Ohio Admin. Code 4123-6-44 - Bureau fees for provider services rendered by in-state and out-of- state providers

Bureau fees for in-state or out-of-state providers will be established by the administrator of workers' compensation with the assistance of the bureau's medical management and cost containment division bureau. The bureau may establish different fees for in-state and out-of-state providers. The methods of payment may include rates based on resource based relative value scale (RBRVS), per cent of allowed charges, or usual, customary and reasonable fee maximas, as determined by the bureau's medical management and cost containment division bureau. Rates will be reviewed at least annually by the bureau to determine the need for appropriate adjustment.

Payment for provider services will be made in accordance with rule 4123-6-10 of the Administrative Code.

Notes

Ohio Admin. Code 4123-6-44

Effective: 2/1/2022
Five Year Review (FYR) Dates: 11/12/2021 and 02/01/2027
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4123.05, 4123.66
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4123.66
Prior Effective Dates: 02/12/1997, 02/01/2010