R 040416Z FEB 09
UNCLASSIFIED//
MARADMIN 0068/08
MSGID/GENADMIN/CMC WASHINGTON DC/MR//
SUBJ/MCBUL 1754 GUIDELINES FOR DELIVERING RESPITE CARE FOR MARINE FAMILIES ENROLLED IN THE EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) WHO REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND WHO ARE IMPACTED BY THE GLOBAL WAR ON TERROR (GWOT)//
REF/A/MSGID:DOC/DON WASHINGTON DC/MR/YMD: 20071116//
REF/B/MSGID:DOC/CMC WASHINGTON DC/ MR/YMD:19970410//
REF/C/MSGID:DOC/CMC WASHINGTON DC/MR/YMD:20040624//
AMPN/ REF A IS  SECNAV M-5210.1 DEPARTMENT OF THE NAVY RECORDS MANAGEMENT PROGRAM, RECORDS MANAGEMENT MANUAL, REF B IS MCO P1754.4A, EXCEPTIONAL  FAMILY MEMBER PROGRAM AND REF C IS MCO P1710.30E, MARINE CORPS CHILDREN, YOUTH, AND TEEN PROGRAMS//
POC/J.M. KRAUSE/MAJOR/-/TEL:DSN 278-0298/ EMAIL:  JOHN.KRAUSE@USMC.MIL//
GENTEXT/REMARKS/1. PURPOSE. TO PROVIDE GUIDELINES FOR DELIVERING RESPITE CARE FOR MARINE FAMILIES ENROLLED IN EFMP WHO ARE IMPACTED BY GLOBAL WAR ON TERROR (GWOT).
2.  BACKGROUND.  EFMP RESPITE CARE IS A PROGRAM THAT PROVIDES TEMPORARY REST PERIODS FOR FAMILY MEMBERS WITH DISABLILITIES OR WHO ARE RESPONSIBLE FOR REGULAR CARE OF PERSONS WITH DISABILITIES.
3.  INFORMATION.
A.  INSTALLATION EFMP MANAGERS ARE DIRECTED TO CONTINUE TO PROVIDE QUALIFIED DOD SPONSORS WORKING OR LIVING ABOARD MARINE CORPS INSTALLATIONS 40 HOURS OF RESPITE CARE PER MONTH FOR EFMP ENROLLED FAMILY MEMBERS WITH DISABILITIES OR WHO ARE RESPONSIBLE FOR REGULAR CARE OF PERSONS WITH SPECIAL NEEDS. CARE DELIVERY OPTIONS MAY INCLUDE, BUT ARE NOT LIMITED TO, INSTALLATION CHILD DEVELOPMENT PROGRAMS, SPECIAL NEEDS CHILDCARE CENTERS, AND/OR VISITING NURSE SERVICES.  THE INSTALLATION EFMP MANAGERS WILL DETERMINE THE APPROPRIATE REIMBURSEMENT RATE PER HOUR BASED ON THE FOLLOWING CRITERIA:
(1) LEVEL ONE INCLUDES EFMP CHILDREN, TWELVE YEARS OLD OR YOUNGER, WITH MILD SPECIAL NEEDS.  THE RATE OF CARE MAY NOT EXCEED THE INSTALLATION'S CDC RATE.
(2)  LEVEL TWO INCLUDES EFMP CHILDREN, TWELVE YEARS OLD OR YOUNGER, WITH MILD SPECIAL NEEDS WHO COULD QUALIFY FOR A HIGHER LEVEL OF RESPITE CARE THROUGH THE SPECIAL NEEDS EVALUATION AND REVIEW TEAM (SNERT) PROCESS.  THE RATE OF CARE MAY NOT EXCEED TWICE THE AMOUNT OF THE INSTALLATION'S CDC RATE.
(3)  LEVEL THREE INCLUDES EFMP FAMILY MEMBERS WITH MODERATE SPECIAL NEEDS WHO REQUIRE TRAINED SUPPORT FROM PROVIDERS TO STAY SAFE IN THEIR HOME.  THE RATE OF CARE MAY NOT EXCEED THREE TIMES THE RATE OF THE INSTALLATION'S CDC.
(4)  LEVEL FOUR INCLUDES EFMP FAMILY MEMBERS WITH SEVERE SPECIAL NEEDS WHO REQUIRE NURSING CARE SERVICES TO STAY SAFE IN THEIR HOME.  THE RATE OF CARE MAY BE AT LEAST FOUR TIMES BUT SHALL NOT EXCEED NINE TIMES THE RATE OF THE INSTALLATION'S CDC. UNDER NO CIRCUMSTANCE WILL THE RATE OF CARE EXCEED $45 PER HOUR.
(5)  RESPITE CARE IS PROVIDED IN CONJUCTION WITH SIBLINGS OF CHILDREN ELIGIBLE FOR EFMP AND CHILDREN OF ADULTS WITH DISABILITIES WHO ARE TWELVE YEARS OLD OR YOUNGER.  THE RATE OF CARE MAY NOT EXCEED THE INSTALLATION'S CDC RATE.
B.  IAW REFERENCE (A), DISPOSITION OF RECORDS CONCERNING THE ENROLLMENT AND MANAGEMENT OF THE EFMP IS NOT AUTHORIZED; INSTALLATIONS SHALL MAINTAIN THESE RECORDS UNTIL NOTIFIED.
C. PER REFERENCE (B), INSTALLATIONS SHALL ESTABLISH PROGRAM PROCEDURES INCLUDING A POLICY FOR REIMBURSEMENT TO SPONSORS FOR QUALIFYING CARE.  PAYMENT AMOUNTS SHALL BE DETERMINED LOCALLY AND SHALL BE BASED ON LEVEL OF SPECIALIZED CARE REQUIRED AND LOCAL AREA RATES.  INSTALLATIONS SHALL MAINTAIN THESE RECORDS PER REFERENCE (A) SSIC 1700.1.
D. APPROPRIATED FUNDS (INCLUDING BUT NOT LIMITED TO GWOT FUNDS) ARE AUTHORIZED FOR ALL EFMP RESPITE CARE.  CHILD CARE FOR PERSONS AGE 12 AND UNDER AS AUTHORIZED BY REFERENCE (C), MAY BE FUNDED THROUGH THE UNIFORM FUNDING AND MANAGEMENT (UFM) PRACTICE.  ALTHOUGH USE OF APPROPRIATED FUNDS IS AUTHORIZED FOR RESPITE CARE FOR PERSONS OVER 12 YEARS OF AGE, THE UFM PRACTICE MAY NOT BE USED UNTIL SUCH TIME AS THE MARINE CORPS FULLY EXECUTES THE RECENT POLICY DECISION OF OSD TO DEFINE THE EFMP AS A CATEGORY A MWR PROGRAM. INSTALLATIONS SHALL MAINTAIN RECORDS PER REFERENCE (A) SSIC 7300.1 4.  THIS BULLETIN IS APPLICABLE TO RESERVE MARINES ONLY WHEN ON ACTIVE DUTY FOR 31 DAYS OR MORE.
5.  CANCELLATION CONTINGENCY.  CANCELLATION FOR RECORD PURPOSES WHEN INCORPORATED INTO REFERENCE (B) OR JANUARY 2010, WHICHEVER COMES FIRST.
6.  RELEASE AUTHORIZED BY LTGEN R. S. COLEMAN, DEPUTY COMMANDANT FOR MANPOWER AND RESERVE AFFAIRS.//