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

(A) In all cases arising under division (B) of section 4123.57 of the Revised Code, if a claimant requires the purchase or repair of an artificial appliance, the bureau shall pay the cost of purchasing or repairing the artificial appliance out of the surplus fund. The purchase or repair is made regardless of whether the appliance is part of the claimant’s vocational rehabilitation, or if the claimant has, or will ever be able, to return to work.

(B) The bureau is responsible for processing requests for prosthetics and travel expenses associated with the prosthetic in all self-insured claims. When a prosthetic device is needed in a self-insured claim, the provider will send a request for the prosthetic and/or request for repair, as well as the subsequent bills, to the bureau.

HISTORY: Replaces rule 4121-17-28; Eff 1-1-78; 4-7-80; 7-10-80; 5-23-94; Replaces: 4123-7-28 Eff 2-14-05

Promulgated Under: 119.03

Statutory Authority: RC 4121.12, 4121.121, 4121.30, 4121.31, 4123.05, 4123.66

Rule Amplifies: RC 4121.61, 4123.57, 4123.66

R.C. 119.032 review dates: 03/01/2009