Ohio Administrative Code
Title 4123 - Bureau of Workers' Compensation
Chapter 4123-6 - Health Partnership Program
Section 4123-6-19 - Remain at work services
Universal Citation: OH Admin Code 4123-6-19
Current through all regulations passed and filed through September 16, 2024
(A) The bureau shall take measures and make expenditures, as it deems necessary, to aid injured workers who have sustained compensable injuries or contracted occupational diseases to remain at work.
(B) Remain at work services.
(1) An injured worker is eligible to
receive remain at work
services
when:
(a) The injury results in a medical
only claim which is certified by the employer or is allowed pursuant to a
bureau or industrial commission order or a lost time
claim with eight or more days of lost time due to a work related injury which
is certified by the employer or is allowed pursuant to a bureau or industrial
commission order, but the injured worker is not receiving and has not been
awarded temporary total compensation or salary continuation in the claim;
and,
(b) It is documented by the
employer, the injured worker, or
the physician of record that the injured worker
is experiencing problems that are work-related and result from the allowed
conditions in the claim.
(2) Services provided shall be charged to the
employer's risk.
(3) The MCO shall
determine the need for remain at work services.
(4)
Within five
business days of completion of services, the MCO shall submit a final report to
the bureau.
(5)
The bureau may audit the MCO's utilization of remain
at work services.
(C) Scope of remain at work services.
(1) Remain at work
services may include ergonomic study, functional capacity evaluation, job
analysis, physical therapy (on site), occupational therapy (on site), physical
reconditioning, transitional work, gradual return to work, on the job training,
short term training, job modification, tools and
equipment, and remain at work case management.
(2) The bureau will
not reimburse an employer for remain at work services that are provided by the
employer (e.g., transitional work, on the job training, gradual return to
work).
(3) Remain at work services shall cease upon the
occurrence of any of the following:
(a) A
bureau, industrial commission or court order subsequently disallowing the
claim.
(b) The claim changes to a
lost time claim with eight or more days of lost time due to a work related
injury and the injured worker receives temporary total
compensation or salary continuation in the claim.
(c) The effective date of lump sum
settlement.
(4)
A claim that
changes to a lost time claim with eight or more days of lost time due to a work
related injury may be referred for vocational rehabilitation services as
provided under Chapter 4123-18 of the Administrative Code if the injured worker
is receiving or has been awarded temporary total compensation or salary
continuation in the claim.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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