Ohio § 3923.54

§ 3923.54.

(A) As used in this section, “ screening mammography ” means a radiologic examination utilized to detect unsuspected breast cancer at an

early stage in asymptomatic women and includes the x-ray examination of the breast

using equipment that is dedicated specifically for mammography including, but not

limited to, the x-ray tube, filter, compression device, screens, film, and cassettes,

and that has an average radiation exposure delivery of less than one rad mid-breast.

“ Screening mammography ” includes two views for each breast.  The term also includes the professional interpretation of the film. “ Screening mammography ” does not include diagnostic mammography. (B) Each employer in this state that provides, in whole or in part, health care benefits

for its employees under a policy of sickness and accident insurance issued in accordance

with Chapter 3923. of the Revised Code shall also provide to its employees benefits

for the expenses of both of the following: (1) Screening mammography to detect the presence of breast cancer in adult women; (2) Cytologic screening for the presence of cervical cancer. (C) An employer may comply with division (B) of this section in any of the following

ways: (1) By providing the benefits under a health insuring corporation contract issued in

accordance with Chapter 1751. of the Revised Code or a policy of sickness and accident

insurance issued in accordance with Chapter 3923. of the Revised Code; (2) By reimbursing the employee for the direct health care provider charges associated

with receipt of the covered service; (3) By making any other arrangement that provides the benefits described in division

(B) of this section. (D) The benefits provided under division (B)(1) of this section shall cover expenses

in accordance with all of the following: (1) If a woman is at least thirty-five years of age but under forty years of age, one

screening mammography; (2) If a woman is at least forty years of age but under fifty years of age, either of

the following: (a) One screening mammography every two years; (b) If a licensed physician has determined that the woman has risk factors to breast

cancer, one screening mammography every year. (3) If a woman is at least fifty years of age but under sixty-five years of age, one

screening mammography every year. (E) As used in this division, “ medicare reimbursement rate ” means the reimbursement rate paid in this state under the medicare program for screening

mammography that does not include digitization or computer-aided detection, regardless

of whether the actual benefit includes digitization or computer-aided detection. (1) Subject to divisions (E)(2) and (3) of this section, if a provider, hospital, or

other health care facility provides a service that is a component of the screening

mammography benefit in division (B)(1) of this section and submits a separate claim

for that component, a separate payment shall be made to the provider, hospital, or

other health care facility in an amount that corresponds to the ratio paid by medicare

in this state for that component. (2) Regardless of whether separate payments are made for the benefit provided under division

(B)(1) of this section, the total benefit for a screening mammography need not exceed

one hundred thirty per cent of the medicare reimbursement rate in this state for screening

mammography.  If there is more than one medicare reimbursement rate in this state for screening

mammography or a component of a screening mammography, the reimbursement limit shall

be one hundred thirty per cent of the lowest medicare reimbursement rate in this state. (3) The benefit paid in accordance with division (E)(1) of this section shall constitute

full payment.  No provider, hospital, or other health care facility shall seek or receive compensation

in excess of the payment made in accordance with division (E)(1) of this section,

except for approved deductibles and copayments. (F) The benefits provided under division (B)(1) of this section shall be provided only

for screening mammographies that are performed in a facility or mobile mammography

screening unit that is accredited under the American college of radiology mammography

accreditation program or in a hospital as defined in section 3727.01 of the Revised Code . (G) The benefits provided under division (B)(2) of this section shall be provided only

for cytologic screenings that are processed and interpreted in a laboratory certified

by the college of American pathologists or in a hospital as defined in section 3727.01 of the Revised Code .