Ohio Admin. Code 4123-6-07

Current through all regulations passed and filed through November 4, 2024

Section 4123-6-07 - Services and supplies never covered

The following services and supplies are never covered by, and shall not be authorized or reimbursed by, the bureau or MCO:

(A) Services and supplies that are never covered pursuant to other bureau statutes or rules.

(B) The following services and supplies, which are never considered to be durable medical equipment by the bureau:

(1) Home furniture including, but not limited to:

(a) Reclining chairs(except for the seat lift mechanism portion of a reclining chair);

(b) Non-hospital beds, (such as a water bed, adjust-a-sleep adjustable bed, craftmatic adjustable bed, electropedic adjustable bed, simmons beautyrest adjustable bed);

(c) Hospital bed mattresses larger than a standard (eighty inches long, thirty-six inches wide) size, except for bariatric hospital bed mattresses.

(2) Home exercise equipment, including but not limited to such equipment as treadmills and exercise bikes;

(3) Home whirlpools, including built-in whirlpools and pumps, portable hydrotherapy pools, jacuzzi tubs, portable saunas and spas, non-portable hot tubs or whirlpools, and therasaunas.

(4) Unsupervised physical reconditioning programs, , except when the criteria have been met for an injured worker who is participating in a vocational rehabilitation or remain at work program.

(C) Self-administered sympathetic therapy/interferential therapy.

(D) Prescription smoking deterrent drugs outside an approved smoking cessation program, except when dispensed while the injured worker is admitted to a hospital during an approved inpatient admission or during the course of an outpatient visit in a hospital.

(E) Drug screening of injured workers performed by employers or performed in the emergency room at the time of injury at the request of the employer.

Ohio Admin. Code 4123-6-07

Effective: 4/1/2021
Five Year Review (FYR) Dates: 1/5/2021 and 08/01/2025
Promulgated Under: 119.03
Statutory Authority: 4121.12, 4121.121, 4121.30, 4121.31, 4121.44, 4121.441, 4123.05
Rule Amplifies: 4121.12, 4121.121, 4121.44, 4121.444
Prior Effective Dates: 12/11/2012, 11/13/2015