Source: http://www.dol.gov/owcp/dfec/regs/compliance/DFECfolio/FECATransmittals/index.htm
Timestamp: 2013-12-05 02:02:47
Document Index: 34040558

Matched Legal Cases: ['art 2', 'ART 2', 'ART 2', 'art 2', 'art 3', 'art 0', 'art 1', 'art 6', 'art 6', 'art 2', 'art 2', 'art 2', 'ART 4', 'ART 2', 'ART 1', 'art 1', 'ART 2', 'art 5', 'ART 2', 'ART 4', 'ART 6', 'art 2', 'art 5', 'art 2', 'art 2', 'ART 6', 'ART 2', 'art 5', 'art 1', 'ART 3', 'ART 2', 'ART 2', 'ART 2', 'art 3', 'ART 2', 'art 2', 'art 2', 'ART 1', 'ART 2', 'ART 2', 'ART 2', 'ART 2', 'art 2', 'ART 2', 'art 3', 'art 1', 'art 6', 'art 2', 'art 3', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 6', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 2', 'art 0', 'art 3', 'art 2', 'art 2', 'art 2', 'art 4', 'art 2', 'art 5', 'art 2', 'art 2', 'art 5', 'art 2', 'art 2', 'art 2', 'art 4', 'art 2', 'art 5', 'art 2', 'art 2', 'art 5', '§8142', '§8', '§8102', '§ 10', 'art 7', 'art 8', 'art 8', 'art 3', 'art 2', '§10', '§10']

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FECA Transmittals
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FECA Transmittal No. 14-01
CHAPTER 2-1701, PEACE CORPS
FECA Transmittal No. 14-02
CHAPTER 2-0601, DISABILITY MANAGEMENT TRACKING
FECA Transmittal No. 14-03
CHAPTER 8-0200, REFERRALS FOR REHABILITATION
Back to FECA Transmittals Table of Contents
CHAPTER 2-1401, INITIAL DENIALS
FECA Transmittal No. 13-02
FECA Transmittal No. 13-03
CHAPTER 1-200, JURISDICTION
FECA Transmittal No. 13-04
CHAPTER 3-0500, OWCP Directed Medical Examinations
FECA Transmittal No. 13-05
CHAPTER 2-0805, CAUSAL RELATIONSHIP
FECA Transmittal No. 13-06
CHAPTER 2-0901, COMPENSATION CLAIMS
CHAPTER 2-0814, REEMPLOYMENT: DETERMINING WAGE-EARNING CAPACITY
FECA Transmittal No. 13-07
CHAPTER 2-1400, DISALLOWANCES
FECA Transmittal No. 13-08
FECA Transmittal No. 13-09
CHAPTER 2-0814, JOB OFFERS AND RETURN TO WORK
CHAPTER 2-0815, DETERMINING WAGE-EARNING CAPACITY BASED ON ACTUAL EARNINGS
CHAPTER 2-0816, DETERMINING WAGE-EARNING CAPACITY BASED ON A CONSTRUCTED POSITION
CHAPTER 2-1500, RECURRENCES
CHAPTER 2-1501, MODIFICATION OF LWECs
FECA Transmittal No. 12-01
FECA Transmittal No. 12-02
CHAPTER 2-1601, HEARINGS AND REVIEWS OF THE WRITTEN RECORD
FECA Transmittal No. 12-03
CHAPTER 2-1602, RECONSIDERATIONS
FECA Transmittal No. 12-04
CHAPTER 1-0200, JURISDICTION
FECA Transmittal No. 12-05
CHAPTER 3-300, AUTHORIZING EXAMINATION AND TREATMENT
FECA Transmittal No. 12-06
CHAPTER 2-0812, PERIODIC REVIEW OF DISABILITY CLAIMS
CHAPTER 2-1402, FORFEITURE
FECA Transmittal No. 12-07
FECA Transmittal No. 12-08
CHAPTER 2-1200, REPRESENTATIVES' SERVICES
FECA Transmittal No. 12-09
FECA Transmittal No. 12-10
CHAPTER 2-0803, FACT OF INJURY
FECA Transmittal No. 12-11
FECA Transmittal No. 12-12
CHAPTER 8-0100, INTRODUCTION TO REHABILITATION
FECA Transmittal No. 12-13
CHAPTER 2-0900, DETERMINING PAY RATES
FECA Transmittal No. 12-14
CHAPTER 8-0800, ASSISTED REEMPLOYMENT
FECA Transmittal No. 11-01
RELEASE – REVISION TO FECA PROCEDURE MANUAL
CHAPTER 0-100, INTRODUCTION TO FECA AND DFEC
CHAPTER 0-200, PROGRAM DIRECTIVES
FECA Transmittal No. 11-02
RELEASE - REVISION TO FECA PROCEDURE MANUAL
CHAPTER 2-0813, VOCATIONAL REHABILITATION SERVICES
FECA Transmittal No. 11-03
CHAPTER 2-0900, DETERMINING PAY RATES FECA Transmittal No. 11-04
CHAPTER 2-0806, INITIAL ACCEPTANCES
FECA Transmittal No. 11-05
CHAPTER 2-0811, NURSE CASE MANAGEMENT
CHAPTER 2-0600, DISABILITY MANAGEMENT
FECA Transmittal No. 11-06
FECA Transmittal No. 11-07
FECA Transmittal No. 11-08
RELEASE - REVISION TO FECA PROCEDURE MANUAL CHAPTER 2-0500, CONFERENCES
FECA Transmittal No. 10-01
Modifies Part 2, Chapter 0100; CHAPTER 2-0814, REEMPLOYMENT: DETERMINING WAGE-EARNING CAPACITY; CHAPTER 2-0900, DETERMINING PAY RATES; CHAPTER 2-0901, COMPUTING COMPENSATION; CHAPTER 2-1500, RECURRENCES
FECA Transmittal No. 10-02
Modifies CHAPTER 2-0900, DETERMINING PAY RATES, AND 2-0901, COMPUTING COMPENSATION, PART 2- CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 10-03
Modifies CHAPTER 2-1800, HOUSING AND VEHICLE MODIFICATIONS, PART 2 – CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 10-04
Modifies Part 2 and Part 3 of the FECA Procedure Manual
FECA Transmittal No. 10-05
Chapter 2-0812 has been revised in its entirety
FECA Transmittal No. 10-06
Chapter 2-700 has been updated to add paragraph 21 which addresses a new death gratuity
FECA Transmittal No. 10-07
The entire chapter has been updated and revised to reflect the changes that have taken place with regard to reorganization of responsibility between FEC district offices.
FECA Transmittal No. 10-08
Revision to chapter 2-1601, Hearings and Reviews of the Written Record
FECA Transmittal No. 10-09
REVISION TO FECA PROCEDURE MANUAL CHAPTER 1-200, JURISDICTION
FECA Transmittal No. 10-10
REVISION TO FECA PROCEDURE MANUAL CHAPTER 2-0810, Developing and Evaluating Medical Evidence
FECA Transmittal No. 10-11
REVISION TO FECA PROCEDURE MANUAL CHAPTER 2-0600, DISABILITY MANAGEMENT, CHAPTER 2-0811, EARLY MANAGEMENT OF DISABILITY CLAIMS, CHAPTER 2-0901, COMPUTING COMPENSATION
FECA Transmittal No. 09-01
FT 09-01 modifies Part 0, Chapter 0100
FECA Transmittal No. 09-02
FT 09-02 modifies Part 1, Chapter 0200
FECA Transmittal No. 09-03
FT 09-03 modifies Part 6, Chapter 0300
FECA Transmittal No. 09-04
FT 09-04 modifies Part 6, Chapter 0200
FECA Transmittal No. 09-05
FT 09-05 modifies Part 2, Chapter 1000
FECA Transmittal No. 09-06
FT 09-06 modifies Part 2, Chapter 0401
FECA Transmittal No. 09-07
FT 09-07 modifies Part 2, Chapter 0809
FECA Transmittal No. 07-01
Revision to Chapter 4-100, Special Case Procedures, Introduction, PART 4
FECA Transmittal No. 07-02
Revision to Chapter 2- 1700, Special Act Cases, PART 2
FECA Transmittal No. 07-03
Revision to Chapter 1-200, Jurisdiction, PART 1
Revision to Chapter 1-0200, Jurisdiction, Part 1 - Mail and Files
REVISION TO CHAPTER 1100, FECA THIRD PARTY SUBROGATION GUIDELINES, PART 2
Revision to Chapter 5-0202, Fee Schedule Appeals, Bill Adjustments, District DirectorExceptions and Cases/Providers on Review, Part 5 - Benefit Payments
REVISION TO CHAPTER 2-1200, FEES FOR REPRESENTATIVES' SERVICES, PART 2 - CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL
FECA TRANSMITTAL NO. 06-05	September 4, 2006
REVISION TO CHAPTER 4-0100, SPECIAL CASE PROCEDURES, INTRODUCTION, PART 4 - SPECIAL CASE PROCEDURES,FEDERAL (FECA) PROCEDURE MANUAL
Revision to Chapter 6-0200, Initial Overpayment Actions, PART 6 – Debt Management, Federal (FECA) PROCEDURE MANUAL
Revision to Chapter 2-1200, Fees for Represtatives' Services Part 2 - Claims, Federal (FECA) Procedure Manual
Revision to Chapter 5-0200, Overview of the Bill Processing System (BPS), Part 5 - Benefit Payments, Federal (FECA) Procedure Manual
Release Revision to Chapter 2-0901-6, Computing Compensation Part 2 Claims, Federal (FECA) Procedure Manual
Revision to Chapter 2-0800, Development of Claims, Part 2 - Claims, Federal (FECA) Procedure Manual
Revision to Chapter 2-1602, Reconsiderations
Revision to Chapter 6-0100, Overpayment Overview, 6-0200, Initial Overpayment Actions, and 6-0300, Debt Liquidation, PART 6 – Debt Management, Federal (FECA) Procedure Manual
Revision to Chapter 2-807, Continuation of Pay and Initial Payments
Revision to Chapters 2-0100, Introduction, and 2-0200, General Provisions of the FECA, PART 2 – Claims, Federal (FECA) Procedure Manual
Revision to Chapter 5-0400, Health Benefits Insurance, and Creation of Chapter 5-0401, Life Insurance Part 5 - Benefit Payments, Federal (FECA) Procedure Manual
Revision to Chapter 1-0200, Jurisdiction, Part 1 - Mail and Files, Federal (FECA) Procedure Manual
FECA Transmittal No. 03-01
Revision to Chapter 3-0700, Schedule Awards, PART 3 MEDICAL, Federal (FECA) Procedure Manul Explanation of material Transmitted
FECA Transmittal No. 03-02
REVISION TO CHAPTER 2-1500, RECURRENCES, PART 2 - CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 03-03
Revision to Chapter 2-800 Development of Claims, PART 2 – CLAIMS, FEDERAL (FECA) Procedure Manual
FECA Transmittal No. 03-04
Revision to Chapter 2-1700, Special Act Cases, PART 2 - CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 03-05
Revision to Chapter 3-0500, Medical Examinations, Part 3 - Medical, Federal (FECA) Procedure Manual
FECA Transmittal No. 03-06
Revision to Chapter 2-0812, Periodic Review of Disability Cases, PART 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 03-07
Revision to Chapter 2-1300, Lump-Sum Payments, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 03-09
Revision to Chapter 2-11, Feca Third Party Subrogation Guidelines, Part 2 - Claims, Federal (FECA) Procedure Manual (Formerly Chapter 2-1100, Subrogation and Other Remedies)
FECA Transmittal No. 02-01
Revision to Chapter 2-900, Determining Pay Rates, Federal (FECA) PROCEDURE MANUAL
FECA Transmittal No. 02-02
Revision to Chapter 1-0200-2, General Jurisdiction, PART 1 – Mail and File, Federal (FECA) PROCEDURE MANUAL
FECA Transmittal No. 02-03
Revision to Chapter 2-1602, Reconsiderations, PART 2 - CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL FECA Transmittal No. 02-04
Revision to Chapter 2-1200, Fees for Reprsentatives' Services, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 02-05
Revision to Chapter 2-0811 - Early Management of Disability Claims, FEDERAL (FECA) PROCEDURE MANUAL
FECA Transmittal No. 02-07
Revision to Chapter 2-900, Determining Pay Rates, Federal(FECA) PROCEDURE MANUAL
FECA Transmittal No. 02-08
Revision to Chapter 2-200-2 (e), General Provisions - PART 2 – CLAIMS, FEDERAL (FECA) PROCEDURE MANUAL. Revision to Chapter 2-700-2, Death Claims, PART 2 – Claims, FEDERAL (FECA) PROCEDURE MANUAL. Revision to Chapter 2-901-18, Other Payees PART 2 – Claims (FECA) PROCEDURE MANUEL.
FECA Transmittal No. 02-11
Revision to Chapter 2-1700, Special Act Cases, Part 2-Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 02-12
Revision to Chapter 2-0808, Schedule Awards and Permanent Disability Claims, PART 2 - Claims, Federal (FECA) Prodedure Manual
FECA Transmittal No. 02-13
Revision to Chapter 3-0700, Schedule Awards, Part 3 – Medical, Federal (FECA) Procedure Manual
FECA Transmittal No. 01-01
Revision to Chapter 4-0300, War Hazards (12/00A)
Checklist, Federal (FECA) Procedure Manual (01/01A)
Revision to Chapters 2-901, Computing Compensation, and 2-401, Automated System Support for Case Actions (02/01B)
FECA Transmittal No. 01-04
FECA Transmittal No. 01-06
Revision to Chapter 2-810, Developing and Evaluating Medical Evidence
FECA Transmittal No. 01-08
Revision to Chapter 0-0100, Introduction to FECA and DFEC, Federal(FECA) Procedure Manual
FECA Transmittal No. 00-01
New Chapter 5-0207, BPS Reports (01/00A)
FECA Transmittal No. 00-02
New Part 1 - Mail and Files (02/00A)
FECA Transmittal No. 00-03
New Chapter 2-0300, Communications, and revised Chapter 2-0400, File Maintenance and Management (02/00A)
FECA Transmittal No. 00-05
Revision to Chapter 0-0100, Introduction to FECA and DFEC (02/00A)
FECA Transmittal No. 00-06
Revision to Chapter 2-1000, Dual Benefits (02/00A)
FECA Transmittal No. 00-07
Revision to Chapters 3-300, Authorizing Examination and Treatment, and 3-400, Medical Services and Supplies (08/00A)
FECA Transmittal No. 00-08
Revision to Chapters 2-805, Causal Relationship, and 2-810, Developing and Evaluating Medical Evidence (08/00A)
FECA Transmittal No. 00-09
Revision to Chapters 2-700, Death Claims, and 2-901, Computing Compensation (09/00B)
FECA Transmittal No. 00-10
Revision to Chapters 2-200, General Provisions of the FECA, and 2-812, Periodic Review of Disability Cases (08/00B)
FECA Transmittal No. 00-11
Revision to Chapters 2-807, Continuation of Pay, and 2-1500, Recurrences (09/00A)
FECA Transmittal No. 99-01
Revision to Chapter 4-0300, War Hazards (10/98A)
FECA Transmittal No. 99-02
Revision of FECA Program Memorandum 280, and of Chapter 2-0400, File Maintenance and Management, and Chapter 2-0402, Security and the Prevention of Fraud and Abuse (10/98A)
FECA Transmittal No. 99-03
Checklist, Federal (FECA) Procedure Manual (10/98A)
FECA Transmittal No. 99-04
Revision to Chapter 6-0300, Debt Liquidation, Part 6 - Debt Management, Federal (FECA) Procedure Manual (11/98A)
FECA Transmittal No. 99-05
Revision of Chapter 2-0808, Schedule Awards and Permanent Disability Claims, Chapter 2-0810, Developing and Evaluating Medical Evidence and 2-1700, Special Act Cases, Part 2 - Claims, Federal (FECA) Procedure Manual (11/98A)
FECA Transmittal No. 99-06
Revisions to Chapter 3-201, Staff Nurse Services, Chapter 3-700, Schedule Awards, and Chapter 3-900, Administrative Matters, Part 3 - Medical, Federal (FECA) Procedure Manual (11/98A)
FECA Transmittal No. 99-07
Revision to Chapter 2-1601, Hearings and Reviews of the Written Record, Part 2 - Claims, Federal (FECA) Procedure Manual (01/99A)
FECA Transmittal No. 98-01
Checklist, Federal (FECA) Procedure Manual (11/97A)
FECA Transmittal No. 98-02
Revisions to Chapter 2-0400, File Maintenance and Management, and Chapter 2-1000, Dual Benefits (11/97B)
FECA Transmittal No. 98-03
Revisions to Chapter 2-0401, Automated System Support for Case Actions (11/97B)
FECA Transmittal No. 98-04
Release of New Chapter 2-0601, Disability Tracking and QCM Tracking Systems; Revision to Chapter 2-0401, Automated System Support for Case Actions; Revision to Chapter 2-1500, Recurrences; and Revision to the List of Chapters (01/98B)
FECA Transmittal No. 98-05
Revision of Chapter 2-0500, Conferencing, Chapter 2-700, Death Claims, Chapter 2-800, Development of Claims, and Chapter 2-0802, Civil Employee, Part 2 - Claims, Federal (FECA) Procedure Manual(05/98)
FECA Transmittal No. 98-06
Revision to Chapter 0-0100, Introduction to FECA and DFEC (10/98A)
FECA Transmittal No. 97-01
Revision to Chapter 2-0900, Determining Pay Rates, and Chapter 2-1000, Dual Benefits (11/96A)
FECA Transmittal No. 97-02
Revision To Chapter 2-0700, Death Claims, Chapter 2-0806, Occupational Illness, and Chapter 2-0811, Early Management of Disability Claims Part 2 - Claims, Federal (FECA) Procedure Manual (11/96B)
FECA Transmittal No. 97-03
Revision To Chapter 2-0810 - Developing and Evaluating Medical Evidence, and Chapter 2-0813, Reemployment: Vocational Rehabilitation Services , Part 2 - Claims, Federal (FECA) Procedure Manual (11/96A)
FECA Transmittal No. 97-04
Revision To Chapter 2-0600, Case Management, Part 2 - Claims, Federal (FECA) Procedure Manual (01/97A) FECA Transmittal No. 97-05
Checklist, Federal (FECA) Procedure Manual (01/97A)
FECA Transmittal No. 97-06
FECA Transmittal No. 97-07
Revision To Chapter 2-0804, Performance of Duty, and Chapter 2-0813, Reemployment: Vocational Rehabilitation Services, and Chapter 2-0814, Reemployment: Determining Wage-Earning Capacity, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 97-08
Revisions to Chapter 2-1000, Dual Benefits, and Chapter 2-1602, Reconsiderations (07/97A)
FECA Transmittal No. 97-09
Revision to Chapter 2-1400, Disallowances (03/97A)
FECA Transmittal No. 97-10
Revisions to Chapter 2-0814, Reemployment: Determining Wage-Earning Capacity, and Chapter 2-1500, Recurrences, Part 2 - Claims, Federal (FECA) Procedure Manual (05/97A)
FECA Transmittal No. 97-12
Revisions to Chapter 2-1600, Review Process; Chapter 2-1601, Hearings and Reviews of the Written Record; Chapter 2-1602, Reconsiderations; and 2-1603, Appeals; Part 2 - Claims, Federal (FECA) Procedure Manual (05/97A)
FECA Transmittal No. 97-13
Revision to Chapter 2-0900, Determining Pay Rates, and Chapter 2-0901, Computing Compensation, Part 2 - Claims, Federal (FECA) Procedure Manual (06/97A)
FECA Transmittal No. 97-14
Revision to Chapter 6-0200, Initial Overpayment Actions, Part 6 - Debt Management, Federal (FECA) Procedure Manual (07/97A)
FECA Transmittal No. 97-16
Revisions to Chapter 2-600, Case Management, Chapter 2-807, Continutation of Pay and Initial Payments, Part 2 - Claims, Federal (FECA) Procedure Manual (09/97A)
FECA Transmittal No. 97-17
Revisions to Chapter 2-811, Early Management of Disability Claims, Chapter 2-812, Periodic review of Disability Cases, and Chapter 2-0814, Reemployment: Determining Wage-Earning capacity, part 2 - Claims, Federal (FECA) Procedure Manual (07/97A)
FECA Transmittal No. 97-19
Revisions to Chapter 2-0500, Conferencing; Chapter 2-0700, Death Claims, and Chapter 2-0804, Performance of Duty, Part 2 - Claims, Federal (FECA) Procedure Manual (07/97B)
FECA Transmittal No. 97-20
Revisions to Chapter 2-0810, Developing and Evaluating Medical Evidence; Chapter 2-1100, Subrogation; and Chapter 2-1200, Fees for Representatives' Services, Part 2 - Claims, Federal (FECA) Procedure Manual (07/97B)
FECA Transmittal No. 96-01
Revision to Chapter 2-0806, Occupational Illness,Chapter 2-0800, Development of
Claims, and Chapter 2-0400, File Maintenance and Management, Part 2 - Claims,
Federal (FECA) Procedure Manual
FECA Transmittal No. 96-02
Revision to Chapter 2-0900, Determining Pay Rates, and Release of New Chapter
2-0901, Computing Compensation, Part 2 - Claims, Federal (FECA) Procedure
FECA Transmittal No. 96-03
Revision to Chapter 0-0100, Introduction to FECA and DFEC, Part 0 - Overview,
FECA Transmittal No. 96-04
Revision to Chapter 3-0201, Staff Nurse Services: Chapter 3-0400, Medical
Services and Supplies; Chapter 3-0500, Medical Examinations; and Chapter
3-0700, Schedule Awards, Part 3 - Medical, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-05
Revision to Chapter 2-0805, Causal Relationship, and Chapter 2-0806,
Occupational Illness, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-06
Revision to Chapter 2-0900, Determining Pay Rates, And Chapter 2-0901,
Computing Compensation, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-07
Revision to Chapter 2-814, Reemployment: determining Wage-Earning Capacity,
Part 2 - Claims,Federal (FECA) Procedure Manual
FECA Transmittal No. 96-08
Revision to Chapter 4-0300, War Hazards, Part 4 - Special Case Procedures,
FECA Transmittal No. 96-09
Revision to Chapter 2-1100, Subrogation and Other Remedies; Chapter 2-1200,
Fees for Representatives'Services; and Chapter 2-1500, Recurrences, Part 2 -
Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-10
Revisions to Chapters 5-0100. Introduction, and 5-0101, Security of the Fiscal
Operation; Revisions to and Replacement of Chapters 5-0201, Authorizing Medical
Payments, 5-0202, Processing Bills for Payment, 5-0203, Bill Coding under Medical
Fee Schedule, 5-0204, Appeals of Fee schedule Determinations, and 5-1002, BPS
Jobs and Keying Instructions, Part 5 - Benefit Payments, Federal (FECA)
FECA Transmittal No. 96-11
Revision to Chapters 2-1000, Dual Benefits, and 2-0813, Reemployment:
Vocational Rehabilitation Services, Part 2 - Claims, Federal (FECA) Procedure
FECA Transmittal No. 96-12
Revision to Chapter 2-0814, Reemployment: Determining Wage-Earning Capacity, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-13
Revision to Part 5, Benefit Payments, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-14
Revision to Chapter 2-1000, Dual Benefits, Part 2 - Claims, Federal (FECA)
FECA Transmittal No. 96-15
Revision to Chapter 3-0201, Staff Nurse Services, Chapter 3-0300, Authorizing
Examination and Treatment, and Chapter 3-0600, Requirements for Medical
Reports (09/96B)
FECA Transmittal No. 96-16
Revision to Chapter 2-0814, Reemployment: Determining Wage-Earning Capacity,
and 2-1700, Special Act Cases, Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-17
FECA Transmittal No. 96-18
Revision to Chapter 2-1602, Reconsiderations, Part 2 - Claims, Federal (FECA)
FECA Transmittal No. 96-19
Revision to Chapter 4-0600, Reserve Officers' Training Corps, Part 4 - Special Case
Procedures, Federal (FECA)
FECA Transmittal No. 96-20
Revision to Chapter 2-0806, Occupational Illness, and Chapter 2-0814,
Reemployment: Determining Wage-Earning Capacity, Part 2 - Claims, Federal
(FECA) Procedure Manual
FECA Transmittal No. 96-21
Revisions to Chapter 5-0204, Principles of Bill Adjudication, Part 5 - Benefit
Payments, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-22
Revision to Chapter 2-0401, Automated System Support For Case Actions, and
Chapter 2-1400, Disallowances,Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-23
Part 2 - Claims, Federal (FECA) Procedure Manual
FECA Transmittal No. 96-25
Revision to Chapter 0-0100, Introduction to FECA and DFEC (07/96B)
FECA Transmittal No. 96-26
Revision to Chapter 2-0700, Death Claims, and Chapter 2-1400, Disallowances
(07/96B)
FECA Transmittal No. 96-27
Revision to Chapter 2-1602, Reconsiderations (09/96A)
FECA Transmittal No. 96-28
Revision to Chapter 2-0802, Civil Employee, and to FECA Program Memorandum
249 (09/96B)
FECA Transmittal No. 96-29
Issuance of New Chapter 5-0700, Chargeback, Part 5 - Fiscal (09/96B)
FECA Transmittal No. 96-30
Revision to Chapter 2-0810, Developing and Evaluating Medical Evidence, and
Chapter 2-0813, Reemployment: Vocational Rehabilitation Services (09/96B)
The Division of Federal Employees' Compensation (DFEC) and the Peace Corps have historically worked together to improve the workers' compensation experience for returning volunteers who have sustained an injury or occupational illness as a result of service with the Peace Corps. In an effort to provide better outreach to Peace Corps volunteers, DFEC has a link on its home page with information specific to Peace Corps volunteers.
To further improve the quality of the information provided in relation to Peace Corps cases and to update its own internal guidance for even more consistent claims handling, DFEC with issuance of this transmittal is releasing an entirely new Procedure Manual (PM) chapter pertaining solely to claims devoted to Peace Corps volunteers, PM 2-1701.
Information relative to Peace Corps volunteers used to be found in three separate places within the Federal Employees' Compensation Act (FECA) PM: Chapter 1-200-3, Chapter 2-1700-4 (and Exhibit 1 in that chapter) and Chapter 3-300-7. Chapter 3-300-7 had been updated in February, 2012 via FECA Transmittal 12-05 and some specific changes pertaining to Peace Corps cases were made at that time, to include the addition of new conditions for which the Peace Corps could provide treatment if the cost was less than $1000. PM 2-1700-4 had not been updated since early 2007 and PM 1-200-3 had not been updated since May, 2010.
Chapter 1-200-3 is amended to reflect that all Peace Corps cases (including National office claims) will initially be handled in the Cleveland District Office, as the Cleveland office has ongoing close contacts with that office.
New PM chapter 2-1701 incorporates the information pertaining to Peace Corps cases that had been in 2-1700 and 3-300 and includes additional and newly updated information as outlined below; it also removes outdated citations and references that were contained the Peace Corps section of 2-1700. PM chapter 1-200-3 was amended to correspond with the jurisdictional rules provided in Paragraph 5, below.
Paragraph 1, Introduction, provides the genesis for the establishment of the Peace Corps and outlines that the chapter will focus on the unique aspects of coverage under that pertain specifically to volunteers in the Peace Corps. It also notes that claims for Peace Corps employees who work for the Peace Corps, other than as volunteers or volunteer leaders, are handled in the same manner as other claims and that there are no special rules for handling claims from such employees.
Paragraph 2, Statutory Provisions of the FECA, provides the text of §8142 of the FECA, which pertains specifically to Peace Corps.
Paragraph 3, Regulatory Provisions under the FECA, provides the text of 20 C.F.R §§8 10.730 and 10.731, which pertain specifically to Peace Corps.
Paragraph 4, Statutory Authority for Peace Corps, provides relevant references to specific sections of Peace Corps Act.
Paragraph 5, Jurisdiction, outlines that Peace Corps claims are initially adjudicated in the Cleveland District Office, after which they are transferred to other district offices if approved.
Paragraph 6, FECA Coverage of Employees/Volunteers, discusses the differences in coverage for Peace Corps volunteers, staff employees, and staff spouses (while performing service or engaged in official travel).
Paragraph 7, Conditions of Coverage During Training, explains that Peace Corps applicants have the protection of the FECA while performing their training assignments or while engaged in any activity which is a reasonable incident of the training assignment.
Paragraph 8, Conditions of Coverage while Serving Abroad, provides information relative to section 5(d)(2) of the Peace Corps Act. This paragraph explains that injuries of trainees and volunteers while abroad are deemed to have occurred while in the performance of duty, and any disease contracted abroad is deemed to have been proximately caused by the employment. The exclusions for willful misconduct, intent to bring about injury or death of self or another, or intoxication, which appear in §8102 of the FECA and section 5(d)(2) of the Peace Corps Act, are noted as exceptions.
A discussion of various types of medical conditions, such as dental disease, mental illness and pregnancy, is included in this paragraph as well. Also, as first noted in FECA Transmittal 12-05, this paragraph specifically notes that injury due to assault or sexual assault (including treatment for sexually transmitted disease and mental health treatment) are covered under the FECA.
Paragraph 9, Conditions of Coverage Returning from Service Abroad, outlines that a volunteer who returns to the United States immediately after completing service abroad has the protection of the FECA while traveling to the United States unless a material deviation occurs. If the volunteer is terminated at a foreign post of duty, the volunteer has the protection of the FECA only during that part of the trip when on the direct or most usually traveled route between the foreign post of duty and the United States.
Paragraph 10, Payment of Medical Costs by Peace Corps, provides that where treatment of certain specified service-related medical conditions or injuries costs less than $1500, the Peace Corps will, at its discretion, pay medical costs directly. If the cost for necessary treatment is $1500 or more, a claim must be filed under the FECA using normal procedures.
The $1500 dollar limit is an update effective with this transmittal. The prior dollar limit of $1000 was re-evaluated at the request of the Peace Corps. In keeping with FECA procedures regarding cases which are simple or do not involve large expenses, and in recognition that medical costs have risen since the $1000 amount was implemented, the dollar amount was increased.
Likewise, DFEC also considered expansion of additional medical conditions that can be considered under this authority. In February, 2012 new conditions were added to the previously approved list of medical conditions (see FECA Transmittal 12-05). Additions at that time included: vaginal yeast infections (candidiasis); acute otitis media; acute sinusitis; constipation; and hemorrhoids.
With the issuance of this transmittal, DFEC is adding giardia to this list (as long as the condition requires only a one-time treatment).
DFEC is also adding initial tuberculosis treatment to this list, with a caveat. Tuberculosis can be classified as either latent tuberculosis or tuberculosis disease. Treatment for latent tuberculosis is optional for the infected individuals and there is no time sensitivity for treatment since they are asymptomatic; however, volunteers who develop tuberculosis disease do need immediate treatment. As a result, the discretionary conditions for which the Peace Corps can provide up to $1500 in treatment includes tuberculosis with the caveat that a claim form must be submitted in all tuberculosis claims.
Paragraph 11, Initial Authorization for Medical Care, outlines that requests for initial authorization of medical care in emergency situations (prior to creation of a case) should be directed to the Cleveland District Office and requests for treatment, after a case has been created, should be referred to OWCP's authorized billing agent (like all other cases).
Paragraph 12, Reporting Injuries and Deaths, outlines that Peace Corps volunteers are required to report injuries in the manner required by 20 C.F.R §§ 10.100 and 10.101; however, for ease of handling while the volunteer is overseas, some special handling processes are used.
With respect to timely filing of the claim, if the volunteer sustains an injury or occupational disease while abroad, the volunteer should notify his/her supervisor/team leader. The Peace Corps will then typically provide for any medical care needed while abroad and should document the volunteer's medical file accordingly. By documenting the medical file with any treatment provided, a claim (if filed later) will meet the eligibility for timely filing, which is one of the five necessary elements for acceptance of a claim. See FECA PM 2-0801. Upon separation, the volunteer should then submit Form CA-1 (for traumatic injury) or Form CA-2 (for occupational disease) to the Peace Corps. Upon receipt of a form, the Peace Corps should then assist with questions; complete its part of the form; and forward the claim to OWCP.
The Peace Corps should provide the dates of enrollment and separation, and the dates of service abroad with any claim submitted.
With the claim form, the Peace Corps should also submit the volunteer's medical record, which usually includes the results of the pre-employment and termination examinations and a record of medical care received during service. This medical information is needed when adjudicating claims, as noted above. While in some instances OWCP may only need limited information from the medical record, OWCP reserves discretion to request and receive the entire medical record from Peace Corps.
Paragraph 13, Claims for Disability Compensation, provides specific information relative to the filing and payment of compensation claims for Peace Corps volunteers. It is noted that the date of the volunteer's separation will be the date pay stops and that entitlement to compensation for temporary or permanent disability begins on the date following the date of separation. Specific information on other elements related to payment of compensation, such as pay rates, effective payrate dates, and waiting days, is also provided. Continuation of Pay is not paid to Peace Corps volunteers. See 20 C.F.R. 10.200 (d).
Paragraph 14, Disability Management, outlines that Peace Corps volunteers (and all employees of the Peace Corps) are entitled to all services provided for under the FECA. This includes the full complement of nurse intervention and vocational rehabilitation services provided as part of the Disability Management process.
Exhibit 1, Annual Pay Rates for Computing Compensation for Peace Corps Volunteers, provides the payrate amounts, effective the date of injury (separation) through the present year.
Chapter 1-200-3 has been amended. Chapter 2-1701 is entirely new. Because transmittal of the FECA Procedure Manual is electronic, DFEC has discontinued the practice of inserting page numbers when an entire chapter is issued.
Distribution: List No. 2 Folioviews Groups A, B, and D (Claims Examiners, All Supervisors, Fiscal Personnel, Systems Managers, and Technical Assistants)
Back to Top of FECA Transmittal No. 14-01
Chapter 2-0601 was revised and updated in its entirety in October, 2011. The chapter was then updated in November, 2012, and additional updates are being made at this time as outlined below. These updates include new coding logic that was added to iFECS effective November 18, 2013.
Paragraph 1, Purpose and Scope, was updated to include references to other relevant parts of the Procedure Manual, Part 7 Nurse Intervention and Part 8 Rehabilitation.
Paragraph 6, DM Codes, was updated to indicate that there are six, not five, types of mandatory codes since Dual Tracking codes are really specific unto themselves. The portion of this paragraph pertaining to mandatory CE Intervention Codes also now includes a reference to codes for the following circumstances: a second opinion examination has been determined to be unnecessary; valid work tolerance limitations are in file, but the claimant has not returned to work; and valid work tolerance limitations are not in file. The codes are then described in more detail in other paragraphs. Additional information was also added relative to the RMV code to clarify that it should be entered after concurrence by a Supervisor that the DM record should be deleted and that valid DM cases should not be removed from DM via the RMV code.
Paragraph 7, CE Intervention Codes, which outlines mandatory CE codes, was updated in a few places, and some reorganization took place so that the codes are listed in alpha order within the chapter.
The explanation of the MSN code was moved into this paragraph and out of the Optional Code paragraph, since this code is mandatory if it is determined that a second opinion in a total disability case is not necessary. The description remained essentially the same; however, more detail was added to remind staff that the fact that a claimant is released to limited duty and/or is participating in Vocational Rehabilitation is not in itself a valid reason to use the MSN code. To use the code in such cases, the file should reflect that there are no pending issues related to (1) continuing causal relationship of the condition(s) to the work injury/illness, or (2) whether the claimant could return to full duty.
WTL (Valid WTLs in File-No RTW) is a new code. This code is required when valid work restrictions for all conditions have been obtained but the claimant has not yet returned to work. "All conditions" include those which have been accepted in the current claim as well as any other accepted conditions in other case files, conditions which pre-existed the injury, and conditions which arose after the injury. There are two options for entry of the WTL code in the DM record:
(1) Manual Entry by the CE. The effective date of the status is the date of the most recent medical work release outlining the necessary work restrictions.
(2) Auto-Population from the response provided in the Periodic Entitlement Review (PER) record. If the CE answers "Yes" to the PER question "Valid work restrictions in file for all conditions?", the PER will then require entry of the date of the most recent medical work release outlining the necessary work restrictions. After entry of this information in the PER record, the DM record will auto-populate the WTL code in the DM record. The effective date of the status will auto-populate with the date entered in the PER record (i.e. the date of the most recent medical work release outlining the necessary work restrictions). The pertinent question in the PER will only activate for cases in a PR or PN status since cases in a PW status already have a determined wage earning capacity.
WTX (Valid WTLs not in File) is a new code and complements the WTL code. If the claimant has not been released to work and remains totally disabled from reemployment, code WTX is required. This code is also required when a claimant who previously had been given a work release, but had not returned to work, is no longer released to work due to an increased disability or when the work tolerance limitations have changed such that they are no longer considered valid (in these situations, the WTX code can be entered in the DM record subsequent to the previously entered WTL code - the previously entered WTL code should not be deleted from the DM record). Like the WTL code, there are two options for entry of the WTX code in the DM record:
(1) Manual Entry by the CE. The effective date of the status is the date the CE determines that valid work restrictions are not file for all conditions.
(2) Auto-Population from the response provided in the PER record. If the CE answers "No" to the PER question "Valid work restrictions in file for all conditions?", the PER will auto-populate the WTX code in the DM record. The effective date of the status will auto-populate with the date of the PER record closure.
NOTE: Entry of either the WTL or WTX code can be made and updated at any time during the life of a DM case/record, but it is mandatory upon Field Nurse closure when a claimant has not returned to work (via CE manually entry) and when completing a PER record for any case with a status of PR or PN (via auto-population). However, for optimal case management, the CE should also update the DM record with a WTL or WTX code whenever the claimant's ability to work changes, not just at the time of nurse closure and during the annual PER review.
Paragraph 12, Optional Codes, was updated as outlined below.
Additional DM codes were added to assist with the management and monitoring of disability cases:
PRX (Pre-reduction cannot be finalized). PRX can be entered after a proposed notice of reduction has been sent to the claimant and subsequent evidence or argument is received which hinders the CE from proceeding with a final notice of reduction. The effective date of code PRX should be the date of the notification sent to the claimant advising him/her of the determination to discontinue with the proposed reduction.
PTX (Pre-termination cannot be finalized). PTX can be entered after a proposed notice of termination has been sent to the claimant and subsequent evidence or argument is received which hinders the CE from proceeding with a final notice of termination. The effective date of code PTX should be the date of the notification sent to the claimant advising him/her of the determination to discontinue with the proposed termination.
An explanation was added for the already existing TRL code:
TRL (Transfer of case). TRL can be entered to denote a transfer of a case file from one District Office to another. The TRL code can be entered by the receiving District Office effective the date it received the transferred case.
The explanation of the SUR code was updated to indicate that the effective date for the code can be a future date, which was a change made in the noted iFECS release.
SUR (Surgery Authorized). SUR can be entered when the claimant has approved surgery. This code is useful for alerting the CE to re-evaluate the disability management options for this case. The effective date of code SUR should be the date the surgery is performed. If the surgery is scheduled for a date in the future, entry of this future date is allowed.
Paragraph 13, Closure Codes and Resolutions, was updated in a few places primarily to account for coding associated with return-to-work in temporary positions and failure to accept appropriate temporary light duty assignments commensurate with 20 C.F.R. 10.500. See FECA Transmittal 13-09 and PM chapter 2-814 for more detail.
In sub-paragraph "c" in this section, the explanation of CNC was updated slightly but the meaning remains essentially unchanged. This code is used if the claimant's work restrictions have reached a stable and well-defined state, the claimant has returned to a full-time light duty work assignment with no wage loss, and a formal LWEC decision cannot be issued due to the work assignment being a non-classified and/or temporary position.
Also in sub-paragraph "c", an explanation for a new code, TNW (RTW temp LD w/wage loss-10.500), was added. This code is similar to the CNC code but is to be used in cases where a formal LWEC decision cannot be issued, but the claimant is receiving wage loss compensation on the periodic roll based upon his/her actual earnings. It is similar to a CNC in that the claimant's work restrictions have reached a stable and well-defined state and the EA is providing a consistent light duty work assignment in a non-classified position and/or a position that is temporary in nature. However, unlike a CNC case, the claimant's employment is either less than full-time or full-time with lower wages than what the claimant earned in his/her date of injury job.
In sub-paragraph "d", which addresses cases where there was NO actual RTW, but the claimant is medically able to RTW, an explanation of the new code TNX (Comp reduced/declined temp LD-10.500) was added. TNX should be used when a claimant is provided a temporary light duty assignment that is either less than full-time or full-time with lower wages than what the claimant earned in his/her date of injury job; the temporary assignment appropriately accommodates the claimant's medically-imposed work restrictions; and the claimant declines the assignment. A formal decision should be issued in this instance and the effective date of the TNX code is the date of the final decision.
Sub-paragraph "e", which addresses situations where there is no disability from work, has been updated with an explanation of the new CCT code (Comp terminated/declined temp LD-10.500). CCT should be used when a claimant is provided a temporary light duty assignment that would result in no wage loss; the temporary assignment appropriately accommodates the claimant's medically-imposed work restrictions; and the claimant declines the assignment. A formal decision should be issued in this instance and the effective date of the CCT code is the date of the final decision.
1, 6, 7, 12 and 13
Distribution: List No. 2 – Folioviews Groups A, B, and D (Claims Examiners, All Supervisors, District Medical Advisors, Fiscal Personnel, Systems Managers, Technical Assistants, Rehabilitation Specialists, and Staff Nurses)
Back to Top of FECA Transmittal No. 14-02
Chapter 8-0200, Referrals for Rehabilitation, is a new chapter in FECA Procedure Manual (PM), Part 8 - Vocational Rehabilitation Intervention.
Currently, Referral Screening (Development) is discussed in Part 3 of the OWCP PM, Chapter 3-0300. As outlined in FECA Transmittal No. 12-12, however, it has been decided that moving information pertaining to DFEC's Rehabilitation Program into the FECA PM is warranted. The OWCP PM chapter will remain, and that chapter may be referenced for a historical perspective, but since it has not been recently updated, this new chapter (FECA PM 8-0200) should be consulted for any rehabilitation referral issues, since it contains the most current policies and procedures for DFEC.
Paragraph 1, Authority, provides a reference for relevant statutory and regulatory provisions and provides Employees' Compensation Appeals Board (ECAB) precedent pertaining to the provision of rehabilitation services.
Paragraph 2, Purpose and Scope, defines referral screening and identifies the two related steps.
Paragraph 3, Referral Sources and Mechanics, explains the importance of early case referral and identifies the various sources of referrals for rehabilitation.
Paragraph 4, Referral Requirements, outlines the information which each referral for rehabilitation should include and provides the process by which such referral should be transmitted to the RS.
Paragraph 5, Active Field Nurse Cases and Dual Tracking, identifies those instances in which a case may be referred for rehabilitation concurrently with active Field Nurse (FN) services.
Paragraph 6, Screening, defines the goal of screening and provides the time frame within which such screening should be completed. This paragraph also explains the three components required for review (medical, non-medical, and injured worker information) and provides guidance on how to clarify any vague or missing information.
Paragraph 7, Referral Outcome, explains how to open an active rehabilitation case and assign a Rehabilitation Counselor (RC) when necessary or close a case from referral when the case is not in posture for rehabilitation services.
Paragraph 8, Limited Referrals, defines those instances in which a referral to an RC on a limited basis may be appropriate even though one or more of the referral requirements has not technically been met.
Back to Top of FECA Transmittal No. 14-03
Chapter 2-1401, Initial Denials, is a new chapter in Part 2 of the Federal Employees' Compensation Act (FECA) Procedure Manual (PM).
This chapter describes the steps involved in processing an initial case denial if any one of the five basic requirements has not been established. Along with FECA PM 2-0801 through 2-0805, it covers the factors that should be addressed when denying an initial claim and preparing the formal Notice of Decision.
Currently, formal decisions are discussed in Chapter 2-1400 (Formal Decisions). The issuance of an initial denial is a distinct process, though, and as such, it has been decided that moving information pertaining to the initial denial of a claim to an entirely new chapter is warranted. In doing so, the process for denying all initial claims (including claims for emotional conditions) will be updated and expanded to provide clear guidelines for the denial of an initial claim when one of the five basic elements has not been met.
Paragraph 1, Purpose and Scope, outlines that the chapter will focus solely on the process of issuing a denial on an initial claim when one of the five basic elements has not been met.
Paragraph 2, Statutory and Regulatory Requirements, provides references to Section 5 U.S.C. 8124(a) of the FECA, as well as 20 C.F.R. §§10.115 and 10.121, as the authority for the information contained in the chapter.
Paragraph 3, Burden of Proof, discusses the claimant's burden of proof for establishing a claim, and the necessary steps the Claims Examiner (CE) must take before an initial claim can be formally denied.
Paragraph 4, Element for Denial, outlines the procedure for reviewing the claim to determine whether the five basic elements have been met after the claimant has been provided the opportunity to submit necessary evidence. It outlines that the five basic elements should be considered in a hierarchical manner.
Paragraph 5, Writing the Initial Denial, discusses how to prepare the initial denial once it has been determined which of the five basic elements has not been established. It notes that the initial denial is a legal document which serves as a basis for further action in the claim, including appeals, and that it should provide a clear explanation of the disallowance of the claim.
Paragraph 6, Emotional Condition Denials, discusses the denial of an initial claim for an emotional condition, and the importance of identifying and discussing all evidence that pertains to the specific issue, including any unsuccessful attempts to obtain significant evidence. It also discusses the need to distinguish between those workplace activities and circumstances which are factors of employment and those which are outside the realm of employment for purposes of compensation, as well as determining whether the event or situations alleged actually existed or occurred.
Paragraph 7, iFECS Coding, outlines proper case coding for iFECS when an initial claim is denied.
This is a new chapter. Because transmittal of the FECA Procedure Manual is primarily electronic, DFEC is discontinuing the practice of inserting page numbers when an entire chapter is issued.
Distribution: List No. 2 – Folioviews Groups A, B, and D (Claims Examiners, All Supervisors, Fiscal Personnel, Systems Managers, and Technical Assistants) Back to Top of FECA Transmittal No. 13-01
FECA TRANSMITTAL NO. 13-02	November 27, 2012
Chapter 2-0601 was updated in its entirety in October, 2011. Additional updates are being made at this time to provide more clarity with regard to DM Track Dates for Traumatic Injury cases which did not meet the eligibility requirements to become Triage COP Cases. In addition, clarification is also being provided on the use of an existing Optional DM Code (MNR), as well as the introduction and explanation of several new Optional DM Codes.
Paragraph 4, DM Records, now provides instructions on how to set the DM Track Dates for manually created DM Records for Traumatic Injury cases which did not meet the eligibility requirements to become Triage COP Cases. Instructions are provided for those cases where the DM record is created prior to the expiration of the COP period, as well as those cases where the disability extends beyond the COP period.
Paragraph 12, Optional Codes, now includes additional new DM codes to assist with the management and monitoring of disability cases:
Agency Declined to Offer Modified Job
DMA referral complete
Job Offer not Suitable
Medical Development Needed
Referred to Scheduler for Referee
Second Opinion not Necessary per SCE
Referred to Scheduler for Second Opinion
Nurse Intervention via CE
Rehabilitation Intervention via CE
This paragraph has also been revised to provide further clarification regarding the use of code MNR (Narrative Report Received). Specifically, the use of the MNR code was further defined as being used only when a narrative medical report is submitted in response to a specific request from the CE (after the entry of the QAP code). In order to input the MNR code, the narrative report should address the questions posed by the CE in the QAP letter.
Back to Top of FECA Transmittal No. 13-02
The exhibit outlining the special case designations is being updated. Two new case designations are being added, as outlined below.
CLJ (Camp Lejeune Water Contamination) – This case designation will be used to identify cases containing reports of injuries related to contaminated water in Camp Lejeune, North Carolina. On August 6, 2012, the President signed the "Honoring America's Veterans and Caring for Camp Lejeune Families Act of 2012" (Camp Lejeune Act), which provides for medical care for certain conditions for veterans and their families who were exposed to contaminated water while stationed in Camp Lejeune, North Carolina. The passage of the Camp Lejeune Act highlighted the need for special tracking of these claims. A federal employee would be entitled to FECA benefits for a timely claimed medical condition (including a latent condition) caused by water contamination at Camp Lejeune if he or she was exposed to such water contamination in the performance of duty (including through employer-provided housing) and could provide medical evidence that such exposure caused, contributed to or aggravated that medical condition.
HSA (Hurricane Sandy 2012) – This case designation will be used to identify cases containing reports of injuries related to Hurricane Sandy (which made landfall in late October, 2012) and its aftermath.
Distribution: List No. 2 – Folioviews Groups A, B, and D (Claims Examiners, All Supervisors, District Medical Advisers, Fiscal Personnel, Systems Managers, Technical Assistants, Rehabilitation Specialists, and Staff Nurses)
Back to Top of FECA Transmittal No. 13-03
Background: Section 8123(a) of the Federal Employees' Compensation Act (FECA) and 20 CFR §10.321 provide for the appointment of a referee physician to examine the claimant and resolve a conflict of medical opinion in a case. This medical appointment is also referred to as an Impartial Medical Examination (IME). The selection of a physician to perform an IME is done by the district offices using the Medical Management application within the Integrated Federal Employees' Compensation System (iFECS).
FECA Procedure Manual (PM) 3-500-5 outlines how the Division of Federal Employees' Compensation (DFEC) uses the Medical Management application. When a physician is selected, the scheduler inputs the appointment date and time into the Medical Management application. The application then saves the appointment information and prompts the scheduler to generate the ME023, Appointment Notification Report, for imaging into the case file. Since the ME023 report can only be generated through the Medical Management application, it serves as documentary evidence that the referee appointment was scheduled through the use of the rotational system in the Medical Management application.
However, over the past year the Employees' Compensation Appeals Board (ECAB) has questioned the DFEC's documentation of this process and indicated that there was other documentation available that was not being presented as evidence of the rotational selection, and that the ME023 report alone was insufficient to substantiate proper selection of the impartial specialist. The ME023 report can only be generated through the Medical Management application, and the information contained therein cannot be altered; therefore, the ME023 report serves as documentary "best" evidence that the referee appointment was in fact scheduled through the use of the rotational system in the Medical Management application.
To satisfy the concerns and questions raised by the ECAB, and to further document the referee selection process, the DFEC has enhanced the current ME023 report effective December 17, 2012 to provide more information relative to the scheduling of an IME appointment. The enhancements include a listing of all physicians contacted and bypassed prior to the selection of the IME physician, as well as a certification statement. This information was previously included in certain case files via screen shots, but in many cases that information was not readable due to the quality of the screen shots.
This updated version of the ME023 report can only be generated for new appointments created on and after the date of this update in iFECS. It cannot be accurately generated for appointments made prior to December 17, 2012, and the prior version of the ME023 report (without bypass information) can no longer be duplicated.
As system updates were required to modify this report, updates were also made to the Medical Management application so that the physicians were automatically grouped into zip clusters based upon specified mileage ranges outside of the initial zip cluster (50 miles, 75 miles, and continuing in 25 mile increments up to 200 miles), as seen on the report.
Explanation of Changes: The process for IME selection and scheduling has not changed. The DFEC will continue to use a rotational method for selection of IME physicians. However, to further explain the rotational process and to document the new MEO23 report, paragraph 5, Medical Management Application, has been outlined as described below.
The initial paragraph was updated to note that on rare occasions the Medical Management Application (MMA) will be used to locate a qualified second opinion examiner if a second opinion examiner within the second opinion contract for the District Office cannot be utilized. In these instances, the rotational requirement does not apply.
In sub-paragraph 5a, a typographical error was corrected. The DFEC's data system was known as FECS, not iFECS, in 2000, so this reference was corrected.
Sub-paragraph 5b was updated to clarify that the specified 200-mile radius is calculated from the claimant's home zip code.
Sub-paragraph 5c was re-worded slightly for clarity.
Sub-paragraph 5d was shortened significantly, since a complete explanation of the rotational process was moved to a new paragraph, 5e.
Sub-paragraph 5e (Presentation of Physicians) is completely new. This section provides detail regarding how physicians are presented to the scheduler in both the initial zip cluster and then outside of the initial zip cluster. This paragraph also describes the order the physicians are presented within each of these ranges – first those who have not had a previous appointment scheduled within the Medical Management application (presented alphabetically), and then those that have had a previous appointment scheduled within the Medical Management application (by the date that the last appointment was scheduled, with the most recent being at the bottom of the presentation order).
Sub-paragraph 5f, formerly sub-paragraph 5e, was not changed.
Sub-paragraph 5g, formerly sub-paragraph 5f, was updated slightly to reference the rotation previously described in sub-paragraph 5e. Former sub-paragraph 5g was separated into two distinct paragraphs – 5h and 5i. And former sub-paragraph 5h, which described the order in which physicians were presented for selection, has been deleted since the information has been absorbed into sub-paragraph 5e.
New sub-paragraph 5h outlines that when the scheduler inputs the appointment date and time into the Medical Management application, the ME023, Appointment Notification Report, is generated for imaging into the case file.
New sub-paragraph 5i describes in detail the data contained in the ME023 report based upon the system updates made as of December 17, 2012.
Sub-paragraph 5j, formerly sub-paragraph 5i, was not changed.
Distribution:	List No. 2 – Folioviews Groups A, B, and D (Claims Examiners, All Supervisors, District Medical Advisers, Fiscal Personnel, Systems Managers, Technical Assistants, Rehabilitation Specialists, and Staff Nurses)
Back to Top of FECA Transmittal No. 13-04
Chapter 2-0805 has been revised in its entirety. The chapter has been streamlined and updated to include new language, and the structure of the chapter has been changed. Many of the paragraphs have been reordered, renamed, consolidated, and updated. The number of paragraphs in the chapter has been reduced from 8 to 7.
No substantive changes were made to paragraph 1, but the title was updated to Purpose and Scope.
Paragraph 2, Types of Causal Relationship, added some language to clarify the types of causal relationship, and outdated language was deleted.
Paragraph 3, Evidence Needed, has been amended to include a reference that a report of a physician assistant or a certified nurse practitioner will be considered medical evidence if countersigned by a qualified physician. Some outdated language has been removed, more detail was added, and the information within the paragraph was reorganized.
Paragraph 4, Evaluating Medical Opinions, has been reconstructed, with new sections addressing when an attending physician negates causal relationship and actions to take when insufficient evidence has been submitted.
Paragraph 5, Obtaining Additional Medical Opinion, has been completely rearranged. It addresses when additional medical development may be warranted and how to proceed with such development.
Paragraph 6, High-Risk Employment (formerly paragraph 8), contains essentially the same information as the prior paragraph 8. Former paragraph 6, Consequential and Intervening Injuries, is now paragraph 7.
Paragraph 7, Consequential and Intervening Injuries, provides greater detail as to what factual and medical evidence is needed to properly develop these claims. Prior paragraph 7, Psychological Factors Affecting Medical Condition, has been removed.
The chapter is being updated in its entirety. Because transmittal of the FECA Procedure Manual is primarily electronic, the DFEC has discontinued the practice of inserting page numbers when an entire chapter is reissued.
Back to Top of FECA Transmittal No. 13-05
Chapter 2-0901 has been updated in its entirety, and pertinent information pertaining to death claims, schedule awards, and loss of wage-earning capacity (LWEC) payments has moved into other Procedure Manual chapters for ease of referencing related guidance within one subject chapter. The chapter has also been renamed Compensation Claims (rather than Calculating Compensation), since the chapter discusses receipt and development of claims, as well as the actual payment process. CHAPTER 2-0901, COMPENSATION CLAIMS
Paragraph 1, Purpose and Scope, provides a summary of the information provided in the chapter, as well as pertinent references to other chapters that reference payments. Paragraph 2, Responsibilities, outlines the Claims Examiner's (CE's) responsibility for adjudicating each claim for compensation, determining the pay elements necessary for calculation of the payment, and for entering all necessary data into the case management system.
Paragraph 3, Certification, discusses the various certification levels and outlines that by certifying a payment, a certifier is verifying that the adjudication and calculation of the payment (including all pay elements) are correct, that all payment data is entered correctly in the case management system, and that all pay elements entered correspond with the documentation in the file.
Paragraph 4, Receipt of Claims, discusses the actions to take upon receipt of a claim initially following the Continuation of Pay (COP) period (and references PM 2-807 for further guidance). This paragraph also discusses receipt of subsequent claims for compensation and reminds examiners that for these claims the Employing Agency must verify work/leave status when submitting claims forms, and this can only be done once the period has passed.
Paragraph 5, Development of Compensation Claims, provides a discussion of the development actions that may be needed when adjudicating and paying compensation claims. This paragraph also reminds CEs to initiate Disability Management actions in wage claims where the claimant has not returned to full duty at the time payment is being made.
Paragraph 6, Factors in Calculating Compensation, provides a brief outline of the items to consider when paying a compensation claim, and cites the sections within the chapter that discuss those factors.
Paragraph 7, Period of Entitlement, discusses the period of entitlement as a factor in determining whether to pay the claimant on the Daily Roll (DR) or on the Periodic Roll (PR). This paragraph also reminds CEs that payment should be made on the daily roll for intermittent hours lost when a claim is made for intermittent hours only, i.e. partial days or partial hours lost during a period. Payment for straight total disability should not be made based on hours lost.
Paragraph 8, Work Days/Calendar Days, discusses the difference between "calendar day" and "work day" calculations and when each is appropriate. The paragraph also stresses the importance of using the correct schedule (days and hours) when paying "work days."
Paragraph 9, Basic Calculations, outlines basic calculations and has examples of such calculations.
Paragraph 10, Special Determinations, provides detailed information for Census workers and Firefighters.
Paragraph 11, Waiting Days, provides information pertaining to waiting days and the application differences for Postal and non-Postal cases.
Paragraph 12, Compensation Rate, explains the bas