Justification for No material/Nonsubstantive Change

Justification for No material/Nonsubstantive Change

Attending Physician’s Report (CA-20)

Authorization to Doctor for Audiologic and Otologic Evaluation OWCP Hearing Loss Requirements (CA-1331)

Claimant Request for Attending Physician (CA-1090)

OWCP Form (CA-1305)

The Department of Labor’s Office of Workers’ Compensation Programs (OWCP) is the agency responsible for administration of the Federal Employees’ Compensation Act (FECA), 5 U.S.C. 8101 et. seq., the Black Lung Benefits Act (BLBA), 30 U.S.C. 901 et. seq. and the Energy Employees’ Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 et. seq.  These statutes require OWCP to pay for appropriate medical and vocational rehabilitation services provided to beneficiaries. OWCP is requesting an address change to OWCP authorization forms ‘Attending Physician’s Report’ (CA-20), ‘Authorization to Doctor for Audiologic and Otologic Evaluation OWCP Hearing Loss Requirements’ (CA-1331), ‘Claimant Request for Attending Physician’ (CA-1090) and ‘I DON’T KNOW THE NAME OF THIS FORM’ (CA-1305) as the OWCP medical bill processor has procured a new mailroom and requires a means to receive those forms.

Approval of this request is needed by October 1, 2020 for posting of the form on the new medical bill processors web portal. This will allow ample time for the new mailroom contractor’s assumption of operations on October 1, 2020.  Any approval date beyond would necessitate a delay in operations go-live until the request is approved.