PRCO Training 21-22 Sep 11 Medical Waiver Policy

1. PRCO Training21-22 Sep 11Medical Waiver Policy

2. Objective Discuss the purpose of the medical clearance/waiver process Name the 3 components of medical clearance process Discuss the policy for a PFA medical waiver

3. Objectives (cont’d) Define the personnel authorized to recommend, endorse and approve medical waivers Discuss the policies for a BCA medical waiver Name the 3 eligibility requirements for a Medical Evaluation Board (MEB)

4. PFA Medial Clearance Process to ensure members receive appropriate screening/clearance prior to participating in the PFA PFA medical clearance has 3 components: PHA PARFQ Pre-physical Activity Questions No member is authorized to participate in the PRT portion of the PFA without being clear via all 3 components. The in-processing medical screening for new accessions is sufficient for the PRT when students are not required to complete a PHA until their first duty station. However, the member must also be cleared by the other 2 components.No member is authorized to participate in the PRT portion of the PFA without being clear via all 3 components. The in-processing medical screening for new accessions is sufficient for the PRT when students are not required to complete a PHA until their first duty station. However, the member must also be cleared by the other 2 components.

5. PFA Medical Waiver Authorized for members with injury, illness or for members recovering from a surgical or medical procedure Must be granted prior to the PFA May only be issued on NAVMED 6110/4 NAVMED 6110/4- PFA Medical Clearance/Waiver form. Members are to print waiver from PRIMS or OPGUIDE 13 and take it to medical with them. NAVMED 6110/4- PFA Medical Clearance/Waiver form. Members are to print waiver from PRIMS or OPGUIDE 13 and take it to medical with them.

6. Authorized Medical Department Representative (AMDR) COs with a medical staff must appoint an AMDR in writing for PFA medical waivers Medical Treatment Facilities (MTF) are required to appoint an authorized department representatives in writing

7. Medical Waivers (cont’d) CO has final approval on all PFA medical waivers Members using Tri-care remote must provide the civilian provider with a NAVMED 6110/4 for recommendation of a PFA medical waiver. Waiver request must be approved via their military chain of command. Members serving in Joint environment may obtain medical waiver approval via their authorized forms and procedures. When possible the member should reguest that the waiver be granted on the NAVMED 6110/4.Members using Tri-care remote must provide the civilian provider with a NAVMED 6110/4 for recommendation of a PFA medical waiver. Waiver request must be approved via their military chain of command. Members serving in Joint environment may obtain medical waiver approval via their authorized forms and procedures. When possible the member should reguest that the waiver be granted on the NAVMED 6110/4.

8. Drilling Reservist or Members Using Tri-Care Remote A civilian specialist may recommend a medical waiver but a military chain of command must endorse and approve it Member must present the NAVMED 6110/4, PFA Medical Waiver/Clearance Form to the provider ADSEP must be initiated on all members. ADSEP may not always result in separation.ADSEP must be initiated on all members. ADSEP may not always result in separation.

9. Joint Environments Members may be issued medical waivers by other than Navy military treatment facilities Member must present the NAVMED 6110/4/ PFA Medical Waiver/Clearance form to provider

10. BCA Medical Waiver May only be recommended by a physician May be granted if it is physically impossible to perform an accurate measurement May be granted due to a medical condition or therapy Leg cast, or surgery on area directly involved with the measurement. Medical condition must be newly diagnosed, worsen in severity, or increased in dosage in that six month period which is known to result in weight gain. Leg cast, or surgery on area directly involved with the measurement. Medical condition must be newly diagnosed, worsen in severity, or increased in dosage in that six month period which is known to result in weight gain.

11. BCA Medical Waiver (cont’d) Only valid for 1 PFA cycle Require 2 signatures Physician (recommends) AMDR (endorses) If the waiver dates exceeds the PFA cycle, the CFL will have to renter the waiver for the next PFA cycle. If the AMDR is recommending officer, the AMDR’s supervisor must endorse.If the waiver dates exceeds the PFA cycle, the CFL will have to renter the waiver for the next PFA cycle. If the AMDR is recommending officer, the AMDR’s supervisor must endorse.

12. Medical Review Board Policy 2 consecutive medical waivers for same injury/illness in a 12-month period 3 or more medical waivers for any injury/illness in most recent 4-year period No permanent medical waivers.No permanent medical waivers.

13. Medical Evaluation Board Eligibility MEB eligibility will activate if member is granted an additional medical waiver after 1 July 11 Not all PFA waivers will make a member eligible for a Medical Evaluation Board (MEB) Members with previous medical waiver prior to 1 July 11 are safe as long as they are not granted an additional waiver after 1 July 11. If that happens, all previous waivers will be considered in the medical record review eligibility.Members with previous medical waiver prior to 1 July 11 are safe as long as they are not granted an additional waiver after 1 July 11. If that happens, all previous waivers will be considered in the medical record review eligibility.

14. MEB Eligibility #1 Issued 2 consecutive MWs for same condition and member did not participate in the BCA or cardio and at least one of the PRT events If member was only waived from 1 PRT even, the are not eligible for a medical board review.If member was only waived from 1 PRT even, the are not eligible for a medical board review.

15. MEB Eligibility #2 Issued 3 MWs for any condition in most recent 4-year period and the member did not participate in the BCA or cardio and at least one of the PRT events If member was only waived from 1 PRT event they are not eligible for medical record review.If member was only waived from 1 PRT event they are not eligible for medical record review.

16. MEB Eligibility #3 CO may request a MEB when a member’s fitness/health is questionable for continued Naval Service or mission readiness The CO may request a medical record review of a member who is otherwise not eligible for a medical record review due to only being waived from 1 PRT event. This may occur if the member is unable to complete a mission or duty due to the member’s limitation and the CO feels that the member is not an asset to the unit or mission readiness.The CO may request a medical record review of a member who is otherwise not eligible for a medical record review due to only being waived from 1 PRT event. This may occur if the member is unable to complete a mission or duty due to the member’s limitation and the CO feels that the member is not an asset to the unit or mission readiness.