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1. DEEOIC- Initial Home Health Care, Nursing Home or Assisted Living Request forms: EE-17A and EE-17B

   … Home Health Care, Nursing Home or Assisted Living Request forms: EE-17A and EE-17B A regulatory … and went into effect April 9, 2019. This change made OMB forms EE-17A and EE-17B required for initiating initial … living, and nursing home care. Upon implementation of the forms on June 3, 2019, medical providers will no longer …

2. Claimant Reimbursement Forms

   Claimant Reimbursement Forms Attention OWCP Claimants: … Feb 17, 2024, new OWCP-957 Medical Travel Refund Request forms will be available for mileage (957A) and expenses …

3. DEEOIC

   DEEOIC DEEOIC Forms and References A Message to Medical … ADA Dental Claim Form   Authorization Forms Form EE-22 – General Medical Authorization …

4. General

   General General Administrative Forms & References Note: For program specific forms including claimant reimbursement forms, please click the respective program link above. …

5. Claimant's Corner

   … an Option Access ECOMP Submit Reimbursement Forms View More Information on the WCMBP Claimant Portal … Tutorials Claimant Reimbursement Forms (updated 01/23/24) OWCP Connect Registration … Interactive Voice Response System (IVRS) Forms and References Remittance Voucher Guide …

6. For Providers

   … Links OWCP WCMBP Provider Manual All Forms & References All Trainings and Resource … to bill on behalf of a provider. Click here to visit the Forms and References page to access the Billing …

7. OWCP Servicing Provider License Maintenance

   … or via paper on the OWCP-1168 located on the Forms and References page. Online : We encourage … The Provider Enrollment Cover Sheet is located on the Forms and References page . For additional …

8. DFEC

   DFEC DFEC Forms and References A Message to Medical …

9. DCMWC

   DCMWC DCMWC Forms and References A Message to Medical …

10. Provider - New Auth Template Location

    … Where do I find the new authorization templates/forms? The new authorization templates/forms can be found at https://owcpmed.dol.gov/portal/resources/forms-and-references/general . Select the respective …