RELEASE – TRANSMISSION OF REVISED MATERIAL TO BE
INCORPORATED INTO THE FEDERAL (EEOICPA) PROCEDURE MANUAL: CHAPTER 2-0100 INTRODUCTION,
CHAPTER 2-0200 RESOURCE CENTERS, CHAPTER 2-0300 INITIAL DEVELOPMENT, CHAPTER 2-0500
COVERED EMPLOYMENT, CHAPTER 2-0600 SEC STATUS, CHAPTER 2-0700 TOXIC SUBSTANCE
EXPOSURE, CHAPTER 2-0800 WEIGHING MEDICAL EVIDENCE, CHAPTER 2-0900 CANCER AND
RADIATION, CHAPTER 2-1500 CONSEQUENTIAL ILNNESSES, CHAPTER 3-0100 INTRODUCTION,
CHAPTER 3-0200 MEDICAL BILL PROCESS, AND CHAPTER 3-0300 ANCILLARY MEDICAL
EEOICPA TRANSMITTAL NO.10-07 January, 2010
EXPLANATION OF MATERIAL TRANSMITTED:
These twelve chapters are transmitted for placement in the
new Unified Procedure Manual(PM) binder. These chapters consist of the
consolidation of updated information and guidance as it pertains to the
Program’s administration of Parts B and E of the EEOICPA. This is the final
transmittal accompanying the release of the Unified Procedure Manual. All
prior released chapters should now be associated with this publication in the
Unified binder to serve as the official DEEOIC Procedure Manual, and all older Part
B and E versions should be discarded.
New chapter 2-0100 replaces Part E chapter E-100.
New chapter 2-0200 replaces Part E chapter E-400.
- Chapter 2-0200 establishes guidelines
for Resource Center use of ECMS, and provides guidance for Resource Center outreach to solicit impairment claims.
New chapter 2-0300 replaces Part B chapter 2-0100 and Part E
- Chapter 2-0300 discusses the role of
the Resource Centers in gathering claimant information for initial
development, and establishes procedures for developing the claims of
terminally ill claimants.
New chapter 2-0500 replaces Part B chapter 2-0400 and Part E
- Chapter 2-0500 consolidates previous
guidance for obtaining employment verification from four separate
lists into a unified resource for employment verification known as the
Employment Process Overview Document. Chapter 2-0500 also
incorporates procedures from the following:
- Bulletin 02-18: Use of ORISE
- Bulletin 03-21: Coverage of Uniformed
Members of the military.
- Bulletin 03-26: Government Agency
- Bulletin 03-27: Establishing covered
- Bulletin 03-28: EEOICPA coverage of
the citizens of the Marshall Islands.
- Bulletin 06-09: Center to Protect
Workers' Rights (CPWR) and its predecessor of the same name Bulletin
- Bulletin 09-02: Subcontractor
database for verification of contractual relationship at covered
- Bulletin 09-10: Processing Social
Security Administration Form SSA-581.
New chapter 2-0600 replaces parts of Part B chapter 2-0500
- Chapter 2-0600 incorporates existing procedures for
handling SEC claims. This includes a listing of the specified cancers,
instructions on calculating 250 work days, and roles of the claims staff
including Branch of Policy, Regulations and Procedures in handling SEC
New chapter 2-0700 replaces parts of Part E chapter E-400.
- Chapter 2-0700 includes information about the Site
Exposure Matrices (SEM), and qualifies that under no circumstances is a
claim for benefits denied solely due to a lack of information contained in
New chapter 2-0800 replaces Part B chapter 2-0300 and parts
of Part E chapter E-500.
- Chapter 2-0800 has been revised to include an exhibit of a
Statement of Accepted Facts (SOAF) and includes the general requirements
for a proper Statement of Accepted Facts. The Chapter also instructs
claim staff to use ACS web portal to select a second opinion physician.
- Chapter 2-0800 includes revised ECMS coding to ensure
prompt payment of medical bills from District Medical Consultants (DMC),
second and referee physicians. This chapter includes an exhibit of approved
ICD-9 codes and corresponding Procedure Codes, and has revised the
Medical Consultant Referral Form to include more medical specialties.
New chapter 2-0900 replaces Part B chapter 2-0600.
The revision of PM Chapter 2-0900 includes guidance on establishing
causation for cancer under Part E.
- The chapter also explains how a case “pended” or “pulled”
by NIOSH during the dose reconstruction affects the dose reconstruction
process and the procedures to resolve a case in “pulled” status.
- Chapter 2-0900 includes detailed explanations of when
rework of dose reconstruction is required and provides specific examples.
- Chapter 2-0900 includes procedures for requesting a
rework of dose reconstruction.
New chapter 2-1500 replaces Part B chapter 2-1000.
- Chapter 2-1500 clarifies the circumstances by which an
illness will become compensable as a consequential illness of an accepted
New chapter 3-0100 contains entirely new material.
New chapter 3-0200 replaces parts of Part B chapter 3-0100.
- Chapter 3-0200 consolidates guidance on payment for
non-standard medical treatments and explains the procedure for approving
organ transplants, and experimental medical procedures, among others.
New chapter 3-0300 replaces parts of Part B chapter 3-0100.
- Chapter 3-0300 incorporates guidance relating to approval
of in-home health care services for claimants requiring such services.
Rachel P. Leiton
Director, Division of
Energy Employees Occupational Illness Compensation
File this transmittal behind EEOICPA Transmittal 10-06 in
the front of the new Unified Federal (EEOICPA) Procedure Manual.
List No. 3: All DEEOIC Employees
List No. 6: Regional Directors,
District Directors, Assistant District Directors, National Office Staff, and Resource Center Staff.