When Does OWCP Approve Pain Management?

The Office of Workers’ Compensation Programs (OWCP) approves pain management treatments when certain conditions are met:

• Pain is caused by a work-related condition: OWCP won’t approve pain management for general pain, but for pain stemming from a workplace injury. There needs to be a documented work injury claim.
• Treatment follows a treatment plan: The chosen pain management approach should be part of a comprehensive treatment plan established by a qualified medical professional. This plan should outline expected outcomes and potential risks.
• Conservative options are explored first: Generally, OWCP prefers less invasive treatments like physical therapy or over-the-counter pain medication before considering stronger options.

Here are some specific scenarios where OWCP might approve pain management:

• Pain persists after trying conservative treatments: If initial treatments fail to provide sufficient pain relief, a doctor might recommend stronger medication or other pain management techniques. OWCP may approve such treatment with proper documentation.
• Chronic pain from a work injury: In cases of long-term pain from a workplace injury, OWCP might authorize ongoing pain management care, potentially including specialized pain clinics.
• Opioid prescriptions are restricted: OWCP has tightened regulations on opioid prescriptions. Opioids can only be prescribed for a short-term initial period (typically 7 days) after which prior approval is needed from OWCP. There are also limitations on dosage.

Here are some resources for additional information:

U.S. Department of Labor – Medical Benefits: https://www.dol.gov/agencies/owcp
National Association of Letter Carriers – OWCP tightens procedures for prescribing opioids: https://www.dol.gov/agencies/owcp/FECA/opioidactionplan