When a federal employee's FECA claim involves opioid prescriptions that go beyond the initial fill limits, OWCP needs the prescriber's certification and letter of medical necessity before it authorizes more. The prescribing physician completes this request inside OWCP's Web Bill Processing Portal, and OWCP uses it to decide whether to keep authorizing the opioid for the claimant.
The prescribing physician completes the whole form, including the certification and the letter of medical necessity. The claimant and the employing agency have no section on it.
Download the current version from the source each time; forms change without notice.
Authorization Request Form and Certification/Letter of Medical Necessity for Opioid Medications
U.S. Department of Labor, Office of Workers' Compensation Programs (FECA) takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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No. DOL's FECA forms page says CA-27 is only available to registered medical providers who log in to the OWCP Web Bill Processing Portal. The PDF on dol.gov is a sample. In the portal, providers click the Provider link next to the FECA oval, sign in, and choose LMN Documents in the left menu.
After clicking the Provider link, unregistered providers use the Web Registration link to set up access. Providers who are not yet enrolled with OWCP at all go to Forms & Links in the top menu of the portal home page and download the Provider Enrollment form and its instructions.
OWCP requires it before authorizing opioid prescriptions for a FECA claimant beyond the initial fill limits. The prescribing physician certifies that continued opioid treatment is medically necessary and submits the letter through the portal so OWCP can decide on authorization.