Ohio Admin. Code 4123-6-01.2 - Provisional treatment reimbursement approval - pilot program
Notwithstanding any provision to the contrary in any other rule of the bureau, the administrator may, for purposes of a pilot program, allow one or more managed care organizations to authorize medical treatment reimbursement requests for the first sixty days from the initial allowance of an identified at-risk claim for any conditions within the same body part or parts as the conditions initially allowed in the claim, and presumed to be causally related to the same industrial injury or occupational disease, without disclaimer, during such time as the conditions for which treatment reimbursement is authorized but which are not yet allowed are being considered for allowance or being adjudicated.
The operation of the pilot program authorized under this rule
shall
The pilot program authorized under this rule
shall be
2021
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4123.66
Rule Amplifies: 4121.12, 4121.121, 4121.441
Prior Effective Dates: 07/01/2015, 09/11/2017, 07/01/2019, 01/01/2021
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Notwithstanding any provision to the contrary in any other rule of the bureau, the administrator may, for purposes of a pilot program, allow one or more managed care organizations to authorize medical treatment reimbursement requests for the first sixty days from the initial allowance of an identified at-risk claim for any conditions within the same body part or parts as the conditions initially allowed in the claim, and presumed to be causally related to the same industrial
The operation of the pilot program authorized under this rule shall
The pilot program authorized under this rule shall be 2021
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4123.66
Rule Amplifies: 4121.12, 4121.121, 4121.441
Prior Effective Dates: 07/01/2015, 09/11/2017, 07/01/2019, 01/01/2021