Chapter 4123-7 Payments to Health Care Providers

4123-7-01 [Rescinded] Jurisdictional principles applicable to payment of bills for medical services rendered by health care providers.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4123.52 , 4123.65
Prior Effective Dates: 1/1/78, 12/2/79, 4/1/07

4123-7-02 [Rescinded] Treatment necessary on account of an industrial injury or occupational disease.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.30 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78

4123-7-03 [Rescinded] Payment for medical supplies and services.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.12 , 1 4121.30 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78, 4/1/07

4123-7-04 [Rescinded] Claimant reimbursement.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78, 11/13/92

4123-7-05 [Rescinded] Treatment by more than one physician.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.30 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78

4123-7-06 [Rescinded] Treatment of more than one condition or to more than one part of the body.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.12 , 1 4121.30 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78

4123-7-07 [Rescinded] Filing of bills.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78, 1/15/99

4123-7-08 [Rescinded] Obligation for submitting reports.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.44 , 4123.57 , 4123.66
Prior Effective Dates: 1/1/78, 9/15/81, 2/14/05

4123-7-09 [Rescinded] Request for information by the treating physician.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.30 , 4121.44
Prior Effective Dates: 1/1/78, 2/14/05

4123-7-10 [Rescinded] Free choice of physician and of other medical services.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.30 , 4121.44 , 4123.651 , 4123.66
Prior Effective Dates: 1/1/78, 2/14/05

4123-7-11 Change of physicians. [Rescinded].

Rescinded eff 2-14-05

4123-7-12 [Rescinded] Payment for physiotherapy treatment.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78

4123-7-13 [Rescinded] Payment for chiropractic treatment.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.121 , 4121.30 , 4121.31 , 4123.66 , 4734.09
Prior Effective Dates: 1/1/78

4123-7-14 [Rescinded] Acupuncture.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05
Rule Amplifies: 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78, 10/10/03, 9/22/08

4123-7-15 [Rescinded] Payment for x-rays.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.30 , 4121.31 , 4123.66
Prior Effective Dates: 1/1/78, 2/14/05

4123-7-16 Handling of emergency situations and other situations where prior authorization for immediate treatment and/or service is not required. [Rescinded].

Rescinded eff 2-14-05

4123-7-17 [Rescinded] Medical billing in self-insured claims.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.44 , 4123.651 , 4123.66
Prior Effective Dates: 1/1/78, 5/18/02, 2/14/05

4123-7-18 [Rescinded] Payment for dental care.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05 , 4123.66
Rule Amplifies: 4123.66
Prior Effective Dates: 1/1/78, 12/21/79, 2/14/05

4123-7-19 [Rescinded] Payment for eyeglasses and contact lenses.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05 , 4123.66
Rule Amplifies: 4123.66
Prior Effective Dates: 1/1/78, 12/21/79, 2/14/05

4123-7-20 [Rescinded] Payment for hearing aids.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4123.66
Prior Effective Dates: 1/1/78, 12/21/79, 2/14/05

4123-7-21 [Rescinded] Payment for shoes, braces, and other orthotic devices.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4123.66
Prior Effective Dates: 1/1/78, 2/14/05

4123-7-22 Payment for braces and other orthotic devices. [Rescinded].

Rescinded eff 2-14-05

4123-7-23 [Rescinded] Payment for outpatient medication.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30
Rule Amplifies: 4121.44 , 4123.66
Prior Effective Dates: 1/1/78, 5/18/92, 1/1/03, 6/1/06

4123-7-24 [Rescinded] Payment of hospital bills.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.31 , 4121.44 , 4123.66
Prior Effective Dates: 1/1/78, 9/1/93, 2/14/05

4123-7-25 [Rescinded] Payment for home health nursing services.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4121.441 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78, 12/14/92, 1/9/95, 6/1/05

4123-7-25.1 [Rescinded] Payment for nursing and caregiver services provided by persons other than home health agency employees.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4121.441 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78, 12/14/92, 1/9/95, 6/1/05

4123-7-26 [Rescinded] Payment to nursing homes and residential care/assisted living services.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4121.441 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.44 , 4121.441 , 4123.66
Prior Effective Dates: 1/1/78, 12/14/92, 6/1/05

4123-7-27 Health care provider quality assurance advisory committee. [Rescinded].

Rescinded eff 2-14-05

4123-7-28 [Rescinded] Payment for prosthetic device or other artificial appliances.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4123.05 , 4123.66
Rule Amplifies: 4121.61 , 4123.57 , 4123.66
Prior Effective Dates: 1/1/78, 4/7/80, 7/10/80, 5/23/94, 2/14/05

4123-7-30 [Rescinded] No legal relationship between the industrial commission or self-insuring employer and a health care provider.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.44 , 4123.66
Prior Effective Dates: 1/1/78, 11/13/92, 2/14/05

4123-7-31 Payment for equipment, materials, goods, supplies or services and interest incurred. [Rescinded].

Rescinded eff 2-14-05

4123-7-33 [Rescinded] Medical rules apply to both self-insuring employers and industrial commission.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.30 , 4121.44 , 4123.66
Prior Effective Dates: 7/16/90, 2/14/05

4123-7-34 [Rescinded] Payment for transcutaneous electrical nerve stimulators and neuromuscular electrical stimulators.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.121 , 4121.30 , 4123.05
Rule Amplifies: 4123.66
Prior Effective Dates: 9/1/93, 3/1/04

4123-7-35 [Rescinded] Payments for practitioner services rendered by in-state and out-of-state practitioners.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.121 , 4121.44 , 4123.66
Prior Effective Dates: 5/23/94, 2/14/05

4123-7-36 Payment for practitioner services rendered by out-of-state providers. [Rescinded].

Rescinded eff 2-14-05

4123-7-38 Review of providers. [Rescinded].

Rescinded eff 2-14-05

4123-7-39 [Rescinded] Standardized or negotiated payment rates for services or supplies.

Effective: 03/05/2010
R.C. 119.032 review dates: 11/17/2009
Promulgated Under: 119.03
Statutory Authority: 4121.12 , 4121.121 , 4121.30 , 4121.31 , 4121.44 , 4123.05 , 4123.66
Rule Amplifies: 4121.44 , 4123.651 , 4123.66
Prior Effective Dates: 5/18/92, 2/14/05

4123-7-40 Standards and procedures for sanction, suspension or exclusion of health care providers. [Rescinded].

Rescinded eff 2-14-05

4123-7-41 Procedures for suspension of health care providers suspended by other state or federal programs. [Rescinded].

Rescinded eff 2-14-05