4123-6-063 Employee access to the HPP - application of rules to claims.

(A) The rules of this Chapter of the Administrative Code shall apply to all claims with the date of injury on or after Oct. 20, 1993. The employee's medical care and treatment in such claims shall be managed under the HPP by the employer's MCO as provided in the rules of this Chapter.

(B) Notwithstanding rule 4123-6-062 of the Administrative Code, if the employee's date of injury is prior to Oct. 20, 1993 and the employee's physician of record is a non-bureau-certified provider, the employee may continue treatment with that non-bureau-certified provider. The employer's MCO shall manage the medical care and treatment in the claim and shall manage medical payment for the provider.

(C) In all claims with a date of injury prior to Oct. 20, 1993, and not withstanding paragraph (B) of this rule, if the employee changes the physician of record for any reason, the employee shall select a bureau-certified provider as a physician of record and the claim is thereafter governed by all of the HPP rules of this Chapter. If the employee selects a physician of record who is a non-bureau-certified provider, payment for the provider shall be governed by rule 4123-6-12 of the Administrative Code.

Effective date: Feb. 16, 1996