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We have recently enhanced our computer system to ensure that the care the injured worker is receiving is relevant to the condition(s) for which the case was accepted. These enhancements were made in accordance with the Federal Employees’ Compensation Act which mandates OWCP to furnish an injured worker with services, appliances, and supplies prescribed by a qualified physician which OWCP deems likely “to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of monthly compensation.” While we have always had processes in place to help assure that OWCP authorizes and pays only for services, treatments, medications, and durable medical equipment related to the accepted conditions on a claim, our recent computer enhancements provide more rigor to these processes.
As a result of this, some injured workers may find that treatment or medications previously allowed are no longer available to them. If an injured worker’s physician believes a treatment, procedure, or medication is necessary for the treatment of the injured worker’s accepted conditions, the provider needs to submit medical documentation for review by the claims examiner. As is the case with anything sent to OWCP, please be sure to include the injured worker’s claim/case number on every page. Please mail all documentation to U.S. Department of Labor, DFEC Central Mailroom, P.O. Box 8300, London, KY 40742-8300.
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