Printing - FECA-PT2 - National Association of Letter Carriers

e initiated. The CE should advise the claimant in writing of the nature of the intervention and the
need to claim additional compensation by submitting Forms CA-8 at regular intervals from the
ending date of the matrix period until OWCP receives the evidence required by the intervention.
d. If the intervention is an inquiry to the attending physician and the medical report received is
insufficient, a second opinion examination must be arranged (see paragraph 10 below). The CE
should advise the claimant that additional compensation may be claimed for the period up to the
date of examination plus a reasonable amount of time for receipt of the report by submitting Forms
CA-8 at regular intervals.
e. If the report indicates that no disability is present, a decision concerning continuing
entitlement should be made by weighing the medical evidence of record.
f. If a conflict in medical evidence occurs, a referee examination will be required. The
claimant may continue to be paid on the daily roll with submission of Forms CA-8, or the claim may
be transferred to the short-term roll until the report is received. Here again, no Form CA-20 or
other medical report is required for continuing payment. A second letter advising the claimant of
the action taken must be sent; see Exhibit 1 for a sample letter.
2-0811-9 Periodic Roll Payments
a. Periodic roll payments may be made in both traumatic injury and occupational disease
cases. The ending date of payment should correspond to the date of return to light or full duty
specified by the attending physician or provided by the medical matrix. A medical, nurse or
rehabilitation intervention should be undertaken on that date if the claimant has not returned to
duty.
b. Form CA-25 should be used to set up periodic roll payments. If the expiration date does not
correspond to the end of a periodic roll four-week cycle, it will be necessary to set up a
supplemental payment.
c. When the claimant is placed on the roll, the CE should advise both the claimant and the
attending physician in writing of the following: the period through which compensation will be
paid; the expected date of return to regular or light duty provided by the attending physician or
the matrix; and the likelihood that further medical investigation will be undertaken if the claimant
does not return to work by the date specified. (However, the particular intervention need not be
determined in advance or addressed in the letter.) This notification may be made using Form
CA-1049.
d. At the end of the specified period, the CE should telephone the employing agency or
claimant to determine if the claimant has returned to duty. If not, an intervention is required as
described in paragraph 6 above. Once the date of the intervention is established, another period of
compensation may be set up, to include a reasonable period for receipt of the evidence requested.
e. If the intervention is an inquiry to the attending physician and the medical report received is
insufficient, a second opinion examination must be arranged. The CE should set up a payment for
the period up to the date of examination plus a reasonable length of time for receipt of the report.
FECA-PT2 Printed: 06/08/2010 368