Our Experience
Ohio MCO
CorVel Ohio MCO is a leading provider of workers' compensation managed care services in Ohio. We are proud to have a successful longstanding history as an MCO pioneer, originating in 1997 at the inception of the Health Partnership Program. Our unique model is backed by the resources and innovation of CorVel Healthcare Corporation, a publicly held company with over $795 million annual revenue.
Hear what our customers are saying!
“Switching to a new MCO service can be a daunting decision, but we are thrilled we chose CorVel for our Ohio worker’s compensation needs. Their knowledgeable team have helped us not only improve our claims management process, but we’ve seen a significant improvement with our return to work scores. Ultimately it has not only benefited us as an employer, but also the well being of our associates. We’re thrilled with the level of service and expertise CorVel provides and highly recommend them to other employers.”
– Jessica Adoryan, HR Manager, Radix Wire and Cable
Ohio MCO Open Enrollment FAQs
1. What is a managed care organization (MCO)?
In Ohio, a Managed Care Organization (MCO) is a state-certified entity that partners with the Bureau of Workers’ Compensation (BWC) to manage medical aspects of workers’ compensation claims. MCOs coordinate medical treatment, facilitate return-to-work programs, and ensure that injured workers receive appropriate care while helping employers control costs.
2. What is the Ohio BWC MCO open enrollment period?
The Ohio BWC MCO open enrollment period is a designated timeframe, occurring every two years, during which state-fund employers can select or change their MCO. Outside of this period, employers generally cannot switch MCOs unless under special circumstances.
3. When is the 2025 Ohio BWC MCO open enrollment period?
For 2025, the open enrollment period runs from April 28 through May 23. This is the window for employers to evaluate their current MCO and make changes if desired.
4. What does a Managed Care Organization (MCO) do for Ohio employers?
MCOs handle the medical management of workers’ compensation claims. Their responsibilities include filing claims for BWC (Intake), coordinating medical care, facilitating communication between all parties, medical bill payment, and ensuring compliance with BWC guidelines. This support helps employers manage claims efficiently and supports injured workers in their recovery.
5. Why should I choose CorVel as my MCO?
CorVel is a nationally recognized provider of workers’ compensation managed care services (MCO), with a strong presence in Ohio since the inception of the Health Partnership Program in 1997. We offer comprehensive services, including industry-leading field case management, telephonic nurse case management, provider network access, and innovative technology solutions to streamline claims processing.
6. How do I switch to CorVel during the open enrollment period?
To switch to CorVel Ohio MCO during the open enrollment period, follow the instructions on this page for selecting us as your MCO. Alternatively, you can contact CorVel’s Ohio office directly at 800-275-6463 for assistance.
7. Can I change my MCO outside of open enrollment?
Generally, changes to your MCO can only be made during the designated open enrollment period. Exceptions are rare and typically require specific circumstances approved by the current MCO and BWC.
8. How does CorVel support injured workers and employers?
- Comprehensive case management to coordinate care
- Access to a broad network of medical providers
- Medical director oversees all claims for ensuring consistent, high-quality medical care
- Personalized education programs, materials and custom claim reporting
- Dedicated team provides immediate response and support for return-to-work plans
These services aim to facilitate timely recovery for injured workers and efficient claims management for employers.
9. Will switching MCOs impact my existing claims?
No, switching MCOs during the open enrollment period will not affect existing claims. The current MCO will continue to manage any open claims until their resolution, ensuring continuity of care and claims processing.
10. Is there a cost to switch MCOs?
No, there is no cost for employers to switch MCOs during the open enrollment period. The services provided by MCOs are funded through employer premiums paid to the BWC.
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