(A) The bureau shall select a certified MCO for a state-fund employer that fails to select an MCO, or is not solicited by an MCO.
(B) An employer with fixed work sites in more than one county may select different MCOs certified to provide services in the counties where the employer maintains fixed work sites.
(C) An MCO selected by an employer or employers shall provide a list of enrolled employers to the bureau.
(D) The bureau shall develop a process for verification of employer selection of an MCO.
(E) Selection of an MCO by an employer or selection by the bureau subject to paragraph (A) or (J) of this rule shall be for a period of not less than one year unless the MCO is decertified by the bureau.
(F) Once the MCO has been selected by either the employer or the bureau on behalf of an employer that has not made a selection, the employer shall notify all employees of the selection.
(G) Upon expiration of the employer enrollment period of one year, an employer may:
(1) Select a new MCO pursuant to paragraphs (A) to (F) of this rule; or
(2) Continue with an MCO selected during the prior enrollment process. In such case, the employer is not required to notify the bureau during the enrollment process.
(H) Ninety and forty-five days prior to the expiration of the MCO enrollment period, the bureau shall notify employers in writing of the pending deadline for new MCO selection.
(I) An MCO may not refuse to provide services to an employer once selected by that employer or assigned by the bureau, subject to the provisions of rule 4123-6-033 of the Administrative Code.
(J) If an employer selects more than one MCO in the same county, the bureau shall notify the employer in writing. The employer shall have fourteen days from date of written receipt of notification to select one MCO or an MCO will be assigned by the bureau.
(K) In the event of a decision by the bureau to decertify an MCO, immediately thereafter the bureau shall initiate an employer-MCO reassignment process. After receipt of notification of the reassignment process, the employer affected by the decertification shall have thirty days to select another MCO and notify the bureau of the selection. In the absence of an employer's selection of another MCO, the bureau is authorized to select and reassign an MCO to the employer.
Effective date: April 19, 1996