Patient Administration - Army Publishing Directorate - U.S. Army

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(2) When an overseas MTF commander determines that a patient exceeds the theater length of treatment practices or requires special services not available and must be evacuated and not returned to duty, he/she will be assigned to a WTU. 8–7. Individual records and clothing a. Personnel and pay records of patients attached to a WTU will be kept in the patient’s assigned organization. The MTF commander may request copies of records required for the study and evaluation of a patient. b. When reassignment orders are issued, a copy of the order is sent immediately to the Soldier’s prior organization to expedite receipt of personnel and pay records. c. When the servicing military personnel officer receives a reassigning order, the Soldier’s personnel and pay records will be forwarded to the MTF within 5 working days (AR 600-8-104). Individual clothing will be sent according to AR 700-84. 8–8. Return to duty of attached patients a. Attached patients may be returned to duty or duty with profile limitations to the assigned unit. WTU commanders will notify the assigned unit commander and prepare orders in accordance with AR 600-8-105, Format 440. b. Attached patients en route overseas at the time of admission will— (1) If preparation of replacements for overseas movement (POR) qualified, be furnished a statement of the period of hospitalization and directed to the installation port call/transportation movements office. (2) If no longer POR qualified, be reported for assignment instructions according to paragraph 8-10. The ATAC serving the aerial POE will be notified of the action taken. (3) The WTU commanders will provide as much advance notice as possible to parent units regarding release dates. 8–9. Disposition of assigned patients in CONUS a. Except as provided in b, below, all patients who are medically fit for duty and assigned to a WTU will be reported to AHRC by the MTF commander for assignment instructions (see para 8-10, below). b. Upon release from the WTU, patients in the categories described in (1) through (6), below, will be reassigned by the WTU commander without reporting to AHRC. (1) Persons who, when hospitalized, were undergoing basic combat training or advanced individual training and who are hospitalized in the MTF serving the installation where training was interrupted will be reassigned to their former training activity. (2) Persons who are determined medically fit for duty under AR 40-501, but will be returned to duty with a recommendation for separation (para 5-3e(1)) will be reassigned to their former units. If a Soldier with 20 or more years of Federal Service desires to retire within 180 days of the RTD date, he/she may request permission from AHRC to retire in lieu of a PCS move. The MTF commander may make exceptions to this policy if it is determined that other action will better serve the interest of the Government. Reassignment instructions will be requested per paragraph 8-10, below, or separate action may begin at the MTF. (3) Persons awaiting trial by courts-martial will be reassigned to their former units or to the unit exercising jurisdiction. The local SJA or legal officer will be consulted. (4) Persons awaiting the results of investigation or clearance will be reassigned to their former units if a request for this action has been made by the commander concerned. Normally, patients will not remain assigned to a WTU solely to await the results of these actions. If assignment instructions cannot be obtained, the person will be placed on duty as outlined in paragraph 8-10, below. (5) Persons eligible under existing criteria for release or discharge will be processed at the WTU. If not, processing will be according to AR 635-10. (6) Officers medically fit for duty who have applied for or are scheduled for retirement within 60 days or who have submitted a tender of resignation will remain assigned to the WTU until instructions are received from AHRC. The MTF commander will promptly report such officers to Commander, AHRC (AHRC-PDT-R), Alexandria, VA 22332- 0400. If the officer has appeared before an MEB, a copy of the board proceedings will accompany the report. When practicable, officers awaiting instructions under this subparagraph will be placed on duty according to paragraph 8-10, below. 8–10. Requests for assignment instructions When a patient is to be returned to duty, the MTF commander or his/her designated representative will request assignment instructions. The request will be sent to AHRC not later than 15 days before the estimated date of release from the WTU. All MTF commanders are responsible for monitoring the progress of assigned patients. MTF commanders will make every effort to render an accurate forecast of the expected date of return to duty. This is necessary to avoid delay in returning a patient to duty. (AR 614-100 contains officer and warrant officer assignment policies; AR 614-200 contains enlisted personnel assignment policies.) 64 AR 40–400 27 January 2010
a. The following information will be included in requests for duty assignments for officers other than general officers and warrant officers: (1) Name, grade, and SSN. (2) Branch of Service for Judge Advocate General’s Corps and Chaplain Corps officers, corps for AMEDD officers, and control branch for others. (3) Category and expiration date. (4) Amount of leave desired, if any. (5) Estimated date of completion of hospitalization. (6) Physical profile and assignment limitations, if any. b. Enlisted personnel will be reported to AHRC according to instructions in AR 614-200. c. In exceptional circumstances, it may not be possible to predict the date of return to duty within the 15-day time requirement. Assignment instructions will be requested from AHRC through the most expeditious means available. d. When a patient is to be returned to other than full duty, the request for assignment instructions will state the type of disposition recommended. It will also contain the following information as appropriate: (1) The date on which the person will revert to full duty or the date of return to an MTF for examination, treatment, or reevaluation. (2) The type and degree of functional impairment involved and any control measures which should be considered in a duty assignment. (3) The type(s) of duty recommended. (4) Geographic or climatic assignment limitation recommended. (5) Physical limitation to POR qualification. (6) Status of any applications for compassionate reassignment submitted under AR 614-100 for officer personnel and AR 614-200 for enlisted personnel. (7) Whether the current medical condition may result in removal or denial of security clearance. (8) <strong>Patient</strong>’s preference for area of assignment. e. When a person cannot be assigned as directed within 30 days after the previously estimated date of completion of hospitalization, this information will be sent by electrical message, facsimile, or other electronic means to the office that issued the assignment instructions. The message will include a reference to the initial request for assignment instructions. 8–11. Duty for assigned patients awaiting orders in CONUS a. Assignment instructions may not have yet been received when a patient is released from the WTU. In this case, the MTF commander will issue orders attaching the patient to duty with a unit designated by the installation commander. When this is not medically sound, the MTF commander may place the person on duty with the MTF duty unit (see AR 635-40). Such a person will not be charged against the MTF personnel allotment or manning table. b. The CONUS installation commanders will designate (regardless of command jurisdiction) a unit where the MTF commander may place patients on duty where their abilities can be used. Preferably, these units will be other than MTFs, but will be located as near to the MTF as possible. 8–12. Disposition of patients in overseas military treatment facility A recovered patient in an overseas MTF will be returned to duty under instructions issued by the major overseas commander. For MTFs in Alaska and Hawaii, instructions will be issued by AHRC. 8–13. Separation of enlisted personnel assigned to a warrior transition unit <strong>Army</strong> regulation 635–200 addresses special separation provisions. 8–14. Disposition of non-mobilized Reserve Component personnel Inpatient non-mobilized RC personnel on AD orders for 30 days or more will not be assigned to the WTU. When their orders are for 30 days or fewer and not approved for ADME status, they will not be assigned to the WTU. Such Soldiers can remain in an MTF in a patient status and draw pay and allowances or, with the Soldier’s consent, be continued on active duty while being treated for an injury, illness, or disease incurred or aggravated in the line of duty (see AR 135-381). Non-mobilized RC Soldiers on AD orders for 31 days or more may be extended on AD upon recommendation of their physician. 8–15. Performance of duty while in patient status The WTU Soldiers may be assigned temporary duties in and about the MTF or in a unit or local post when such duties do not interfere with their availability for medical care requirements. All Soldiers will be considered for disability separation evaluation referral within 1 year of the diagnosis of their medical condition if they are unlikely to return to military duty. The MTF commander may make exceptions for those patients requiring treatment unique to those AR 40–400 27 January 2010 65
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Army Regulation 40-400 Medical Serv
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Headquarters Department of the Army
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Contents—Continued Department of
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Contents—Continued Autopsy author
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Contents—Continued Chapter 13 Inj
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Chapter 1 Introduction 1-1. Purpose
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nonemergent specialty care. The Pri
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(1) If not prohibited under the law
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Table 2-3 Supplemental care payment
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a. Treatment during and after duty.
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the camp commander or the MTF comma
Page 23 and 24: e provided an employee paid from ap
Page 25 and 26: (2) The Health Insurance Portabilit
Page 27 and 28: (n) Section 13. Signature of the MT
Page 29 and 30: discharged or transferred. When an
Page 31 and 32: encompasses the geographic area whe
Page 33 and 34: (3) Peace Corps applicants. (a) Exc
Page 35 and 36: the emergency. The patient or respo
Page 37 and 38: physicians, dentists, nurses (pract
Page 39 and 40: . Each Uniformed Service secretary
Page 41 and 42: 3-61. Treatment of former military
Page 43 and 44: Figure 3-2. Sample format memorandu
Page 45 and 46: 4-3. Comfort items for patients a.
Page 47 and 48: Kingdom, and the United States The
Page 49 and 50: f. The MTF commander who starts act
Page 51 and 52: (1) Attempt to arrange transfer to
Page 53 and 54: (3) Patients who are being or have
Page 55 and 56: personal decisions will be assisted
Page 57 and 58: authorities, to the sponsor or NOK.
Page 59 and 60: (2) Enabling care (EC). AD patients
Page 61 and 62: patients in absent sick status, cha
Page 63 and 64: date the packet is mailed to the PE
Page 65 and 66: (4) A complete, current report of m
Page 67 and 68: Table 7-1 Distribution of medical b
Page 69 and 70: d. Instructions for the preparation
Page 71 and 72: . After approval by the Service rev
Page 73: . Soldiers who are in initial entry
Page 77 and 78: c. Civilians interned by the Army.
Page 79 and 80: a. Members of the Army, RC, and app
Page 81 and 82: medical documents by submitting DD
Page 83 and 84: 11-10. Audit and review The MSA is
Page 85 and 86: lost. The MSA must have the interna
Page 87 and 88: Figure 11-2. Sample memorandum form
Page 89 and 90: Chapter 12 Patients’ Trust Fund 1
Page 91 and 92: (2) Deposits and requests for check
Page 93 and 94: whom administrative responsibility
Page 95 and 96: 13-7. Concurrent medical affirmativ
Page 97 and 98: (4) Establish a process whereby all
Page 99 and 100: (1) Receive and open mail including
Page 101 and 102: d. Patient administrators of deploy
Page 103 and 104: AR 215-1 (not cited) Military Moral
Page 105 and 106: AR 36-2 Audit Services in the Depar
Page 107 and 108: VASRD Veteran’s Administration Sc
Page 109 and 110: DA Form 5009 Medical Record-Release
Page 111 and 112: Appendix B Persons authorized care
Page 113 and 114: Table B-1 Persons authorized care a
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Table B-1 Persons authorized care a
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(3) Is there a procedure in place t
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Glossary Section I Abbreviations AA
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EIN employee identification number
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MPRJ military personnel records jac
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REP 63 Reserve Enlistment Program o
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VA Veterans Affairs VARO Veterans A
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Disability separation Temporary or
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Maximum hospital benefit That point
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standard CHAMPUS cost shares apply.
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Convalescent leave, 5-1 Cosmetic su
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Civilian participants in Army-spons
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For assignment to WTU, 8-3 Outside
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Special consideration of USFHP bene
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Social Security, table 2-1, 3-21, 3
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Patient Administration - Army Publishing Directorate - U.S. Army

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