1. 1 of 36 EFMP 21 July 2008 EFMP Enrollment/Screening Process and Family Travel 21 Jul 2008 Ms. Jennifer Funk, IMCOM-Europe EFMP Assistant Jennifer Funk, EFMP, jennifer.funk1@eur.army.mil/DSN 314-319-6527jennifer.funk1@eur.army.mil/DSN Our mission is to provide the Army the installation capabilities and services to support expeditionary operations in a time of persistent conflict, and to provide a quality of life for Soldiers and Families commensurate with their service. We are the Army’s home 031400(R)JAN08

2. 2 of 36 EFMP 21 July 2008 Agenda EFMP Overview EFMP enrollment criteria EFMP screening & Family travel process Helping Soldiers and Families Transition Civilian employee process overview Discussion/Questions

3. 3 of 36 EFMP 21 July 2008 EFMP is mandated by DoD to ensure Service Members (SMs) are pinpoint assigned to communities where they are needed and where family members receive required medical and educational services (DoDI 1315.19) An exceptional family member (EFM) is a family member (child or adult) with any physical, emotional, developmental, or intellectual disorder that requires special treatment, therapy, education, training, or counseling (Enrollment criteria/DoDI 1315.19). EFMP Overview

4. 4 of 36 EFMP 21 July 2008 EFMP enrollment needs to be updated every 3 years or if there is a significant change in the EFM’s condition (possible need for update if PCSing back to CONUS from OCONUS). EFMP screening of Family Members (FMs) needed for ALL CONUS to OCONUS and OCONUS-OCONUS moves (AR 608-75, Nov 06). EFMP Overview

5. 5 of 36 EFMP 21 July 2008 EFMP Overview Bottom line: EFMP is a mandatory enrollment program for all active duty SMs who have family members (FMs) with special needs. EFMP works with other military and civilian agencies to provide comprehensive and coordinated community support, housing, educational, medical, recreational, and personnel services to families with special needs.

6. 6 of 36 EFMP 21 July 2008 Potentially life-threatening conditions and/or chronic medical/physical conditions requiring follow-up support more than once a year or specialty care. Current and chronic mental health condition (duration of 6 months or longer); inpatient or intensive outpatient mental health service within the last 5 years; intensive mental health services at the present time (greater than one visit monthly for more than 6 months). A Dx of Asthma or other respiratory-related diagnosis with chronic recurring wheezing which meet specific criteria (i.e., scheduled use of inhaled anti-inflammatory agents, history of ER visits w/in last year). AR 608-75, Nov 06 EFMP Enrollment Criteria Special Medical Needs FMs of active Soldiers and civilian employees appointed to an overseas position who meet one or more of these criteria:

7. 7 of 36 EFMP 21 July 2008 A Dx of ADD/ADHD that meets one or several criteria (i.e., a co- morbid psych. diagnosis, management by mental health provider or specialty consultant). FM requires adaptive equipment (i.e., hearing aids, apnea monitor, wheelchair, nebulizer). FM requires assistive technology devices or services (i.e., communication devices, TTY). FM requires environmental/architectural considerations (i.e, stairs, housing mods., AC). Health care providers are directed to refer for enrollment as soon as medical diagnosis is made. AR 608-75, Nov 06 EFMP Enrollment Criteria Special Medical Needs

8. 8 of 36 EFMP 21 July 2008 FMs of active duty Soldiers and civilian employees appointed to an overseas position shall be identified as FM with special ed. needs and eligible for Early Intervention Services (EIS) or special ed. or if they meet one of two criteria: 1) Has or requires an IFSP 2) Has or requires an IEP AR 608-75, Nov 06 EFMP Enrollment Criteria Special Educational Needs

9. 9 of 36 EFMP 21 July 2008 How do EFMs get enrolled? How do they get to an overseas location? A Look at the EFMP Screening & Family Travel Process

10. 10 of 36 EFMP 21 July 2008 FMs need to be enrolled in DEERS Soldier/spouse contacts nearest Army Medical Treatment Facility (MTF) and makes appointment for EFMP screening If no Army MTF w/in 60 miles or 1 hr drive, the MTF EFMP Case Coordinator will coordinate process through nearest DOD MTF or with Civ. Physician. Soldier/spouse completes Part A of DA 5888 (1- 7) and all of DA 7246 prior to appointment EFMP Screening/Family Travel Process

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13. 13 of 36 EFMP 21 July 2008 Military Personnel Division (MPD) staff authenticate the DA Form 5888 (8) Army MTF EFMP staff reviews the forms and medical records of all family members and completes/signs/stamps the DA Form 5888 IS ENROLLMENT WARRANTED? If yes, then provider completes DD Form 2792 EFMP Screening/Family Travel Process

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17. 17 of 36 EFMP 21 July 2008 Family member over the age of 18 must sign form (DD 2792-1 st page, 2nd page) –If minor, Soldier or spouse sign If educational requirements exist, DD 2792-1 is completed by school -during summer months when school personnel not available, Physician and parents complete the DD 2792-1 -IEP/IFSP attached to DD 2792-1 EFMP Screening/Family Travel Process

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20. 20 of 36 EFMP 21 July 2008 Army MTF EFMP staff will explain process to sponsor and reason for enrollment Commanders are to counsel soldiers that providing false information leading to inappropriate travel of family can result in disciplinary action (IAW AR 608-75) Army MTF EFMP staff forward demographic pages of DD Forms 2792 and 2792-1 to ACS EFMP Mgr (update EFMP database). EFMP Screening/Family Travel Process

21. 21 of 36 EFMP 21 July 2008 Army MTF EFMP staff forwards EFMP enrollment paperwork to appropriate Special Needs Advisor for review, coding and entry into PERNET (original kept, PERNET printout to medical record and copy given to soldier) If requesting Family travel, Soldier takes forms back to personnel office (completed DA 5888, DD 2792 and/or DD 2792-1, not the DA Form 7426) and soldier’s personnel office forwards forms to IMCOM-Region Military Personnel Branch (MPB) Family Travel office for processing and review by the gaining Regional Medical Command (RMC) (BEFORE orders are cut). EFMP Screening/Family Travel Process

22. 22 of 36 EFMP 21 July 2008 Process for the Family Travel Consideration Process The RMC EFMP Family Travel office informs IMCOM-Region MPD/Family travel office in writing of recommended sites for family travel based on medical needs. DoDDs OCONUS screening staff provide recommendations to help make pin-point assignments based on educational needs (cannot deny Family travel based on ed., only medical) IMCOM-Region MPB/Family travel makes FINAL travel decision.

23. 23 of 36 EFMP 21 July 2008 IMCOM-Region MPB/Family Travel office sends message to losing post Mission: To keep family together without straining deployability Cases are reviewed on an individual basis All family members needs are taken into consideration along with needs of Army-rank, specialty (MOS) Process for the Family Travel Consideration Process

24. 24 of 36 EFMP 21 July 2008 Family travel not recommended for severe cases or when medical specialty care is not available Sometimes assignment made to location where no services for EFM are available so message is “MEDC ” If denied, refer Soldier to local Army MTF EFMP staff for more info/clarification Process for the Family Travel Consideration Process

25. 25 of 36 EFMP 21 July 2008 Remember: The OCONUS RMC and DoDDS make recommendations, IMCOM-Region MPB/ Family Travel makes final assignment decisions If general medical care is not available, the Soldier may be required to serve an “all-others” tour. Requests for deletion, deferment, or CR must be processed under AR 614-100 or AR 614-200. Participation in the EFMP is not the basis for deletion, deferment or CR (AR 608-75). Enrollment has no bearing on promotions, school selection, or deployment availability Process for the Family Travel Consideration Process

26. 26 of 36 EFMP 21 July 2008 Ensures adequate care of family members with special needs Provides information for all Soldiers and FMs concerning services and resources Saves PCS dollars if process followed Lessens the # of early returns of dependents & CRs Avoids unnecessary family separations if possible Promotes retention of the Soldier; however, EFMP screening not required for re-enlistment (update may be needed). EFMP assigns the Soldier to an area where the EFM needs can be met provided there is a valid personnel requirement for the Soldier’s grade and specialty Benefits of EFMP in Family Travel process

27. 27 of 36 EFMP 21 July 2008 Paperwork needed What –Medical: DD 2792 –Educational: DD 2792-1 and IEP, IFSP, 504 –Family Member Deployment Screening sheet, DA Form 5888 (for all CONUS to OCONUS and OCONUS to OCONUS moves) Why –Medical condition warrants enrollment –Educational plan warrants enrollment Where –All paperwork sent to MEDDAC for enrollment; demographic page of DD 2792/2792-1 to ACS EFMP manager –If command sponsorship or Family travel through personnel office to IMCOM-Region MPD/family travel with DA 5888 and DA 4787 or 4187 When –Identification of new condition –Any time Family/Soldier moving CONUS to OCONUS or OCONUS to OCONUS (ITT, COT, IPCOT, FSTE, command sponsorship, unit move).

28. 28 of 36 EFMP 21 July 2008 Disenrollment Death – death certificate Condition no longer exists and no longer meets enrollment criteria after PCS move Divorce – children, spouse: copy of divorce decree; if joint custody – remain enrolled. If sole custody to ex- spouse, may disenroll. Refer to Army MTF EFMP staff

29. 29 of 36 EFMP 21 July 2008 EFMP Screening I’m moving or extending Are you moving back to the US or to another OCONUS duty station? Back to the US Do you have family members enrolled in EFMP? YES Make an appt. w/ your primary care physician to update EFMP paperwork. NO No EFMP screening required to move CONUS. Overseas Duty Station Make an appointment for EFMP Screening w/ EFMP Case Coordinator I need to update my enrollment/I need to disenroll a family member Make an appt. w/ your primary care physician to update EFMP paperwork. I have a new spouse. Make an appointment for EFMP Screening w/ EFMP Case Coordinator I have a new baby Do you already have command sponsored family members? YES Your new baby is automatically command sponsored and EFMP screening. Is to be done during WBC No Make an appointment for EFMP Screening w/ EFMP Case Coordinator Paperwork Needed For: EFMP Screening with Case Coordinator DA5888 EFMP Enrollment Update/Disenroll DD2792/DD 2792-1

30. 30 of 36 EFMP 21 July 2008 Stateside Screening Process if Soldier is already at OCONUS location OCONUS EFMP MTF/ACS POC coordinates with their RMC for stateside screening Soldier prepares DA Form 5888 (Part A) and Family Contact Sheet to be sent stateside Region Medical Command coordinates with stateside Army MTF EFMP staff Tracking numbers of stateside screenings (ERMC EFMP: over 1300 in 2.5 years)

31. 31 of 36 EFMP 21 July 2008 Service Member turns in a DA5888 ( Part A completed and signed by PSB) to OCONUS EFMP personnel OCONUS EFMP personnel forward DA5888 and family contact information to ERMC EFMP Manager ERMC EFMP Manager forwards DA5888 to appropriate CONUS EFMP personnel CONUS EFMP personnel contact family members to facilitate EFMP Screening Process and returned to CONUS EFMP Completed EFMP paperwork is forwarded from CONUS EFMP personnel to ERMC EFMP Manager ERMC EFMP Manager forwards EFMP paperwork back to originating OCONUS EFMP personnel OCONUS EFMP Personnel forward EFMP paperwork to Service Member Service Member gives all appropriate EFMP paperwork to Unit Personnel Section with a request for Command Sponsorship 1 2 3 4 5 6 7 8 step 1

32. 32 of 36 EFMP 21 July 2008 Losing Installation EFMP Mgr needs to forward assessed community support and housing needs to gaining Installation EFMP Mgr (IAW AR 608-75/ i.e., respite care, child care, housing, ed./med). Use of encrypted emails, IP/OP checklists, memos signed by Soldiers Remind Soldiers/spouses to hand carry IEP/IFSP, DA Form 5888, enrollment paperwork, medications Orders cannot be finalized until EFMP is cleared (levy briefings, office visits) Use of TRICARE Preferred Provider Network (PPN) in Europe Coordinate with local SLO Other suggestions? Helping Soldiers and Families Transition

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35. 35 of 36 EFMP 21 July 2008 Contact Information Jennifer Funk, IMCOM-Europe EFMP Assistant/Contractor DSN 314-379-6527, CIV 011-49-(0)6202-80-6527 jennifer.funk1@eur.army.mil

36. 36 of 36 EFMP 21 July 2008 INSTALLATION MANAGEMENT COMMAND “Sustain, Support and Defend”