Employees and, where applicable, to survivors of such employees, of the Department of Energy (DOE), its predecessor agencies, certain of its vendors, contractors and subcontractors, and uranium miners, millers and ore transporters covered by section 5 of the Radiation Exposure Compensation Act, who are or were engaged in covered employment related to the testing or production of nuclear weapons. The purpose of this Circular is to notify Presumption of chronic beryllium disease in situations with a diagnosis and a history of beryllium exposure, is hereby rescinded.
The content of EEOICPA Circular No. 08-07 has been incorporated into the EEOICPA Procedure Manual Ch. 2-1000, Eligibility Criteria for Non-Cancerous Conditions. The Circular is to notify all divisional of energy occupational illness compensation staff of the SEC class designation for the General Atomics facility located in La Jolla, California. The DEEOIC staff that estimates are no longer required when authorizing the purchase of Durable Medical Equipment (DME), supplies and custom devices when the Office of Workers’ Compensation Program (OWCP) Medical Fee Schedule applies.
When DEEOIC receives requests for authorization of DME or supplies, the medical bill pay contractor forwards the request via thread to the appropriate District Office (DO) Claims Examiner (CE). In addition to the request details, the thread will now include a statement as to whether or not the DME or supplies are subject to the OWCP fee schedule.
All requests for DME or supplies require review by the CE for a determination of medical necessity, as outlined in existing program procedure. In addition, all requests for medically necessary DME, supplies, and or custom devices must be accompanied by a Letter of Medical Necessity (LMN). The CE may authorize medically necessary DME or supplies that have a total purchase price less than $500 or where the medical bill pay contractor specifies that the OWCP fee schedule covers the charge.