assignment limitation code y

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• PEB and Disability Evaluation System Overview
• Physical Evaluation Board System Overview

MEB/PEB Fact Sheet

• Thread starter cajual
• Start date May 13, 2015
• May 13, 2015

From the 4E flashcards: https://quizlet.com/18958336/medical-evaluation-board-meb-flash-cards/ Purpose of MEB To determine whether or not a member's medical condition warrants consideration for continued military service (including mobility potential)  MEB Three meanings -The PROCESS by which members who have certain medical conditions are evaluated for continued fitness for duty. -The actual PACKAGE containing data to be sent to HQ AFPC/DPAMM (Randolph AFB, TX) for adjudication. if a member request or is requested to perform a Physical Evaluation Board (PEB), the member will physically report to Lackland AFB for MEB. Once MEB/PEB is finished, HQ AFPC/DPAMM will make a determination of the member's medical status. -The three-physician ENTITY which meets at the base clinic/hospital to make the first-level recommendation about member's fitness. -Three physician element is composed of the SGP, SGH, and another physician. -when mental competency is an issue, one member must be a psychiatrist  References -AFI 41-210 Tricare Operations and Patient Administration Functions -AFI 10-203, Duty Limiting Conditions -AFI 48-123, Medical Examination and Standards  AFI 41-210 Tricare Operations and Patient Administration Functions -provides requirements and outlines activities, policies, and procedures for patient administration. -This AFI outlines specific MEB administration procedures.  AFI 10-203, Duty Limiting Conditions describes the disposition and management of members who have duty limitations and reporting requirements.  AFI 48-123, Medical Examinations and Standards Establishes procedures, requirements, recording and medical standards for medical examinations given by the Air Force.  Physical Evaluation Board Liaison Officer (PEBLO) Responsibilities -Appointed by the MTF. -responsible for counseling members about the MEB/PEB process upon their entrance into the disability system. -identify members with situations that may require expediting, such as separation, retirement, PCS, administrative problems, and notify a member's CC about the MEB. -Ensuring the commander does not allow member to go on leave/TDY during processing. -responsible for keeping MEB process on track and on time. -ensures quality of the MEB package. -maintain communication between the member, MTF, MPF, and AFPC is key success of the MEB program -will counsel member when decision is returned. -within five workdays after the reviewing authority signs, the PEBLO forwards the complete MEB package (original and three copies) to HQ AFPC.  When to initiate a MEB -A trigger event is a condition or occurrence which may indicate a service member has a medical and/or mental health condition that is inconsistent with retention standards or deployability. -Provider identification of duty limiting condition or deployment limitation -Chpt. 5 of AFI 48-123 specifies conditions that require evaluation for continued military service. -DAWG Survellance Tracking of AAC 31-after 12 months of cumulative AAC 31 status for the same related issue(s), the full case must be referred for MEB. -Commander requests evaluation due to poor duty performance or deployment concerns stemming from a potential medical or mental health condition -DPAMM directs. DPAMM may identify conditions via an annual or modified RILO and direct the MTF to submit an initial RILO package -PCS, TDY or Deployment cancellation or curtailment for medical health reason.  Types of MEBs -Full MEB -Initial RILO -Modified RILO  Full MEB Any condition which is unfitting for continued military service IAW 48-123, if the condition is not likely to be resolve in the opinion of the senior profile officer within 12 months from diagnosis.  Initial RILO Package submitted to DPAMM after one of the five trigger events has been identified. -it will include a NARSUM, pertinent associated consults, "Full" commander's letter, AF 469 (updated/reviewed within last 30 days) and the DAWG checklist/coversheet.  Modified RILO Doesn't require CC letter (unless DPAMM directs). It is used for separation, retirement, and pending PCS/deployment.  MEB Outcomes -Assignment Limitation Code (ALC/ALC-C1-C3) -Return to Duty -Temporary Disability Retirement List (TDRL)  Assignment Limitation Code -Can only be awarded by AFPC. -Restricts assignment and deployability to CONUS, Alaska (Elmendorf), and Hawaii, and will prevent reassignment elsewhere without prior approval by designated approval authorities.  Factors that will determine a ALC-C -does member meet Deployment Criteria?(AFI 48-123 Ch. 13) -How often specialty follow-up is needed -Risk for sudden incapacitation -Hospitalizations/flare-ups of disease -Medications required -Disease control -Prosthesis or Implantable Device  Stratification Levels Awarded by AFPC/DPAMM: ALC-C1 ALC-C2 ALC-C3  ALC-C1 Deployable/Assignable to Global DoD fixed installations with intrinsic Medical Treatment Facilities (MTF)  ALC-C2 Deployable/Assignable to CONUS installations with intrinsic fixed MTFs; allows for a member to deploy only with approval of the gaining COCOM/SG or MAJCOM/SG. -PEBLO is responsible for contacting the COCOM/SG or MAJCOM/SG for an ALC-C2 Patient who is pending deployment.  ALC-C3 Non-Deployable/Assignment limited to specific installations based on medical need and available of care.  Return to Duty The MEB may decide to return the member to duty if they would like to see the condition progress and re-evaluate at a later time, or if the member is able to perform their duties without any mission impact.  Temporary Disability Retirement List (TDRL) HQ AFPC/DPAMM can temporarily "retire" a member. -reexamination of all members on the TDRL every 18 months to determine if there has been a change in the disability that resulted in their placement on the TDRL. -Approximately 60 days prior to the reporting date, HQ AFPC/DPPD will send the previous TDRL medical records and special instructions to the examining facility and request a TDRL medical examination appointment. -if MTF CANNOT conduct the TDRL medical examination, they must return the member's records to HQ AFPC within 15 days.  Annual Review in Lieu of (RILO) MEB basically a narrative summary and is not usually not very long. -have enough data (present illness, brief past history to act as a stand-alone document, but it must describe the member's current, medications, lab/PFTs (planned treatments, prognosis. (if applicable) -typically used for an annual C-Code review are often requested by AFPC/DPAMM. -Members with C-Codes require review every 1-3 years (or more frequently) depending on condition to ensure: --they're still fit for duty (hasn't worsened) --Their C-Codes are still necessary --Their C-code stratification (1-2-3) hasn't changed -When common conditions are discovered within 60 days of retirement, separation, PCS, or deployment.