What OWCP covers at home.
- Skilled nursing, physical and occupational therapy, home health aide services, and medical social work — for the accepted injury or illness.
- Also possible: durable medical equipment, home-safety modifications, and travel reimbursement tied to the accepted condition.
- Not just post-hospital: when your physician orders it and OWCP authorizes it, care is covered on an ongoing basis while medically necessary.
The three things that must line up.
- The care is for your accepted injury.
- It is ordered by your treating physician.
- It is authorized by OWCP, with documentation that meets FECA standards.
That third step is where care breaks at most agencies — documentation that does not match the accepted diagnosis, or a renewal nobody tracked. Knowing this system cold is the difference. The complete OWCP guide →
Common questions.
My claim is not accepted yet. Can care start?
Home health is authorized only after the injury is accepted — getting the claim accepted comes first (Form CA-1 for traumatic injury, CA-2 for occupational disease, filed through your employer).
Do I pay anything?
No. Authorized care for the accepted injury comes at no cost to you; OWCP pays the provider directly.
Does OWCP cover home health care for federal workers?
Yes. When the injury is accepted, the treating physician orders home health, and OWCP authorizes it, covered services include skilled nursing, therapy, aides, and medical social work at no cost to you.
Sources: U.S. Department of Labor, OWCP / FECA.