DEEOIC Authorization Updates
Effective August 5, 2023, the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will update the guidelines for submitting the same services within an authorization request.
Providers will not be able to submit an authorization request under the following conditions:
- The same procedure code on multiple lines, even if the dates of service are not overlapping
- The same procedure code on multiple lines, even if submitted with a modifier
- The same revenue center code (RCC) on multiple lines without a different procedure code or with no procedure code
Providers will be able to submit an authorization request under the following conditions:
- The same procedure code using a date range
- Separate dates of service under different authorization requests.
For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.
- Division of Energy Employees Occupational Illness Compensation (DEEOIC): 1-866-272-2682
OWCP Virtual Help Session
OWCP will host Virtual Help Session on Friday August 4, 2023, from 11:00 am - 12:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance.
During this open forum, attendees are not obligated to stay for the full hour.
If you are interested in joining, please click this link to register. Attendee name and email are required to register for the event. Once entered, you will receive an invitation with a link to join the event.
Tips for the Virtual Help Session call:
- Please refrain from referencing specific claimant information or disclosing other protected health information (PHI) during the call
- Participants can participate via voice or chat during the session
- The help session will be memorialized via recording and/or transcription to ensure all questions and issues are captured
- Providers are not required to attend for the duration of the call
We welcome the opportunity to connect with you!
If you need any technical assistance prior to or during the call, please contact WCMBP_TRAINING@cns-inc.com for help.
DFEC Hearing Aid Supplies and Services Utilization Review
Effective July 15, 2023, the OWCP Division of Federal Employees’ Compensation (DFEC) Program is implementing a new utilization review (UR) for hearing aid services and supplies. Please visit the DFEC News page for more information.
DFEC Hearing Aid Supplies and Services Utilization Review
Effective July 15, 2023, the Office of Workers’ Compensation (OWCP) Division of Federal Employees’ Compensation (DFEC) Program is implementing a new utilization review (UR) for hearing aid services and supplies.
Please refer to the FECA Circular NO. 23-08 for more information. FECA Circulars | U.S. Department of Labor (dol.gov)
New limits have been defined for DFEC hearing aid supplies and services.
EOB Number | EOB Description | Applicable Procedure Codes |
---|---|---|
81021 | BATTERY FOR HEARING DEVICE LIMITED TO 30 UNITS PER 180 DAYS | V5266 |
80151 | HEARING AID SERVICES ARE LIMITED TO 1 PER 730 DAYS | V5264, V5265, V5275 |
80152 | HEARING AID SERVICES ARE LIMITED TO 1 PER 1825 DAYS | V5010, V5020, V5030, V5040, V5050, V5060, V5070, V5080, V5090, V5100, V5110, V5120, V5130, V5140, V5150, V5160, V5170, V5171, V5172, V5180, V5181, V5190, V5200, V5210, V5211, V5212, V5213, V5214, V5215, V5220, V5221, V5230, V5240, V5241, V5242, V5243, V5244, V5245, V5246, V5247, V5248, V5249, V5250, V5251, V5252, V5253, V5254, V5255, V5256, V5257, V5258, V5259, V5260, V5261, V5262, V5263, V5267, V5268, V5269, V5270, V5271, V5272, V5273, V5281, V5282, V5283, V5284, V5285, V5286, V5287, V5288, V5289, V5290, V5298 |
81019 | HEARING AID REPAIR/SUPPLY LIMITED TO 3 UNITS PER 1825 DAYS | V5014 |
81061 | HEARING AID FITTING/CHECKING LIMITED TO 4 PER 1825 DAYS | V5011 |
For additional information, please contact our Call Center at the number listed below, where a Call Center representative will be happy to assist you.
Division of Federal Employees' Compensation (DFEC):
1-844-493-1966
Announcement of DEEOIC and DCMWC Pharmacy Benefit Program
Please visit the News section by clicking here for updates regarding the DEEOIC and DCMWC pharmacy services.
Announcement of DEEOIC and DCMWC Pharmacy Benefit Program
The U.S. Department of Labor (DOL) has contracted with myMatrixx®, an Express Scripts Company, to provide Pharmacy Benefit Management (PBM) services to the Office of Workers’ Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) and Division of Coal Mine Workers’ Compensation (DCMWC).
All DEEOIC and DCMWC claimants should now have new Medical Benefit Identification Cards (MBIC) and access to myMatrixx®’s nationwide network of participating pharmacies and durable medical equipment. If you are a DEEOIC or DCMWC claimant and still need a new MBIC, please contact the CNSI customer service toll-free number at 1-800-638-7072 for DCMWC or at 1-866-272-2682 for DEEOIC.
Claimants can search for participating pharmacies on the web or by calling myMatrixx®:
- DCMWC - https://blacklung-pharmacy.dol.gov/ or 1-877-880-9215
- DEEOIC - https://energyworkers-pharmacy.dol.gov/ or 1-866-686-9592
As of June 5, 2023, pharmacies have been required to submit their pharmacy transactions to myMatrixx® for payment. Pharmacy providers are encouraged to join the myMatrixx® network and can enroll at www.esiprovider.com.
OWCP Virtual Help Session
OWCP will host a virtual help session on Friday July 7th from 5:00-6:00 pm ET. Providers will have an opportunity to ask general questions regarding the medical bill processing system including enrollment, authorizations, billing, and web portal features. Providers will be able to gain insight on helpful information, available tools and to request further assistance. During this open forum, attendees are not obligated to stay for the full hour. Please see the News section for further information