You manage the pay for health care providers by processing the same Nature of Action Code (NOACs) that cover standard employees. In addition to these NOACs, to better recruit and retain qualified staff, you can process special pay for health care providers with two NOACs:
NOAC 850 MD/DDS Special Pay grants special pay amounts to doctors and dentists
NOAC 855 Head Nurse Pay grants special pay (step) increases to nurses
NOACs 850 and 855 do not require customary CPDF processing. The application bypasses the CPDF edits, and the CPDF Dynamics report does not include NOAC 850 and 855 Notification of Personnel (NPA) records.
When you process a NOAC 850, you complete the US Fed MD/DDS Special Pay RPA Extra Information. Considered as non-RPA pay, the application does not change the Basic Pay, Locality Pay, Adjusted Basic Pay, Other Pay, or Total Pay. When you update the RPA, the application stores the special pay information in the MD/DDS Special Pay element.
The NPA reports the To Total Salary as the amount entered in the MD/DDS Total Special Pay Amount of the US Fed MD/DDS Special Pay RPA Extra Information.
NOAC 855 increases a head nurse's pay by one to two steps above the pay plan's current step. If the nurse is at or near the top step of the pay plan, you may have to change the pay plan in the position record. For example, if a nurse's current step in a GS pay plan is 9 and you increase it by two steps, you would need to change the pay plan from GS to GG in the position record
You can also process a NOAC 855 to decrease the pay by one to two steps below the current step. If the decrease in steps returns the head nurse to the standard nurse position and pay table, you must change the pay plan in the position record. For example, if a nurse's current step in a GG pay plan is 11 and you decrease it by one step to 10, you would need to reset the pay plan from GG to GS in the position record.
The application changes the WGI Due Date based on the To Step entered in the RPA. If you process a NOAC 855 that places the employee in a To Step less than 10, the application adjusts the WGI Due Date and WGI Pay Date based on the new waiting periods. If you place the employee in a To Step of 10, 11, or 12, the application updates the WGI Due Date and WGI Pay Date to null (zero).