D.C. Mun. Regs. tit. 7, r. 7-150

Current through Register 71, No. 45, November 7, 2024

Rule 7-150 - TRANSPORTATION AND MILEAGE

150.1

The Program may provide a claimant with transportation to and from a physical examination or medical treatment that is authorized by the Program pursuant to this chapter.

150.2

Unless § 150.3 applies, a claimant who needs transportation to and from a physical examination or medical treatment shall request such transportation from the Program by completing and submitting Form 11 with supporting documentation no later than five (5) business days before the authorized physical examination or medical treatment. Once the travel is completed, claimant must submit a request for reimbursement pursuant to § 150.7.

150.3

If there is a need for immediate medical treatment and, due to the nature of the disability and injury accepted by the Program, the injured claimant is unable to contact the Program and make a request pursuant to § 150.2, the claimant may still submit a request for reimbursement pursuant to § 150.7, provided that claimant submits medical evidence from the physician certifying that there was need for immediate medical treatment due to the nature of the disability and injury accepted by the Program.

150.4

Upon request made pursuant to § 150.2, the Program may furnish necessary and reasonable transportation for:

(a) An initial examination at a physician selected by the claimant;

(b) An additional medical examination required by the Program; and

(c) A routine physical examination, outpatient or inpatient surgical procedure, or any services provided in accordance with Section 2303(d)(1) of the Act.

150.5

For purposes of this section, "necessary," means that the claimant is not capable of driving himself or herself or using public transportation to get to the examination, due to the accepted medical condition or disability and injury. To establish that transportation is necessary, the claimant must provide the Program with medical documentation from his or her treating physician certifying that the transportation is necessary within the meaning of this section.

150.6

For purposes of this section, "reasonable transportation," is

(a) Public transportation, mileage, or parking;

(b) Transportation to an examination that is located within twenty- five (25) miles of the District of Columbia; and

(c) A total distance of travel to and from the examination not to exceed fifty (50) miles.

150.7

To request reimbursement of necessary and reasonable transportation expenses pursuant to §§ 150.2 and 150.3, the claimant shall:

(a) Submit Form 11 to the Program within thirty (30) days of the date that the claimant incurred the expense; and

(b) Include verifiable supporting evidence of the expenditures at the time Form 11 is submitted to the Program.

150.8

Failure to comply with § 150.7 will result in denial of claimant's request for reimbursement.

150.9

Reimbursements for mileage shall be based upon the distance from either the claimant's place of employment or home to the physician's office or treating facility. The cost per mile reimbursed by the Program shall be at the same rate as the United States General Services Administration Privately Owned Vehicle Mileage Reimbursement Rates. The cost per mile shall be included on Form 11.

150.10

Decisions on requests made pursuant to §§ 150.2 and 150.3 shall be made within ninety (90) days of the date the request was received by the Program.

150.11

Subject to the provisions of this section, the Program shall furnish or authorize necessary and reasonable transportation to claimants within thirty (30) days after the Program receives notice that the claimant was injured.

D.C. Mun. Regs. tit. 7, r. 7-150

Final Rulemaking published at 64 DCR 6325 (7/7/2017); amended by Final Rulemaking published at 67 DCR 7481 (6/12/2020)