Printing - FECA-PT2 - National Association of Letter Carriers

(3) Neither wage-loss compensation nor payment for medical expenses is claimed at
present.
In these instances, the CE should file down the form and remove the disability tracking record from
the automated system. The CE should note on the form or in a short memo to file why no action is
being taken.
d. Advising the Employing Agency. Whether or not the employee is still employed by the
Federal agency for which he or she worked at the time of injury, or is carried on its rolls, the
Claims Examiner (CE) must provide the agency with copies of any correspondence about a claim
for recurrence.
e. Authorizing Benefits. Generally, neither medical treatment nor compensation should be
authorized unless the record contains Form CA-2a with supporting information. The CE may
authorize an emergency medical examination, however, without waiting for a Form CA-2a.
2-1500-5 Recurrence of Medical Condition
5. Recurrence of Medical Condition. The purpose of this paragraph is to address the evidence needed
to adjudicate claims for recurrent medical care.
a. Within 90 Days of Release from Medical Care (as stated by the physician or computed from
the date of last examination or the physician's instruction to return PRN). The CE may accept the
attending physician's statement supporting causal relationship between the claimant's current
condition and the accepted condition, even if the statement contains no rationale, unless:
(1) Clear evidence of an intervening injury appears in the file, in which case factual
bridging information should be requested if the necessary information was not submitted
with Form CA-2a. (See FECA Program Memorandum 203 for a definition of an intervening
injury);
(2) An intervening decision, such as denial of continuing disability on the basis of a
referee or second opinion specialist's report which constitutes the weight of medical
evidence, has negated this relationship; or
(3) The case was originally accepted for temporary aggravation of a pre-existing
condition. In this instance, reasoned opinion supporting causal relationship to the work
injury should be required.
(4) The renewed claim involves a different diagnosis from the accepted condition.
b. After 90 Days of Release from Medical Care (again, as stated by the physician or computed
from the date of last examination or the physician's instruction to return PRN). The claimant is
responsible for submitting an attending physician's report which contains a description of the
objective findings and supports causal relationship between the claimant's current condition and
the accepted condition.
FECA-PT2 Printed: 06/08/2010 644