Workers - Council of Prison Locals - C-33

(c) A chiropractor may interpret his or her x-ra);s to the same extent aS any other
phrsician. to te given any weight. the medical report must state that x-rays support the
hnding of spinal subluxaiion. OWCP rvill not necessarily require submittal of the x-ra)',
or a report of the x-ray. but the report must be available for submittal on request'
(d) A chiropractor may also provide serv'ices in the nature of physical therapy under
the direction of a qualified physician.
Sec. 10.312 \\&at are the special rules forthe services of clinical ps1'choiogists
A clinical ps.vchologist may sen'e as a phl'sician only within the scope of his or her
practice as defined by State larv. Therefore. a clinical psychologist may not sen'e as a
ph1'sician for conditions that include a ph-vsical component unless the appiicable State
ia1v allo*,s clinicel ps1'chologists to treat ph,u-sical conditions. A clinical ps1'chologist
ma-v also perform teiting, evaluation and other sen'ices under the direction of a qualified
ph1'sician.
Sec. 10.313 Will OWCP pay for preventive treatment
The FECA does not authorize pa,vment for preventive measuresuch as vaccines and
inoculations. and in general. prevcntir,e treatment may be a responsibility of the
emplol,'ing asencv under the provisions of 5 U.S.C. 790i (see Sec. i0.303). Horvever.
OWCP can authorize trearn.ient for the following conditions. even though such treatment
is designed. in part, to prevent further injury:
(a) Complications of preventive measures rvhich are provided or sponsored by the
agency. such as an adverse reaction to proph,vlactic immunization.
(b) Actual or probable exposure to a known contaminant due to an injury'. thereby
requiring disease:specific measures against infection. Examples include the provision of
tetanus antitoxin or booster toxoid injections for puncfure u'ounds: administration of
rabies vaccine for a bite from a rabid or potentially rabid animal: or appropriate
measures rvhere exposure to human immunodeficiency virus (HIV) has occurred.
(c) Conversion of tuberculin reaction from negative to positive following exposure to
tuberculosis in the performance of duty. In this situation, the appropriate therapy may be
authorized.
(d) Where injury to one e1'e has resulted in loss of vision. periodic examination of the
uninjured e-ye to detect possible s)'mpathetic involvement of the uninjured eve at an
earil'' stage.
Sec. 10.314 Will O\\ICP pav for the services of an attendant
Yes. OWCP u,ill pa,v for the sen'ices of an attendant up to a maximum of $ 1 .500 per
month. u,here the need for such serr,ices iras been medicaliy documented. ln the exercise
of the discretion afforded by 5 U.S.C. 8111(a). the Director has determined that. excepl
-,vhere pa),menrs rvere being made prior to January 1.1999, direct pa)'ments to the
claimant to cover such sel,ices rvill no ionger be made. Rather. the cost of providing
attendant sen'ices will be paid under section 8103 of the Act. and medical bills forthese
Page -34-