19 Questions
Who makes the determination concerning an administrative LOD?
Medical officer
An administrative LOD may be made under what conditions?
Injuries, or death of members leaving surviving family members, incurred while a passenger in a common commercial car military aircraft. Diseases, injuries, or death of members leaving surviving family membersif (a) the disease or death is of natural origin that does not involve misconduct, drug or alcohol abuse, (b) or the injury is a simple injury (sprain, contusion, or minor fracture) not likely to result in a permanent disability, and (c) the disease, injury, or death did not happen while the member was absent without authority and was clearly not caused by the member’s own misconduct or (d) disease or injury existed prior to service
What type of determination is normally made by the member’s unit commander?
Informal LOD
When is a formal LOD determination required?
When neither an administrative nor an informal determination can be made
What form is used to record a formal determination?
DD Form 261
An interim LOD applies to what category of individuals?
Reserve members
When can an interim LOD be issued?
The appointing authority, at the request of the member’s commander may issue an interim LOD determination if an LOD determination cannot be finalized within seven days of notification and it is possible that the member may be entitled to incapacitation benefits.
How long is an interim LOD valid?
The interim LOD is valid for no more than ninety days
Who is responsible for completing the front side of the AF Form348?
Medical officer
Who is responsible for the reverse side of the AF Form 348?
The patient’s immediate commander
Who is responsible for identifying cases which require LOD misconduct determinations?
Medical treatment facility
What organization is responsible for establishing suspenses and ensuring the responsible officials complete actions associated with informal LOD and misconduct determinations?
Military Personnel Flight
If the SJA determines an administrative LOD is more appropriate, where will the AF Form 348 be sent?
The SJA returns the AF Form 348 with recommendations, through MPF/MSPPA, to the LOD-MFP, for further action.
Where is the AF Form 348 sent if the SJA does not agree with the unit commander’s findings on an “LOD” determination?
If the SJA does not concur, he or she sends the AF Form 348 to the appointing authority for action.
Establishing some form of RM allows each MTF to better position itself for successful operations under what program?
The TRICARE and MCSC.
The financial incentive for the MTF is to retain what type of care within the MTF as capability and capacity will allow?
Each MTF will need to carefully analyze their enrollment capacity, and primary and specialty care capabilities to perform well under T-Nex and its “at risk” financing rules of engagement. The more these functions stay in-house, the better off financially the MTF will be.
What key strategy is used to maximize the MTF’s specialty care capability while simultaneously recapturing specialty care being done in the private sector, for care which could be done in the MTF or Direct Care system?
Recapturing patient care from the private sector
What is a “One-Stop Shop” where patients go to process specialty referrals requested by their PCM?
The RMC
Legible specialty care results from the MTF and other direct care specialists are to be provided to the PCM or requesting provider within how many hours of the specialty care encounter?
72 hours
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