Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms
No material or nonsubstantive change to a currently approved collection
No
Regular
08/05/2022
Requested
Previously Approved
05/31/2024
05/31/2024
66,770
66,770
11,129
11,129
0
0
OWCP is requesting a No material/Nonsubstantive Change to the 'Home Health Care Authorization Request' (EE-32). While no data elements on the current Form EE-32 are being changed, the list of possible procedure codes to be entered by the respondent in element D.3 has been updated to accommodate the current list of programmatically acceptable procedure codes in order: (1) to better match the respondentâs request for authorization with widely accepted standards of practice in the home health care field; and (2) to substantially reduce the potential for fraudulent billing by home health care providers who seek authorization to bill for an 8-hour shift not actually worked.
The Office of Workersâ Compensation Programs (OWCP) is the primary agency responsible for administration of the Energy Employees Occupational Illness Compensation Program Act of 2000, as amended (EEOICPA), 42 U.S.C. § 7384 et seq. EEOICPA provides for the payment of compensation to covered employees and, where applicable, survivors of deceased employees, who sustained either an âoccupational illnessâ or a âcovered illnessâ in the performance of duty for the Department of Energy and certain of its contractors and subcontractors. One element of the compensation provided to covered employees is medical benefits for the treatment of their occupational or covered illnesses that are accepted as compensable.
OWCP contracts with a private sector bill processing agent that handles many of the tasks associated with paying bills for medical treatment provided to covered employees under EEOICPA. This bill processing agent uses an automated system that matches incoming bills with the authorized medical treatment of covered employees before it issues payments, and a provider of medical treatment, supplies or services to covered employees must provide the bill processing agent with information necessary for creation of an authorization within the agentâs automated system before a bill can be paid. The collection of this information is authorized by 20 CFR 30.400(a) and (c), 30.403, 30.404(b) and 30.700.
The information collected by these forms will be used by both OWCP and its bill processing agent in connection with the automated payment of bills submitted by providers of medical treatment, supplies or services. The information submitted, along with other supporting documentation, is used to determine the correct amount to be paid to a provider of medical treatment, supplies or services to beneficiaries under EEOICPA.
US Code:
42 USC 7384
Name of Law: Energy Employees Occupational Illness Compensation Program Act of 2000
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form EE-32 EE-32 (Home Health Care Authorization Request)
EE-32 (Home Health Care Authorization Request) Redlined updates.docx
1240-0NEW 30-day FRN published.pdf
EE-32 (Home Health Care Authorization Request)