|
Section 30.0
|
What rules govern the administration of EEOICPA and this chapter? |
|
Section 30.1
|
In general, how have the tasks associated with the administration of EEOICPA claims process been assigned? |
|
Section 30.2
|
What do these regulations contain? |
|
Section 30.3
|
What are the definitions used in this part? |
|
Section 30.5
|
Are all OWCP records relating to claims filed under EEOICPA considered confidential? |
|
Section 30.10
|
Who maintains custody and control of claim records? |
|
Section 30.11
|
What process is used by a person who wants to obtain copies of or amend EEOICPA claim records? |
|
Section 30.12
|
May EEOICPA benefits be assigned, transferred or garnished? |
|
Section 30.15
|
What penalties may be imposed in connection with a claim under the Act? |
|
Section 30.16
|
Is a beneficiary who defrauds the government in connection with a claim for EEOICPA benefits still entitled to those benefits? |
|
Section 30.17
|
In general, how does an employee file an initial claim for benefits? |
|
Section 30.100
|
In general, how is a survivor's claim filed? |
|
Section 30.101
|
In general, how does an employee file a claim for additional impairment or wage-loss under Part E of EEOICPA? |
|
Section 30.102
|
How does a claimant make sure that OWCP has the evidence necessary to process the claim? |
|
Section 30.103
|
What must DOE do after an employee or survivor files a claim? |
|
Section 30.105
|
Can OWCP request employment verification from other sources? |
|
Section 30.106
|
Who is entitled to compensation under the Act? |
|
Section 30.110
|
What is the claimant's responsibility with respect to burden of proof, production of documents, presumptions, and |
|
Section 30.111
|
What kind of evidence is needed to establish covered employment and how will that evidence be evaluated? |
|
Section 30.112
|
What are the requirements for written medical documentation, contemporaneous records, and other records or |
|
Section 30.113
|
What kind of evidence is needed to establish a compensable medical condition and how will that evidence be |
|
Section 30.114
|
For those radiogenic cancer claims that do not seek benefits under Part B of the Act pursuant to the Special Exposure |
|
Section 30.115
|
What is the scope of this subpart? |
|
Section 30.200
|
What are the criteria for eligibility for benefits relating to beryllium illnesses covered under Part B of EEOICPA? |
|
Section 30.205
|
How does a claimant prove that the employee was a ``covered beryllium employee'' exposed to beryllium dust, particles |
|
Section 30.206
|
How does a claimant prove a diagnosis of a beryllium disease covered under Part B? |
|
Section 30.207
|
What are the criteria for eligibility for benefits relating to radiogenic cancer? |
|
Section 30.210
|
How does a claimant establish that the employee has or had contracted cancer? |
|
Section 30.211
|
How does a claimant establish that the employee contracted cancer after beginning employment at a DOE facility, an |
|
Section 30.212
|
How does a claimant establish that the radiogenic cancer was at least as likely as not related to employment at the DOE |
|
Section 30.213
|
How does a claimant establish that the employee is a member of the Special Exposure Cohort? |
|
Section 30.214
|
How does a claimant establish that the employee has sustained an injury, illness, impairment or disease as a consequence |
|
Section 30.215
|
What are the criteria for eligibility for benefits relating to chronic silicosis? |
|
Section 30.220
|
How does a claimant prove exposure to silica in the performance of duty? |
|
Section 30.221
|
How does a claimant establish that the employee has been diagnosed with chronic silicosis or has sustained a |
|
Section 30.222
|
What are the criteria for eligibility for benefits under Part B of EEOICPA for certain uranium employees? |
|
Section 30.225
|
How does a claimant establish that a covered uranium employee has sustained a consequential injury, illness, impairment |
|
Section 30.226
|
What are the criteria necessary to establish that an employee contracted a covered illness under Part E of EEOICPA? |
|
Section 30.230
|
How does a claimant prove employment-related exposure to a toxic substance at a DOE facility or a RECA section 5 facility? |
|
Section 30.231
|
How does a claimant establish that the employee has been diagnosed with a covered illness, or sustained an injury, illness, |
|
Section 30.232
|
What process will OWCP use to decide claims for entitlement and to provide for administrative review of those |
|
Section 30.300
|
May subpoenas be issued for witnesses and documents in connection with a claim under Part B of EEOICPA? |
|
Section 30.301
|
Who pays the costs associated with subpoenas? |
|
Section 30.302
|
What information may OWCP request in connection with a claim under Part E of EEOICPA? |
|
Section 30.303
|
How does OWCP determine entitlement to EEOICPA compensation? |
|
Section 30.305
|
What does the recommended decision contain? |
|
Section 30.306
|
To whom is the recommended decision sent? |
|
Section 30.307
|
What must the claimant do if he or she objects to the recommended decision or wants to request a hearing? |
|
Section 30.310
|
What happens if the claimant does not object to the recommended decision or request a hearing within 60 days? |
|
Section 30.311
|
What will the FAB do if the claimant objects to the recommended decision but does not request a hearing? |
|
Section 30.312
|
How is a review of the written record conducted? |
|
Section 30.313
|
How is a hearing conducted? |
|
Section 30.314
|
May a claimant postpone a hearing? |
|
Section 30.315
|
How does the FAB issue a final decision on a claim? |
|
Section 30.316
|
Can the FAB request a further response from the claimant or return a claim to the district office? |
|
Section 30.317
|
Can the FAB consider objections to HHS's reconstruction of a radiation dose or to the guidelines OWCP uses to determine if a |
|
Section 30.318
|
May a claimant request reconsideration of a final decision of the FAB? |
|
Section 30.319
|
Can a claim be reopened after the FAB has issued a final decision? |
|
Section 30.320
|
What are the basic rules for obtaining medical treatment? |
|
Section 30.400
|
What are the special rules for the services of chiropractors? |
|
Section 30.401
|
What are the special rules for the services of clinical psychologists? |
|
Section 30.402
|
Will OWCP pay for the services of an attendant? |
|
Section 30.403
|
Will OWCP pay for transportation to obtain medical treatment? |
|
Section 30.404
|
After selecting a treating physician, may an employee choose to be treated by another physician instead? |
|
Section 30.405
|
Are there any exceptions to these procedures for obtaining medical care? |
|
Section 30.406
|
Can OWCP require an employee to be examined by another physician? |
|
Section 30.410
|
What happens if the opinion of the physician selected by OWCP differs from the opinion of the physician selected by the |
|
Section 30.411
|
Who pays for second opinion and referee examinations? |
|
Section 30.412
|
What are the requirements for medical reports? |
|
Section 30.415
|
How and when should medical reports be submitted? |
|
Section 30.416
|
What additional medical information may OWCP require to support continuing payment of benefits? |
|
Section 30.417
|
How should medical bills and reimbursement requests be submitted? |
|
Section 30.420
|
What are the time frames for submitting bills and reimbursement requests? |
|
Section 30.421
|
If an employee is only partially reimbursed for a medical expense, must the provider refund the balance of the amount |
|
Section 30.422
|
What special statutory definitions apply to survivors under EEOICPA? |
|
Section 30.500
|
What order of precedence will OWCP use to determine which survivors are entitled to receive compensation under EEOICPA? |
|
Section 30.501
|
When is entitlement for survivors determined for purposes of EEOICPA? |
|
Section 30.502
|
What procedures will OWCP follow before it pays any compensation? |
|
Section 30.505
|
To whom and in what manner will OWCP pay compensation? |
|
Section 30.506
|
What compensation will be provided to covered Part B employees who only establish beryllium sensitivity under Part B |
|
Section 30.507
|
What is beryllium sensitivity monitoring? |
|
Section 30.508
|
Under what circumstances may a survivor claiming under Part E of the Act choose to receive the benefits that would otherwise |
|
Section 30.509
|
How does OWCP notify an individual of a payment made on a claim? |
|
Section 30.510
|
What is an ``overpayment'' for purposes of EEOICPA? |
|
Section 30.511
|
What does OWCP do when an overpayment is identified? |
|
Section 30.512
|
Under what circumstances may OWCP waive recovery of an overpayment? |
|
Section 30.513
|
If OWCP finds that the recipient of an overpayment was not at fault, what criteria are used to decide whether to waive |
|
Section 30.514
|
Is a recipient responsible for an overpayment that resulted from an error made by OWCP? |
|
Section 30.515
|
Under what circumstances would recovery of an overpayment defeat the purpose of the Act? |
|
Section 30.516
|
Under what circumstances would recovery of an overpayment be against equity and good conscience? |
|
Section 30.517
|
Can OWCP require the recipient of the overpayment to submit additional financial information? |
|
Section 30.518
|
How does OWCP communicate its final decision concerning recovery of an overpayment? |
|
Section 30.519
|
How are overpayments collected? |
|
Section 30.520
|
May a claimant designate a representative? |
|
Section 30.600
|
Who may serve as a representative? |
|
Section 30.601
|
Who is responsible for paying the representative's fee? |
|
Section 30.602
|
Are there any limitations on what the representative may charge the claimant for his or her services? |
|
Section 30.603
|
What rights does the United States have upon payment of compensation under EEOICPA? |
|
Section 30.605
|
Under what circumstances must a recovery of money or other property in connection with an illness for which benefits are |
|
Section 30.606
|
How is a structured settlement (that is, a settlement providing for receipt of funds over a specified period of time) |
|
Section 30.607
|
How does the United States calculate the amount to which it is subrogated? |
|
Section 30.608
|
Is a settlement or judgment received as a result of allegations of medical malpractice in treating an illness covered by |
|
Section 30.609
|
Are payments to a covered Part B employee, a covered Part E employee or an eligible surviving beneficiary as a result of |
|
Section 30.610
|
If a settlement or judgment is received for more than one medical condition, can the amount paid on a single EEOICPA claim be |
|
Section 30.611
|
What type of tort suits filed against beryllium vendors or atomic weapons employers may disqualify certain claimants from |
|
Section 30.615
|
What happens if this type of tort suit was filed prior to October 30, 2000? |
|
Section 30.616
|
What happens if this type of tort suit was filed during the period from October 30, 2000 through December 28, 2001? |
|
Section 30.617
|
What happens if this type of tort suit was filed after December 28, 2001? |
|
Section 30.618
|
Do all the parties to this type of tort suit have to take these actions? |
|
Section 30.619
|
How will OWCP ascertain whether a claimant filed this type of tort suit and if he or she has been disqualified from receiving |
|
Section 30.620
|
What does ``coordination of benefits'' mean under Part E of EEOICPA? |
|
Section 30.625
|
How will OWCP coordinate compensation payable under Part E of EEOICPA with benefits from state workers' compensation programs? |
|
Section 30.626
|
Under what circumstances will OWCP waive the statutory requirement to coordinate these benefits? |
|
Section 30.627
|
What kinds of medical records must providers keep? |
|
Section 30.700
|
How are medical bills to be submitted? |
|
Section 30.701
|
How should an employee prepare and submit requests for reimbursement for medical expenses, transportation costs, loss of |
|
Section 30.702
|
What are the time limitations on OWCP's payment of bills? |
|
Section 30.703
|
What services are covered by the OWCP fee schedule? |
|
Section 30.705
|
How are the maximum fees defined? |
|
Section 30.706
|
How are payments for particular services calculated? |
|
Section 30.707
|
Does the fee schedule apply to every kind of procedure? |
|
Section 30.708
|
How are payments for medicinal drugs determined? |
|
Section 30.709
|
How are payments for inpatient medical services determined? |
|
Section 30.710
|
When and how are fees reduced? |
|
Section 30.711
|
If OWCP reduces a fee, may a provider request reconsideration of the reduction? |
|
Section 30.712
|
If OWCP reduces a fee, may a provider bill the employee for the balance? |
|
Section 30.713
|
What are the grounds for excluding a provider from payment under this part? |
|
Section 30.715
|
What will cause OWCP to automatically exclude a physician or other provider of medical services and supplies? |
|
Section 30.716
|
When are OWCP's exclusion procedures initiated? |
|
Section 30.717
|
How is a provider notified of OWCP's intent to exclude him or her? |
|
Section 30.718
|
What requirements must the provider's reply and OWCP's decision meet? |
|
Section 30.719
|
How can an excluded provider request a hearing? |
|
Section 30.720
|
How are hearings assigned and scheduled? |
|
Section 30.721
|
How are subpoenas or advisory opinions obtained? |
|
Section 30.722
|
How will the administrative law judge conduct the hearing and issue the recommended decision? |
|
Section 30.723
|
How can a party request review by OWCP of the administrative law judge's recommended decision? |
|
Section 30.724
|
What are the effects of non-automatic exclusion? |
|
Section 30.725
|
How can an excluded provider be reinstated? |
|
Section 30.726
|
What types of wage-loss are compensable under Part E of EEOICPA? |
|
Section 30.800
|
What special definitions does OWCP use in connection with Part E wage-loss determinations? |
|
Section 30.801
|
What evidence does OWCP use to determine a covered Part E employee's average annual wage and whether he or she |
|
Section 30.805
|
May a claimant submit factual evidence in support of a different determination of average annual wage and/or wage-loss |
|
Section 30.806
|
How will OWCP calculate the average annual wage of a covered Part E employee? |
|
Section 30.810
|
How will OWCP calculate the duration and extent of a covered Part E employee's initial period of compensable wage-loss? |
|
Section 30.811
|
May a covered Part E employee claim for subsequent periods of compensable wage-loss? |
|
Section 30.812
|
Are there special rules that OWCP will use to determine the extent of a deceased covered Part E employee's compensable |
|
Section 30.815
|
Who can receive impairment benefits under Part E? |
|
Section 30.900
|
How does OWCP determine the extent of an employee's impairment that is due to a covered illness contracted through exposure |
|
Section 30.901
|
How will OWCP calculate the amount of the award of impairment benefits that is payable under Part E? |
|
Section 30.902
|
How may an impairment evaluation be obtained? |
|
Section 30.905
|
Who will pay for an impairment evaluation? |
|
Section 30.906
|
Can an impairment evaluation obtained by OWCP be challenged prior to issuance of the recommended decision? |
|
Section 30.907
|
How will the FAB evaluate new medical evidence submitted to challenge the impairment determination in the recommended decision? |
|
Section 30.908
|
Will an impairment that cannot be assigned a numerical percentage using the AMA's Guides be included in the impairment |
|
Section 30.910
|
Does maximum medical improvement always have to be reached for an impairment to be included in the impairment rating? |
|
Section 30.911
|
Can a covered Part E employee receive benefits for additional impairment following an award of such benefits by OWCP? |
|
Section 30.912
|
Statutory provisions |