Warriors in Transition UPDATE

[Jack]

Mike,

Does this change sound like guard soldiers will go through MRP2 other than MRP or ADME?

Even if you are off AD for 4 years but still currently a drilling guard member?

Chapter 2

Eligibility

2-5. Reserve Component - COMPO 2/3 Soldiers. (Frago 3 Annex A to EXORD 118-07)

A Reserve Component (RC) Soldier during mobilization, pre-deployment, post-deployment, or
separated from his/her unit, in need of definitive healthcare based on medical conditions
identified, incurred or aggravated while in an Active Duty (AD) status, in support of the Global
War on Terrorism (GWOT) is eligible for entrance into the WTU under the Medical Retention
Processing (MRP) and MRP2 programs (GWOT). Additionally, RC Soldiers who are in need of

healthcare based these conditions which are a result of a non-GWOT activity (i.e. ADT, ADSW,

BA, ECT etc.) may qualify for Active Duty Medical Extension (ADME) and will also be eligible for

entrance into the WTU.

But also Chapter 2 says:

2-8. Reserve Component Soldiers Eligible for Medical Retention Processing 2 Orders
(MRP2)

Reserve Component Soldiers mobilized in support of a contingency operation may apply
for MRP2 within six months from their date of REFRAD.

2-9. Reserve Component Soldiers not Eligible for MRP2 orders

But also Chapter 1 says:

1-12. The MRP2 Program (Medical Retention Processing2)

a.

Purpose / Intent of (what is) MRP2?

The MRP2 program is designed to voluntarily return
Soldiers back to temporary active duty, to evaluate or treat RC WT with unresolved mobilization
connected medical condition that either was not identified or did not reach optimal medical benefit
prior to their REFRAD.

b.

Applicability of (who is eligible for) MRP2?

This program applies to Warriors in
Transition (WT) previously REFRAD from active duty while mobilized under 10 USC 12302 partial
mobilization orders for operations in support of the GWOT. Soldiers previously on active duty
orders in support of GWOT under another authority will be handled on a case-by-case basis.
Soldiers on active duty orders not in support of GWOT might be eligible for Active Duty Medical
Extension. A Medical Review Board (MRB) must determine that the Soldier is eligible for MRP2.

c.

Why the MRP2 program?

RC components mobilized in support of GWOT are authorized
continuing medical care while in AD status. The MRP2 program is designed to address the recall
of RC Soldiers with documented unresolved mobilization connected medical conditions. The
Army will voluntarily recall to temporary active duty status, a WT with mobilization connected lineof-
duty (LOD) medical issue to evaluate or treat the illness, injury or disease.

d.

When is the RC WT eligible for MRP2?

A Soldier is eligible with a documented LOD
‘yes’, documented unresolved medical issues, and a completed application submitted through the
Department of the Army WTU Consolidated Guidance - 18 July 2008
12
current chain of command. The RC Soldier has six months from the date of REFRAD to submit
his application. The Soldier must still be a member of the Selected Reserves or the IRR
(Individual Ready Reserve). HQDA, G1 is authorized to grant exceptions to policy.

e.

Where will the RC WT be stationed while in MRP2?

The decision for WTU assignment
will be made by Triad (case manager, doctor and 1SG) in conjunction with the Soldier and orders
will be produced by HRC-A.

Im still confused somewhat on if you are off AD for 4 years but still currently a drilling guard member?

Where do you go?

Noone seems to know. Sounds like states are handling it different from others.

Will read more on update.

THX

[cvma544]

AND THE NEXT QUESTION BECOMES:

If one were eligible for these programs and was REFRAD then later went to MEB/PEB with out enterance into one of these programs would the service member be able to claim an error at ABCMR for back pay and allowances?

AND:

If so would the soldier also be able to argue the point that the delay in taking so long to fix one resulted in being unable to attend NCOES, there by keeping the soldier out of the promotional process thru no fault of the soldier?

[RikersIsland1]

Hello all, I spoke with someone back in Feb 08 that is knowledgeable about MPR, MPR2, and ADME orders..

MPR orders or for soldiers that are still on title 10 12302 orders and was injured/sick while on AD orders and they have not DEMOBED/REFRAD yet.

MPR2 orders are for soldiers that DEMOBED/REFRAD and afterwards found that they need to come back on orders to "heal" The 6 month time frame is where the Reserve and NG units are not knowledgeable about. You can come back on MPR2 orders, the soldier just has to check block 8 and state an exception to policy with the circumstances as to why the request should be approved. You might get flack from your unit but you can come back on orders after 6 months.

ADME orders are for soldiers that were not MOB, (not on title 10 12302) but either were attending school, ADSW, drilling, etc. and was injured.

For those under title 10 12302, and approved to come back on MPR2 or continue on MPR orders you will be orders under title 10 12301 (h), same for ADME.

YOU NEED A final LOD, if you don't have one, then don't bother trying to get back on orders until you get one. There are a lot of soldiers that when injured they were either told or decided themselves to suck it up and drive on. This really hurt them. Below is a presentation slide I did after speaking with a person that knows the process.

Hopes this helps.

For Soldiers requesting MPR2 order after 6 months, Soldiers have to check block 8 on the request form stating exception to policy with the circumstances as to why request should be approved. Approval rate is approx 90% depending on circumstance.

Required documents must be complete or HRC-A will return stating reason why it is being returned. HRC-A sends to OTSG. OTSG reviews request and looks for medical doctor’s course of action for Soldier. 3 independent review boards review MPR2 requests, OTSG is one of them.
Regardless of how long it takes for the Soldier to get orders, HRC-A dates the orders when they receive a complete application. This is so that no matter how long it takes for the review boards take to make a decision your orders start date will be before their decision and you don't lose out because HRC-A can not back date orders.

When the medical review is complete and HRC-A is notified that Soldier has been approved for MPR2 orders a case manager is notified. The case manager contacts the nearest WTU/WTF closer to Soldier’s home and confers with the WTU/WTF to see if they will accept the Soldier. The WTU/WTF is looking to see if they can care for the Soldier with his/her medical condition. The case manager notifies HRC-A and HRC-A cuts the orders and informs the Soldier and his/her unit.

* TIME FRAME

HRC-A/G-1- 5 days
MED GROUP- 10 days
Case Manager 3 days


* The above is subject to change depending on the work load of each.

[Jack]

Rikers,

Tracking widga.... MRP2 is for my situation...Now on the LOD point.

YOU NEED A final LOD, if you don't have one, then don't bother trying to get back on orders until you get one. There are a lot of soldiers that when injured they were either told or decided themselves to suck it up and drive on. This really hurt them. Below is a presentation slide I did after speaking with a person that knows the process.

What course would one take if he fits here. I dont have a LOD. Never offered one. Sucked it up. Would going through process with state ...being in the guard ....produce the LOD. Our state has directions that go to state surgeon for approval for MEB.

any thoughts?

Ive read somewhere...that while in MEB process,,,if LOD is not generated that one could be...and has to be before MEB final decisionor either before sent to PEB? THis contradicts that one has to have LOD before entering the DES.

Any thoughts here

thx

JACK

[RikersIsland1]

You don’t need a LOD for a MEB.


I would ask you this.


-Were you treated at a Military Treatment Facility? You can contact them for your medical paperwork and present to your CoC.


-Did you complete a Post Deployment Health Assessment and state your injury? If your PDHRA results in follow-on care or treatment, an evaluation Line of Duty (LOD) is generated on a DD Form 2173 for the Commander's signature.

-When you were injured were you with your current unit? If so, does anyone remember you getting injured? if so, I would get written statements.

-If you were not with your current unit when you were injured you should find the unit that you were with and try contacting those in that unit that remember you and asking for statements.

-You can try contacting JAG and seek guidance and assistance from them.

- Is your CoC supporting you? Actually if you report to your CoC that you were injured while on AD they should conduct a Line of Duty Investigation. But not all CoC will.


The below is from the PPG


A LODI is not required when the medical treatment facility (MTF) providing initial treatment immediately determines that the Soldier must be referred into the physical disability evaluation system (PDES). The Soldier’s injuries are presumed to have been incurred In Line of Duty (ILD) without a LODI (informal or formal). The Soldier must receive a Presumptive ILD/LOD Determination memorandum before leaving active duty.


You can call LODI 703-325-5635. They may be able to assist you or let you know what you need to do.


The following exceptions to policy apply for the LOD processing for Soldiers participating in contingency operations

(1) Final approval authority. The first general officer in a Soldier’s chain of command may approve LOD determinations whether or not he/she is a general court martial convening authority.

(2) The final approval authority or the military treatment facility (MTF) commander is authorized to issue presumptive LOD determinations for Soldiers when a LOD investigation (DA Form 2173 – informal or DD Form 261 – formal) was not completed at the time of the Soldier’s injury, illness or disease, or aggravation thereof, and the Soldier would be REFRAD without an LOD determination.

(3) The final approval authority may delegate signature authority of “by authority of the Secretary of the Army” for presumptive LOD determinations findings to field grade officers or DA Civilians in the grade of GS-12 or above who also have authority to sign “For the Commander.”

(4) To make a presumptive LOD determination, all of the following criteria must be satisfied:

(a) The injury, illness, or disease occurred or was aggravated while the Soldier was ordered to active duty for more than 30 days.

(b) The Soldier was on active duty on or after 11 September 2001.

(c) The injury, illness, or disease may result in a future claim for disability or incapacitation pay or is expected to require continuing medical care after REFRAD.

(d) There is no indication of abuse of alcohol or drugs.

(e) There is no indication of intentional misconduct or willful neglect.

(f) There is no indication the Soldier was AWOL at the time of the injury, illness or disease or aggravation.

(g) Presumptive LOD determinations cannot be used to render a finding of not in line of duty.

(h) Presumptive LOD‟s are not applicable for dental injuries requiring follow-up care.

b. Content for presumptive LOD determination memo:

(1) Paragraph 1 should contain the following: “a presumptive determination of in line of duty has been made in the case of (insert Soldier’s rank and name, SSN, and description of injury, illness, disease) sustained or aggravated while on active duty on or about (insert location of incident).

(2) Paragraph 2 should state: “this memorandum in issued in lieu of a DA Form 2173 or DD Form 261 and may be subject to further administrative review and determination.

c. Distribution of LOD documentation:
In addition to current distribution requirements, completed LOD documentation, including presumptive LOD determination memorandums, will be distributed as follows:

(1) Soldier’s OMPF and field personnel file.

(2) Copy to Soldier.

(3) Soldier’s medical record.

(4) Copy to RC unit of RC Soldiers.

[Jack]

Rikers,

Were you treated at a Military Treatment Facility?
Keep in mind Im guard. I was released from deployment w/o being held on medical conditions over 3 yrs ago. Some of my current conditions are documented on post deployment. I also was seen at MTF during guard Annual training in June for the yearly PHA...periodic health assessment. I told them everything and its documented. Ive heard that could trigger an MEB. Problem is TIME. How long would it take for the PHA to make its way up n down the chain by my ETS in October. Ive been told there are other options like reenlisting to prevent the snag with the ETS. I havent heard anything from my unit on that. So I assuming it hasnt because they want me to reenlist.

You can contact them for your medical paperwork and present to your CoC.
That might be the answer.


-Did you complete a Post Deployment Health Assessment and state your injury?
Yes. Actually since the PDHRA is new our unit didnt do one till bout 2yrs after redeployment. Ive completed one 2-3 months ago. PDHRA people say my unit shouldve rec'd the form 2900 and the LOD papers within couple weeks by mail. Something doesnt seem right w/ that. Its possible my unit hasnt rec'd it. A stink wouldve followed if it was rec'd. Ive heard that PDHRA could trigger the process state has to follow to refer to MEB.

If your PDHRA results in follow-on care or treatment, an evaluation Line of Duty (LOD) is generated on a DD Form 2173 for the Commander's signature.
I am only currently seeing VA.

-When you were injured were you with your current unit?
YES

If so, does anyone remember you getting injured?
YES if so, I would get written statements. I will work on that. But that should not play a part in the state decision. Right? Only within the DES. Right?

-If you were not with your current unit when you were injured you should find the unit that you were with and try contacting those in that unit that remember you and asking for statements.

-You can try contacting JAG and seek guidance and assistance from them.

- Is your CoC supporting you?
I havent started the paperwork Ive referred to earlier which asks for a MEB.

Actually if you report to your CoC that you were injured while on AD they should conduct a Line of Duty Investigation. But not all CoC will.
Thats the question. Which one of these options to pursue?


THX

Jack

[cvma544]

OK, I am a little overwhelmed by the LOD posting and am unclear as to the status of mine, let clarify.

I have 2173's filled out by the Medical Officer (PA) before leaving FOB Echo, signed by her, and then signed by the CDR's designate.

The CDR was a MAJ, and the designate was the Medical NCOIC a SSG. I also have a copy of the designation of authority from the CDR to the SSG.

I have PDHRA that list the same, LOD's and what they are for, and a copy of the physical from the demob stations listing that I have LOD's and what they were for.

Medical records from Iraq, never made it to my records at State, there was a computer crash and lots of them were lost before the Aid Station started backing them up. What was available was put on disc, given to BN when we returned and have disappeared never making to State med branch.

OH, all the LOD's injuries have been found as SVC by the VA and rated for disability.

AND YET, the PEBLO says they are no good and prove nothing, and the will not be forwarded in the MEB packet to the PEB. I suspect the injuries will be ignored or found not service connected, or not Iraq related.

Any suggestion?

Stu

[cvma544]

Bump for Jason