Ohio

Medical Control

Employers subject to the Health Partnership Program or the Qualified Health Plan
may require selection of a provider from within the Network. All other injured
employees may select a provider of his/her choice. The injured employee may seek
a medical provider listing from his/her supervisor, human resources or designated
employer contact. The employee may select his/her own pharmacy or select a
pharmacy from the Express Scripts pharmacy network. Emergency medical care
does not require preapproval and should be secured at the nearest location.

Provider videos

Outpatient Prospective Payment System (OPPS)

OPPS Overview (8:39)

Intro to Workers' Comp for Medical Providers

Section 1 - Introduction to BWC
Section 2 - Completing the First Report of Injury (FROI)
Section 3a - Completing the Physician's Request for Medical Service or
Recommendation for Additional Conditions for Industrial Injury or Occupational
Disease (C-9)
Section 3b - Completing the Request for Temporary Total Compensation (C-84)
Section 3c - Completing the Physician’s Report of Work Ability (MEDCO-14)
Section 4 - Navigating the Medical Providers section of ohiobwc.com and creating
an e-account
Section 5 - General billing instructions and commonly accepted billing forms
Section 6 - Alternative Dispute Resolution (ADR) and Medical Billing Dispute
Overview
Section 7 - Frequently Asked Questions

Ohio law

Ohio law requires employers to obtain workers’ compensation insurance for all
employees. Ohio employers are either state-fund or self-insured. State-fund
employers pay an insurance premium to BWC. The bureau then pays
compensation benefits directly to you. Self-insuring employers pay workers’
compensation benefits directly to their employees. If you do not know if your
employer is state-fund or self-insured, ask your employer. If your company is self-
insured, file a workers’ compensation claim with your employer.

February 21, 2012 Ohio News: BWC
Investigations Result in Seven Workers'
Comp Fraud Convictions in January

February 13, 2012: Ohio News: Cleveland
Woman Collecting Workers' Comp Caught
Working at Veterinary Hospital

January 30, 2012: Ohio News: BWC
Pharmacy Lock-in Program to Improve
Medication Safety, Limit Abuse

January 20, 2012: Ohio News: Austintown
DJ Faces the Music for Workers' Comp
Fraud

January 17, 2012: Ohio News: BWC
Investigations Result in Three Workers'
Comp Fraud Convictions in December

December 27, 2011 Ohio News: Two
Geauga County men owe a combined
$200,000 for workers’ comp fraud

December 20, 2011: Ohio News: BWC
Investigations Result in Five Workers’
Comp Fraud Convictions in November

December 07, 2011: Ohio News:
Amsterdam man sentenced for doctor,
pharmacy shopping

November 22, 2011: Ohio: News:
BWC Proposes new rating plan to protect
workers, encourage return to work

November 16, 2011: Ohio: News:
BWC Investigations Result in 13 Workers’
Comp Fraud Convictions in October

November 16, 2011: Ohio: News:
Beavercreek nursing home the first SHARP
health-care facility in Ohio

November 08, 2011: Ohio: News:
Licking County businessman had no
workers’ comp, owes more than $200,000

November 02, 2011: Ohio: News:
A Cuyahoga Falls (Summit County) man
who worked for three employers and served
time in the Akron Oriana House while on
workers’ comp was sentenced for fraud last
week in a Franklin County courtroom.

October 28, 2011: Ohio: News:
Ohio Public Employer Workers’ Comp
Rates Falling

October 20, 2011: Ohio: News
Toledo Man Caught on Camera Roofing
While on Workers' Comp

MEDICAL PROVIDER
INFORMATION