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Coordination of Medical Travel for Remote sites
1610 Block Remarks Instructions

Funding for medical travel for Army personnel and family members assigned in remote locations is provided by ERMC, RM.  All requests are sent to RM via Health Program Analysis and Evaluation, Clinical Support Division, ERMC, Case Manager (CM), 371-3123.

Beneficiaries assigned in remote locations are serviced by TRICARE Global Remote Overseas (TGRO), a partnership between TRICARE and International SOS.  This partnership is designed to deliver quality, consistent care to beneficiaries in these locations. 

As of 1 January 2005, medical care for beneficiaries assigned in remote locations must coordinate all of their routine and specialty care with International SOS.  Beneficiaries assigned at a U.S. embassy may continue receiving care from their Regional Medical Officer (RMO) and International SOS does not need to be contacted.  If the RMO is unable to meet their routine/acute medical care needs then International SOS must be contacted to coordinate all routine/specialty care.

Beneficiaries whose care is provided by military hospitals and clinics must have their care coordinated by an International SOS care manager.  Before requests for travel for medical care at a military treatment facility (MTF) can be processed, the ERMC CM must have a copy of the written International SOS’ recommendation for care at the MTF.

In cases where International SOS recommends medical care at a medical center of excellence or at a MTF, a cost analysis is conducted to assess which location is more cost effective to the government.  This analysis is conducted by the CM and RM.

Once the location for care has been approved, the DD FORM 1610, Request and Authorization for TDY Travel of DOD Personnel and or Invitational Travel Orders is forwarded to the ERMC case manager via e-mail or fax.

Request procedures:

Requests are forwarded to the CM (with appointment slips if possible) via e-mail or fax: 371-3570; CIV: 06221-17-3570.  Travel requests should be received 5 - 7 working days prior to the appointment except in cases of emergencies.

If a Non-medical attendant (NMA) is required, the medical officer’s statement requiring the NMA is forwarded along with the travel request.  The following statement must be placed on DD FORM Block #16 for all AD NMA travel:

“Period of TDY funded by this order is limited to 3 days. Additional days at the treatment site will be covered by permissive TDY, annual leave or other administrative absence as authorized and approved by the individual’s unit.”

All appointments are verified by the Case Manager prior to sending travel requests to RM.  If requests are sent directly to RM they will be redirected to the CM. 

The travel request is reviewed in its entirety for accuracy.  The unit must resubmit the travel request if revisions are needed, i.e. request for 5 days TDY changed to 3 days TDY etc.

The CM faxes the 1610 and ITO to RM where the fund cite is affixed to the travel request and forwarded via e-mail/fax to the SM’s unit.

In cases where the beneficiary receiving medical care needs to be extended a Competent Medical Authority Statement needs to be sent to the CMs office three days prior to the end of the orders or as soon as possible. 

Upon completion of the TDY all travelers are to submit their travel voucher within 5 workdays after completion of travel.  Travelers will submit a copy of the final (paid) voucher via fax to ERMC RM.

 
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