Ohio Admin. Code 4123-6-51 - Employer participation in the QHP system - bureau certification of QHPs
(A) A health plan
that satisfies the QHP certification requirements of this chapter shall be
certified by the bureau as a QHP to manage medical treatment, direct care or
provide services or supplies to or on behalf of an employee for an injury or
occupational disease that is compensable under Chapter 4121., 4123., or 4131.
of the Revised Code.
(B) An
employer may establish a bureau certified QHP, that shall comply with the
thirteen standards set forth in divisions (A)(1
(A)(1) to
(A)(13) of section 4121.442 of the Revised Code,
division (K)
(P) of section
4121.44 of the Revised Code, and
rules
4123-6-53
and
4123-6-54
of the Administrative Code.
(C)
QHP certification by the
The bureau shall be for a
period of
is authorized to recertify QHPs at
least every three years.
(D)
The bureau, at least annually, shall develop and make available information
that describes employer and employee rights under the QHP.
(E) The bureau shall continue to certify
health plans and shall periodically, at least annually, update its list of
certified QHPs.
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4121.442, 4123.05
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4121.442, 4123.66
Prior Effective Dates: 9/5/96, 2/1/10
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(A) A health plan that satisfies the QHP certification requirements of this chapter shall be certified by the bureau as a QHP to manage medical treatment, direct care or provide services or supplies to or on behalf of an employee for an injury or occupational disease that is compensable under Chapter 4121., 4123., or 4131. of the Revised Code.
(B) An employer may establish a bureau certified QHP , that shall comply with the thirteen standards set forth in divisions (A)(1 (A)(1) to (A)(13) of section 4121.442 of the Revised Code, division (K) (P) of section 4121.44 of the Revised Code, and rules 4123-6-53 and 4123-6-54 of the Administrative Code.
(C) QHP certification by the The bureau shall be for a period of is authorized to recertify QHPs at least every three years.
(D) The bureau, at least annually, shall develop and make available information that describes employer and employee rights under the QHP.
(E) The bureau shall continue to certify health plans and shall periodically, at least annually, update its list of certified QHPs.
Notes
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4121.442, 4123.05
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441, 4121.442, 4123.66
Prior Effective Dates: 9/5/96, 2/1/10