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
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
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