Oregon Pharmaceutical Clinical Justification for Workers' Compensation is a program designed to ensure that workers' compensation claimants receive medically necessary prescription drugs and medications in a cost-effective manner. This program requires health care providers to submit a clinical justification form to the Oregon Workers' Compensation Division (CD) that outlines the medical necessity of the prescribed drug and includes information such as the diagnosis, reason for the drug, and expected outcomes of the treatment. Depending on the type of drug prescribed, the CD may require additional information from the provider, such as a comparison of the costs of alternative medications or additional clinical justification. There are three types of Oregon Pharmaceutical Clinical Justification for Workers' Compensation: 1. Initial Authorization: This is the initial request for authorization of a prescription drug or medication. 2. Subsequent Authorization: This is a request for additional authorization of a prescription drug or medication that has previously been authorized. 3. Excess Authorization: This is a request for authorization of a prescription drug or medication that exceeds the quantity or dosage that was previously authorized.
Oregon Pharmaceutical Clinical Justification for Workers' Compensation
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FAQ
As with most no-fault insurance, workers' compensation is fair only if it applies to all workers and employers. Oregon requires almost all employers to carry workers' compensation insurance for their employees. If you employ workers in Oregon, you probably need workers' compensation coverage.
Ordinarily, exempt contractors are businesses that do not have employees. These businesses do not need workers' compensation insurance. Non-exempt contractors are businesses that hire or lease employees. These businesses need workers' compensation insurance.
In 2023, this assessment is 2.2 cents per hour worked. Employers and employees split the cost. Employers report and pay the WBF assessment directly to the state with other state payroll taxes.
Under Oregon's workers' compensation laws, a person cannot be retaliated against for reporting a workplace injury and for filing a workers' comp claim. Additionally, a person cannot be terminated from their position simply because they are receiving continued workers' compensation benefits while they recover.
Authorization to release medical records By signing this form, you authorize health care providers and other custodians of claim records to release relevant records to the workers' compensation insurer, self-insured employer, claim administrator, and the Oregon Department of Consumer and Business Services.
Fill out Form 801 ?Report of Job Injury or Illness? and turn it in to your employer. Your employer should send it to its workers' compensation insurance carrier within five days of your notice. Your employer should provide you this form.
This bulletin provides updated benefit rates based on the Oregon state average weekly wage. This bulletin replaces Bulletin No. 111 dated . July 1, 2023, through June 30, 2024, the SAWW used to compute workers' compensation benefits is $1,295.86.
Ordinarily, exempt contractors are businesses that do not have employees. These businesses do not need workers' compensation insurance. Non-exempt contractors are businesses that hire or lease employees. These businesses need workers' compensation insurance.