Ohio: Coordinated services program rule in the works
The Bureau of Workers' Compensation proposed rules allowing the establishment of a coordinated services program that requires injured workers to obtain prescription medications reimbursed by the bureau from a single designated pharmacy or prescriber.
The rules contain criteria for an injured worker to be placed in the program. If the injured worker meets the criteria, the bureau will obtain a physician review of the worker's most recent 12 months history of prescription medications reimbursed by the bureau. The bureau may place the worker in the program if it determines that the worker's utilization of prescription medications was at a frequency or in an amount that was not medically necessary or appropriate. An injured worker placed into the program is given the opportunity to select a designated pharmacy from a list of participating pharmacies. The rules allow emergency prescription fills.
Read more at the WorkersComp Forum homepage.
March 5, 2012
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