Ohio Administrative Code Search

...nsitional work developer" means the provider who develops the employer's transitional work program. A transitional work developer shall: (a) Meet the minimum credentials designated in rule 4123-6-02.2 of the Administrative Code for one of the following provider types: (i) A vocational rehabilitation case manager, (ii) An occupational therapist, or (iii) A physical therapist; and ...

...ect to pay to the injured worker or the provider on behalf of the injured worker the first fifteen thousand dollars of a medical-only claim. Employers may elect which medical-only claims they do not wish to cover under this program. (1) An employer electing to pay bills in its employees' medical-only claims is responsible for all bills in a claim until the fifteen thousand dollar maximum is reached and the employer ...

...akes direct payments to any medical provider for services rendered or supplies or to any injured worker for compensation associated with a workers' compensation claim. (4) The employer engages in misrepresentation or fraud in conjunction with the deductible program application process. (N) An employer removed from the deductible program for failure to comply with paragraph (B) of this rule w...

...er makes direct payments to any medical provider for services rendered, to any medical provider for supplies or to any injured worker for compensation associated with a workers' compensation claim; (4) The employer engages in misrepresentation or fraud in conjunction with the deductible program application process; or (5) The employer fails to report actual payroll for the preceding policy year or fails to pay any ...

...akes direct payments to any medical provider for services rendered, to any medical provider for supplies or to any injured worker for compensation associated with a workers' compensation claim; (4) The employer engages in misrepresentation or fraud in conjunction with the deductible program application process; or (5) The employer fails to report actual payroll for the preceding policy year ...

...akes direct payments to any medical provider for services rendered, to any medical provider for supplies or to any injured worker for compensation associated with a workers' compensation claim; (4) The employer engages in misrepresentation or fraud in conjunction with the deductible program application process; or (5) The employer fails to report actual payroll for the preceding policy year ...

...onal rehabilitation case management provider contacts the injured worker and prepares a written vocational rehabilitation assessment plan, comprehensive vocational rehabilitation plan, or job retention plan for the injured worker's acknowledgment and approval. The vocational rehabilitation case management provider shall, where practical, consult with the injured worker's employer, the physicia...

...cational rehabilitation case management provider contacts the injured worker and prepares a written vocational rehabilitation assessment plan, comprehensive vocational rehabilitation plan, or job retention plan for the injured worker's acknowledgment and approval. The vocational rehabilitation case management provider will, where practical, consult with the injured worker's employer, the physician of record, and othe...

... adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input, effective October 1, 2020. (B) Notwithstanding the provisions of paragraph (A) of this rule, consistent with the provisions of division (F)(1) of section 4121.44 of the Revised Code, managed care organizations may enter into other arrangements and reimbursement agr...

... adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input, effective October 1, 2021. (B) Notwithstanding the provisions of paragraph (A) of this rule, consistent with the provisions of division (F)(1) of section 4121.44 of the Revised Code, managed care organizations may enter into other arrangements and reimbursement agr...

... adopts the vocational rehabilitation provider fee schedule indicated in appendix A to this rule, developed with stakeholder input. (B) Notwithstanding the provisions of paragraph (A) of this rule, consistent with the provisions of division (F)(1) of section 4121.44 of the Revised Code, managed care organizations may enter into other arrangements and reimbursement agreements with medical, professio...

...y the MCOs, utilizing the services of a provider who meets the minimum credentialing criteria set forth in rule 4123-6-02.2 of the Administrative Code. The self-insuring employer shall submit a copy of the approved vocational rehabilitation plan to the injured worker and the injured worker's representative. (C) The bureau shall inspect and review the quality and content of all authorized self-ins...

...y the MCOs, utilizing the services of a provider who meets the minimum credentialing criteria set forth in rule 4123-6-02.2 of the Administrative Code. The self-insuring employer will submit a copy of the approved vocational rehabilitation plan to the injured worker and the injured worker's representative. (C) The bureau will inspect and review the quality and content of all authorized self-insuring employers' vocat...

...elective contracting of health care providers; (b) Plan structure and financial stability for the medical management of claims; (c) Procedures for the resolution of medical disputes between an employee and the employer, an employee and a provider, or the employer and a provider, prior to an appeal under section 4123.511 of the Revised Code; (d) Upon the request of the bureau, provide a timely a...

...the employee in writing, as well as the provider, for requests to change physicians or for treatment requests of for fee bill, and, only upon request, the bureau or the industrial commission of such contest, specifically stating the reason for contesting such matter, and notifying the employee of the right to request a hearing before the industrial commission; (7) Failure to make its records and facilities available...

...the employee in writing, as well as the provider, for requests to change physicians or for treatment requests of for fee bill, and, only upon request, the bureau or the industrial commission of such contest, specifically stating the reason for contesting such matter, and notifying the employee of the right to request a hearing before the industrial commission; (7) Failure to make its records ...

...the employee in writing, as well as the provider, for requests to change physicians or for treatment requests of for fee bill, and, only upon request, the bureau or the industrial commission of such contest, specifically stating the reason for contesting such matter, and notifying the employee of the right to request a hearing before the industrial commission; (7) Failure to make its records ...

...or commercial entity. (7) "Health care provider" or "provider" has the same meaning set forth in rule 4123-6-01 of the Administrative Code. (8) "Managed care organization" or "MCO" has the same meaning set forth in rule 4123-6-01 of the Administrative Code. (9) "Record" means information that is inscribed on a tangible medium or that is stored in an electronic or other medium and is retrievable in perceivable form...

...ommercial entity. (7) "Health care provider" or "provider" has the same meaning set forth in rule 4123-6-01 of the Administrative Code. (8) "Managed care organization" or "MCO" has the same meaning set forth in rule 4123-6-01 of the Administrative Code. (9) "Record" means information that is inscribed on a tangible medium or that is stored in an electronic or other medium and is retrievable...

...e director and offered by an online provider. An online driver education program shall not be offered by driver training schools providing instruction for obtaining commercial driver's licenses. (GG) "Online instructor" means a person who is available for curriculum content support for those students enrolled in an online driver education program. Curriculum content support may be provided th...

...y the director and offered by an online provider. An online driver education program shall not be offered by driver training schools providing instruction for obtaining commercial driver's licenses. (HH) "Online instructor" means a person who is available for curriculum content support for those students enrolled in an online driver education program. Curriculum content support may be provided ...

...hind-the-wheel training. (E) An online provider may be, but is not required to be, affiliated with a class '"D" driver training school. Online providers shall provide a link to the driver training website https://services.dps.ohio.gov/DETS/public/schools, giving the student easy access to the list of approved driver training schools in Ohio. (F) Each original "Driver Training Enterprise Applicat...

... instruction provided by the online provider must have measures in place that prevent a student from completing more than four hours of instruction in a twenty-four hour period; (6) No student shall be given more than four hours of training in an online driver education program within twenty-four hours from the previous day's log in. Students shall be provided with a break in instruction afte...

... instruction provided by the online provider must have measures in place that prevent a student from completing more than four hours of instruction in a calendar day; (5) No student shall be given more than four hours of training in an online driver education program within a calendar day. Students shall be provided with a break in instruction after two consecutive hours of training. The break sh...

...ersons with a disability and online providers, enterprises that provide driver training shall provide both the classroom and behind-the-wheel instruction; (2) No behind-the-wheel instruction shall be given to a student who does not hold and carry a valid temporary permit or operator's license. No driver shall be given behind-the-wheel instruction using a permit or license which has expired or ...