(A) Pursuant to division (A)(8) of section 4121.441 of the Revised Code, the bureau shall develop, maintain, and publish a provider fee schedule for the various types of billing codes. The fee schedules shall be developed with provider and employer input.
(B) An MCO contract with a panel provider shall describe the method of payment to the provider. The MCO shall provide an MCO fee schedule to each provider that contracts with the MCO. The MCO fee schedule may be at different rates than the bureau fee schedule. The MCO shall make the fee schedule available to the bureau as part of its application for certification. The bureau shall maintain the MCO fee schedule as proprietary information.
Effective date: Feb. 16, 1996