| 20:1.0.1.3.4 | PART 30
| PART 30 - CLAIMS FOR COMPENSATION UNDER THE ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM ACT OF 2000, AS AMENDED | |
| 20:1.0.1.3.4.1 | SUBPART A
| Subpart A - General Provisions | |
| 20:1.0.1.3.4.1.116 | SUBJGRP 116
| Introduction | |
| 20:1.0.1.3.4.1.116.1 | SECTION 30.0
| 30.0 What are the provisions of EEOICPA, in general | |
| 20:1.0.1.3.4.1.116.2 | SECTION 30.1
| 30.1 What rules govern the administration of EEOICPA and this chapter | |
| 20:1.0.1.3.4.1.116.3 | SECTION 30.2
| 30.2 In general, how have the tasks associated with the administration of EEOICPA claims process been assigned | |
| 20:1.0.1.3.4.1.116.4 | SECTION 30.3
| 30.3 What do these regulations contain | |
| 20:1.0.1.3.4.1.117 | SUBJGRP 117
| Definitions | |
| 20:1.0.1.3.4.1.117.5 | SECTION 30.5
| 30.5 What are the definitions used in this part | |
| 20:1.0.1.3.4.1.118 | SUBJGRP 118
| Information in Program Records | |
| 20:1.0.1.3.4.1.118.6 | SECTION 30.10
| 30.10 Are all OWCP records relating to claims filed under EEOICPA considered confidential | |
| 20:1.0.1.3.4.1.118.7 | SECTION 30.11
| 30.11 Who maintains custody and control of claim records | |
| 20:1.0.1.3.4.1.118.8 | SECTION 30.12
| 30.12 What process is used by a person who wants to obtain copies of or amend EEOICPA claim records | |
| 20:1.0.1.3.4.1.119 | SUBJGRP 119
| Rights and Penalties | |
| 20:1.0.1.3.4.1.119.9 | SECTION 30.15
| 30.15 May EEOICPA benefits be assigned, transferred or garnished | |
| 20:1.0.1.3.4.1.119.10 | SECTION 30.16
| 30.16 What penalties may be imposed in connection with a claim under the Act | |
| 20:1.0.1.3.4.1.119.11 | SECTION 30.17
| 30.17 Is a beneficiary who defrauds the government in connection with a claim for EEOICPA benefits still entitled to those benefits | |
| 20:1.0.1.3.4.2 | SUBPART B
| Subpart B - Filing Claims; Evidence and Burden of Proof; Special Procedures for Certain Cancer Claims | |
| 20:1.0.1.3.4.2.120 | SUBJGRP 120
| Filing Claims for Benefits Under EEOICPA | |
| 20:1.0.1.3.4.2.120.1 | SECTION 30.100
| 30.100 In general, how does an employee file an initial claim for benefits | |
| 20:1.0.1.3.4.2.120.2 | SECTION 30.101
| 30.101 In general, how is a survivor's claim filed | |
| 20:1.0.1.3.4.2.120.3 | SECTION 30.102
| 30.102 In general, how does an employee file a claim for additional impairment or wage-loss under Part E of EEOICPA | |
| 20:1.0.1.3.4.2.120.4 | SECTION 30.103
| 30.103 How does a claimant make sure that OWCP has the evidence necessary to process the claim | |
| 20:1.0.1.3.4.2.121 | SUBJGRP 121
| Verification of Alleged Employment | |
| 20:1.0.1.3.4.2.121.5 | SECTION 30.105
| 30.105 What must DOE do after an employee or survivor files a claim | |
| 20:1.0.1.3.4.2.121.6 | SECTION 30.106
| 30.106 Can OWCP request employment verification from other sources | |
| 20:1.0.1.3.4.2.122 | SUBJGRP 122
| Evidence and Burden of Proof | |
| 20:1.0.1.3.4.2.122.7 | SECTION 30.110
| 30.110 Who is entitled to compensation under the Act | |
| 20:1.0.1.3.4.2.122.8 | SECTION 30.111
| 30.111 What is the claimant's responsibility with respect to burden of proof, production of documents, presumptions, and affidavits | |
| 20:1.0.1.3.4.2.122.9 | SECTION 30.112
| 30.112 What kind of evidence is needed to establish covered employment and how will that evidence be evaluated | |
| 20:1.0.1.3.4.2.122.10 | SECTION 30.113
| 30.113 What are the requirements for written medical documentation, contemporaneous records, and other records or documents | |
| 20:1.0.1.3.4.2.122.11 | SECTION 30.114
| 30.114 What kind of evidence is needed to establish a compensable medical condition and how will that evidence be evaluated | |
| 20:1.0.1.3.4.2.123 | SUBJGRP 123
| Special Procedures for Certain Radiogenic Cancer Claims | |
| 20:1.0.1.3.4.2.123.12 | SECTION 30.115
| 30.115 For those radiogenic cancer claims that do not seek benefits under Part B of the Act pursuant to the Special Exposure Cohort provisions, what will OWCP do once it determines that an employee contracted cancer | |
| 20:1.0.1.3.4.3 | SUBPART C
| Subpart C - Eligibility Criteria | |
| 20:1.0.1.3.4.3.124 | SUBJGRP 124
| General Provisions | |
| 20:1.0.1.3.4.3.124.1 | SECTION 30.200
| 30.200 What is the scope of this subpart | |
| 20:1.0.1.3.4.3.125 | SUBJGRP 125
| Eligibility Criteria for Claims Relating to Covered Beryllium Illness Under Part B of EEOICPA | |
| 20:1.0.1.3.4.3.125.2 | SECTION 30.205
| 30.205 What are the criteria for eligibility for benefits relating to beryllium illnesses covered under Part B of EEOICPA | |
| 20:1.0.1.3.4.3.125.3 | SECTION 30.206
| 30.206 How does a claimant prove that the employee was a “covered beryllium employee” exposed to beryllium dust, particles or vapor in the performance of duty | |
| 20:1.0.1.3.4.3.125.4 | SECTION 30.207
| 30.207 How does a claimant prove a diagnosis of a beryllium disease covered under Part B | |
| 20:1.0.1.3.4.3.126 | SUBJGRP 126
| Eligibility Criteria for Claims Relating to Radiogenic Cancer Under Parts B and E of EEOICPA | |
| 20:1.0.1.3.4.3.126.5 | SECTION 30.210
| 30.210 What are the criteria for eligibility for benefits relating to radiogenic cancer | |
| 20:1.0.1.3.4.3.126.6 | SECTION 30.211
| 30.211 How does a claimant establish that the employee has or had contracted cancer | |
| 20:1.0.1.3.4.3.126.7 | SECTION 30.212
| 30.212 How does a claimant establish that the employee contracted cancer after beginning employment at a DOE facility, an atomic weapons employer facility or a RECA section 5 facility | |
| 20:1.0.1.3.4.3.126.8 | SECTION 30.213
| 30.213 How does a claimant establish that the radiogenic cancer was at least as likely as not related to employment at the DOE facility, the atomic weapons employer facility, or the RECA section 5 facility | |
| 20:1.0.1.3.4.3.126.9 | SECTION 30.214
| 30.214 How does a claimant establish that the employee is a member of the Special Exposure Cohort | |
| 20:1.0.1.3.4.3.126.10 | SECTION 30.215
| 30.215 How does a claimant establish that the employee has sustained an injury, illness, impairment or disease as a consequence of a diagnosed cancer | |
| 20:1.0.1.3.4.3.127 | SUBJGRP 127
| Eligibility Criteria for Claims Relating to Chronic Silicosis Under Part B of EEOICPA | |
| 20:1.0.1.3.4.3.127.11 | SECTION 30.220
| 30.220 What are the criteria for eligibility for benefits relating to chronic silicosis | |
| 20:1.0.1.3.4.3.127.12 | SECTION 30.221
| 30.221 How does a claimant prove exposure to silica in the performance of duty | |
| 20:1.0.1.3.4.3.127.13 | SECTION 30.222
| 30.222 How does a claimant establish that the employee has been diagnosed with chronic silicosis or has sustained a consequential injury, illness, impairment or disease | |
| 20:1.0.1.3.4.3.128 | SUBJGRP 128
| Eligibility Criteria for Certain Uranium Employees Under Part B of EEOICPA | |
| 20:1.0.1.3.4.3.128.14 | SECTION 30.225
| 30.225 What are the criteria for eligibility for benefits under Part B of EEOICPA for certain uranium employees | |
| 20:1.0.1.3.4.3.128.15 | SECTION 30.226
| 30.226 How does a claimant establish that a covered uranium employee has sustained a consequential injury, illness, impairment or disease | |
| 20:1.0.1.3.4.3.129 | SUBJGRP 129
| Eligibility Criteria for Other Claims Under Part E of EEOICPA | |
| 20:1.0.1.3.4.3.129.16 | SECTION 30.230
| 30.230 What are the criteria necessary to establish that an employee contracted a covered illness under Part E of EEOICPA | |
| 20:1.0.1.3.4.3.129.17 | SECTION 30.231
| 30.231 How does a claimant prove employment-related exposure to a toxic substance at a DOE facility or a RECA section 5 facility | |
| 20:1.0.1.3.4.3.129.18 | SECTION 30.232
| 30.232 How does a claimant establish that the employee has been diagnosed with a covered illness, or sustained an injury, illness, impairment or disease as a consequence of a covered illness | |
| 20:1.0.1.3.4.4 | SUBPART D
| Subpart D - Adjudicatory Process | |
| 20:1.0.1.3.4.4.130 | SUBJGRP 130
| General Provisions | |
| 20:1.0.1.3.4.4.130.1 | SECTION 30.300
| 30.300 What administrative process will OWCP use to decide claims for entitlement, and how can claimants obtain judicial review of final decisions on their claims | |
| 20:1.0.1.3.4.4.130.2 | SECTION 30.301
| 30.301 May subpoenas be issued for witnesses and documents in connection with a claim under Part B of EEOICPA | |
| 20:1.0.1.3.4.4.130.3 | SECTION 30.302
| 30.302 Who pays the costs associated with subpoenas | |
| 20:1.0.1.3.4.4.130.4 | SECTION 30.303
| 30.303 What information may OWCP request in connection with a claim under Part E of EEOICPA | |
| 20:1.0.1.3.4.4.131 | SUBJGRP 131
| Recommended Decisions on Claims | |
| 20:1.0.1.3.4.4.131.5 | SECTION 30.305
| 30.305 How does OWCP determine entitlement to EEOICPA compensation | |
| 20:1.0.1.3.4.4.131.6 | SECTION 30.306
| 30.306 What does the recommended decision include | |
| 20:1.0.1.3.4.4.131.7 | SECTION 30.307
| 30.307 Can one recommended decision address the entitlement of multiple claimants | |
| 20:1.0.1.3.4.4.131.8 | SECTION 30.308
| 30.308 To whom is the recommended decision sent | |
| 20:1.0.1.3.4.4.132 | SUBJGRP 132
| Hearings and Final Decisions on Claims | |
| 20:1.0.1.3.4.4.132.9 | SECTION 30.310
| 30.310 What must the claimant do if he or she objects to the recommended decision or wants to request a hearing | |
| 20:1.0.1.3.4.4.132.10 | SECTION 30.311
| 30.311 What happens if the claimant does not object to the recommended decision or request a hearing within 60 days | |
| 20:1.0.1.3.4.4.132.11 | SECTION 30.312
| 30.312 What will the FAB do if the claimant objects to the recommended decision but does not request a hearing | |
| 20:1.0.1.3.4.4.132.12 | SECTION 30.313
| 30.313 How is a review of the written record conducted | |
| 20:1.0.1.3.4.4.132.13 | SECTION 30.314
| 30.314 How is a hearing conducted | |
| 20:1.0.1.3.4.4.132.14 | SECTION 30.315
| 30.315 May a claimant postpone a hearing | |
| 20:1.0.1.3.4.4.132.15 | SECTION 30.316
| 30.316 How does the FAB issue a final decision on a claim | |
| 20:1.0.1.3.4.4.132.16 | SECTION 30.317
| 30.317 Can the FAB request a further response from the claimant or return a claim to the district office | |
| 20:1.0.1.3.4.4.132.17 | SECTION 30.318
| 30.318 How will FAB consider objections to NIOSH's reconstruction of a radiation dose, or to OWCP's calculation of the recommended probability of causation, in a Part B claim for radiogenic cancer | |
| 20:1.0.1.3.4.4.132.18 | SECTION 30.319
| 30.319 May a claimant request reconsideration of a final decision of the FAB | |
| 20:1.0.1.3.4.4.133 | SUBJGRP 133
| Reopening Claims | |
| 20:1.0.1.3.4.4.133.19 | SECTION 30.320
| 30.320 Can a claim be reopened after the FAB has issued a final decision | |
| 20:1.0.1.3.4.5 | SUBPART E
| Subpart E - Medical and Related Benefits | |
| 20:1.0.1.3.4.5.134 | SUBJGRP 134
| Medical Treatment and Related Issues | |
| 20:1.0.1.3.4.5.134.1 | SECTION 30.400
| 30.400 What are the basic rules for obtaining medical treatment | |
| 20:1.0.1.3.4.5.134.2 | SECTION 30.401
| 30.401 What are the special rules for the services of chiropractors | |
| 20:1.0.1.3.4.5.134.3 | SECTION 30.402
| 30.402 What are the special rules for the services of clinical psychologists | |
| 20:1.0.1.3.4.5.134.4 | SECTION 30.403
| 30.403 Will OWCP pay for home health care, nursing home, and assisted living services | |
| 20:1.0.1.3.4.5.134.5 | SECTION 30.404
| 30.404 Will OWCP pay for transportation to obtain medical treatment | |
| 20:1.0.1.3.4.5.134.6 | SECTION 30.405
| 30.405 After selecting a treating physician, may an employee choose to be treated by another physician instead | |
| 20:1.0.1.3.4.5.134.7 | SECTION 30.406
| 30.406 Are there any exceptions to these procedures for obtaining medical care | |
| 20:1.0.1.3.4.5.135 | SUBJGRP 135
| Directed Medical Examinations | |
| 20:1.0.1.3.4.5.135.8 | SECTION 30.410
| 30.410 Can OWCP require an employee to be examined by another physician | |
| 20:1.0.1.3.4.5.135.9 | SECTION 30.411
| 30.411 What happens if the opinion of the physician selected by OWCP differs from the opinion of the physician selected by the employee | |
| 20:1.0.1.3.4.5.135.10 | SECTION 30.412
| 30.412 Who pays for second opinion and referee examinations | |
| 20:1.0.1.3.4.5.136 | SUBJGRP 136
| Medical Reports | |
| 20:1.0.1.3.4.5.136.11 | SECTION 30.415
| 30.415 What are the requirements for medical reports | |
| 20:1.0.1.3.4.5.136.12 | SECTION 30.416
| 30.416 How and when should medical reports be submitted | |
| 20:1.0.1.3.4.5.136.13 | SECTION 30.417
| 30.417 What additional medical information may OWCP require to support continuing payment of benefits | |
| 20:1.0.1.3.4.5.137 | SUBJGRP 137
| Medical Bills | |
| 20:1.0.1.3.4.5.137.14 | SECTION 30.420
| 30.420 How should medical bills and reimbursement requests be submitted | |
| 20:1.0.1.3.4.5.137.15 | SECTION 30.421
| 30.421 What are the time frames for submitting bills and reimbursement requests | |
| 20:1.0.1.3.4.5.137.16 | SECTION 30.422
| 30.422 If an employee is only partially reimbursed for a medical expense, must the provider refund the balance of the amount paid to the employee | |
| 20:1.0.1.3.4.6 | SUBPART F
| Subpart F - Survivors; Payments and Offsets; Overpayments | |
| 20:1.0.1.3.4.6.138 | SUBJGRP 138
| Survivors | |
| 20:1.0.1.3.4.6.138.1 | SECTION 30.500
| 30.500 What special statutory definitions apply to survivors under EEOICPA | |
| 20:1.0.1.3.4.6.138.2 | SECTION 30.501
| 30.501 What order of precedence will OWCP use to determine which survivors are entitled to receive compensation under EEOICPA | |
| 20:1.0.1.3.4.6.138.3 | SECTION 30.502
| 30.502 When is entitlement for survivors determined for purposes of EEOICPA | |
| 20:1.0.1.3.4.6.139 | SUBJGRP 139
| Payment of Claims and Offset for Certain Payments | |
| 20:1.0.1.3.4.6.139.4 | SECTION 30.505
| 30.505 What procedures will OWCP follow before it pays any compensation | |
| 20:1.0.1.3.4.6.139.5 | SECTION 30.506
| 30.506 To whom and in what manner will OWCP pay compensation | |
| 20:1.0.1.3.4.6.139.6 | SECTION 30.507
| 30.507 What compensation will be provided to covered Part B employees who only establish beryllium sensitivity under Part B of EEOICPA | |
| 20:1.0.1.3.4.6.139.7 | SECTION 30.508
| 30.508 What is beryllium sensitivity monitoring | |
| 20:1.0.1.3.4.6.139.8 | SECTION 30.509
| 30.509 Under what circumstances may a survivor claiming under Part E of the Act choose to receive the benefits that would otherwise be payable to a covered Part E employee who is deceased | |
| 20:1.0.1.3.4.6.140 | SUBJGRP 140
| Overpayments | |
| 20:1.0.1.3.4.6.140.9 | SECTION 30.510
| 30.510 How does OWCP notify an individual of a payment made on a claim | |
| 20:1.0.1.3.4.6.140.10 | SECTION 30.511
| 30.511 What is an “overpayment” for purposes of EEOICPA | |
| 20:1.0.1.3.4.6.140.11 | SECTION 30.512
| 30.512 What does OWCP do when an overpayment is identified | |
| 20:1.0.1.3.4.6.140.12 | SECTION 30.513
| 30.513 Under what circumstances may OWCP waive recovery of an overpayment | |
| 20:1.0.1.3.4.6.140.13 | SECTION 30.514
| 30.514 If OWCP finds that the recipient of an overpayment was not at fault, what criteria are used to decide whether to waive recovery of it | |
| 20:1.0.1.3.4.6.140.14 | SECTION 30.515
| 30.515 Is a recipient responsible for an overpayment that resulted from an error made by OWCP | |
| 20:1.0.1.3.4.6.140.15 | SECTION 30.516
| 30.516 Under what circumstances would recovery of an overpayment defeat the purpose of the Act | |
| 20:1.0.1.3.4.6.140.16 | SECTION 30.517
| 30.517 Under what circumstances would recovery of an overpayment be against equity and good conscience | |
| 20:1.0.1.3.4.6.140.17 | SECTION 30.518
| 30.518 Can OWCP require the recipient of the overpayment to submit additional financial information | |
| 20:1.0.1.3.4.6.140.18 | SECTION 30.519
| 30.519 How does OWCP communicate its final decision concerning recovery of an overpayment | |
| 20:1.0.1.3.4.6.140.19 | SECTION 30.520
| 30.520 How are overpayments collected | |
| 20:1.0.1.3.4.7 | SUBPART G
| Subpart G - Special Provisions | |
| 20:1.0.1.3.4.7.141 | SUBJGRP 141
| Representation | |
| 20:1.0.1.3.4.7.141.1 | SECTION 30.600
| 30.600 May a claimant designate a representative | |
| 20:1.0.1.3.4.7.141.2 | SECTION 30.601
| 30.601 Who may serve as a representative | |
| 20:1.0.1.3.4.7.141.3 | SECTION 30.602
| 30.602 Who is responsible for paying the representative's fee | |
| 20:1.0.1.3.4.7.141.4 | SECTION 30.603
| 30.603 Are there any limitations on what the representative may charge the claimant for his or her services | |
| 20:1.0.1.3.4.7.142 | SUBJGRP 142
| Third Party Liability | |
| 20:1.0.1.3.4.7.142.5 | SECTION 30.605
| 30.605 What rights does the United States have upon payment of compensation under EEOICPA | |
| 20:1.0.1.3.4.7.142.6 | SECTION 30.606
| 30.606 Under what circumstances must a recovery of money or other property in connection with an illness for which benefits are payable under EEOICPA be reported to OWCP | |
| 20:1.0.1.3.4.7.142.7 | SECTION 30.607
| 30.607 How is a structured settlement (that is, a settlement providing for receipt of funds over a specified period of time) treated for purposes of reporting the recovery | |
| 20:1.0.1.3.4.7.142.8 | SECTION 30.608
| 30.608 How does the United States calculate the amount to which it is subrogated | |
| 20:1.0.1.3.4.7.142.9 | SECTION 30.609
| 30.609 Is a settlement or judgment received as a result of allegations of medical malpractice in treating an illness covered by EEOICPA a recovery that must be reported to OWCP | |
| 20:1.0.1.3.4.7.142.10 | SECTION 30.610
| 30.610 Are payments to a covered Part B employee, a covered Part E employee or an eligible surviving beneficiary as a result of an insurance policy which the employee or eligible surviving beneficiary has purchased a recovery that must be reported to OWCP | |
| 20:1.0.1.3.4.7.142.11 | SECTION 30.611
| 30.611 If a settlement or judgment is received for more than one medical condition, can the amount paid on a single EEOICPA claim be attributed to different conditions for purposes of calculating the amount to which the United States is subrogated | |
| 20:1.0.1.3.4.7.143 | SUBJGRP 143
| Effect of Tort Suits Against Beryllium Vendors and Atomic Weapons Employers | |
| 20:1.0.1.3.4.7.143.12 | SECTION 30.615
| 30.615 What type of tort suits filed against beryllium vendors or atomic weapons employers may disqualify certain claimants from receiving benefits under Part B of EEOICPA | |
| 20:1.0.1.3.4.7.143.13 | SECTION 30.616
| 30.616 What happens if this type of tort suit was filed prior to October 30, 2000 | |
| 20:1.0.1.3.4.7.143.14 | SECTION 30.617
| 30.617 What happens if this type of tort suit was filed during the period from October 30, 2000 through December 28, 2001 | |
| 20:1.0.1.3.4.7.143.15 | SECTION 30.618
| 30.618 What happens if this type of tort suit was filed after December 28, 2001 | |
| 20:1.0.1.3.4.7.143.16 | SECTION 30.619
| 30.619 Do all the parties to this type of tort suit have to take these actions | |
| 20:1.0.1.3.4.7.143.17 | SECTION 30.620
| 30.620 How will OWCP ascertain whether a claimant filed this type of tort suit and if he or she has been disqualified from receiving any benefits under Part B of EEOICPA | |
| 20:1.0.1.3.4.7.144 | SUBJGRP 144
| Coordination of Part E Benefits With State Workers' Compensation Benefits | |
| 20:1.0.1.3.4.7.144.18 | SECTION 30.625
| 30.625 What does “coordination of benefits” mean under Part E of EEOICPA | |
| 20:1.0.1.3.4.7.144.19 | SECTION 30.626
| 30.626 How will OWCP coordinate compensation payable under Part E of EEOICPA with benefits from state workers' compensation programs | |
| 20:1.0.1.3.4.7.144.20 | SECTION 30.627
| 30.627 Under what circumstances will OWCP waive the statutory requirement to coordinate these benefits | |
| 20:1.0.1.3.4.8 | SUBPART H
| Subpart H - Information for Medical Providers | |
| 20:1.0.1.3.4.8.145 | SUBJGRP 145
| Medical Records and Bills | |
| 20:1.0.1.3.4.8.145.1 | SECTION 30.700
| 30.700 In general, what responsibilities do providers have with respect to enrolling with OWCP, seeking authorization to provide services, billing, and retaining medical records | |
| 20:1.0.1.3.4.8.145.2 | SECTION 30.701
| 30.701 How are medical bills to be submitted | |
| 20:1.0.1.3.4.8.145.3 | SECTION 30.702
| 30.702 How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of wages, and incidental expenses | |
| 20:1.0.1.3.4.8.145.4 | SECTION 30.703
| 30.703 What are the time limitations on OWCP's payment of bills | |
| 20:1.0.1.3.4.8.146 | SUBJGRP 146
| Medical Fee Schedule | |
| 20:1.0.1.3.4.8.146.5 | SECTION 30.705
| 30.705 What services are covered by the OWCP fee schedule | |
| 20:1.0.1.3.4.8.146.6 | SECTION 30.706
| 30.706 How are the maximum fees for professional medical services defined | |
| 20:1.0.1.3.4.8.146.7 | SECTION 30.707
| 30.707 How are payments to providers calculated | |
| 20:1.0.1.3.4.8.146.8 | SECTION 30.708
| 30.708 Does the fee schedule apply to every kind of procedure | |
| 20:1.0.1.3.4.8.146.9 | SECTION 30.709
| 30.709 How are payments for medicinal drugs determined | |
| 20:1.0.1.3.4.8.146.10 | SECTION 30.710
| 30.710 How are payments for inpatient medical services determined | |
| 20:1.0.1.3.4.8.146.11 | SECTION 30.711
| 30.711 How are payments for outpatient medical services determined | |
| 20:1.0.1.3.4.8.146.12 | SECTION 30.712
| 30.712 When and how are fees reduced | |
| 20:1.0.1.3.4.8.146.13 | SECTION 30.713
| 30.713 If OWCP reduces a fee, may a provider request reconsideration of the reduction | |
| 20:1.0.1.3.4.8.146.14 | SECTION 30.714
| 30.714 If OWCP reduces a fee, may a provider bill the employee for the balance | |
| 20:1.0.1.3.4.8.147 | SUBJGRP 147
| Exclusion of Providers | |
| 20:1.0.1.3.4.8.147.15 | SECTION 30.715
| 30.715 What are the grounds for excluding a provider from payment under this part | |
| 20:1.0.1.3.4.8.147.16 | SECTION 30.716
| 30.716 What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies | |
| 20:1.0.1.3.4.8.147.17 | SECTION 30.717
| 30.717 When are OWCP's exclusion procedures initiated | |
| 20:1.0.1.3.4.8.147.18 | SECTION 30.718
| 30.718 How is a provider notified of OWCP's intent to exclude him or her | |
| 20:1.0.1.3.4.8.147.19 | SECTION 30.719
| 30.719 What requirements must the provider's response and OWCP's decision meet | |
| 20:1.0.1.3.4.8.147.20 | SECTION 30.720
| 30.720 How can an excluded provider request a hearing | |
| 20:1.0.1.3.4.8.147.21 | SECTION 30.721
| 30.721 How are hearings assigned and scheduled | |
| 20:1.0.1.3.4.8.147.22 | SECTION 30.722
| 30.722 How are subpoenas or advisory opinions obtained | |
| 20:1.0.1.3.4.8.147.23 | SECTION 30.723
| 30.723 How will the administrative law judge conduct the hearing and issue the recommended decision | |
| 20:1.0.1.3.4.8.147.24 | SECTION 30.724
| 30.724 How does a recommended decision become final | |
| 20:1.0.1.3.4.8.147.25 | SECTION 30.725
| 30.725 What are the effects of non-automatic exclusion | |
| 20:1.0.1.3.4.8.147.26 | SECTION 30.726
| 30.726 How can an excluded provider be reinstated | |
| 20:1.0.1.3.4.9 | SUBPART I
| Subpart I - Wage-Loss Determinations Under Part E of EEOICPA | |
| 20:1.0.1.3.4.9.148 | SUBJGRP 148
| General Provisions | |
| 20:1.0.1.3.4.9.148.1 | SECTION 30.800
| 30.800 What types of wage-loss are compensable under Part E of EEOICPA | |
| 20:1.0.1.3.4.9.148.2 | SECTION 30.801
| 30.801 What special definitions does OWCP use in connection with Part E wage-loss determinations | |
| 20:1.0.1.3.4.9.149 | SUBJGRP 149
| Evidence of Wage-Loss | |
| 20:1.0.1.3.4.9.149.3 | SECTION 30.805
| 30.805 What are the criteria for eligibility for wage-loss benefits under Part E | |
| 20:1.0.1.3.4.9.149.4 | SECTION 30.806
| 30.806 What kind of medical evidence must the claimant submit to prove that he or she lost wages due to a covered illness | |
| 20:1.0.1.3.4.9.149.5 | SECTION 30.807
| 30.807 What factual evidence does OWCP use to determine a covered Part E employee's average annual wage | |
| 20:1.0.1.3.4.9.150 | SUBJGRP 150
| Determinations of Average Annual Wage and Percentages of Loss | |
| 20:1.0.1.3.4.9.150.6 | SECTION 30.810
| 30.810 How will OWCP calculate the average annual wage of a covered Part E employee | |
| 20:1.0.1.3.4.9.150.7 | SECTION 30.811
| 30.811 How will OWCP calculate the duration and extent of a covered Part E employee's initial period of compensable wage-loss | |
| 20:1.0.1.3.4.9.150.8 | SECTION 30.812
| 30.812 May a covered Part E employee claim for subsequent periods of compensable wage-loss | |
| 20:1.0.1.3.4.9.151 | SUBJGRP 151
| Special Rules for Certain Survivor Claims Under Part E of EEOICPA | |
| 20:1.0.1.3.4.9.151.9 | SECTION 30.815
| 30.815 Are there special rules that OWCP will use to determine the extent of a deceased covered Part E employee's compensable wage-loss | |
| 20:1.0.1.3.4.10 | SUBPART J
| Subpart J - Impairment Benefits Under Part E of EEOICPA | |
| 20:1.0.1.3.4.10.152 | SUBJGRP 152
| General Provisions | |
| 20:1.0.1.3.4.10.152.1 | SECTION 30.900
| 30.900 Who can receive impairment benefits under Part E | |
| 20:1.0.1.3.4.10.152.2 | SECTION 30.901
| 30.901 How does OWCP determine the extent of an employee's impairment that is due to a covered illness contracted through exposure to a toxic substance at a DOE facility or a RECA section 5 facility, as appropriate | |
| 20:1.0.1.3.4.10.152.3 | SECTION 30.902
| 30.902 How will OWCP calculate the amount of the award of impairment benefits that is payable under Part E | |
| 20:1.0.1.3.4.10.153 | SUBJGRP 153
| Medical Evidence of Impairment | |
| 20:1.0.1.3.4.10.153.4 | SECTION 30.905
| 30.905 How may an impairment evaluation be obtained | |
| 20:1.0.1.3.4.10.153.5 | SECTION 30.906
| 30.906 Who will pay for an impairment evaluation | |
| 20:1.0.1.3.4.10.153.6 | SECTION 30.907
| 30.907 Can an impairment evaluation obtained by OWCP be challenged prior to issuance of the recommended decision | |
| 20:1.0.1.3.4.10.153.7 | SECTION 30.908
| 30.908 How will the FAB evaluate new medical evidence submitted to challenge the impairment determination in the recommended decision | |
| 20:1.0.1.3.4.10.154 | SUBJGRP 154
| Ratable Impairments | |
| 20:1.0.1.3.4.10.154.8 | SECTION 30.910
| 30.910 Will an impairment that cannot be assigned a numerical percentage using the AMA's Guides be included in the impairment rating | |
| 20:1.0.1.3.4.10.154.9 | SECTION 30.911
| 30.911 Does maximum medical improvement always have to be reached for an impairment to be included in the impairment rating | |
| 20:1.0.1.3.4.10.154.10 | SECTION 30.912
| 30.912 Can a covered Part E employee receive benefits for additional impairment following an award of such benefits by OWCP | |