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

Ohio Administrative Code Search

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Rule 4121-15-09 | Prohibition against unnecessary claim file access.

... to the performance of the employee's duties. In case of violation or apparent violation of this rule, the executive director of the commission or the chief ethics officer of the commission, shall refer the matter to the office of deputy inspector general for the bureau of workers' compensation and industrial commission for investigation, or to the administrator or the industrial commission for action con...

Rule 4123-3-22 | Inspection of claim files.

...al assembly when in the course of their duties as such; (4) The governor, a select committee of the general assembly, a standing committee of the general assembly, the auditor of state, the attorney general, or the designee of any, in the pursuance of any duty imposed by Chapters 4121. and 4123. of the Revised Code. (5) Duly authorized employees of governmental agencies whose official duties req...

Rule 4123-5-01 | Assignment of duties to the bureau's operational units.

...ent performance of its functions. The duties of the operational units of the bureau include, but are not limited to the following: (A) A division responsible for the fiscal and planning function to assist the administrator in maintaining the solvency of the insurance fund, establishing policies and procedures for fiscal management, receiving and disbursing funds from the state insurance fund, and ...

Rule 4123-6-01 | Definitions.

...ker in progressively performing the duties of a targeted job.. (Z) "Treatment guidelines" means: Guidelines of medical practice, developed through consensus of practitioner representatives, that assist a practitioner and a patient in making decisions about appropriate health care for specific medical conditions. (AA) "Urgent care facility" means: A facility where ambulatory care is provided ou...

Rule 4123-6-02.3 | Provider access to the HPP - provider application and certification criteria.

...agree to: (1) Perform enhanced duties as the treatment team leader in the care of injured workers, as set forth in the addendum, and (2) Enhanced provider outcome measurement.

Rule 4123-6-15 | Confidentiality of records.

...ation for any use other than to perform duties required by the HPP, and shall prevent such information from further disclosure or use by unauthorized persons. MCOs shall not release any confidential information, other than in accordance with rule 4123-3-22 of the Administrative Code, to any third parties (including, but not limited to, parent, subsidiary, or affiliate companies, or subcontractors ...

Rule 4123-6-21.2 | Pharmacy and therapeutics committee.

... assist the committee in performing its duties. Any subcommittee recommendations shall be submitted to the P & T committee. (B) P&T committee members must meet the following requirements: (1) Each provider must be familiar with issues relating to the prescribing or dispensing of medications in the Ohio workers' compensation system. (2) Physicians must be a doctor of medicine (MD) or doctor of osteopathic medicine ...

Rule 4123-6-21.2 | Pharmacy and therapeutics committee.

... assist the committee in performing its duties. Any subcommittee recommendations shall be submitted to the P & T committee. (B) P&T committee members must meet the following requirements: (1) Each provider must be familiar with issues relating to the prescribing or dispensing of medications in the Ohio workers' compensation system. (2) Physicians must be a doctor of medicine (MD) or doctor ...

Rule 4123-6-22 | Stakeholders' health care quality assurance advisory committee.

...ist the committee in performing its duties. Any subcommittee recommendations shall be submitted to the HCQAAC committee. (B) HCQAAC members must meet the following requirements: (1) Providers must be familiar with issues relating to the treatment of injured workers in the Ohio workers' compensation system. (2) Providers must possess significant clinical or administrative experience in healt...

Rule 4123-6-22 | Stakeholders' health care quality assurance advisory committee.

...ist the committee in performing its duties. Any subcommittee recommendations shall be submitted to the HCQAAC committee. (B) HCQAAC members must meet the following requirements: (1) Providers must be familiar with issues relating to the treatment of injured workers in the Ohio workers' compensation system. (2) Providers must possess significant clinical or administrative experience in healt...

Rule 4123-6-38 | Payment for home health nursing services.

... to chair. Household, personal or other duties related to maintaining a household, including but not limited to care or upkeep to the inside or outside of the residence, washing clothes, preparing meals, or running errands are not considered nursing services and will not be reimbursed, except to the extent such services are incidental to care of the claimant. (4) Authorization must be obtained prior to rendering ho...

Rule 4123-6-38.1 | Payment for nursing and caregiver services provided by persons other than home health agency employees.

... to chair. Household, personal or other duties related to maintaining a household, including but not limited to care or upkeep to the inside or outside of the residence, washing clothes, preparing meals, or running errands, are not considered nursing services, and will not be reimbursed, except to the extent such services are incidental to care of the claimant. (b) Requests for an extension of caregiver services app...

Rule 4123-6-38.1 | Payment for nursing and caregiver services provided by persons other than home health agency employees.

... to chair. Household, personal or other duties related to maintaining a household, including but not limited to care or upkeep to the inside or outside of the residence, washing clothes, preparing meals, or running errands, are not considered nursing services, and will not be reimbursed, except to the extent such services are incidental to care of the injured worker. (b) Requests for an extension of ...

Rule 4123-6-72 | Confidentiality.

...n for any purpose other than to perform duties required under the QHP system, and shall prevent such information from further disclosure or use by unauthorized persons.

Rule 4123-10-02 | Procedures for accessing confidential personal information.

...ee of the bureau to fulfill his/her job duties. The determination of access to confidential personal information shall be approved by the employee's supervisor and the information owner prior to providing the employee with access to confidential personal information within a personal information system. The bureau shall establish procedures for determining a revision to an employee's access to confidential personal i...

Rule 4123-10-03 | Valid reasons for accessing confidential personal information.

... the bureau's exercise of its powers or duties, for which only employees of the bureau may access confidential personal information (CPI) regardless of whether the personal information system is a manual system or computer system: (A) Performing the following functions constitute valid reasons for authorized employees of the bureau to access confidential personal information: (1) Responding to a public records requ...

Rule 4123-10-03 | Valid reasons for accessing confidential personal information.

...he bureau's exercise of its powers or duties, for which only employees of the bureau may access confidential personal information (CPI) regardless of whether the personal information system is a manual system or computer system: (A) Performing the following functions constitute valid reasons for authorized employees of the bureau to access confidential personal information: (1) Responding to a pub...

Rule 4123-15-02 | Policy.

...rent in the proper performance of their duties. Each employee, of whatever position, should, therefore, maintain the highest standards of personal integrity, since the public often judges the actions of an employee as reflecting the standards of the employing agency. (B) The industrial commission and the bureau of workers' compensation are entrusted with the collection and distribution of a large fund. Their employe...

Rule 4123-15-03 | Standards of conduct.

... by law, to perform his or her official duties or any act or service in his or her official capacity; and (m) Sponsor parties or other entertainment for the personnel of their agencies, the costs of which are covered in whole or in part by donations or receipts from the sale of tickets to individuals or entities, who are doing or seeking to do business with the commission or bureau. (2) For purposes of this rule, ...

Rule 4123-15-09 | Prohibition against unnecessary claim file possession.

...ry to the performance of the employee's duties. Any violation of this rule shall be referred to the chief legal counsel for the bureau of workers' compensation, the administrator or the industrial commission for action consistent with division (A) of section 4121.122 of the Revised Code. A copy of this rule shall be distributed to each employee for certification that he has received and read this rule. This certifi...

Rule 4123-16-01 | Definitions.

...n the performance of their assigned duties. (G) "Electronic data processing equipment" means a machine or group of interconnected machines, consisting of input, storage, computing, control and output devices where electronic circuitry is used to perform arithmetic and logical operations, using internally stored or externally controlled programmed instructions. Electronic data processing equip...

Rule 4123-17-07 | Officers of corporations, elective coverage entities, and ministers.

...powered by the directors to perform duties for the corporation, shall be included in the payroll report of the corporation pursuant to rule 4123-17-14 of the Administrative Code, subject to the weekly minimum and maximum provided in rule 4123-17-30 of the Administrative Code. Such remuneration shall be assigned to the classification applicable to the duties performed. (2) Paragraph (B)(1) of ...

Rule 4123-17-07 | Officers of corporations, elective coverage entities, and ministers.

...powered by the directors to perform duties for the corporation, shall be included in the payroll report of the corporation pursuant to rule 4123-17-14 of the Administrative Code, subject to the weekly minimum and maximum provided in rule 4123-17-30 of the Administrative Code. Such remuneration is to be assigned to the classification code applicable to the duties performed. (2) Paragraph (B)(1) of...

Rule 4123-17-08 | Classifications according to national council on compensation insurance.

...r code 8871; and the employee meets the duties, site and other requirements listed as follows: (i) Duties. Duties must be limited to one or more of the following work activities: (a) Creation or maintenance of employer records, correspondence, computer programs, files. (b) Drafting. (c) Telephone duties, including telephone sales. (d) Data entry or word processing. (e) Copy or...

Rule 4123-17-09 | Clerical office payroll.

... the payroll of those employees whose duties are confined to keeping the books and records of the risk, and conducting correspondence, and drafting, or who are engaged wholly in office work where such books and records are kept, having no other duties of any nature in or about the risk's premises.