Ohio Administrative Code Search

...ompensation for permanent and total disability which, when combined with disability benefits received pursuant to the Social Security Act, is less than three hundred forty-two dollars per month adjusted annually as provided in division (B) of section 4123.62 of the Revised Code, shall be eligible to participate in the disabled workers' relief fund. For purposes of this rule, this amount shall ...

...nued entitlement to temporary total disability compensation, the employee's rehabilitation potential, and the appropriateness of the employee's medical treatment. The bureau shall schedule the examination for a date not later than thirty days following the end of the initial ninety-day period of temporary total disability compensation. The bureau shall mail a copy of the bureau's determination...

...d admission for the psycho-neurotic disability in a recognized medical or mental institution. Out-patient treatment does not satisfy the statutory definition. (3) With respect to the handicap condition defined in division (A)(25) of section 4123.343 of the Revised Code, an employer is not eligible for handicap reimbursement in the same claim in which the employee participated in a rehabilitation ...

... proof of record; (3) Whether the disability is based solely on the condition or conditions for which the claim is recognized; (4) Whether the disability is based on objective symptoms of disability as a direct result of the injury or occupational disease in the respective claim; "objective symptoms" means those signs and indications which are discovered from an examination of the claimant...

...e of such an injury or beginning of disability, which warrants are to be mailed to the claimant in care of the employer with instructions that the warrants are to be endorsed personally by the claimant. The bureau will not honor the agreement unless the written notice of the agreement is signed by the employer and claimant and filed with the bureau within thirty days of the beginning date of p...

...ould lead to serious physical or mental disability or death, or that are immediately necessary to alleviate severe pain. Emergency treatment includes treatment delivered in response to symptoms that may or may not represent an actual emergency, but is necessary to determine whether an emergency exists. (G) "Employee" means: As used in the rules of this chapter, the term "employee" includes t...

... certified coach (MCC), certified disability management specialist (CDMS), or CARF accreditation for employment and community services in job development or employment supports; or (ii) Evidence of completion of three or more courses, seminars or workshops prior to application for certification, totaling a minimum of eighty hours and approved by the bureau or by an entity offering...

...isputes, and will not include extent of disability issues. An ADR IME will not be conducted at the request of an employer and does not substitute for an examination permitted under section 4123.651 of the Revised Code. (2) If an ADR IME is scheduled under this rule, the parties, and their representatives, if any, will be promptly notified as to the time and place of the examination, and the ques...

...ed compensation for permanent total disability; (b) The injured worker returns to work without restrictions within seven days of the injury; or (c) The injured worker is seeing the treating physician after the treating physician has submitted a MEDCO-14 or equivalent releasing the injured worker to return to the former position of employment without restrictions. (2) The physician's report of w...

...ecting, or alleviating any work related disability. Physical medicine includes the establishment and modification of physical rehabilitation programs, treatment planning, instruction, and consultative services. "Physical measures" include massage, heat, cold, air, light, water, electricity, sound, manipulation, and the performance of tests of neuromuscular function as an aid to such treatment. Physical medicine does ...

...ecting, or alleviating any work related disability. Physical medicine includes the establishment and modification of physical rehabilitation programs, treatment planning, instruction, and consultative services. "Physical measures" include massage, heat, cold, air, light, water, electricity, sound, manipulation, and the performance of tests of neuromuscular function as an aid to such treatment. Phy...

...diagram; (iii) Oswestry low back disability questionnaire. (b) A comprehensive orthopedic / neurological examination, including documentation of all of the following categories: (i) Gait; (ii) Spine (deformities, range of motion, palpation); (iii) Hips and sacroiliac joints; (iv) Motor; (v) Sensation; (vi) Reflexes; (vii) Upper motor neuron signs. (c) Diagnostic testing. (i) Lum...

...diagram; (iii) Oswestry low back disability questionnaire. (b) A comprehensive orthopedic / neurological examination, including documentation of all of the following categories: (i) Gait; (ii) Spine (deformities, range of motion, palpation); (iii) Hips and sacroiliac joints; (iv) Motor; (v) Sensation; (vi) Reflexes; (vii) Upper motor neuron signs. (c) Diagnostic testing. (i) Lum...

...vidence-based tool (e.g., "OSWESTRY Disability Index Questionnaire or Roland Morris Disability Questionnaire"); (b) Gait; (c) Mood and affect; (d) Pain level, documented through use of an evidence-based pain scale (e.g., visual analog scale) and a decrease of use of the morphine equivalent dosage of any pre-procedure opioid analgesic; and (e) Sleep. (B) BWC will not reimburse for a spinal...

...edfast, confined to a wheelchair, had a disability of two or more extremities which prevented the claimant from caring for his/her own body needs or was otherwise unable to take care of his/her own bodily functions. Services include, but are not limited to, feeding, bathing, dressing, providing personal hygiene, and transferring from bed to chair. Household, personal or other duties related to maintaining a household...

...st, confined to a wheelchair, had a disability of two or more extremities which prevented the injured worker from caring for their own body needs or was otherwise unable to take care of their own bodily functions. Services include, but are not limited to, feeding, bathing, dressing, providing personal hygiene, and transferring from bed to chair. Household, personal or other duties related to maint...

...on race, color, religion, sex, age, disability, military status as defined in section 4112.01 of the Revised Code, national origin, ancestry, or sexual orientation. (F) A QHP shall include in its panel a substantial number of the medical, professional, and pharmacy providers currently being utilized by employees. A QHP may limit the number of providers on its provider panel, but shall do so ...

...edings and records for the bureau's disability evaluators' panel and provider certification. All "proceedings and records within the scope of a peer review committee of a health care entity." See division (E)(2)(j) of section 2305.25 of the Revised Code and section 2305.252 of the Revised Code. (G) Governmental records that are exempt from disclosure under the public records act. See section ...

...e merit-rated, not as a permanent total disability, but as a permanent partial disability, based upon the loss of the last member only. The remaining cost shall not be charged against the accident experience of the employer.

...juries resulting in permanent and total disability. (B) "Catastrophe cost" is defined as the total medical, compensation, and other costs, including reserves for future compensation costs, as a direct result of a catastrophe. (C) Catastrophe cost in excess of two hundred fifty thousand dollars shall not be included in the experience of a classification or of an employer. (D) Catastrophe cost in excess of two hund...

...claimants having dates of injury or disability prior to January 1, 1987, assessments shall be levied in the following manner for so long as payments to such claimants are required: (a) Private state fund employers: zero cents per one-hundred-dollar unit of payroll, effective July 1, 2016; (b) Public employer taxing districts: zero cents per one-hundred-dollar unit of payroll, effective January 1...

...claimants having dates of injury or disability prior to January 1, 1987, assessments shall be levied in the following manner for so long as payments to such claimants are required: (a) Private state fund employers: zero cents per one-hundred-dollar unit of payroll, effective July 1, 2016; (b) Public employer taxing districts: zero cents per one-hundred-dollar unit of payroll, effective January 1...

...A PES agency may settle permanent total disability (PTD) and death benefit claims in which the present value was previously used in the rate calculations. PES agencies will not be billed for the settlement costs of PTD and death benefit claims in which the present value of both medical and indemnity costs was included in contribution rate calculations. These claims would likely be death benefit c...

... payments. The cost of permanent total disability claims and death claims will be charged to the employer as the payments are made, and the reserve will be billed in the final settlement. (C) If the retrospective premium due is less than the retrospective premium paid as of the prior evaluation date, the difference, subject to the minimum premium, less assessments due any fund administered by the Ohio bureau of wo...

...ative Code. The cost of permanent total disability claims and death claims will be charged to the employer as the payments are made, and the reserve will be billed in the final settlement. (C) If the retrospective premium due is less than the retrospective premium paid as of the prior evaluation date, the difference, subject to the minimum premium, less assessments due any fund administered by th...