University Hospitals CompCare News

Workers' Compensation MCO Open Enrollment
Frequently Asked Questions (FAQs)

What is an MCO?

An MCO manages the medical component of on-the-job injuries with the goal of early return-to-work for injured workers.

What is MCO Open Enrollment?

Every two years, the Bureau of Workers' Compensation (BWC) establishes a period where employers who get workers' compensation through the state must select or retain an MCO.

When is the next open enrollment period?

The open enrollment period in in May of 2008.

Does University Hospitals Health System have an MCO?

Yes. University Hospitals CompCare is nationally accredited and state certified in all 88 of Ohio's counties to provide workers' compensation medical management and cost containment services to employers and their injured workers.

Does it cost the employer anything to use University Hospitals CompCare?

No. The cost for University Hospitals CompCare services is already included in the employer's premium and is at no additional cost to the company.

Can companies use Third Party Administrators (TPA) and still use University Hospitals CompCare?

Absolutely yes. An employer can use any TPA and still take advantage of University Hospitals CompCare's services. The TPA manages the administrative aspect of workers' compensation claims while University Hospitals CompCare manages the medical component.

Can companies get "group rating" premium discounts via TPA services and still have University Hospitals CompCare as their MCO?

Absolutely yes. Companies still get the group rate. The rate is NOT impacted by an employer's choice of University Hospitals CompCare.

Can you clarify the MCO, TPA, Group Rating relationship?

The MCO relationship is unaffected by an employer's TPA or Group Rating affiliation. These three programs are independent of each other and this independence creates an atmosphere of checks and balances to optimize outcomes for the employer.