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BWC to Adopt Four Amended Payment and Formulary Rules

Tuesday, December 27, 2016 | 0

The Ohio Bureau of Workers’ Compensation has filed four new rules with the Joint Committee on Agency Rule Review. Rules 41.23-6-21, Payment for Outpatient Medication; 4123-6-21.1, Payment for Outpatient Medication by Self-Insuring Employer; and 4123-6-21.3, Outpatient Medication Formulary, are effective Jan. 1. Rule 4123-6-37.1, Payment of Hospital Inpatient Services, is effective Feb. 1. The BWC amended the first two rules to update the agency’s prescription reimbursement model to better reflect pricing in the current marketplace, revise coverage and reimbursement of compo...

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