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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4123-6-58 | Provider access to the QHP system - provider participation in QHP system and other related health care program not linked.

 

A QHP or vendor that provides medical management and cost containment services shall not require a provider to participate in a workers' compensation network of providers in order to maintain membership in a related health care program. If the QHP utilizes a leased provider network, the QHP shall not apply the discounted payment rates of the leased network to services rendered by the provider in the QHP unless the signed, written consent of the provider has been obtained.

Supplemental Information

Authorized By: 4121.12, 4121.30, 4121.31, 4123.05
Amplifies: 4121.121, 4121.44, 4121.441, 4121.442, 4123.66
Five Year Review Date: 8/1/2025
Prior Effective Dates: 9/5/1996