REGULATORY ACTIVITY:

• Posted notice that rule 4123-6-01.2 Provisional treatment reimbursement approval - pilot program is being considered for review.  The rule is in draft form and has not been posted for adoption but only under consideration for review.  To view the notice and proposed rule, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted notice that Self-insuring Employer Rules are being considered for review.  The rules included in the possible review are:
  • 4123-19-03 Where an employer desires to secure the privilege to pay compensation, etc., directly;
  • 4123-19-05 Where an employer is a self-insuring risk and desires to become a state risk;
  • 4123-19-08 Renewal of self-insuring risks;
  • 4123-19-09 In regard to complaints filed by employees against self-insuring employers under the provisions of section 4123.35 of the Revised Code;
  • 4123-19-13 Self-insuring employers evaluation board;
  • 4123-19-14 Self-insured review panel;
  • 4123-19-15 Assessment for self-insuring employers’ guaranty fund and
  • 4123-19-16 Self-insured construction projects.

To view the notice and rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

• Posted notice of two rules being published for public comment.  The rules are 4123-6-21.3 Outpatient medication formulary (proposed effective June 1, 2019) and Chapter 6-Lumbar fusion surgery, HABI and medical treatment reimbursement (no proposed effective date).  The two rules are open for comment through April 24, 2019.  To view the proposed rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

FEE SCHEDULE NEWS:

• The state has adopted a new Inpatient Hospital Fee Schedule effective February 1, 2019. The next update to the inpatient fee schedule is expected February 2020.

REGULATORY ACTIVITY:

• Published notice of three rules that are open for public comment.  The rules under consideration are 4123-6-08 Bureau Fee Schedule, 4123-6-37.2 Payment of Hospital Outpatient Services; and 4123-6-37.3 Payment of Ambulatory Surgical Center Services.  All three rules are schedule to accept public comment through March 22, 2019.  To view the rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

REGULATORY ACTIVITY:

• Posted notice that a rule package regarding workers' compensation is being considered for review.  The rules under consideration are 4123-6-37.2 Payment of hospital outpatient services and 4123-6-37.3 Payment of ambulatory surgical center services. To view the rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted notice that a rule package regarding workers' compensation is being considered for review.  The rules under consideration are 4123-6-13.2 Medical treatment reimbursement requests; 4123-6-32 Payment for lumbar fusion surgery; and 4123-6-33 Payment for health and behavior assessment and intervention services.  To view the rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted Notice of Chapter 3 claim procedure rules are subject to the 5-year rule review.  To view the notice, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

FEE SCHEDULE NEWS:

• A new medical fee schedule has been adopted with an effective date of January 1, 2019. The next expected update for the medical fee schedule is in January 2020.

REGULATORY ACTIVITY:

• Posted a notice of the Bureau of Workers' Compensation intent to consider for review rule 4123-6-08 the Bureau fee schedule for the purpose of amending the rule. To view the notice, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted a notice of the Bureau of Workers' Compensation intent to consider for review rule 4123-3-01 Bureau claims procedure rule. To view the notice, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted a notice of the Bureau of Workers' Compensation intent to consider for review rule 4123-6-33 Lumbar fusion surgery, HBAI and medical treatment reimbursement request. To view the notice, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

REGULATORY ACTIVITY:

• Comments for Rule 4123-6-21.3 Outpatient Medication Formulary and Rule 4123-17-15 were due by November 20, 2018.  To view the rules as proposed, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

REGULATORY ACTIVITY:

• Published notice that rule 4123 Chapter 21 Coal Workers Pneumoconiosis Fund Rules are awaiting Common Sense Initiative regarding 5- Year Rule Review.  To view the notice, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Has proposed for review rule 4123-6-21.3 Outpatient Medical Formulary.  Comments on the proposed rule are due by November 11, 2018.  To view the notice and proposed rule, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Has proposed for review 4123 Chapter 17 BSC's Professional Employer Organization rules.  Comments on the proposed rule are due by November 11, 2018.  To view the notice and proposed rule, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

REGULATORY ACTIVITY:

• Published notice of rules awaiting Common Sense Initiative recommendations for Rule 4123-6-21.3 Outpatient medication formulary and 4123 Chapter 17 BWC Professional Employer organization Rules.  To view the notice and documentation, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.  For rule 4123-6-21.3 the agency is adopting a formulary which will become effective January 1, 2019.  For rule Chapter 17 4123-17-15 the commission is adopting amendments to the current rule.

REGULATORY ACTIVITY:

• Posted draft rule 4123-6-33 regarding Payment for health and behavior assessment and intervention services. The rule has not been filed for adoption at this date nor has a hearing date been set.  To view the draft, go to  https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Posted notice regarding rules that have been proposed to the Board of Directors.  The rules being proposed are 4123-3-15 Claims procedures subsequent to allowance (amended); 4123-3-15.1 Dismissal of an application for the determination of percentage of permanent partial disability (new rule); and 4123-3-32 Temporary total examinations (amended). To view the rules being proposed, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.
• Has posted notice of proposed rule amendments to Chapter 17 of their rule to the board of directors.  The entire chapter is being amendments.  Public comments are due by June 20, 2018.  To view a copy of the proposed rules, go to https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.

FEE SCHEDULE NEWS:

• The state has adopted a new fee schedule for Outpatient and Ambulatory Surgical Services effective on and after May 1, 2018.  The next update is expected in May 2019.

REGULATORY ACTIVITY:

• Ohio has posted notice of rule proposed to the BWC Board of Directors.  Public comments regarding the proposed medical rules must be in by March 22, 2018.  The rules regarding claim procedures must have comments in by April 12, 2018. The rules can viewed at https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/OACInReview.asp.