has elected to retain a provider panel or not, an MCO may contract with providers. Every provider contract shall describe the method of payment to the providers. The MCO shall provide an MCO fee schedule to each provider that contracts with the MCO. The MCO fee schedule may be at different rates than the bureau fee schedule. The MCO shall make the MCO fee schedule available to the bureau as part of its application for certification. The bureau shall maintain the MCO fee schedule as proprietary information.

4123-6-08                                                                                                                              2

Effective:                                                     02/19/2009

R.C. 119.032 review dates:                         10/16/2008 and 02/01/2014

CERTIFIED ELECTRONICALLY

Certification

02/09/2009

Date

Promulgated Under:                           119.03

Statutory Authority:                           4121.12, 4121.121, 4121.30, 4121.31, 4123.05

Rule Amplifies:                                  4121.44, 4121.441, 4123.66

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