Ohio Revised Code Search

...reviewing appeals from enrollees whose medical conditions require expedited review. A health insuring corporation shall consider and provide a written response to each request for an internal review not later than thirty days after receipt of the request, except that if the seriousness of the enrollee's medical condition requires an expedited review, the health insuring corporation shall provide the written ...

... general on a monthly basis, through a procedure determined by the attorney general and on forms approved by the attorney general. The requests shall identify the number of sexual assault examinations performed and the number of sexual assault examinations in which HIV post-exposure prophylaxis was provided and shall verify that all required protocols were met for each examination form submitted for payment in ...

...department in the manual of operational procedures and guidelines for the program for children and youth with special health care needs developed pursuant to division (B) of that section. Referrals of potentially eligible children and youth for the program may be submitted to the department on behalf of the child or youth by parents, guardians, public health nurses, or any other interested person. The department of h...

...he abortion. (6) The type of abortion procedure performed; (7) Complications by type; (8) Written acknowledgment by the attending physician that the pregnant woman is not seeking the abortion, in whole or in part, because of any of the following: (a) A test result indicating Down syndrome in an unborn child; (b) A prenatal diagnosis of Down syndrome in an unborn child; (c) Any other reason to believe that...

...y of participants in the plasmapheresis procedure; (D) One of the following individuals is in attendance at all times when a donor is undergoing plasmapheresis and is responsible for supervising the procedure and the maintenance of sterile technique: (1) A physician authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery; (2) A licensed practica...

...tandard medical fees, approving medical procedures, and determining eligibility and reasonableness of the compensation payments for medical, hospital, and nursing services, and in establishing guidelines for payment policies which recognize usual, customary, and reasonable methods of payment for covered services; (b) Provide a resource to respond to questions from claims examiners for employees of the bureau; (c)...

...re not limited to, the following: (a) Procedures for the resolution of medical disputes between an employer and an employee, an employee and a provider, or an employer and a provider, prior to an appeal under section 4123.511 of the Revised Code. Rules the administrator adopts pursuant to division (A)(1)(a) of this section may specify that the resolution procedures shall not be used to resolve disputes concern...

...nsurer to a self-insuring employer, the procedures the employer will follow as a self-insuring employer, and the employees' rights to compensation and benefits; and (g) The employer has either an account in a financial institution in this state, or if the employer maintains an account with a financial institution outside this state, ensures that workers' compensation checks are drawn from the same account as payro...

...multiple visits to complete one or more procedures that could not be completed during the visit in which dental hygiene services were commenced. If the patient requires multiple visits to complete the one or more procedures that could not be completed during the visit in which dental hygiene services were commenced, the one or more procedures shall be completed not later than eight weeks after the visit in which the ...

...ee is developing or revising policy and procedures for physician-delegated prescriptive authority for physician assistants, the committee shall include the additional member specified in division (A)(4) of this section. (1) Three members of the committee shall be physicians. Of the physician members, one shall be a member of the state medical board, one shall be appointed from a list of five physicians recommended ...

....01 of the Revised Code; (2) Establish procedures for issuance and renewal of licenses and certificates of registration under this chapter, including the duties that may be fulfilled by the board's executive director and other board employees; (3) Specify the national accrediting bodies the board recognizes for purposes of issuing certificates of registration under this chapter; (4) Establish standards an applican...

...t research, test, and evaluate medical procedures and systems related to adult and pediatric trauma care. (3) Third priority shall be given to entities that research the causes, nature, and effects of traumatic injuries, educate the public about injury prevention, and implement, test, and evaluate injury prevention strategies. (4) Fourth priority shall be given to entities that research, test, and evaluate pr...

...f the Revised Code; (2) Venous access procedures; (3) Cardiac monitoring and electrical interventions to support or correct the cardiac function. (E) A training program for emergency medical technicians-paramedic shall meet the standards established in rules adopted by the board under section 4765.11 of the Revised Code. The program shall include, or require as a prerequisite, the training specified in division...

...119. of the Revised Code that establish procedures for rape crisis programs to apply to the attorney general for funding out of the rape crisis program trust fund and procedures for the attorney general to distribute money out of the fund to rape crisis programs. (2) The attorney general may decide upon an application for funding out of the rape crisis program trust fund without a hearing. A decision of the attorne...

... not be limited to, the following: (1) Procedures to be followed for determining disability; (2) Provisions for the allowance of disability leave due to illness or injury; (3) Provisions for the continuation of service credit for employees granted disability leave, including service credit towards retirement, as provided by the applicable statute; (4) The establishment of a minimum level of benefit and of a waiti...

...panies providing group life and health, medical, hospital, dental, or surgical insurance, or any combination thereof, covering all such employees; (3) A policy that may include, but is not limited to, hospitalization, surgical, major medical, dental, vision, and medical care, disability, hearing aids, prescription drugs, group life, life, sickness, and accident insurance, group legal services, or a combination of t...

...e exempt from any competitive selection procedures otherwise required by law. No political subdivision shall make any purchase under this division when bids have been received for such purchase by the subdivision, unless such purchase can be made upon the same terms, conditions, and specifications at a lower price under division (B)(2) of this section. (C) A political subdivision as defined in division (B) of this ...

...nd (B)(3) of this section. (H)(1) If a medical professional, in order to assist in the diagnosis or treatment of an individual who was affected by an incident associated with the production operations of a well, requests the exact chemical composition of each product, fluid, or substance and of each chemical component in a product, fluid, or substance that is designated as a trade secret pursuant to division (...

... reports, dietary records, policies and procedures of a facility required to be maintained under section 5165.06 of the Revised Code, admission agreements, staffing schedules, any document depicting the actual staffing pattern of the provider, any financial records that are matters of public record, resident council and grievance committee minutes, and any waiting list maintained by a facility in accordance with sect...

... of complaints and responses, including medical records related to those complaints, shall be available to the superintendent for inspection for three years. Any document or information provided to the superintendent pursuant to this division that contains a medical record is confidential, and is not a public record subject to section 149.43 of the Revised Code. (2) Notwithstanding division (C)(1) of this section...

...l prevail unless the seriousness of the medical condition of the enrollee otherwise requires a more timely response from the health insuring corporation. The health insuring corporation shall maintain written procedures for making expedited utilization review determinations and notifications of enrollees and providers or health care facilities when warranted by the medical condition of the enrollee. (2) An enrollee,...

...on or disease that requires specialized medical care over a prolonged period of time and is life-threatening, degenerative, or disabling may receive a referral to a specialist who has expertise in treating the condition or disease for the purpose of having the specialist coordinate the enrollee's health care. The procedure shall provide for such a referral if a primary care provider determines in consultation with t...

...ications to the policies, practices, or procedures of a covered entity, including modifications to allow for either or both of the following: (i) Communication with one or more individuals or entities available to support or assist with the recipient's care after surgery or transplantation; (ii) Consideration of the availability of such individuals or entities when determining whether the recipient is able to compl...

...e Revised Code or of the Rules of Civil Procedure, the state and persons other than an objecting individual as described in division (B)(1)(a) of this section, other than an objecting individual or majority of individuals as described in division (B)(2)(b)(i) or (ii) of this section, and other than persons described in division (B)(2)(g) of this section are prohibited from commencing a civil action under this section...

...d in accordance with the Rules of Civil Procedure, which service shall be made, if possible, within three days after the filing of the complaint. The hearing shall be conducted at the earliest possible time, but no later than the third business day after the service has been completed. Immediately following the hearing, the court shall enter on its journal its determination whether the decision of the priority indivi...