4123-6-02.2 Provider access to the HPP - provider credentialing criteria.

 

 

 

NOTICE OF PUBLIC HEARING

 

The Ohio Bureau of Workers' Compensation will hold a public hearing on Friday, August 6, 2004, at 10:00 a.m., Training Room H, 3rd Floor, 30 West Spring Street, Columbus, Ohio 43215, to consider the following:

 

(1) Amendment of the following rules of the Bureau of Workers' Compensation for the purpose as shown below:

 

4123-6-02.2     Provider access to the HPP - provider credentialing criteria.

 

The rule establishes minimum credentialing criteria for providers in the BWC Health Partnership Program. In Paragraph (B)(1), the rule is amended so that a provider shall not have any disciplinary restrictions that affect the provider's ability to treat patients or that compromise patient care. Paragraph (B)(8) is added to require that a provider not have any outstanding overpayments or debts to BWC. Paragraph (C)(9) adds credentials for ergonomists, and paragraph (C)(30) adds credentials for residential care/assisted living facilities.

 

4123-6-16.1      Bureau review of HPP medical disputes.

 

The rule describes the criteria used by BWC in reviewing medical treatment disputes in the Health Partnership Program. The rule adds the Work Loss Data Institute's official disability guidelines: treatment in workers' compensation and the McKesson Health Solutions LLC's InterQual workers' compensation and disability management guidelines as reference guidelines for the reviews.

 

The full and complete text of the proposed rules is available at the Register of Ohio (http://www.registerofohio.state.oh.us) and is on file in the office of the Secretary of State (180 East Broad Street, 15th Floor, Columbus, Ohio), the Legislative Service Commission (77 South High Street, 9th Floor, Columbus, Ohio), the office of the Joint Committee on Agency Rule Review (77 South High Street, Concourse Level, Columbus, Ohio), the Bureau of Workers' Compensation, Legal Operations (30 West Spring Street, 26th Floor, Columbus, Ohio), the Bureau of Workers' Compensation (30 West Spring Street, Columbus, Ohio, 1st Floor, Hearing Rooms), and all service offices of the Bureau.

 

All interested parties will be given an opportunity to be heard. Any interested party unable to attend the public hearing may submit written comments to the undersigned prior to the public hearing.

 

THE OHIO BUREAU OF WORKERS' COMPENSATION

 

 

Tom Sico Director,    Legal Operations

Bureau of Workers' Compensation 30 West Spring Street, L-26 Columbus, Ohio 43215-2256

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