state department medical clearance disqualifiers

All blanks need to be filled in. Indicating the ESCAPE post(s) of assignment is REQUIRED. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. (Uniform State/USAID/U.S. Candidates who do not receive a security clearance are ineligible for the fellowship. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. .header-alert .icon.icon-close-thin.header-alert__close.js-header-alert-close{display:none;}. Your CDO or agency HR will send your list to MED Clearances. The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. For information on how to schedule an appointment with the Exam Clinic, contact. If an employee wishes to contest a decision, they may contact the Medical Review Panel (MRP) at MEDMRP@state.gov and a review will be convened by a three-physician panel. Employees, Contractors and EFM shave the right to appeal any medical clearance classification decision. standards. After doing the grad school thing, I think I'm ready to take the plunge. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. d. Temporary Travel (Class 6): Issued only to an eligible family member who is not medically cleared to reside at the employees assigned post but is authorized to visit that post for a period of time not to exceed 120 days per calendar year. Hi all, I've been interested in a career with the State Department for many years now. Although qualified students who travel on educational travel orders are eligible for care abroad under the Medical Program up to their 23rd birthday (16 FAM122.2, subparagraph a(2)), their separation examination must be completed within 90 days of their 21st birthday (16 FAM 122.2, subparagraph a(1)). The security clearance process involves a comprehensive background investigation, conducted by the U.S. Department of State in cooperation with other federal, state, and local agencies. Examples include, but are not limited to, the need to spend time with otherwise healthy children to assist their readjustment to new living circumstances; to complete an adoption; or to assist in the career or personal needs of a non-tandem spouse. Once employee obtains verification of ICASS medical program participation, submit the signed: 3308.5: Institutional Contractor ICASS Verification Form, The healthcare provider should review all yes answers on page 2 of the. ESCAPE posts have limited medical capabilities and personal security risks. The Eight-Year Rule. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. A description of the Peace Officer Selection Requirements Regulations can be found here. Applications are . Provide explanations in section IIA on page 2 or on a separate sheet of paper. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. These reports should include not only the diagnosis and previous treatments, but also a summary report of what follow-up care you require. Clearly print the persons name and date of birth on each page submitted to Medical Records. Each fellow, therefore, must meet rigorous medical standards in order to qualify for the required worldwide medical clearance. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Please check the signature area. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. In addition, individuals changing sponsoring agencies, deploying to an ESCAPE post, separating from the Federal Government, or becoming a REA/WAE employee are treated as new employees and will need to complete a full pre-employment or pre-assignment exam. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. Brea, CA 92821. Certain conditions may require that the employee stay in the United States for longer than 6 years. The list is not inclusive, but rather reflects the conditions that most commonly arise. An FSO or Eligible Family Member (EFM) may start updating their medical clearance one year prior to departing from their current post or domestic assignment. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. Examples of chronic conditions that must meet stricter DOD requirements to be deployed to an ESCAPE include but are not limited to; tighter control of seizures, asthma, headaches and mental health issues; injectable or refrigerated medications; cardiovascular risk factors and excessive weight (BMI >35). Once youve completed the background investigation and medical examination, a State Department Suitability Review Panel will examine your file (minus any privileged medical information) to determine your suitability for employment with the Foreign Service. The Office of Medical Services (MED) determines approval for assignment to a specific post based on the criteria above. Scan and e-mail the completed 2-page form to MEDMR@state.gov or fax to 202-647-0292. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. Post Approval Process for Foreign Service Officers, Limited Non-Career Assignment, Foreign Service Fellows or their Eligible Family Members with a Post Specific (Class 2) Clearance. This exam is recommended but not mandatory. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Medical, Mental Health or Educational reports do not need to be submitted with your initial medical clearance forms but be aware that Medical Clearances may require reports from providers, medical facilities, or schools for anyone with significant past medical, mental health, or special educational needs. Failure to have all family members medical clearance in order may delay your travel orders. 6/8 Waivers Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Follow these fast steps to edit the PDF DS-3057 Medical Clearance Update online for free: Register and log in to your account. The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. The purpose of the suitability review is to determine, from the candidates total record, whether the candidate is indeed suitable to represent the United States. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. An additional sheet of paper may be used if more space is needed. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. Do NOT submit bids to Medical Clearances. The medical clearance exam may be completed for you and your family members by a licensed medical provider of your choice. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. Medical Clearance Notices will be sent to your e-mail address you place on your form. If you have questions, please send us an email at FAITFellowship@twc.edu. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and Explanation of Benefits to Medical Claims at MEDClaims@state.gov. You will find below information about the Peace Corps' medical clearance process. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. Separating FSOs intending on becoming a Retirement Annuitant (REA/WAE) should use their separation exam as their first-time WAE/REA physical. The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Consult the Medical Capabilities database and alternatively consult with post directly. Reasons for a Separation or Retirement Exam. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. 1. If an employee wishes to contest a decision they may contact the Medical Review Panel (MRP) at MEDMRP@state.gov and a review will be convened by a three-physician panel. Due to political instability, security could be a concern. An employee, contractor or Eligible Family Member (EFM) may start up-dating their medical clearance process up to one year prior to departing for their next overseas assignment or training. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider If you are retiring and plan to work as a REA/WAE, please check the form under both separation and pre-assignment with REA/WAE handwritten next to pre-assignment. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. All persons must undergo a full physical exam for their first medical clearance. Medical Clearance prior . Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Please print your email legibly. Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. Confidential security clearance disqualifiers include careful examinations of the following: Allegiance to the United States Foreign Influence Foreign Preference Sexual Behavior Personal Conduct Financial Considerations Alcohol Consumption Drug Involvement Emotional, Mental, and Personality Disorders Criminal Conduct Security Violations Unsigned forms will not be accepted by Medical Records. Where a particular physical or mental health condition, extraordinary stress, or similar circumstances a represented as the justification for a 6/8 waiver, MED or an outside medical professional must confirm the basis for the A-4.4A-04 revised 01/2018 request. Evaluation of Common Clinical Syndromes-Vision Guidelines Far Acuity Deficiency Spectacles Contact lenses Orthokeratology Refractive Surgical Procedures LASIK, PRK and LASEK Intrastromal Corneal Rings (ICR) Phakic Intraocular Lenses Radial Keratotomy Color Vision Deficiency Other Visual Functions Visual Field Deficiency Binocular Fusion Deficiency Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Office of the U.S. The individual, parent or guardian should complete the first two pages of each form. The medical clearance process is designed to identify on-going medical, mental health, or special educational issues for which adequate resources may not be available at a specific post. There are often no blood banks or limited medical supplies and medications available locally. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. For How Long is a Medical Clearance Valid? This is not guaranteed. Misrepresentation, including deception or fraud, in the application process. EFMs, age 18 and over, must provide their own email address for privacy reasons. Where to Perform a Pre-Employment or Pre-Assignment Medical Clearance Exam. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Include the Medical Records coversheet. Please be sure that the name, DOB, and email address are all printed clearly. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The Office of Medical Services of the Department of State determines a candidates medical fitness and ability to serve overseas. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request, consistent with the Health Insurance Portability and Accountability Act (HIPAA) and implementing regulations at 45 C.F.R. Waiting well into that time frame may result in a longer processing time. EFMs, age 18 and over, must provide their own email address for privacy reasons. Provide a personal, legible e-mail address good for the next 90 days. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Include the Medical Records coversheet. If you are an institutional contractor, write the name of the specific contracting company or NGO. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request, consistent with the Health Insurance Portability and Accountability Act (HIPAA) and implementing regulations at 45 C.F.R. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. All personnel and their EFMs who have been issued a medical clearance in the past must update their clearance prior to departure for a new overseas assignment. Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards, and undergo further medical vetting than addressed in this document. 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