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Local service, backed by national resources helps CorVel stand out from the rest. We have a long standing partnership with the Ohio Bureau of Workers’ Compensation (BWC) through the Health Partnership Program (HPP) to medically manage Ohio employers’ workers’ compensation claims. Our philosophy of local account management, backed by investments in people and systems, allows us to meet the BWC’s expectations of services for Ohio State Funded employers.

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Choose to align with a partner that will work as hard for your business and your employees as you do. 

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As a service to our clients, CorVel is providing links to information related to the COVID-19 pandemic provided by the states.

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The Ohio MCO open enrollment period is May 3, 2021 through May 28, 2021. 

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Legislature Status: No changes for Senate session. The House has scheduled session April 1-2 all at 1:00 PM. Legislation is not expected to go through the usual committee process, but rather it will be handled procedurally through the Rules committee.

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Legislation

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COVID-19 Related Policies

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HB 571 - To Amend Section 4123.68 of the Revised Code to Make Covid-19 Contracted By a Peace Officer, Firefighter, or Emergency Medical Worker an Occupational Disease Under the Workers' Compensation Law Under Certain Circumstances and to Declare an Emergency.

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Summary:

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The measure amends Ohio Code relating to COVID-19 and workers' compensation. 
The measure requires that if COVID-19 is contracted by an employee who was required to work outside of the employee's home workers' compensation covers the employee. 

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Most Recent Update: The measure was introduced on March 23, 2020. The measure is eligible for a committee referral.  

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HB 308 - To amend sections 4123.01, 4123.026, and 4123.46 and to enact sections 145.364, 742.391, 3309.402, 4123.87, and 5505.182 of the Revised Code concerning workers' compensation and disability retirement for peace officers, firefighters, and emergency medical workers diagnosed with post-traumatic stress disorder arising from employment without an accompanying physical injury.

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Summary:

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The measure establishes the right to workers' compensation and disability retirement for peace officers, firefighters, and emergency medical workers diagnosed with post-traumatic stress disorder arising from employment without an accompanying physical injury.

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Definitions 
The measure defines \"employee\" as  every person in the service of the state, or of any  county, municipal corporation, township, or school district therein, including regular members of lawfully constituted police and fire departments of municipal corporations and townships, whether paid or volunteer, and wherever serving within the state or on temporary assignment outside thereof, and executive officers of boards of education, under any appointment or contract of hire, express or implied, oral or written,including any elected official of the state, or of any county,municipal corporation, or township, or members of boards of education.

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The measure defines \"injury\" as,  any injury, whether caused by  external accidental means or accidental in character and result, received in the course of, and arising out of, the injured employee's employment.
\"Injury\" does not include: 
i.  Psychiatric conditions except as follows:
     a. Where the claimant's psychiatric conditions have  arisen from an injury or occupational disease sustained by that claimant
     b.  Where the claimant's psychiatric conditions have  arisen from sexual conduct in which the claimant was forced by threat of physical harm to
     engage or participate; 
     c. Where the claimant is a peace officer, firefighter, or emergency medical worker and is diagnosed with post-traumatic stress disorder that has
     been received in the course of, and has arisen out of, the claimant's employment as a peace officer, firefighter, or emergency medical worker. 
ii. Injury or disability caused primarily by the natural  deterioration of tissue, an organ, or part of the body; 
iii. Injury or disability incurred in voluntary participation in an employer-sponsored recreation or fitness activity if the employee signs a waiver of the employee's right to compensation or benefits under this chapter prior to engaging in the recreation or fitness activity;
iv. A condition that pre-existed an injury unless that pre-existing condition is substantially aggravated by the injury. Such a substantial aggravation must be documented by objective diagnostic findings, objective clinical findings, or objective test results. 

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The measure defines \"Firefighter\" as a firefighter, whether paid or  volunteer, of a lawfully constituted fire department.

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The measure defines  \"Emergency medical worker\" means a first responder,  emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician paramedic, whether paid or volunteer.

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Workers Compensation
The measure stipulates that upon determining a member's PTSD, the public employees retirement board shall notify the administrator of workers' compensation of all of the following:

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    \n
  1. The name of the member;
  2. \n
  3. That the member's post-traumatic stress disorder, without an accompanying physical injury, qualifies that = member for a disability benefit.
  4. \n
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iii. The effective date of the member's disability benefit;

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    \n
  1. The date that payments for the member's disability benefit commence.
  2. \n
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The measure stipulates that upon determining a member's post traumatic stress disorder, without an accompanying physical  injury, qualifies that member for a disability benefit the board of trustees of the Ohio police and fire pension fund shall notify the  administrator of workers' compensation of all of the following: 

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    \n
  1. The name of the member;
  2. \n
  3. That the member's post-traumatic stress disorder,  without an accompanying physical injury, qualifies that member for a disability benefit.
  4. \n
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iii. The effective date of the member's disability benefit;

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    \n
  1. The date that payments for the member's disability  benefit commence. 
  2. \n
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The measure stipulates that upon determining that a member's post traumatic stress disorder, without an accompanying physical injury, qualifies that member for a disability benefit  the  school employees retirement shall notify the administrator of  workers' compensation of all of the following: 

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    \n
  1. The name of the member;
  2. \n
  3. That the member's post-traumatic stress disorder, without an accompanying physical injury, qualifies that member
  4. \n
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iii. The effective date of the member's disability benefit;

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    \n
  1. The date that payments for the member's disability  benefit commence.
  2. \n
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The measure stipulates that upon determining that a member's post traumatic stress disorder, without an accompanying physical  injury, qualifies that member for disability retirement shall notify the administrator of workers' compensation  of all of the following: 

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    \n
  1. The name of the member;
  2. \n
  3. That the member's post-traumatic stress disorder,  without an accompanying physical injury, qualifies that member for disability retirement.
    iii. The effective date of the member's disability retirement;
  4. \n
  5. The date that payments for the member's disability retirement commence.
  6. \n
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The measure stipulates that  any entitlement of a claimant to compensation as a  result of any order regarding that injury shall cease not later than one year after the date those payments commence.

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Most Recent Update: The measure has been referred to the Senate General Government & Agency Review Committee. The measure is eligible for committee consideration at the discretion of the Chair. 

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Ohio Regulatory Updates 9/1/2021

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HB 17 - To Amend Section 4123.68 of the Revised Code Regarding Charging Workers' Compensation Experience In Firefighter Cancer Claims.

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Issues: Workers' Compensation (General)

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Summary:

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This measure amends Ohio Code relating to workers' compensation benefits for firefighters disables by cancer. This measure requires the Administrator of Workers’ Compensation to charge compensation and benefits paid from the State Insurance Fund on account of a firefighter disabled by cancer contracted in the course of and arising out of the firefighter’s employment to the Surplus Fund Account. Additionally, this measure Requires a self-insuring employer to deduct compensation and benefits payable on account of a firefighter disabled by cancer contracted in the course of and arising out of the firefighter’s employment from the paid compensation the self-insuring employer reports to the Administrator. This measure does not provide an effective date.

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Most Recent Update:  

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3/10/2021 This measure was heard in the House Insurance Committee, chaired by Representative Thomas Brinkman Jr. (R). Testimony was presented by the sponsor. This measure awaits further consideration before the committee of referral at the discretion of the chair.

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Ohio Regulatory Updates 6/15/2020

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HB 534 - To Amend Sections 4121.44, 4121.441, and 4121.442 of the Revised Code Regarding Identifying Information In the Medical Management of Workers' Compensation Claims.

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Issues: Workers' Compensation (General), Workers' Compensation Managed Care

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Summary:

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The measure requires that a managed care organization must have a record keeping system that identifies a managed care organization's staff member or a provider by first and last name when the staff member or provider creates a record that relates to a claimant.

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The measure requires that the rules must prohibit using a provider's social security number as a means of identifying the provider, including incorporating the provider's social security number into an identifying number generated by the administrator.

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Most Recent Update: This measure was heard June 3, 2020 in the House Insurance Committee, chaired by Representative Thomas Brinkman Jr. (R). No action was taken on this measure.

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This measure awaits further consideration in the House Insurance Committee. A timeline for consideration has yet to be established. In Ohio, measures typically receive at least three committee hearings prior to receiving a committee vote.

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Ohio MCO Services

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Ohio Resources

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Ohio Compensation Website

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Ohio Government Website

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