Change in Assignment Procedures for Wounded, Sick or Injured Marines
This MARADMIN cancels the previous policy (MARADMIN 199/06) that placed all wounded, sick, or injured Marines undergoing medical treatment in temporary duty (TAD) status. It reinstates the previous policy requiring Marines hospitalized for more than 30 days to be transferred by service record to the command nearest their treatment facility, rather than remaining in TAD status at their parent command.
Issued: August 10, 2006
1. SITUATION. THIS MARADMIN CANCELS MARADMIN 199/06 (REF A), CHANGE IN ASSIGNMENT PROCEDURES FOR WOUNDED, SICK OR INJURED MARINES, RELEASED ON 27 APR 06, AND ESTABLISHES THE PROCEDURES FOR TRANSITIONING BACK TO THE PREVIOUS POLICY AND GUIDANCE OF MCO 6320.2D (REF B) AS THE PRIMARY REFERENCE FOR THE ASSIGNMENT OF HOSPITALIZED MARINES. 2. MISSION. TO ENSURE THAT COMMANDS ARE AWARE OF PROCEDURES TO BE UTILIZED TO EFFECT THE TRANSITION FROM HOSPITALIZED MARINES BEING IN A TEMPORARY DUTY (TAD/TDY) STATUS TO BEING TRANSFERRED BY SERVICE RECORD (TR BY SR) TO THE APPROPRIATE COMMAND NEAREST THEIR TREATMENT FACILITY. FURTHER, TO ENSURE THAT COMMANDS WITH COGNIZANCE OVER TREATMENT FACILITIES ARE AWARE THAT UNDER CERTAIN CONDITIONS, REQUESTS FOR CONTINUANCE IN A TAD STATUS MAY RECEIVE FAVORABLE CONSIDERATION. ADDITIONALLY, THIS MARADMIN REITERATES THE IMPORTANCE OF STRICT ADHERENCE TO THE PROCEDURES OUTLINED IN MCO 6320.2D. 3. EXECUTION A. COMMANDER'S INTENT. AN ORDERLY TRANSITION FROM TAD TO TRANSFER STATUS IS DESIRED. COMMANDS LISTED IN ENCLOSURE 1 OF REFERENCE (B) SHOULD COUNSEL MARINES UNDER THEIR PURVIEW OF THE RAMIFICATIONS OF THIS CHANGE IN POLICY TO ENSURE BOTH A COMPLETE UNDERSTANDING FOR THE INDIVIDUAL MARINE AND A MINIMIZATION OF ADMINISTRATIVE AND FINANCIAL DISCREPANCIES. TR BY SR ORDERS WILL NOT BE ISSUED WITH AN EFFECTIVE DATE THAT REQUIRES A RECOVERY OF PREVIOUSLY AUTHORIZED AND DISBURSED TAD FUNDS FROM A MARINE. B. CONCEPT OF OPERATIONS. B(1) CURRENT MARINE CORPS POLICY AS DELINEATED IN REFERENCE (A) REQUIRED ALL MARINES UNDERGOING MEDICAL TREATMENT OUTSIDE OF THE IMMEDIATE VICINITY OF THEIR PARENT COMMAND BE PLACED IN A TAD STATUS. THAT POLICY IS NOW REVOKED. MARINES BEING SENT TO TREATMENT FACILITIES WILL CONTINUE TO BE ISSUED TAD ORDERS PER REFERENCE (B) AND UPON REACHING 30 DAYS OF TREATMENT, COMMANDS WITH COGNIZANCE OVER THE MEDICAL TREATMENT FACILITY WILL REQUEST TRANSFER BY SERVICE RECORD FROM CMC (MMEA-86). MARINES WHO WERE TRANSFERRED BACK TO THEIR PARENT COMMAND AND PLACED IN A TAD STATUS IN ACCORDANCE WITH REFERENCE (A) WILL BE TRANSFERRED BACK TO THE APPROPRIATE COMMAND AS LISTED IN ENCLOSURE 1 OF REFERENCE (B). THIS ACTION WILL BE COMPLETE WITHIN 30 DAYS OF THE RELEASE OF THIS MARADMIN. B(2) THE FOLLOWING FURTHER ACTION IS REQUIRED AS OUTLINED IN PARAGRAPH 5.B.2 OF REFERENCE (B): ALL COMMANDS WITH HOSPITALIZED MARINES ASSIGNED OR UNDER THEIR PURVIEW (AS IS THE CASE WITH MARINES IN A TAD STATUS TO A MILITARY OR VETERANS ADMINISTRATION HOSPITAL) WILL REVIEW EACH CASE AND DETERMINE IF THE MARINE HAS BEEN HOSPITALIZED IN EXCESS OF 30 DAYS OR WILL BE REQUIRED TO BE TREATED AT THE FACILITY FOR MORE THAN 30 DAYS. IF THE MARINE HAS BEEN HOSPITALIZED FOR 30 OR MORE DAYS OR COMPETENT MEDICAL AUTHORITY DETERMINES THAT MORE THAN 30 DAYS OF MEDICAL TREATMENT IS REQUIRED, THE COMMAND HAVING COGNIZANCE OVER THE TREATMENT FACILITY WILL REQUEST THE MARINE BE TRANSFERRED BY SERVICE RECORD TO THEIR COMMAND UTILIZING A DMS MESSAGE SUBMITTED TO CMC (MMEA-86), WITH THE MARINE'S PARENT COMMAND COPIED ON THE MESSAGE. FOR PURPOSES OF THIS MARADMIN, A HOSPITALIZED MARINE IS DEFINED AS A MARINE WHO IS RECEIVING TREATMENT IN EITHER AN INPATIENT OR OUTPATIENT STATUS AND REQUIRED TO REMAIN AWAY FROM HIS/HER PARENT COMMAND AT THE TREATMENT FACILITY IN ORDER TO RECEIVE MEDICAL TREATMENT. B(3) SINCE TRANSFER BY SERVICE RECORD IS CONSIDERED A PERMANENT CHANGE OF STATION, WITH FULL ENTITLEMENTS AND ALLOWANCES, SOME MARINES AFFECTED BY PARAGRAPH 3.B(2), WHO ARE ELIGIBLE TO RECEIVE BASIC ALLOWANCE FOR HOUSING (BAH) AT THE WITH DEPENDENTS RATE MAY ELECT TO APPLY FOR A BAH WAIVER BASED ON HOSPITALIZATION STATUS. THIS WAIVER ALLOWS THE MARINE TO CONTINUE TO RECEIVE BAH AT THE PREVIOUS DUTY STATION RATE, PROVIDED THAT THEY DO NOT RELOCATE THEIR FAMILY OR HOUSEHOLD GOODS. MARINE CORPS ORDER 7220.56, WHICH IS SCHEDULED FOR RELEASE IN 2006, WILL PROVIDE AMPLIFYING INFORMATION ON THIS PROGRAM; IN THE INTERIM, MARINE CORPS ACTIVITIES WITH QUESTIONS REGARDING THE BAH WAIVER FOR HOSPITALIZED MARINES SHOULD CONTACT CMC (MMIA) AT DSN 278-9211 COMM (703) 784-9211. B(4) MOBILIZED RESERVISTS WHO HAVE BEEN PREVIOUSLY AUTHORIZED BAH AT THEIR PLACE OF ENTRY TO ACTIVE DUTY (PLEAD) RATE MAY APPLY FOR RETENTION OF THE PREVIOUSLY APPROVED LOCATION RATE REGARDLESS OF THEIR DEPENDENT STATUS. THIS WAIVER ALLOWS THE MARINE TO CONTINUE TO RECEIVE BAH BASED UPON THE LOCATION OF THE PLEAD, PROVIDED THAT THEY MAINTAIN THE FINANCIAL COMMITMENT THAT ORIGINALLY QUALIFIED THEM TO RECEIVE BAH. MARINE CORPS ACTIVITIES WITH QUESTIONS REGARDING THE BAH WAIVER FOR HOSPITALIZED MOBILIZED RESERVE MARINES SHOULD CONTACT CMC (MMIA) AT DSN 278-9211 COMM (703) 784-9211. B(5) COMMANDS ARE REMINDED OF THE PROVISIONS OF PARAGRAPH U7252 OF REFERENCE (C) WHICH STATES THAT MEMBERS WHO ARE ORDERED TO TRAVEL FOR A TEMPORARY PERIOD FOR NECESSARY MEDICAL CARE ARE ENTITLED TO TAD TRAVEL ALLOWANCES PER THE TAD REGULATIONS AND PROVISIONS. COMMANDS ARE FURTHER REMINDED OF PARAGRAPH 5.G(2) OF REFERENCE (B) WHICH STATES THE PARENT COMMAND IS RESPONSIBLE FOR THE FUNDING OF ALL TAD ORDERS TO FOLLOW-ON TREATMENT OR APPOINTMENTS. FOR MARINES WOUNDED, INJURED OR INCURRING AN ILLNESS IN THE DESIGNATED GLOBAL WAR ON TERRORISM (GWOT) COMBAT AREAS, COMMANDS SHOULD SEEK REIMBURSEMENT FOR TAD COSTS THROUGH FUNDING DESIGNATED TO SUPPORT GWOT OPERATIONS. FOR MARINES INJURED OR INCURRING AN ILLNESS NOT RELATED TO THE GWOT COMMANDS ARE RESPONSIBLE TO FUND THIS TAD PER REFERENCE (B). COMMANDS ARE REMINDED THAT TAD ORDERS SHOULD MAXIMIZE USE OF GOVERNMENT MESSING AND BILLETING AND DIRECT THEIR USE WHENEVER THEY ARE AVAILABLE. PARENT COMMANDS MAY ALSO PROVIDE TRANSPORTATION FOR THEIR MARINE'S TAD AT THE TREATMENT FACILITY. IF THE PARENT COMMAND CANNOT PROVIDE TRANSPORTATION FOR THE MARINE, THEN APPROPRIATE ARRANGEMENTS MUST BE MADE FOR THE MARINE'S TRANSPORTATION AT NO EXPENSE TO THE MARINE. UNDER NO CIRCUMSTANCE WILL A MARINE BE SENT TO A TREATMENT FACILITY OUTSIDE OF THE IMMEDIATE VICINITY OF HIS/HER PARENT COMMAND FOR REQUIRED TREATMENT (AS DETERMINED BY A COMPETENT MEDICAL AUTHORITY) WITHOUT TAD ORDERS. B(6) INDIVIDUAL CIRCUMSTANCES MAY WARRANT A CONTINUANCE OF TAD (E.G., A MARINE WILL REMAIN HOSPITALIZED FOR MORE THAN 30 DAYS BUT LESS THAN 60 DAYS). IF COMMANDS LISTED IN ENCLOSURE 1 OF REF (B) DETERMINE THAT INDIVIDUAL CIRCUMSTANCES DO NOT WARRANT TR BY SR, THEY SHOULD SUBMIT A REQUEST FOR A CONTINUANCE OF TAD ALLOWANCES ON A CASE BY CASE BASIS TO CMC (MMIA) VIA DMS MESSAGE. THE MESSAGE SHOULD CLEARLY STATE THE REASON TAD IS REQUESTED AND THE CONCURRENCE OR NON-CONCURRENCE OF THE MARINE'S ORIGINAL PARENT COMMAND. TAD AUTHORIZATION WILL NOT BE GRANTED SOLELY FOR THE CONVENIENCE OF THE MARINE OR COMMAND. 4. ADMINISTRATION AND LOGISTICS: COMMANDS LISTED IN ENCLOSURE (1) OF REFERENCE (B) AND ANY MARINE LIAISON OFFICE WITH COGNIZANCE OVER MARINES RECEIVING MEDICAL TREATMENT WILL CONDUCT AN AUDIT OF ALL HOSPITALIZED MARINES IN THEIR PURVIEW. THIS AUDIT WILL BE COMPLETED NO LATER THAN 30 DAYS FROM THE DATE OF RELEASE OF THIS MARADMIN. THE FOLLOWING ACTIONS ARE REQUIRED AS PART OF THIS AUDIT: (1) MARINES WHO WERE TRANSFERRED BY SERVICE RECORD BACK TO THEIR PARENT COMMAND PER REFERENCE (A) WILL BE TRANSFERRED BACK TO THE APPROPRIATE COMMAND NEAREST THE TREATMENT FACILITY. SPECIAL CARE IS DIRECTED TO ENSURE AFFECTED MARINES UNDERSTAND THE EXACT DATE TAD ALLOWANCES WILL END. COMMANDS WITH COGNIZANCE OVER THE TREATMENT FACILITY (AS DESIGNATED IN ENCLOSURE 1 OF REFERENCE (B) ARE DIRECTED TO CARRY OUT THIS PROCESS. REQUESTS FOR TRANSFER BY SERVICE RECORD WILL BE SUBMITTED TO CMC (MMEA-86). (2) MARINES WHO WERE NOT AFFECTED BY REFERENCE (A) BUT WHO HAVE COMPLETED 30 DAYS OF MEDICAL TREATMENT OR ARE REASONABLY EXPECTED TO REQUIRE TREATMENT IN EXCESS OF 30 DAYS WILL HAVE A REQUEST FOR TRANSFER BY SERVICE RECORD SUBMITTED TO CMC (MMEA-86) PER REFERENCE (B). (3) UPON COMPLETION OF THIS AUDIT, COMMANDS LISTED IN ENCLOSURE 1 TO REFERENCE (B) WILL NOTIFY CMC (MMIA) BY DMS MESSAGE OF COMPLETION AND ANY OUTSTANDING ISSUES BY PATIENT NAME. 5. COMMAND AND SIGNAL A. COMMAND. THIS MARADMIN IS APPLICABLE TO THE MARINE CORPS TOTAL FORCE. B. SIGNAL. ENSURE WIDEST DISSEMINATION OF THE CONTENTS OF THIS MSG.