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

a. Members of the Army, RC, and applicants identified in paragraphs 3-1 through 3-8. (Note additional approvals
required in para 3-2d.)
b. Prisoners of war, retained personnel, and other personnel in military custody or confinement. (See para 3-38.)
c. Hospitalization in Armed Forces medical facilities of civilians interned by the Army only in the absence of
adequate civilian facilities.
d. Civilian seamen in the services of vessels operated by the DOD. (See para 3-41.)
e. Civilian employees of the Army limited to those occupational health services authorized in AR 40-5.
f. Retired Army TDRL personnel that require hospitalization in order to complete medical examination. (In this case,
civilian care is paid through the MTFs operating funds.)
g. U.S. nationals confined in foreign penal institutions (para 3-57).
Note. Retired uniformed Soldiers are not provided civilian medical care under the provisions of this chapter. Subject to the rules in
paragraph 2-3, retired members and Family members are authorized civilian medical care under TRICARE or the Supplemental
Health Care Program (SHCP).
10–2. Qualifications of professional personnel engaged to furnish medical care
a. Qualifications of clinicians. Only appropriately certified and/or licensed clinical personnel will provide services to
patients authorized care under this chapter. This includes doctors of medicine, doctors of osteopathy, doctors of
dentistry, podiatrists, optometrists, physician assistants, nurse practitioners, and nurse midwives. Clinicians must have
valid licenses to practice their specialties in a State, a territory of the United States, the District of Columbia, or the
Commonwealth of Puerto Rico. Nurses must be currently registered to practice nursing in a State or territory of the
United States, the District of Columbia, or the Commonwealth of Puerto Rico.
(1) In overseas areas, except the Commonwealth of Puerto Rico, licensing and registration criteria will be as
prescribed by the major overseas medical commander concerned.
(2) Services of emergency medical technicians (EMTs) may be authorized even though the injured Soldier is not
transported to the hospital by ambulance. The EMT must be licensed by that State to provide the specific care
rendered.
b. Restrictions.
(1) Except as indicated in (2) below, only those licensed or registered professional personnel covered in a above can
be used for medical services if payment is to be made from Army funds.
(2) Practitioners specializing in the sciences allied to the practice of medicine who are licensed to practice in the
area concerned may be used for medical services under (1) above when such service is provided on the written request
of a licensed doctor of medicine, osteopathy, or dentistry as part of the medical care required.
(3) Payment is not authorized for the following services:
(a) Christian Science services.
(b) Acupuncture services
10–3. Special considerations for AWOL members receiving civilian medical care
a. Civilian medical care will not be authorized for members who have sought asylum in foreign countries. Charges
for emergency civilian medical care of AWOL members will be covered under the SHCP. When information
concerning the treatment and whereabouts of such a member is received, the nearest provost marshal will be notified so
that action may be taken to effect actual return of these personnel to military control.
b. Medical care for RC personnel is specified in paragraph 3-2.
10–4. Apprehended members of the Army who are confined or committed by civil authorities
a. Medical treatment for members who are confined or committed by civil authority is the responsibility of that
detaining authority until such time as custody of members is relinquished to the military services or members are
released to continue their status before apprehension.
b. Charges for medical services provided during the period of confinement or commitment will not be paid from
SHCP funds unless it can be substantiated that the initial request for detention was made by an official of the Federal
Government.
c. When requests for payment under the above circumstances are received, a determination must be made as to what
medical treatment was received during the actual period of civil confinement or detention. Treatment received prior or
subsequent to actual detention by civil authorities or during a period of detention initially requested by an official of
the Federal Government is the responsibility of the Army and should be processed for payment.
10–5. Approving authorities
The TRICARE PCM or MCS contractor’s health care finder acts as the approving authority for Soldiers enrolled at an
MTF.
AR 40–400 27 January 2010
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