# OH IME / DME Program Guide

> Ohio IME/DME guide: BWC Policy C92, IC Medical Exam Manual, 90-day and 200-week exams. Verified 2026-08-15.

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## OH IME / DME Program Guide

Ohio runs IMEs through the BWC (claims-side) and the Industrial Commission (adjudication-side), including mandatory defense medical exams at 90-day and 200-week milestones.

2 sections·2 sources·Verified 2026-08-15 ✓
01

### Program overview

The BWC schedules independent medical exams to clarify an injured worker's medical and disability status; the Industrial Commission's examiners manual covers IME/file review reports and PTD examinations.

02

### Mandatory exams

Ohio law mandates certain defense medical exams: after 90 consecutive days of temporary total disability and at the 200-week mark.

Rating basis by jurisdiction — 10 states profiled
[California — QME — Labor Code § 4660(b)(1) — **AMA Guides 5th** ](https://medrecords.ai/content-hub/states/ca/) [Pennsylvania — IRE — 34 Pa. Code § 123.105; Act 142 — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/pa/) [Tennessee — IR training — State-approved training list — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/tn/) [Colorado — DIME — Rule 11 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/co/)
Ohio — IME / DME — BWC policy — **Edition set by agency**
[Texas — Designated Doctor — 28 TAC 130.1 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/tx/) [Washington — IME — L&I Medical Examiners' Handbook — **Edition set by agency** ](https://medrecords.ai/content-hub/states/wa/) [Florida — IRE / Schedule — 1996 Florida Impairment Rating Schedule — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/fl/) [New York — IME / SLU — 2018 SLU guidelines — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/ny/) [Arizona — DME — No canonical state source verified — **Not confirmed** ](https://medrecords.ai/content-hub/states/az/)
Ohio runs a **IME / DME** programme and rates on **edition set by agency** (BWC policy). The rating standard is set by the jurisdiction, not by the examiner, so the same clinical findings can produce different numbers across the 10 states profiled here.

### Key facts

| Program | IME / DME |
| --- | --- |
| Agency | Ohio Bureau of Workers' Compensation + Industrial Commission |
| Statute / rules | BWC Policy C92; IC Medical Exam Manual |
| AMA Guides edition | BWC-approved edition (verify current) |
| Edition basis | BWC policy |
| MMI rules | IME opinions cover maximal medical improvement, impairment percentage, and mental/limitation questions |
| Key forms | C-92 (IME/file review policy) |
| Fee schedule | IC fee schedule (verify current) |
| Telehealth | Not confirmed |

### Sources

- [Ohio BWC Policy C92](https://www.bwc.ohio.gov/basics/PolicyLibrary/FileShell.aspx?file=%2fClaims+Policy%2fC92+Independent+Medical+Examination+and+Physician+File+Review.htm)
- [IC Medical Exam Manual](https://www.ic.ohio.gov/for-examiners/medical-pdfs/medicalexammanual.pdf)

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Last verified: 2026-08-15
