The BWC (Bureau of Workers’ Compensation) is the state of Ohio government agency responsible for Ohio’s workers’ compensation system. It processes applications for benefits, assigns claim numbers, processes payments of benefits, issues preliminary orders on allowances and processes appeals to the Industrial Commission.
The MCO (Managed Care Organization) is a private company selected or assigned to each stated-funded Ohio employer to medically manage the employer’s compensation claims. The MCO’s coordinate medical care and make treatment decisions. When treatment, therapy, surgery, injections, devices or other medical services are requested, the MCO decides if it is necessary and appropriate based on the nature of the injury and other medical factors. If the MCO denies the requested service, the Claimant or doctor can appeal the decision.