4123-18-22 Fees for use of services of the bureau rehabilitation center.

(A) Pursuant to division (C) of section 4121.62 of the Revised Code, the administrator of workers’ compensation shall establish fees for use of services offered by the bureau’s rehabilitation center, the BWC rehabilitation center in Columbus

(B) The fees will take into account the usual, customary, and reasonable fees charged for like services in the area in which the services are provided, as determined by the bureau’s medical section. No fees shall be established in excess of the bureau’s current fee maxima schedule.

(C) Fees for use of programs or services of the centers will be charged to the in accordance with the approved fee schedule with authorization of the MCO for the services rendered. Upon receipt of an approved itemized bill, the fees will be paid by the MCO from the appropriate fund for state fund employers, and by the bureau from the self-insured surplus fund for self-insuring employers who have not elected to pay rehabilitation costs directly, and by self-insuring employers who have elected to pay rehabilitation costs directly pursuant to division (D) of section 4121.66 of the Revised Code.

(D) The specific program descriptions, protocols, and fee schedules for the programs and services offered by the rehabilitation center shall be published periodically by the bureau. The bureau will provide fourteen days advance notice of any changes in programs or fee schedules, and any increases in fees shall apply prospectively only to services authorized after the effective date of the change. The bureau may discount fees from the fee schedule at its discretion. Copies of the services offered and the fee schedule may be obtained upon request by contacting the rehabilitation center.

R.C. 119.032 review dates: 11/28/2003 and 03/01/2008

Promulgated Under: 119.03

Statutory Authority: 4121.12, 4121.30, 4121.31, 4123.05

Rule Amplifies: 4121.62, 4121.66

Prior Effective Dates: 10/11/94, 1/1/01