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

(A) A self-insuring employer may negotiate payment rates with health care providers for services and supplies provided in the treatment of workers’ compensation claims.

(B) A self-insuring employer may enter into volume-based contracts with medical providers for services including, but not limited to, the purchase or rental of durable medical equipment and supplies.

(C) A self-insuring employer may inform injured workers of the availability of services, supplies, or equipment from particular health care providers where the self-insuring employer has a contract for services or supplies, a discount for services or supplies, or where cost-effective payment levels or rates are obtained by the self-insuring employer by contract, so long as access to quality and convenient medical services or supplies is maintained for injured workers.

HISTORY: Eff 5-18-92; 2-14-05

Promulgated Under: 119.03

Statutory Authority: RC 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4123.05, 4123.66

Rule Amplifies: 4121.44, 4121.651, 4123.66

R.C. 119.032 review dates: 10/26/2004 and 03/01/2009