Reserve Medical Entitlements Determination (RMED)
How do I get reimbursed for pre-paid out of pocket medical bills?
With assistance from the Unit Medical Department Representative (MDR), the member completes and signs a CHAMPUS Claim - Patient’s Request for Medical Payment, DD Form 2642. Forward the DD Form 2642, bill, and proof of payment (i.e. copy of paid receipt, cancelled check, credit card statement, etc.) to the appropriate Tricare Managed Care Contractor (addresses can be found on page 14 of DHA process guide).
Once I am approved for Line of Duty (LOD) benefits can I make an appointment to be seen by a doctor?
No, a pre-authorization request must first be sent to DHA by the Unit Medical Department Representative (MDR). The forms are available in the MCMEDS forms tab. DHA worksheet 1 and DHA worksheet 2 need to be faxed to DHA at 847-688-6460/7394. DHA will then send required pre-authorization to Tricare who then will mail a Tricare authorization letter to the member’s last known address in DEERS and the provider to be seen.
Can a member transfer to the IRR while on LOD?
Yes, a member can transfer to the IRR. One of two options can be done; the unit would communicate with MCIRSA at MFR and do a warm hand off so member can continue LOD in the IRR. Option two, the member would sign a page 11 waiving LOD benefits.
Can a member on MEDHOLD still go thru the Physical Evaluation Board (PEB) process if he/she chooses to waive MEDHOLD?
Yes, if the member chooses to waive MEDHOLD and is going thru the PEB, a LOD benefits request needs to be requested and approved in order to continue the PEB process.
While on MEDHOLD/LOD can a member accept orders?
A member who is injured is not authorized to accept orders without prior approval from the Reserve Medical Entitlements Division (RMED).
How do I get permissions within MCMEDS?
A1. SMCR Unit - First complete DD form 577 and provide completed HIPAA training certificate (information for both can be found in the forms tab in MCMEDS) then attach them to the permissions request through the Drill Manager Module and the Unit Drill Manager can grant permissions.
A2. OSO office / Active Duty- First complete DD form 577 and provide completed HIPAA training Certificate. Provide both documents to RMED in order to have permissions granted.
What information must be provided in the employer letter when a member is requesting 204(h) INCAP pay?
The following items must be addressed in the employer’s letter:
(a) Member’s civilian employment work responsibilities
(b) Availability of employment in a limited capacity
(c) Gross hourly wages
(d) Average hours worked per week
(e) Average work days per week
(f) Specific days of the week worked (Mon-Fri, Tues-Thurs, Weds-Sat, etc.)
(g) Number of work days missed
(h) Computation for lost gross wages that the member is claiming for the period. This must coincide with the Commanding Officer’s Certification form completed by the unit.
(i) This letter must indicate that the member did not receive any type of compensation for the pay period requested. This includes vacation, sick or leave pay. Some employers require that these periods are taken and must be disclosed to the disburser prior to any payment. If any compensation pay has been issued from the employer, it will be annotated in Compensation Received portion of the Commanding Officer’s Certification Form.
What if I am full duty but I still have an outstanding INCAP pay request to submit?
The final INCAP pay must be paid out then a Return to Full Duty request can be submitted.
If the member is being administratively separated from the Marine Corps, what is the proper approach?The member rates LOD/Medical Hold benefits up until the date the member is officially separated from the Marine Corps. Then a Status Change Inactive must be submitted thru MCMEDS with the approved separation authority paperwork.
What is the proper documentation that must be submitted to return a member to full duty?
If the member is in receipt of LOD benefits; proper medical documentation stating the member is return to full duty without limitations from the member’s Primary Care Manager (PCM) must be submitted. If the member is on medical hold, a NAVMED 6100/6 is the ONLY medical document that may return the member to full duty.
When is a Discharge request submitted?
After the adjudication of the Integrated Disability Evaluation System (IDES) process, when PRR date has been established and no earlier than 5 days prior to the PRR date. The unit must submit a screenshot of the MCTFS RT03 screen and also include the member’s signed acceptance letter from the PEB.
Can I get reimbursed for travel mileage when attending medical appointments for LOD related injuries?
Yes, the member needs to notify the Unit S-1 in advance of all medical appointments in order for LOD travel orders to be completed via MROWS. Upon completion of LOD travel, a travel claim must be submitted to the finance office.
If I create a MEDHOLD or LOD case in MCMEDS and then determine the request is no longer warranted, how do I delete the draft request?
You select the cancel button in MCMEDS to remove the request.
Where can I find a blank Reserve Marine Support Questionnaire (RMSQ)?
Forms tab in MCMEDS
Why am I not able to attach a document?
Once a case is reviewed by the unit and submitted to RMED, the unit may no longer attach documents until the case has been approved, returned for edits, or routing has been canceled.
Can I submit a MEDHOLD benefits initial request without a NAVMED 6100/5?
Yes, NAVMED 6100/5 needs to be submitted within 90 days of MedHold benefits approval.
What documentation is needed to submit an initial LOD benefits request?
Refer to the MCMEDS user manual for specific requirements.
Can a member received INCAP pay if they own their business?
Yes, provided that proof of lost wages is submitted with the request. An example of source documents is previous three years of tax returns.
Who do I submit a Medical Retention Review (MRR) package to?
Health Services Support (HSS)
Marine Forces Reserve
2000 Opelousas Ave.
New Orleans, LA 70114
Comm. (504) 697-8050
What is considered the initial post-operative medical documentation for 204(g) INCAP pay?
Medical documentation that clearly states post-operative visit, or the first medical appointment in which the member is being evaluated following the surgery date. This does not include wound/dressing checks. This visit is usually very specific and provides progress of recovery/post-operative limitations.