ACS DOL

1. ACS DOL Mandatory EFT Provider Payments Effective March 1, 2013 • Provider Training

2. Topics • What’s New • Purpose • Application Requirements • Immediate Action Required for Non-EFT providers • Enrollment Standards – After March 1, 2013 • FAQ • Contact/Submissions • Acronyms/Definitions

3. What’s NEW?

4. Purpose The purpose of this training is to ensure providers understand that after March 1, 2013, all payments issued by the Department of Treasury will be made via Electronic Fund Transfer (EFT). All workers’ compensation providers enrolled in a DOL, Office of Workers’ Compensation Programs that includes the Division of Federal Employees Compensation (DFEC), Division of Coal Mine Workers’ Compensation (DCMWC), and/or the Division of Energy Employees Occupational Illness Compensation (DEEOIC) will be required to transition to mandatory EFT prior to March 1, 2013. Effective immediately, all enrolled providers must initiate the EFT process and complete the transition to mandatory electronic funds transfer (EFT) prior to March 1, 2013.  Failure to comply will result in suspension of bill payment after March 1, 2013, until EFT requirements have been satisfied.

5. Application Requirements All OWCP providers not currently receiving payments via EFT are required to submit an Automated Clearing House (ACH) Vendor Payment System application. Required ACH information includes: Provider Number and Provider Information Nine-Digit Routing Transit Number Deposit Account Title Deposit or Account Number Type of Account Provider/Representative Signature Financial Institution Information The ACH application must be completed and mailed or faxed along with a voided check or applicable banking information before March 1, 2013. Applications received without the required financial information will be returned to the provider (RTP).

6. Where to find the ACH Form Open URL http://owcp.dol.acs-inc.com Click on Forms & Links Click on a link below to view the forms and links for that program: DFEC,or DCMWC, or DEEOIC Click on Downloadable Formunder Provider Enrollment Find the form in Attachment 3

7. Immediate Action Required for Non-EFT Providers • Provider Communication out-reach • Check letter mail for communication and instructions regarding new EFT provisions sent by ACS-Xerox • Check E-Mail communicationfor “PAYMENT INFORMATION FORM” sent by ACS-Xerox • Follow steps to complete the Automated Clearing House (ACH) Vendor Payment System Application • Ensure required information is provided on the ACH application • Provider Number and Provider Information • Nine-Digit Routing Transit Number • Deposit Account Title • Depositor Account Number • Type of Account • Provider/Representative Signature • Financial Institution Information • Ensure a voided check or other applicable banking verification is submitted • Submit ACH application via mail or fax • OWCP/FECA: P.O. Box 8300 London, KY 40742-8300 • DEEOIC/Energy: P.O. Box 8304 London, KY 40742-8304 • DCMWC/Black Lung: P.O. Box 8302 London, KY 40742-8302 • Fax:850-201-1718

8. Enrollment Standards After March 1, 2013

9. Enrollment Standards after March 1, 2013 The Department of Labor mandates that any provider enrolling under the OWCP DFEC, DCMWC, or DEEOIC receives payment via electronic funds transfer (EFT). Verification is required for all providers enrolling in any of the OWCP programs. Financial institution verification is required for all EFT enrollments. ACH forms are processed within 7-10 business days.

10. Frequently Asked QuestionsQuestionAnswer Will currently enrolled OWCP providers be required to enroll for EFT before March 1, 2013? Will applications received on or after March 1, 2013 be RTP’ d if the form is incomplete or banking information is not included with the submitted ACH application form? Will currently enrolled OWCP providers requesting updates after March 1, 2013 be required to receive payments via EFT? Will any provider type be exempted from EFT payments? Yes. Providers enrolled under any OWCP program is required to enroll and receive payment via EFT. Yes. The ACH application will be RTP’d, requesting the provider submit a completed ACH formalong with the inclusion of banking information. Yes. Providers submitting an application for update (Ex. COA, groups) will be required to use EFT. No. All provider types must comply with this mandate.

11. Contacts/Submissions Enrollment Inquiries Customer Service - (844) 493-1966 FECA IVR - 866-335-8319 http://owcp.dol.acs-inc.com Enrollment Submissions: Fax: 850-201-1718 Mailing Address OWCP/FECA: P.O. Box 8300 London, KY 40742-8300 DEEOIC: P.O. Box 8304 London, KY 40742-8304 DCMWC/Black Lung: P.O. Box 8302 London, KY 40742-8302

12. Acronyms and Definitions ACH – Automated Clearing House EFT – Electronic Fund Transfer Electronic Fund Transfer - the automated transfer of funds to a financial institution. OWCP – Office of Workers’ Compensation Programs. DFEC – Division of Federal Employees Compensation DCMWC – Division of Coal Mine Workers Compensation DEEOIC – Division of Energy Employees Occupational Illness Compensation Provider – Any individual(s) enrolled with ACS and providing services to OWCP claimants. RTP – Return to Provider