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OhioBWC - Provider - Service:  (MCO Policy Reference Guide)

MCO Policy Reference Guide

The MCO Policy Reference Guide is available on this Web site for any of BWCs customers. The manual is updated quarterly to provide information about policies and procedures for BWC and MCO staff.

Note: If you have arrived on this Web page as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the materials unless you read, agree to and abide by the provision of the copyright statement. Read the copyright statement now.

IMPORTANT: As we continue the transition to ICD-10, we will need to update our policy and billing reference materials. We will make those updates as we convert specific policies to our technical format. In the meantime, treat any references to ICD-9 in these documents as ICD-10.

For your convenience, you can download and print a specific chapter or the entire manual from this Web page. The free Adobe Reader software is required to display and print publications that are available for viewing online.

To download a specific chapter, click on the chapter title. If you want to download the entire manual, click on each chapter title and download each chapter one at a time.

Policy alerts
BWC will periodically issue policy alerts to provide further clarification on specific policies. To download the latest policy alerts, click on any of the links below.

Cardiac clearance

Compound drugs
Drug screens
Durable medical equipment
Evaluation and management services
Global surgical care
Home health
Payment of non-allowed diagnoses
Recovery of overpayments
Taping vs. strapping
Telephone calls
Vocational rehabilitation