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BWC New Rule on Behavioral Assessment Payment

by The Brainbridge Firm | Sep 07, 2018 | Workers' Compensation

Now, as of July 1, 2018, if the injured workers physician of record determines that the injured worker is not progressing with their injury after the initial course of treatment and that the injured worker’s healing appears to be delayed due to behavioral barriers, the BWC will cover one health and behavioral assessment and up to six hours of intervention sessions per 12 month period.5  This includes licensed professionals such as physicians, chiropractors, psychologists, social workers and counselors.6  The injured worker must show initiative and understanding during the face-to-face encounters between the injured worker and the physician. The purpose for this issue is to speed up the recovery of the injured worker, reducing the clam cost and reduce the amount of time off work due to the injury.

1.Joan M. Verchot and J. Andrew Recker, Dinsmore, The Ohio OWC’s New Rule on Health and Behavioral Assessment Intervention (August 16, 2018), https://www.dinsmore.com/publications/the-ohio-bwcs-new-rule-on-health-and-behavioral-assessment-intervention/ (accessed August 20, 2018).

2.Ohio BWC-Basics: Claim Allowance, Claims, https://www.bwc.ohio.gov/basics/guidedtour/generalinfo/provglossclaimall.asp (accessed August 21,2018).

3.Joan M. Verchot and J. Andrew Recker, Dinsmore, The Ohio OWC’s New Rule on Health and Behavioral Assessment Intervention (August 16, 2018), https://www.dinsmore.com/publications/the-ohio-bwcs-new-rule-on-health-and-behavioral-assessment-intervention/ (accessed August 20, 2018).

4.Louis Esola, Business Insurance, Ohio comp could pay for behavioral tests for injured workers (May 11, 2018), https://www.businessinsurance.com/article/00010101/NEW08/912321229/ohio-comp-could-pay-for-injured-workers (accessed August 20, 2018).

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