Managed Care Open Enrollment for Ohio Employers to Begin

April 25, 2014

Ohio employers will have an opportunity to select a new managed care organization (MCO) to manage health-care services for workers injured on the job beginning April 28.

The Ohio Bureau of Workers’ Compensation (BWC) offers an open enrollment period every two years to allow employers to evaluate the services of their current MCO and determine if they would like to make a change.

BWC partners with a network of 16 MCOs that are the primary link between injured workers, medical providers, employers and BWC.

MCOs manage claim filing and medical treatment and assist employers with the implementation of recovery and return-to-work programs.

Employers satisfied with their MCO do not need to do anything. However, those considering a change can complete the MCO Selection Form online, or can download and print a blank form, complete it and mail or fax it to BWC.

BWC produces the MCO Selection Guide and the MCO Report Card to help employers make an informed decision. The guide provides instructions, and the report card provides MCO performance information intended to help employers with the selection process. These measures include quality medical management statistics BWC uses to evaluate the return-to-work ser¬vices and quality of medical management the MCOs provide to injured workers. The guide and report card will be available Monday at bwc.ohio.gov.

The MCO open enrollment period will officially begin at 7:30 a.m. and run through 5:30 p.m., Friday, May 23. New MCOs for employers that make a change will begin managing the medical portion of their claims beginning June 30.

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