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Provisional Treatment Pilot Project, Hospital Payment, Formulary Rules Up for Review

Tuesday, October 12, 2021 | 0

Rules the Ohio Bureau of Workers’ Compensation proposed to extend the provisional treatment reimbursement approval pilot and modify hospital payment and formulary drugs are pending a “common sense” review. The pilot project rules would extend until 2022 the program allowing multiple managed care organizations to authorize requests for medical treatment reimbursement for the first 60 days from the initial allowance of an at-risk claim for conditions within the same body part or parts as initially allowed in the claim or that are presumed to be causally related to the same inj...

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