ROMS Measures:

Addressing the New MVA Treatment & PAF Forms & Getting Your Assessment Proposals Approved

ROMS & the New MVA Treatment Plan/PAF Forms:

·  Quickly identify pre/coexisting conditions, MVA impairments, ADL/work limitations, rehabilitation barriers

·  Quickly determine appropriate rehabilitation goals such as symptom intensity, symptom coping, daily living activities and work capacities

·  Easily measure and graph improvements in targeted goals to prove treatment effects and support ongoing treatment extensions

ROMS Facilitated Assessment Proposals:

·  Reduce likelihood of DACs for assessment

·  Efficiently/convincingly demonstrate assessment is reasonable and necessary

·  Prove assessment addresses client’s perceived: primary rehabilitation barriers, predominant limiting symptoms, daily activity & work limitations

The New *OCF 18 Treatment & PAF Forms: New Requirements and Tools to Address Them

Under Bill 198, as of October 1, 2003, the revised OCF-18 (Treatment Plan) and the OCF-22 (Assessment Application) will be required for all claims with accident dates  after November 1, 1996, while the following forms will be required for all claims after October 1, 2003: OCF-23 (PAF Confirmation); OCF-24 (PAF Discharge/Extension Request). 

Below are pages 3 and 4 of the new OCF 18 Treatment Plan form, depicting specifically where the relevant RREES measures are applicable to the Form's requirements.

*For a full version of the OCF 18, please click here

The following attachments contain the PAF Confirmation (OCF-23) and PAF Discharge/Extention Request (OCF-24), similarly demonstrating the applicability of the ROMS measures.

PAF Confirmation (OCF-23)

PAF Discharge/Extention Request (OCF-24)

New Form/Section	New Requirement	**ROMS: Reliable/Valid Measures Addressing Requirement
OCF 23 (PAF) – Part 7 OCF 24 (PAF) – Part 8 OCF 18 – Part 8a & 8b	Identify Pre/Co-existing conditions	Rehabilitation Survey of Problems & Coping (R-SOPAC) & Pre/Post Condition Life Event Survey (PPCLES)
OCF 23 (PAF) – Part 8 OCF 24(PAF)–Part 8(a/d) OCF 18 – Part 10c	Identify Rehabilitation Barriers (including emotional disturbance)	Rehabilitation Checklist (RCL) and R-SOPAC
OCF 18-Part 9a & 9b	Identify Activities of Daily Living gaps/treatment needs	Rehabilitation Activities of Daily Living Survey (R-ADLS)
OCF 18-Part 9a &9b	Identify Occupational Demands gaps/treatment needs	Functional Status Measures (FSM)
OCF 18-Part 10b	Provide an evaluation methodology	Rehabilitation Outcome Management System (ROMS)
OCF 18-Part 10c(ii)	Strategies to overcome barriers	Utilize strategies to overcome barriers Rehabilitation Checklist (RCL) Manual (pp 3-4)

**For details of each measure, please go to Products for Professionals under the Professionals’ page above.