State Adoptions

ODG is the most widely used guideline in the workers’ compensation industry, with more successful state adoptions/mandates than any other guideline. State adoptions of ODG have been successful, in large part due to the hard work of the workers’ comp agencies and their stakeholders (TPAs, PBMs, MCOs, and providers charged with ODG implementation and concurrent reform measures). As a result, outcomes in ODG states have improved dramatically.

In October 2022, the Oregon Department of Consumer and Business Services published the Workers’ Compensation Premium Rank Rating. The study compared premium rates for the same set of industry classes across all jurisdictions. Six of the top 10 lowest-cost states (including #1) all adopted ODG by MCG solutions. You can read the full report here.

Click on a state on the map below to learn more about guideline adoptions:

See our Track Record page to view actual outcomes from ODG adoption states including Texas, Ohio, North Dakota, New Mexico and Tennessee

Click here to download a current list of state adoptions.

Download a copy of our guide, How to Use the ODG Formulary for State Adoptions, and watch the three-minute training video below to learn how easy it is to use the ODG Drug Formulary for state adoptions.