|
Medical
Benefits
One of the most important aspects of the Workers'
Compensation system is the provision of medical benefits for workplace
injuries or occupational diseases. Medical benefits may be administered
by a Managed Care Organization. Self-Insurers may administer their own
medical payments. For more information about the payment of medical
benefits, click here.
For summaries of medical decisions by Ohio Courts, with
links to the cases, click here.
Other Information:
- Administrative: ACS State
Healthcare has replaced RxNet as the pharmaceutical benefits manager
for state fund claims. Their address is: ACS State Healthcare,
Northridge Center One, 365 Northridge Rd., Suite 400, Atlanta, GA
30350. (September, 2002)
- Court: The Supreme Court has held that a doctor's report supported
the Commission's decision to authorize surgery, even though the doctor
indicated pessimism about the success of the surgery. (May,
2002)
- Court: On July
18, 2001, the Ohio Supreme Court held in Northwest Ohio Bldg.
and Construction Trades Council v. Conrad, that the method used
to fund the MCO system was constitutional. (August, 2001)
- Court: A Court
of Appeals' Magistrate found that medical treatment that produces a
temporary benefit can be reasonably necessary to treat an injury and
ruled that the Commission improperly denied medical treatment because
it would not provide "lasting benefits." (May, 2001)
- Court: Court of Appeals Finds MCO Program Improperly Funded. (March
2000)
- Court:
Supreme Court Rules MCO Program consitutional. (February
2000)
- Administrative: BWC
Regulation changes affecting MCO Appeals and vocational rehabilitation.
(January, 1999)
- Court: Common
Pleas Judge Upholds MCO Program. (October, 1998)
- Administrative:
The BWC has new medical "treatment plan approval guidelines", which
will be effective on June 1, 1998. (May, 1998)
- Court: A case
has been filed in the Ohio Supreme Court challenging the practice of
permitting Managed Care Organizations (MCOs) to terminate medical
treatment in workers' compensation claims. (May, 1998)
- Court: Lawsuit
Challenging MCO procedure transferred to Franklin County. (September,
1997)
- Court: Lawsuit
filed challenging MCO system. (June, 1997)
- Administrative:
The New MCO Process. (April, 1997)
|
