R 101413Z MAY 17
MARADMIN 229/17
MSGID/GENADMIN/CMC WASHINGTON DC MRA MM//
SUBJ/CLARIFICATION OF REQUIREMENTS FOR MEDICAL EXTENSION BEYOND A CONTRACTUAL SEPARATION DATE//
REF A/DOC/MCO 1900.16 w/ch 1/7AUG2015//
REF B/MCO 1040.31 /8SEP2010//
REF C/MCO 1040R.35 /2MAY2011//
REF D/ NAVMED P-117//
REF E/ TITLE 10 U.S.C. sect 507//
NARR/REF A IS MCO 1900.16 MARINE CORPS SEPARATION MANUAL (MARCORSEPMAN). REF B IS MCO 1040.31 ENLISTED RETENTION AND CAREER DEVELOPMENT PROGRAM. REF C IS MCO 1040R.35 RESERVE CAREER RETENTION AND DEVELOPMENT MANUAL. REF D IS NAVMED P-117 MANUAL OF THE MEDICAL DEPARTMENT (MANMED). REF E IS TITLE 10 UNITED STATES CODEARMED FORCES SECTION 507//
POC/MR. LUCAS X. ROMAN/CMC MMSR-4//TEL: COMM 703-784-9308//
POC/MGYSGT DONALD G. BIRD/CMC MMEA-1//TEL: COMM 703-432-9125//
POC/MR. MARK T. BROKAW/WWR/RMED//TEL COMM: 703-432-1868//
GENTEXT/REMARKS/1. This MARADMIN outlines the requirements for retention beyond an established contractual separation date for a medical extension for active duty and reserve Marines per reference (a), paragraph 8105.3. The purpose of this MARADMIN is to standardize the procedures across the Marine Corps Total Force, introduce use of the NAVMC 321M form, enhance Commanding Officer oversight of the retention of Marines beyond EAS for medical reasons, and improve readiness reporting. Contract extensions for consenting Marines are voluntary vice involuntary extensions and must be processed per the procedures in this MARADMIN. Involuntary Convenience of the Government, Medical extension procedures should only be used in cases of mental incompetence, physical incapacity, a serious contagious disease or if the Marine poses a hazard to self or others.
2.  The following changes to references (a), (b) and (c) are effective immediately.
2.a.  Reference (a) paragraph 8105.3 is modified as follows: On lines 3 and 6 delete the words, "in a CofG medical status." At the end of the paragraph add the sentence, "Involuntary Convenience of the Government, Medical extension procedures should only be used in cases of mental incompetence, physical incapacity, a serious contagious disease or if the Marine poses a hazard to self or others."
2.b.  Reference (b), Chapter 5, paragraph 3 is modified as follows: Delete the three occasions of the word "involuntary" in this paragraph.
2.c.  Reference (b), Chapter 5, paragraph 3.a.1. is modified as follows:  Delete the second, third and fourth sentences and insert the following two sentences before the last sentence in the paragraph. "Retention beyond EAS by consenting Marines for medical care or medical evaluation are voluntary extensions vice involuntary, must be documented via the NAVMC 321M form and processed per established extension of contract procedures. Involuntary Convenience of the Government, Medical extension procedures should only be used in cases of mental incompetence, physical incapacity, a serious contagious disease or if the Marine poses a hazard to self or others."
2.d.  Reference (c), Chapter 5, section 3, paragraph 4 is deleted. New policy governing Reserve Component (RC) Marines undergoing medical treatment is now covered in this MARADMIN.
3.  Procedures. All cases requiring voluntary retention past contractual obligation (i.e. EAS/ECC/RECC) will be processed as outlined below depending on the Marines component code. Per reference (a), paragraph 8105.3, Commanding Officers of Active Component (AC) Marines who do not have a previously approved or mandatory separation or retirement date are authorized to approve an extension for short term medical evaluation or treatment, a first period of temporary limited duty (TLD) or upon referral into to the Disability Evaluation System (DES). Modification of an approved or mandatory separation or retirement date requires CMC MMSR-4 approval.
3.a.  Marines found not medically qualified for separation at the end of their contractual obligation and desiring to remain on active duty, must extend their contract to remain on active duty while pursuing medical evaluation, TLD or referral into the DES and/or subsequent Physical Evaluation Board (PEB) determinations. In such cases when a Marine consents to remain on active duty, a medical extension, NAVMC 321M form, is required. The command must prepare and submit the documents listed below to: (1) their administrative section/unit for first extension, or (2) CMC MMSR-4 for AC and Active Reserve (AR) Marines on second or subsequent extensions, or (3) Wounded Warrior Regiment (WWR) Reserve Medical Entitlements Determination (RMED) section for all medical extensions for reservists on active duty.
3.b.  The NAVMC 321M form shall be signed by the Marine and Commanding Officer. In keeping with references (a), (b) and (c), Commanding Officers are commissioned or warrant officers who, by virtue of rank and assignment, exercise primary command authority over a military organization or prescribed territorial area under pertinent official directives, who are empowered to convene a special court martial, and who have been authorized by the Secretary of the Navy to process a case for final action and who otherwise have the qualifications to act as a separation authority. The NAVMC 321M form is prepared by the Limited Duty Coordinator or unit administrative office, and shall include a statement from the Commanding Officer pertaining to the medical status of the Marine (medical evaluation or treatment, temporary limited duty or pending DES referral), purpose of the extension, and recommendation for final action in cases required to be forwarded to CMC MMSR-4 or WWR RMED. The length of the extension will
be determined by the Marines medical status.
3.c.  For TLD cases, include an Abbreviated Medical Evaluation Board Report, NAVMED form 6100/5, with the NAVMC 321M form, clearly indicating medical conditions with International Classification of Disease (ICD) codes, limitations and prognosis for recovery. The length of the extension should cover the end or expiration of the TLD period, not to exceed 6 months.
3.d.  For DES cases, include the DES referral form with the NAVMC 321M form. For Marines extending due to pending referral to the DES or pending PEB determination, the length of the extension should not exceed 12 months.
4.  Submission. Extensions shall be submitted for processing as soon as it is determined that an extension is needed to cover a period of medical evaluation, TLD or referral into the DES that will exceed the Marines contractual obligation. Commanding Officers and Limited Duty Coordinators must ensure the Marine’s MCTFS record accurately reflects their limited duty status, extensions, etc. It is the Commanding Officer’s responsibility to submit the approved NAVMC 321M form to the Marines administrative office for MCTFS reporting and submission to their OMPF. Further retention of a Marine beyond the first medical extension for TLD requires CMC MMSR-4 or WWR RMED receipt and approval of the documents outlined in paragraph 3 of this MARADMIN and a non-medical assessment (NMA) per reference (a), figure 8-6.  RC Marines, except AR, shall not be approved for medical extension at the local command level; such extensions shall be submitted per paragraph 4.b. of this MARADMIN.
4.a.  For AC and AR Marines on a second or greater period of TLD after expiration of their contractual obligation, submit the documents outlined above to CMC MMSR-4 for review and approval. CMC MMSR-4 will make a determination and report the approved extension in MCTFS using TTC 116 000 (EXTENSION) or notify the command of disapproval and following actions via separate correspondence.
4.b.  For RC Marines on active duty for more than 30 days requesting to remain on orders or contract past their contractual obligation due to medical issues, submit the documentation per paragraph 3 of this MARADMIN with an NMA to WWR RMED via the Marine Corps Medical Entitlements Data System (MCMEDS) for review and approval.  WWR RMED will make a determination and direct the Marine’s command to execute an extension of applicable orders via MROWS and/or report the approved extension of reserve contract (if applicable) and active duty orders in MCTFS, or notify the command via MCMEDS of disapproval and following actions.
4.c.  For RC Marines not on active duty, or on active duty for less than 30 days, requesting to remain past their contractual obligation due to being potentially eligible for, or in receipt of Line of Duty (LOD) benefits, submit a completed NAVMC 321M form and NMA to WWR RMED for review and approval. WWR RMED will make a determination, process an extension of LOD benefits as applicable, and report the approved extension of reserve contract in MCTFS, or notify the command via MCMEDS of disapproval and following actions.
5.  Effective immediately, reporting units will no longer report TTC 081 000 (EAS COFG MEDICAL) or TTC 081 001 (RESERVE ECC COFG MEDICAL) for Marines who voluntarily consent to be retained past their contractual obligation due to medical reasons. These Marines must execute a contract extension to seek medical evaluation or treatment per paragraph 3 of this MARADMIN. Extensions must be properly reported in MCTFS and filed in the Marines OMPF.
6.  Physicians and Commanding Officers must use discretion in medical retention beyond contractual obligation as Marines are not necessarily required to be fit for full duty beyond that date. A Marine’s health and wellbeing, determination of deferrable or elective medical treatment, prognosis for recovery, possible processing for disability through the DES, and medical treatment
available after separation through the Department of Veterans Affairs are factors for consideration. See reference (d), article 18-25.
7.  The NAVMC 321M form is available at: https:(slash)(slash)navalforms.documentservices.dla.mil(slash)formsDir(slash)_NAVMC_321M_15675.pdf
8.  The changes specified in this MARADMIN will be incorporated in the next change to references (a), (b) and (c).
9.  This MARADMIN is applicable to the Marine Corps Total Force.
10.  Release authorized by MajGen Michael A. Rocco, Director, Manpower Management Division.//