(A) The bureau shall determine the compensability of all claims as provided in rule 4123-6-045 of the Administrative Code.
(B) The MCO, in conjunction with the employer, employee, attending physician, and the bureau claims personnel assigned to the claim, shall seek a course of medical or rehabilitative treatment that promotes a safe return to work.
(C) After the claim has been filed, the bureau shall assign a claim number and shall notify the employee, employer and MCO of that claim number.
(D) The MCO shall comply with bureau procedures for reporting injuries to the bureau and employers, and shall instruct the provider to forward to the MCO and the bureau, subject to the confidentiality provisions contained in rule 4123-6-15 of the Administrative Code, all necessary data to effectuate medical and claims management.
(E) MCO guidelines may not be more restrictive for a non-panel provider than for a panel provider. An MCO may not create a procedure that restricts an employee's option to change providers.
(F) An MCO shall medically manage a claim for the life of a claim, as long as the employer remains in contract with the MCO. In cases where an employee has multiple claims with different employers, each claim shall remain with the associated employer and shall be managed by that employer's current MCO.
Effective date: Feb. 16, 1996