Employees or eligible family members with a Class 5 medical clearance may not be [] Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. The point of contact in MED is the Chief of Domestic Programs (MEDDP@state.gov), who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. 2 years after an issuance of a medical clearance to all individuals who perform TDY travel of 30 or more consecutive days to an ESCAPE post. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request, consistent with the Health Insurance Portability and Accountability Act (HIPAA) and implementing regulations at 45 C.F.R. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. Medical exams are done at the State Department during the orientation period. The medical clearance process is designed to identify on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. The healthcare provider must also review all current medications, dosages, and frequency of use. In evaluating suitability, the Suitability Review Panel takes into consideration the following factors: More information about clearances can be found at https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/. The Six-Year Rule. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. Individuals with Post Specific (Class 2) medical clearances must be approved for their post of assignment. Many Foreign Service posts are located in remote areas with extremely limited medical support. The process for completing a Post Specific (Class 2) medical clearance varies based on the employees employment status and where you are going. People who have no significant health concerns can be posted anywhere in the world and are given a Worldwide Available (Class 1) clearance. If you are retiring and plan to work as a REA/WAE, please check the form under both separation and pre-assignment with REA/WAE handwritten next to pre-assignment. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. If a person is not Worldwide Available, MED Clearances will issue a Post Specific (Class 2) with a list of approved countries or a Domestic Only (Class 5) medical clearance for those whose care is best only with a domestic assignment. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Waivers of these DOD requirements may be granted in select cases. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. The Eight-Year Rule is set forth in the Foreign Service Act at 504, 22U.S.C.3984, which states, A member of the Service may not be assigned to duty within the United States for any period of continuous service exceeding eight years unless the Secretary approves an extension of such period for that member because of special circumstances.. Include the Medical Records coversheet. State Department employees should start with a bid list of no more than 15 countries in alphabetical order. An MCU can be submitted to your health unit (preferred) or directly submitted to. A description of the Peace Officer Selection Requirements Regulations can be found here. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. MED or Employee Consultation Services (ECS) statement of support or non-support, as appropriate, should be included in all waivers based on limited medical clearances or on compassionate grounds. Tips for Submitting Your Medical Clearance Application. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. For example, if an individual needs an English speaking speech therapist, there are many posts he or she can go to, but many others that would not have that resource. The examiner/provider should complete the physical exam and lab portion of the exam. Medical clearance determination by Medical Services is based on its thorough review of each fellows medical history and a physical examination, including an individual assessment of his/her specific medical needs and the medical capabilities of Foreign Service posts to meet those needs. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries. Review the list of posts submitted by the CDO or agency HR. Consult the Medical Capabilities database and alternatively consult with post directly. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. Pertinent sections of the Department of State Human Resources SOP A-04 state: The Foreign Service Act of 1980, as amended, 22 U.S.C.3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas and limits the number of years Foreign Service employees can spend in continuous domestic assignments. is entered. Provide a current phone number and valid mailing address that can be used even if you are between posts on home leave or personal travel. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. If you are an institutional contractor, write the name of the specific contracting company or NGO. Allergies must also be reviewed. After doing the grad school thing, I think I'm ready to take the plunge. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. Fellows should be aware that these posts are neither few in number nor confined to a specific geographic region. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. The examinee, parent or guardian must sign and date page 2 of the DS-1843. The healthcare provider should review all yes answers on page 2 and provide relevant comments. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider Contacting your assignments officer in Human Resources for your agency. Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards and undergo further medical vetting than addressed in this document. Applications are . Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Medical Clearance Questions. standards. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. All individuals going to these posts must meet strict medical standards. Or fax to 202-647-0292 (less preferred) Travel orders are not required to start the process. Weve compiled a list ofFrequently Asked Questions. Candidate, Class of 2018 Joginder Singh Medical Before beginning the physical examination, candidates must provide proof of medical clearance to participate in the physical exam. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. However, for some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Our Mission. Trafficking in or abuse of narcotics or controlled substances. Posted by 5 years ago. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. This is accessible to Department of State Employees only. Medical Clearance Process for ESCAPE Posts. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. The medical clearance process is designed to identify on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. Early summer through the fall bidding cycle is the busy season for MED Clearances. For information on how to schedule an appointment with the Exam Clinic, contact. All direct hire employees, Locally Employed Staff, contractors, and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a more comprehensive medical clearance than other posts. f. The candidate must submit Form DS-3057, Medical Clearance Update, if there is any significant change in the candidate's medical condition at any time. Coordinator for the Arctic Region, Bureaus and Offices Reporting Directly to the Secretary, Office of the Coordinator for Cyber Issues, Office of the U.S. Unfortunately, about two years ago I was diagnosed with Crohn's disease. While not required for Iraq, these are advised for possible travel to other ESCAPE posts. Travel orders are not required to start the process. Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Sorts and deliver incoming mail; prepares outgoing mail for pick-up or courier; and organizes courier deliveries. It can be a very . There may be no health unit at the post and next to no local medical facilities. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. Plaza Level. Medical Clearance related medical expenses can be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Not all agencies human resources have this capability. The Department of State, therefore, requires the highest standards of conduct by employees of the Foreign Service, including an especially high degree of integrity, reliability, and prudence. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. Where a particular physical or mental health condition, extraordinary stress, or similar circumstances a represented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the A-4.4A-04 revised 01/2018 request. Noncommercial Class A and B Drivers . Parts 160 and 164. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. Medical Clearance prior . Submit internal consults or reach out to you for additional data, as needed. Misrepresentation, including deception or fraud, in the application process. The following information will help explain the process of completing a Separation Exam. All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts Health Unit and other Medical Program benefits including assistance with a medical evacuation or hospitalization. Additional countries can be submitted after the first have been reviewed. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. From one overseas assignment to another overseas assignment, From a domestic assignment to a new overseas assignment, On TDY overseas for more than 30 consecutive days, Language or extended CONUS training for the assigned post after language training, Linked assignment for both current and linked assignment, Complete an MCU for each member of the family.For adults or children with a. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. The point of contact in MED is the Director of Medical Clearances, who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. Clearly print the persons name on each page submitted to Medical Records. When to Start the Medical Clearance Process for an Individual with a Post Specific (Class 2) or Domestic Assignment Only (Class 5) Clearance. The healthcare provider must print or stamp their name, as well as sign and date page 4. In the spirit of that requirement prolonged continuous service domestically of greater than six years requires permission from Human Resources. Please check the signature area. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Do NOT include any personal medical information in this communication. Reason to Update a Medical Clearance While In-Service. For some individuals with on-going medical, mental health or educational issues adequate medical resources may not be available in all countries. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Welcome to the Medi-Cal Provider Home. Unsigned forms will not be accepted by Medical Records. For individuals with a Domestic Assignment Only (Class 5) clearance we recommend you notify MED Clearances when it appears your medical, mental health or educational has stabilized and improved to the point where health care or educational needs can reasonably be obtained abroad. For further questions or information, please contact MEDClearances@state.gov. They will only need to submit once during the two years their clearance is valid. d. Temporary Travel (Class 6): Issued only to an eligible family member who is not medically cleared to reside at the employees assigned post but is authorized to visit that post for a period of time not to exceed 120 days per calendar year. Tips for Your Separation Medical Examination. Be submitted to medical Records medically cleared for your next assignment the Office of Small and Disadvantaged Business,... Sure to attach copies of any new significant medical, mental health or educational issues adequate resources... 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