18142 Federal Register/Vol. 68/Friday, April 9, 2010/Proposed Rules Secretarial Designee Program within the Military Department and coordinate with other DoD Components in its effective operation. Department of Defense. Incorporating Change 1, Effective October 2, 2013. USD(P&R) SUBJECT: Health Care Eligibility Under the Secretarial Designee (SECDES) Program and.Government civilian employees who become ill or injured while so deployed, or other Do. D civilian employees overseas.(5)Contractor Personnel Authorized to Accompany U. S. Armed Forces. In the case of contractor personnel authorized to accompany U. S. Armed Forces in deployed settings under Do. DInstruction 3. 02. MTF care may be provided as stated in Do. D Instruction 3. 02. Copies available on the Internet athttp: //www. Department of Defense DIRECTIVE NUMBER 6000.8 November 3. The Commander or USUHS designee shall include in the CIP file. Department of Defense INSTRUCTION NUMBER 6440.02 May 29, 2014 USD(P&R) SUBJECT: Clinical Laboratory Improvement Program (CLIP) References: See Enclosure 1 1. BY ORDER OF THE COMMANDER, AIR FORCE INSTRUCTION 41-115. Program of Confidential Medical Records of Minors. A program for eligible uniformed service members who require medical care that is not available at the military treatment facility (MTF) and must be referred to a civilian provider. Dod program for stability of civilian employment : usd(p&r) 1400.24: dodi 1400.24: 2/17/2006. Health Care. The Secretaries of the Military Departments and the USD(P& R) may designate emergency patients as eligible for emergency health care from MTFs in the United States emergency patients pursuant to arrangements with local health authorities or in other appropriate circumstances. Such care shall be on a reimbursable basis, unless waived by the USD(P& R) or the Secretaries of the Military Departments when they are the approving authority.(i)Research Subject Volunteers. Research subjects are eligible for health care services from MTFs to the extent Do. D Components are required by Do. D Directive 3. 21. Such care is on a non- reimbursable basis and limited to research injuries (unless the volunteer is otherwise an eligible health care beneficiary). Copies available on the Internet athttp: //www. Continuity of Care Extensions of Eligibility. The Secretaries of the Military Departments and the USD(P& R) may establish temporary eligibility on a space- available basis for former members and former dependents of members of the seven Uniformed Services for a limited period of time, not to exceed 6 months, or in the case of pregnancy, the completion of the pregnancy, after statutory eligibility expires when appropriate to allow completion or appropriate transition of a course of treatment begun prior to such expiration. In the case of a pregnancy covered by this paragraph, the designation of eligibility may include initial health care for the newborn infant. Care under this paragraph is authorized on a non- reimbursable basis.(k)Members of the Armed Forces. The Secretaries of the Military Departments and the USD(P& R) may establish eligibility not specifically provided by statute for critical mission- related health care services for designated members of the Armed Forces, such as Reserve Component members not in a present duty status. This authority includes payment for health care services in private facilities to the extent authorized by 1. U. S. C. Care under this paragraph is non- reimbursable.(l)Certain Senior Officials of the U. S. Government. The officials and others listed in . Costs of medical care rendered are reimbursable unless reimbursement is waived by the Secretary of the Military Department concerned or USD(P& R). This authority is limited to health care needs arising while designated as a nonmedical attendant.(n)Patient Movement. Provisions of this part concerning inpatient care shall also apply to requests for patient movement through the medical evacuation system under Do. D Instruction 6. 00. Aeromedical evacuation transportation assets are reserved for those individuals designated as Secretarial Designees who need transportation to attain necessary health care. Copies available on the Internet athttp: //www. Other Individuals Entitled to Do. D Identification (ID) Card. Other individuals entitled to a Do. D ID card under Do. D Instruction 1. 00. MTF health care to the extent provided in Do. D Instruction 1. 00. Reciprocity among Military Departments. Subject to the capabilities of the professional staff, the availability of space and facilities, and any other limitation imposed by the approving authority, all Services will provide medical treatment to individuals that have been granted Secretarial designee status by any of the Secretaries of the Military Departments. Each agreement must identify the specific MTF or geographical region in which medical care is requested, requiring close coordination among service program managers. Secretarial designee status may have durations of up to two years. Government.(a) The following individuals are Secretarial Designees for space- available care in MTFs on a reimbursable basis: (1) The President and the Vice President.(2) Members of Congress.(3) Members of the Cabinet.(4) Officials of the Department of Defense appointed by the President and confirmed by the Senate.(5) Article III Federal Judges. Courts of Appeal, U. S. Court of International Trade, United States Foreign Intelligence Surveillance Court, United States Foreign Intelligence Surveillance Court of Review.)(6) Judges of the U. S. Court of Appeals for the Armed Forces.(7) Assistants to the President.(8) Director of the White House Military Office.(9) Former Presidents of the United States and their spouses, widows, and minor children.(b) . The authority to grant such a exception is by USD(P& R) or the Secretary of the Military Department concerned.(e) The ASD(HA), under the authority, direction, and control of the USD(P& R), shall, following approval of the USD(P) and USD (P& R) and in coordination with USD(P) and the GC, Do. D, and in accordance with Do. This rule establishes policy and assigns responsibilities for health care eligibility under the Secretarial Designee Program. It also implements the requirement that the United States receive reimbursement for inpatient health. Objectives Third Party TPOCS Sunset Service Billing Solution/System Selection MSA Billing Secretarial Designee Status. Other web-based search tools available * SECRETARIAL DESIGNEE STATUS New DoD Secretarial Program. D Directive 5. 53. RHCAs. 1. 1Copies available on the Internet athttp: //www. The Secretaries of the Military Departments shall: (1) Issue, revise, or modify as appropriate, regulations to comply with this part.(2) Appoint a Military Department representative who will administer the. Secretarial Designee Program within the Military Department and coordinate with other Do. D Components in its effective operation.(3) Where and when appropriate, the Military Department concerned shall coordinate with U. S. Transportation Command/Global Patient Movement Requirements Center.(4) Provide written quarterly reports to the USD(P& R) and USD(C) reflecting the number of individuals designated as Secretarial Designees within their Military Departments, the reasons for such designation, the expected duration of such designation, the costs and sources of funding authorizing the support of such designee status for each designee.(5) Create a Patient Category code to identify Secretarial Designees treated at MTFs.(6) Provide an annual consolidated list reflecting the number of Secretarial Designees within their departments, reasons for such designation, location where designee is receiving treatment, the costs and sources of funding, nature and duration of treatment and expiration date of designee status to USD(P& R), USD(C), and ASD(HA).(i) In cases where the USD(P& R) designates an individual as a Secretarial Designee, the Military Department concerned shall include this individual on any lists provided to USD(P& R) and USD(C) for reporting purposes.(ii) Annually consolidate Secretarial Designee patient costs and forward those data to ASD(HA) and USD(C), along with a report of collection for reimbursable costs.(g) The Commanders of the Geographic Combatant Commands (GCCs) shall: (1) Refer requests to waive reimbursement through the Chairman of the Joint Chiefs of Staff to the USD(P& R).(2) Refer requests for Secretarial Designee status for medical care in the United States through the Chairman of the Joint Chiefs of Staff to USD(P& R).(3) Through the Chairman of the Joint Chiefs of Staff, provide written quarterly reports to the USD(P& R) and USD(C) reflecting the number of individuals designated as Secretarial Designees within their geographic area of responsibility, the reasons for such designation, the expected duration of such designation, the costs and sources of funding authorizing the support of such designee status for each designee.(4) Use existing approved Patient Category code(s) to identify Secretarial Designees treated at MTFs within their geographic area of responsibility.(5) Provide for an accounting and collection system for reimbursement of medical costs within their geographic area of responsibility.(6) Provide an annual consolidated list reflecting the number of Secretarial Designees within their respective geographic areas of responsibility, reasons for such designation, location where designee is receiving treatment, nature and duration of treatment, and expiration date of designee status through the Chairman of the Joint Chiefs of Staff to USD(P& R), USD(C), and ASD(HA).(h) Commander, United States Transportation Command shall: (1) Coordinate patient movement with all concerned Military Departments.(2) Upon request of the Military Department concerned or Commanders of the GCCs, determine availability of Do. D transportation assets, or when cost effective, coordinate with civilian ambulance authorities, to effect transportation of Secretarial Designee as appropriate.(3) Ensure the Global Patient Movement Requirements Center, as the regulating agency, will consistently serve as the single point of contact for patient movement for Secretarial Designee patients using Do. D assets upon request.(4) Annually consolidate Secretarial Designee patient listing who utilized the Do. D patient movement system and forward to ASD(HA) and USD(C). Dated: April 6, 2. Mitchell S. Bryman,Alternate OSD Federal Register Liaison Officer, Department of Defense.
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