Office of the Workers’ Compensation Programs (OWCP) https://cacdiucs3.cpms.osd.mil/portal/portal.html

Agenda Introduction Benefits and Provisions for Coverage Traumatic Injury and related forms Occupational Disease and related forms Recurrence Injury and related forms For Your Information References Review & Wrap-up

OWCP Managed by the: United States Department of Labor (DOL) and the Division of Federal Employees’ Compensation Act (FECA) Administered by local Federal agencies (Human Resources Office)

OWCP Covered under the: Federal Employees’ Compensation Act (FECA) Passed in 1916, FECA provides compensation benefits to employees of the U.S. Government Provides for payment of benefits to dependents if a work-related injury or disease causes an employee's death **Does not cover State Employees to include Military personnel having incurred injuries during military service**

Benefits Majority of medical and travel expenses are covered: Rehabilitation Chiropractic care (limited) Hospitalization Continuation of Pay CA-7 (Compensation for lost wages) Light Duty Scheduled Award (one time payment/permanent loss) Death Benefits

Provisions of Coverage Permanent, Indefinite, and Temporary employees are covered by FECA. Federal Volunteers are covered under some circumstances Medical evidence proves incurred injury or disease is work related and occurred while in the performance of official duties. Time Frame submissions of claims . Claims for must be filed within as soon as possible. Claims must be filed within three years of an injury or death. Employee has three years from: -Date of injury, first awareness, and date of last exposure.

Timely Submission of Claims Agencies should submit claims within 7-10 working days to ICPA Medical documentation WILL be submitted to the ICPA as soon as it is received Late submission of claims and lack of medical documentation could result in the claimant absorbing the cost

CA-1 Traumatic Injuries Traumatic Injury: a wound or other condition of the body caused by external force, including stress or strain CA-1 Report of Injury CA-16 Authorization for Treatment CA-17 Duty Status Report CA-7 Claim for Compensation CA-20 Attending Physician’s Report All pertinent medical documentation supporting sustained injury

Continuation of Pay (COP) Continuation of an employee’s regular pay by the employing agency with no charge to sick or annual leave. Applies to traumatic injuries ONLY. Employees are entitled to receive 45 (business/work) days of COP when they are absent from work due to disability or medical treatments. One full day of COP is counted towards a full or partial day of absence For a routine medical appointment, a maximum of four hours of compensation is usually allowed. **Medical evidence within 10 calendar days (CA-1) **Medical evidence within 10 calendar days (CA-1) **i.e. an employee takes 2 hours off for a doctor’s appointment for a traumatic injury, the time card reflects the proper code for 2 hours of COP, but for counting COP the employee has used 1 full calendar day.

Occupational Diseases CA-2 Occupational Diseases A condition produced over a period longer than one workday or shift: systemic infections; continued or repeated stress or strain; regular exposure to toxins, poisons, fumes, etc. Other exposure to conditions of the work environment for two or more work shifts. Forms Used: CA-2 Notice of Occupational Disease. CA-35 Series Specialized Occupational Disease Checklists. All pertinent medical documentation supporting sustained occupational disease. **No CA-16 or COP will be issued.**

CA-2a Recurrence of Injuries For Recurrence Injury Cases: a spontaneous return or increase of disability due to a previous injury or occupational disease Not to be confused as a new injury CA-2a Claim for Recurrence of Disability CA-7 Claim for Compensation All pertinent medical documentation supporting the recurrence of injury in relation to the original occurrence

Wage Loss - CA-7 Applies to Traumatic Injuries when COP has been exhausted Applies to Occupational Disease when the employee requires medical absence CA-7 procedures: First page of CA-7 to be completed by employee Medical documentation supporting absence CA-20 Attending Physician’s Report (provides medical info.) Compensation amount covered 75% with dependents 66 2/3% without dependents **Schedule awards for permanent impairment

FOR YOUR INFORMATION All medical procedures (MRI, physical therapy, surgery) need to be pre-approved through the Accredited Computer Services Fax for medical authorizations: 1-800-215-4901 Contact ACS for billing issues/inquiries at (850) 558-1818 All medical bills/documentations are now sent to JFHQ – HRO prior to being mailed to U.S. DOL, London, KY Contact the HRO for escalation guidance

For More Information Ms. Lisa Nagata lisa.g.nagata.civ@mail.mil (916) 854-3601 – Direct Line (916) 854-3439 – Fax SGT Mariana Palomares mariana.palomares.mil@mail.mil (916) 854-3454 – Direct Line (916) 854-3439 - Fax