Medical Clearance Notices will be sent to your via the e-mail address you place on your form. These are DOD medical standards. All foreign reports must be in English or translated into English. The purpose of this SOP is to establish procedures and criteria for considering requests for waivers of the requirement for overseas service, (1) after six years of continuous domestic assignments, and (2) after eight years of continuous domestic assignments. The Committee reserves the right to seek MEDs opinion when it deems such opinion is necessary for proper adjudication of the request (see Section below), consistent with applicable privacy laws and policies. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. Foreign Service Officers Candidates, Foreign Service Fellows, and some first-time Limited Non-Career Appointees under the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour. Those individuals will remain in a pending status. The Department of State has identified certain posts as Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) posts. When to Start the In-Service Clearance Process. MEDICAL EXAMINATION AND CLEARANCE (CT:PER-986; 05-11-2020) . The in-service clearance process is simplified by the use of a DS-3057: Medical Clearance Update (MCU) form. 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. 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. The healthcare provider must print or stamp their name, as well as sign and date page 4. Foreign Service Officers are required to serve much of their career overseas. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. The healthcare provider must also review all current medications, dosages, and frequency of use. Tips for Your Separation Medical Examination. A MED Clearances Nurse Consultant assigned to you will follow this process: Review the list of posts submitted by the CDO or agency HR. Medical reports do not need to be submitted with your initial medical clearance forms, 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. DOD Contractors must include a 3308: DOD ICASS Verification Form. Yes / No 2. Misconduct in prior employment, including marginal performance or inability to interact effectively with others. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. A CONUS based individual who does no TDY travel may delay reporting notification about the new condition until bidding on or being assigned to an overseas post. This investigation provides the information necessary to determine a candidates suitability for appointment to the Foreign Service and for a Top Secret security clearance. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Where Can I Look Up My Current Clearance? Early summer through the fall bidding cycle is the busy season for MED Clearances. The time needed for security clearance determination processing varies depending on a number of factors. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. Jump to: Medical clearance process overview About the Health History Form A list of all possible diagnoses and their severity that may cause an individual to be non-deployable would be too expansive. Any of these limitations can have a severe adverse impact on the availability of required medical services and supplies or delay timely medical evacuations. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Include the Medical Records coversheet. Provide explanations in section IIA on page 2 or on a separate sheet of paper. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. All forms, labs and reports should be in English or with an English translation. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. 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. In evaluating suitability, the Suitability Review Panel takes into consideration the following factors: More information about clearances can be found at https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/. Persons who are CONUS based doing frequent TDYs to ESCAPE post/s must complete the below documents every two years. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. Sending forms and reports to the wrong email address results in confusion. The Department of State, therefore, requires the highest standards of conduct by employees of the Foreign Service, including an especially high degree of integrity, reliability, and prudence. https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/, FAIT Fellowship Application Tip: Dont Skip the Statement of Financial Need, Ask Your Questions at a FAIT Fellowship Virtual Info Session, FAIT Fellowship Applicant Eligibility Checklist, FAIT Fellowship Celebrates Five Years, Five Successful Cohorts. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. Fellows will receive decisions on their medical clearances from the State Department. Many waiver requests are based on confidential medical or mental health information regarding the requesting employee and/or members of the employees family. Many Foreign Service posts are located in remote areas with extremely limited medical support. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. The point of contact in MED is the Chief of Domestic Programs (MEDDP@state.gov), who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. This includes those retiring/separating from the Foreign Service, moving to the private sector, Civil Service or another agency, divorcing from a Foreign Service Spouse and Eligible Family Members turning 21 years of age. The point of contact in MED is the Chief of Domestic Programs (MEDDP@state.gov), who will relay the request to the appropriate office or person in MED and return a formal recommendation to the CDO or Committee, as appropriate. 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. Welcome to the Medi-Cal Provider Home. Noncommercial Class A and B Drivers . Travel orders are not required to start the process. 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. is entered. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. Do NOT include any personal medical information in this communication. MED Clearances will issue a Domestic Assignment Only (Class 5) clearance for medical, mental health or educational issues where appropriate care is best obtained in the United States. It is your clearance. Candidate, Class of 2018 Joginder Singh Medical Before beginning the physical examination, candidates must provide proof of medical clearance to participate in the physical exam. This is not guaranteed. Provide a personal, legible e-mail address good for the next 90 days. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. An MCU can be submitted to your health unit (preferred) or directly submitted to. The Foreign Service Act of 1980, as amended, 22 U.S.C. The primary difference is that the employee, contractor or EFM should list all potential posts directly on their medical clearance forms. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. Or Fax to 202-647-0292 (less preferred) Employees requesting a waiver should follow the instructions in Human Resources SOP A-04. MED or Employee Consultation Services (ECS) statement of support or non-support, as appropriate, should be included in all waivers based on limited medical clearances or on compassionate grounds. Document rationale for Post Approvals and/or Disapprovals. Tips for Your In-Service Medical Clearance Update. b. Post-Specific (Class 2): Issued to an individual with a medical condition that would pose a significant risk to the health or safety of the individual or others if the individual were assigned to work at one or more posts abroad. Early in the bidding season FSOs, LNAs and Fellows or their EFMs with a Post Specific (Class 2) clearance should submit their bid list or post choices to their State Department Career Development Officer (CDO) or agency human resources. If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. 7. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Via email in PDF format to MEDMR@state.gov (preferred) . An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. The person doing my clearance said they really don't care too much as long as you've seen your personal healthcare provider about your condition. Foreign Service Officers and Limited Non-Career Appointees from any of the 5 Foreign Services Agencies must be able to serve at any post in the world for their first tour based on their pre-employment medical exam. Confidential Medical Information. The examiner/provider should complete the physical exam, lab, and assessment/plan portion of the exam. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. Please be sure that the name, DOB, and email address are all printed clearly. The following information is designed to assist as you navigate the MED Post Approval process for those with a Post Specific clearance. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. What medical conditions does FAA consider disqualifying? All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Candidates who hold dual citizenship, have had extensive travel, education, residence and/or employment overseas, or who have foreign contacts, a foreign-born spouse, immediate family members, or relatives who are not citizens of the United States, should be aware that the clearance process will take longer to complete. Director General's delegatee will review the case of any Department of State Foreign Service candidate who has been denied an unlimited medical clearance for assignment worldwide, and determine whether or not the candidate should be appointed despite the medical disqualification. 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. The Medi-Cal program adjudicates both Medi-Cal and associated health care program fee-for-service claims. c. Domestic Only (Class 5): Issued to all who have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. ESCAPE Post(s) of Assignment is REQUIRED. Employees or eligible family members with a Class 5 medical clearance may not be assigned outside the United States. Please send inquiries only to this email address. During peak seasons MED Medical Records may take 10 business days to upload and index medical documents. f. The candidate must submit Form DS-3057, Medical Clearance Update, if there is any significant change in the candidate's medical condition at any time. Do not travel to your next overseas assignment without a valid medical. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. So before you apply to the program, you should be aware of the clearances that you must be able to obtain and maintain to stay in the program. This is an opportunity to establish or re-establish a professional relationship with your primary care provider. Contract employees should refer to their Contracting Office Representative (COR) to determine if they are participants in ICASS for medical care. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Department of State / US Embassy Medical Professional Comments (attach additional sheets if needed) MED USE ONLY Recommend World Wide Available . You can determine you or your family members medical clearance status by: An official website of the United States Government, DS-6570: Pre-Deployment Physical Exam Acknowledgement Form, DS-1843: Medical History and Examination Form, DS 1843: Medical History and Examination Form, DS-6570: Pre-Deployment Physical Exam Self-Acknowledgement Form, DS 1843: Medical History and Examination Form Over 12 Years of Age, DS-1622: Medical History and Examination for Children Age 11 and Younger, Office of the U.S. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Submit internal consults or reach out to you for additional data, as needed. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. You may start one year prior to departing for your next overseas assignment. If the examination/evaluation is not completed within 90 days, the individual will be issued a Class 8 clearance and will not be eligible for the Medical Program abroad. Ask questions! The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. 1 year after arrival at post for all individuals deploying to an ESCAPE post. Inform your CDO or Agency HR of approval determinations. Trafficking in or abuse of narcotics or controlled substances. Non-Emergency: 714-990-7911. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. 2 years after an issuance of a medical clearance to all individuals who perform TDY travel of 30 or more consecutive days to an ESCAPE post. 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. Close. 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. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. 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. The examinee, parent or guardian must sign and date page 2 of the DS-1843. Do. Applications are . See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. List your prescription medications, hospitalizations, and medical conditions since your last clearance. This is a medical-legal requirement. Employees and their EFMs of one of the 5 Foreign Service Agencies must complete a: Employees, LE Staff, Contractors, and EFMs who are Non-Foreign Service Personnel must complete a: Persons holding a current valid ESCAPE medical clearance and are extending their tour at an ESCAPE post must complete the below documents annually. Make sure the agency (DOS/DOD/USAID etc.) A MED Clearances Clearance Consultant assigned to you will: Post Approval Process for employees of non-Foreign Service agencies, CONUS-based TDY, WAE/REAs, contractors and their EFMs with a Post Specific (Class 2) Clearance. Conduct which clearly shows poor judgment and or lack of discretion which may reasonably affect an individual or the agencys ability to carry out its responsibilities or mission. Advisory Commission on Public Diplomacy, Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service, In-Service Medical Clearance Update Guidance, Guidance for a Pre-Employment or Pre-Assignment Medical Clearance, Guidance for Post Specific (Class 2) or Domestic Only (Class 5) Employees, Contractors, and Eligible Family Members, Guidance for Separation or Retirement Examination (Including REA/WAE Applicants). Sending forms and reports to the wrong email address results in confusion. . Complete a DS-3057: Medical Clearance Update (MCU) form.