Ohio Admin. Code 4123-6-08

Current through all regulations passed and filed through September 23, 2024

Section 4123-6-08 - Bureau fee schedule

(A) Pursuant to division (A)(1)(h) of section 4121.441 of the Revised Code, the administrator of workers' compensation, with the advice and consent of the bureau of workers' compensation board of directors, develops, maintains, and publishes a provider fee schedule for the various types of billing codes. The administrator hereby adopts the professional provider fee schedule indicated in the appendix to this rule.

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

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Ohio Admin. Code 4123-6-08

Effective: 5/1/2024
Five Year Review (FYR) Dates: 5/1/2025
Promulgated Under: 119.03
Statutory Authority: R.C. 4121.12, 4121.121, 4121.30, 4121.31, 4123.05
Rule Amplifies: R.C. 4121.12, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 02/16/1996, 01/01/2001, 02/19/2009, 11/08/2009, 10/25/2010, 12/30/2010 (Emer.), 03/21/2011, 12/30/2011 (Emer.), 03/24/2012, 12/27/2012 (Emer.), 03/24/2013, 12/30/2013 (Emer.), 03/28/2014,12/30/2014 (Emer.), 01/15/2015 (Emer.), 05/01/2015,12/31/2015 (Emer.), 05/01/2016, 12/30/2016 (Emer.), 05/01/2017, 12/29/2017 (Emer.), 05/01/2018,12/31/2018 (Emer.), 05/01/2019, 12/31/2019 (Emer.), 05/16/2020, 12/31/2020 (Emer.), 05/06/2021,12/30/2021 (Emer.), 05/01/2022, 12/30/2022 (Emer.), 05/01/2023, 12/29/2023 (Emer.)