Ohio Workers Compensation Vocational Rehabilitation Case Closure Policies 2023
Explore the Vocational Rehabilitation Case Closure policies for 2023 in Ohio Workers Compensation. Learn about the reasons for closure, documenting processes, and rescinding closures, along with key forms and procedures involved in the process.
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Presentation Transcript
Vocational Rehabilitation (VR) Case Closure
Review 2 o VR Case Closure Policy o VR Closure Report (RH-21) Uses of the RH-21 Demographic information Justification for closure April 2023 Ohio Bureau of Workers Compensation
VR Case Closure Policy 3 Closure reasons Documenting closure Closure reasons Documenting closure Rescinding a closure Settlements and closure Rescinding a closure Settlements and closure April 2023 Ohio Bureau of Workers Compensation
Closure reasons Referrals close after Participation denied by order, or Approved, assigned, but worker does not participate Plans close when the worker Completes the plan, or Is no longer feasible Closure reasons o Referrals close after Participation denied by order, or Approved, assigned, but worker does not participate o Plans close when the worker Completes the plan, or Is no longer feasible April 2023 Ohio Bureau of Workers Compensation
Documenting closure Vocational rehabilitation case manager (VRCM) RH-21 Complexity Factors Reporting Form (CFF) Managed care organization (MCO) Closure letter with appeal language Review and submit to claim RH-21 Review and submit the CFF to the DMC Disability management coordinator (DMC) Reviews documents Enter closure information Documenting closure o Vocational rehabilitation case manager (VRCM) RH-21 Complexity Factors Reporting Form (CFF) o Managed care organization (MCO) Closure letter with appeal language Review and submit to claim RH-21 Review and submit the CFF to the DMC o Disability management coordinator (DMC) Reviews documents Enter closure information April 2023 Ohio Bureau of Workers Compensation
Rescinding a closure Agreement between MCO Employer Worker MCO sends letter to all parties Rescinding a closure o Agreement between MCO Employer Worker o MCO sends letter to all parties April 2023 Ohio Bureau of Workers Compensation
Settlements and closure Settlement Agreement and Application for Approval of Settlement Agreement (C-240) DMC notifies Monitors RH-21 depends on status of lump sum settlement (LSS) Court settlement Reimbursement Settlements and closure o Settlement Agreement and Application for Approval of Settlement Agreement (C-240) DMC notifies Monitors RH-21 depends on status of lump sum settlement (LSS) o Court settlement o Reimbursement April 2023 Ohio Bureau of Workers Compensation
Uses of the RH-21 8 o Summary of the referral o Key document to address an appeal o Past RH-21 s part of VR referral packet April 2023 Ohio Bureau of Workers Compensation
RH-21 Demographics 9 April 2023 Ohio Bureau of Workers Compensation
RH-21 Demographics 10 April 2023 Ohio Bureau of Workers Compensation
RH-21 Narrative 11 o Must include: Brief summary of services Worker s level of participation RTW obstacles encountered and overcome Worker strengths for RTW April 2023 Ohio Bureau of Workers Compensation
RH-21 Justification for Closure 12 o Must include: Summary of circumstances of closure Reason for closure o If the worker RTW: Discuss the appropriateness of the job at RTW Worker s stability at the time of closure o If no RTW, explain reason and interventions April 2023 Ohio Bureau of Workers Compensation
13 Questions? Contact Rehab Policy at Policy.R.1@bwc.state.oh.us April 2023 Ohio Bureau of Workers Compensation
Looking for reminders, updates, tips and breaking news on workers compensation? 14 Follow us on social media! facebook.com/OhioBureauofWorkersCompensation facebook.com/ohiobwcfraud twitter.com/ohiobwc twitter.com/ohiobwcfraud linkedin.com/company/ohio-bwc Ohio BWC (Official) ohiobwcblog.wordpress.com ohiobwcfraud.wordpress.com Youtube.com/bwcohio April 2023 Ohio Bureau of Workers Compensation
