In order to be in a full duty status members must be able to:
Perform tasks specified by the State Police Specifications
Perform tasks specified by the PSP Trooper Essential Job Functions
qualify with firearms
administer first aid and CPR
A "Work-Related Injury" is an injury that occurs:
During an authorized work period
In the course of employment
When sustaining a work related injury personnel shall verbally report the injury to their supervisor or nearest Department location within:
Immediately
If a member is exposed to HIV or other blood borne pathogens during the course of performing job related duties the following may be contacted regarding where HIV counseling and testing sites are available:
Department of Health
State Employees Assistance Program (SEAP)
State Police Academy Medical Unit/Department AIDS Coordinator
MAP
WCA Managed Care Program in Delaware, Chester, Philadelphia, Bucks and
Montgomery County
Supervisors shall ensure that serious injuries or deaths are immediately reported via telephone to:
The Troop Commander/Bureau Director/Officer of the Day
Claim packets for members injured on duty shall be forwarded to the Troop Commander/Bureau Director via:
Facsimile
All possible HIV exposures claims shall be forwarded to the Troop Commander/Bureau Director:
under confidential cover
Notification to Employees of Their Rights and Duties Under the Pennsylvania Workers? Compensation Act with respect to the Managed Care Account shall immediately be given to:
Employees newly assigned to the five county Philadelphia area
______________ shall ensure a medical file containing complete record for each individual for whom a Form CWC-119 has been submitted.
Troop Commander
Members in the Philadelphia Five County area shall seek treatment thru the Managed Care Account Program thru a designated provided from an established list for ______.
30 days
The responsibilities of the State Police Medical Officer include all of the following except:
Review the findings of physicians or specialists to provide an interpretation and opinion specifically with regard to the need for parallel care, and coordinate parallel care when employed.
Review specific cases, e.g., recurrence of injury claims, upon request of the Director, Bureau of Personnel, and provide a written opinion by endorsement.
Review requests for limited-duty status and provide recommendations to the Director, Bureau of Personnel, regarding the granting of limited-duty status.
Review all limited duty cases on a quarterly or yearly basis, as appropriate, and provide recommendations to the Director, Bureau of Personnel, regarding the appropriateness and duration of the limited duty assignment.
All of the above are responsibilities of the State Police Medical Officer.
________________ shall determine payment or denial of claims for workers' compensation benefits and review all medical invoices and determine eligibility for payment.
PHICO Services Company (PHICO).
The purpose of the injury investigation is to:
Gather information and document all relevant facts concerning the reported injury.
To help determine the appropriate benefits.
To identify and implement prompt, corrective action which may prevent recurrence
All of the above.
An immediate investigation shall be conducted by _________________ unless another individual is assigned by the Troop Commander/Bureau Director.
A supervisor from the Troop/Bureau where the incident occurred, preferably the immediate supervisor of the injured individual.
In regards to injury reporting, a General Investigation Report shall be completed only when required by other Department directives, or if which of the following conditions exists or is suspected:
All of the above require a General Investigation Report.
Which of the following is required to be submitted with Claim Packets:
PHICO Services Company Workers' Compensation Claim Report, Form CWC-119.
Injured Employee Statement.
Supervisor's Cover Sheet.
Copy of completed Notice to Medical Provider or copy of the completed WCA identification card, if applicable.
All of the above are required.
The Claim Packet shall be processed to the Director, Bureau of Personnel, and PHICO, from the Troop Commander/Bureau Director, upon notification of an incident involving an injury or death. The packet shall include the following claims:
Catastrophic Injuries/Fatality Claims
Indemnity Claims
Medical Only Claims
Incident Only Claims
All of the above
In reference to ?Indemnity Claims?; Injuries resulting in leave usage of one or more days shall be reported within ___ days of the injury.
2
In reference to ?Medical Only Claims?; Injuries requiring medical attention, that will result in billings or invoices by the provider; no leave usage involved, reporting shall occur within ___ days of the injury:
5
Medical/prescription drug invoices resulting from a claimed injury that are received after the Claim Packet is submitted, should be forwarded to PHICO or WCA, if applicable, by the individual or medical provider. True/False
True
The Heart and Lung Act applies when injury occurs during activities outside the actual performance of duty, and applies to any form of permanent incapacity. True/False
False
The Bureau of Personnel is responsible for scheduling an administrative hearing to establish entitlement to Heart and Lung Act benefits when they have been:
Denied and an individual files a timely appeal.
Approved and the disability appears to be permanent.
Approved and the disability appears to have ceased.
Approved and the member/enforcement officer fails to provide medical
documentation and/or fails to attend a medical examination scheduled by the
Department or the third party claims administrator.
____________is responsible for processing all Heart and Lung Act claims submitted by the Department.
PHICO
Members have ________ days from the Postmark date to appeal a Heart and Lung Act Denial.
30
When a Heart and Lung claim is approved, members receive their gross pay to include retirement contributions. True/False
False
An employee unable to work due to a work related injury shall receive they net pay at the time of injury not to extend beyond__________ from the date of injury.
Three years
How many levels of appeal are there once a ?workers? compensation claim is denied and what is the highest level?
Answer: There are three levels of appeal. The final and highest level of appeal is at
a Commonwealth Court.
True or False. Employment with the Department precludes the possibility of a civil suit to obtain proper settlement.
False. (a member can file a civil suit provided; 1. The commissioner is advised; 2. The case is prepared during nonworking hours; 3. The Subrogation Rights of the Commonwealth are observed.)
True or False. Prior to signing any agreement for out-of-court settlement or release of any claim for work-related injury, the agreement or release documents shall be submitted to the Commissioner for review.
True
Initial medical and prescription drug invoices for services received for a work related injury may be attached to the claim packet. Where are medical and prescription drug invoices received after submission of the Claim Packet?
They are forwarded directly to PHICO by the injured or medical providers
What agency/department are responsible for administering the appeals process for all workers? compensation claims?
Answer: Department of Labor and Industry, Bureau of Workers? Compensation
Limited Duty is mandatory for female members during pregnancy. True/False
False
Limited Duty status shall be monitored on a _______ basis.
quarterly
When referring to EMPLOYES, Limited Duty shall be referred to as______?
modified duty
Members unable to be accommodated in a limited duty assignment at their present duty Station may be assigned to the closest available Station not to exceed _____miles one way from their present duty assignment.
50
At least one limited duty position should be available at each station. True/False
Ture
Members may be granted limited-duty assignments for the following reasons if a limited duty position is available:
A non-work related illness
A work related illness or injury
An injury sustained during a softball game
The following personnel actions will not be automatically granted while limited duty status is in effect.
Preference transfers
Promotions
Specialized training
Members whose limited duty status is deemed ?permanent? are required to submit medical documentation ___________as determined by the State Police Medical Officer.
