Ohio Admin. Code 4123-6-18 - Data gathering and reporting

(A) Pursuant to division (L) of section 4121.44 of the Revised Code and division (A)(6) (A) (1) (f) of section 4121.441 of the Revised Code, the administrator shall require employees, employers, providers, MCOs, and plans that participate in the workers' compensation system to report data to be used by the administrator to:

(1) Measure and perform comparison analyses of costs, quality, appropriateness of medical care, and effectiveness of medical care delivered by all components of the workers' compensation system.

(2) Compile data to support activities of the MCOs and to measure the outcomes and savings of the HPP.

(3) Publish and report compiled data on the measures of outcomes and savings of the HPP to the governor, the speaker of the house of representatives, and the president of the senate with the annual report prepared under division (F)(3) of section 4121.12 of the Revised Code.

(B) The administrator shall compile at least annually and make available electronically to each employer a report that summarizes the performance of each MCO.

Notes

Ohio Admin. Code 4123-6-18

Effective: 4/1/2021
Five Year Review (FYR) Dates: 1/5/2021 and 08/01/2025
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4123.05
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.441
Prior Effective Dates: 02/16/1996, 01/01/1999, 02/14/2005, 02/01/2010, 11/13/2015