Workers’ Compensation MCO Open Enrollment Underway


The open enrollment period for Ohio state-fund employers to select a different workers’ compensation Managed Care Organization (MCO) started this week and runs through Friday, May 27.  The 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. The role of the MCO is to manage medical treatment for workers injured on the job. MCOs are contracted suppliers to the Bureau of Workers’ Compensation (BWC) who are paid by the BWC with a portion of employer premiums.  Ohio’s 15 MCOs 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 who are satisfied with their MCO do not need to do anything.  However, those considering a change must complete the MCO Selection Form.  For employers who select a new MCO, the change will be effective July 4. OMA ‘s sole endorsed MCO is Health Management Solutions, Inc. (HMS).  Read why.  To switch, go to HMS or use this form. BWC produces the MCO Selection Guide that provides instructions, and an MCO Report Card that provides limited MCO performance information.  The guide and report card are available here.