Is there a requirement that medical documentation submitted by an employee be prepared by a board certified physician?
No. The regulations at 5 CFR 339.104 state that medical documentation is a statement from a “licensed physician or other appropriate practitioner.” Practitioner is defined as a “person providing health services who is not a medical doctor, but who is certified by a national organization and licensed by a State to provide the service in question.” Agencies should note that if an attempt is made to refute documentation submitted by an employee, the medical opinion of a Board certified physician or specialist may carry more weight before a third party. 11. Can an agency ask for the credentials/qualifications of the individual submitting the documentation? Yes. But agencies should consider the relevance of the information. In most instances, this becomes an issue because the information is insufficient to answer the agency’s questions regarding the medical/psychiatric status of an employee. Rather than challenging the individual’s credentials, the agency may just want to inform the employe
Related Questions
- Where is it in writing that I have to have progress notes or documentation in addition to the Certifying Statement of Physician to support medical necessity?
- Why does the Agency need additional medical documentation, if an employee has submitted a medical certificate from his/her physician stating a diagnosis?
- Is there a requirement that medical documentation submitted by an employee be prepared by a board certified physician?
