Military Health System

Memorandum of Understanding: Health Care Resources Sharing Guidelines

This Memorandum of Understanding (MOU) rescind and replace the Supplement to the Department of Veterans Affairs (VA) and the Department of Defense (DOD) Health Care Resources Sharing Guidelines, dated December 5, 2016. VA and DOD are collectively referred to in the MOU as “Partners”.

• Identification #: Agreement Number DHA-2019-S-1214
• Date: 4/20/2020
• Type: Memorandums
• Topics: N/A

DHA-IPM 20-003: DOD Procurement of Ruminant Products from Overseas Origin

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), establishes the Defense Health Agency’s procedures to authorize the procurement of all ruminant meat (beef, sheep, goat, bison, etc.) and edible products from ruminants of overseas origin. DOD procurement of ruminant meat and meat products will align with current United States Department of Agriculture (USDA) restrictions and residual risk mitigation measures for Bovine Spongiform Encephalopathy (BSE).

• Identification #: 20-003
• Date: 4/10/2020
• Type: DHA Interim Procedures Memorandum
• Topics: N/A

Elective Surgical, Invasive, and Dental Procedures in Military Treatment Facilities

This memorandum directs all Military Treatment Facility (MTF) and Dental Treatment Facility (DTF) Commanders and Directors to immediately postpone all elective surgeries, invasive procedures, and dental procedures performed on beneficiaries of the MTFs and DTFs with the exceptions outlined below. This includes aerosol-producing procedures, such as endoscopies, bronchoscopies, pulmonary function tests, and sleep continuous positive airway pressure (CPAP) titrations. This policy is effective March 31, 2020, and will remain in place for 60 days.

• Identification #: N/A
• Date: 3/24/2020
• Type: Memorandums
• Topics: N/A

(DTM)-19-004 -Military Service by Transgender Persons and Persons with Gender Dysphoria (Change 1)

Implements the policy in the Feb. 22, 2018 Secretary of Defense Memorandum and the February 2018 DOD Report and Recommendations on Military Service by Transgender Persons, assigns responsibilities, and prescribes procedures regarding the standards for accession, retention, separation, in-service transition, and medical care for Service members and applicants with gender dysphoria, as applicable. This DTM is effective April 12, 2019. This DTM will be incorporated into DODIs1300.28, 1332.14, 1332.30, and 6130.03, and supersedes any contradictory guidance in those publications. This DTM will expire effective Sept. 12, 2020.

• Identification #: (DTM)-19-004
• Date: 3/17/2020
• Type: Memorandums
• Topics: Transgender Health Care Services

DODI 5200.48: Controlled Unclassified Information

This issuance establishes policy, assigns responsibilities, and prescribes procedures for CUI throughout the DOD in accordance with Executive Order (E.O.) 13556; Part 2002 of Title 32, Code of Federal Regulations (CFR); and Defense Federal Acquisition Regulation Supplement (DFARS) Sections 252.204-7008 and 252.204-7012. It also establishes the official DOD CUI Registry.

• Identification #: DODI 5200.48
• Date: 3/6/2020
• Type: Instructions
• Topics: Breach Prevention and Response

2019 Billing Rates for Care Provided to Other Than Foreign Nationals

• Identification #: N/A
• Date: 3/2/2020
• Type: Memorandums
• Topics: UBO Rates Overview

6025.28

Standard Processes and Procedures for Communication of Laboratory and Radiology Results

• Identification #: 6025.28
• Date: 2/21/2020
• Type: DHA Procedural Instruction
• Topics: N/A

DOD Instruction 6000.19: Military Medical Treatment Facility Support of Medical Readiness Skills of Health Care Providers

Establishes policy, assigns responsibilities, and prescribes procedures for military medical treatment facility (MTF) support of the Military Departments in maintaining the readiness and core competencies of health care providers within the Military Services and medical readiness of Service members.

• Identification #: N/A
• Date: 2/7/2020
• Type: Instructions
• Topics: N/A

Force Health Protection Guidance for the Novel Coronavirus Outbreak

This memorandum provides initial guidance to DOD personnel on the novel coronavirus (2019-nCoV) outbreak. DOD is coordinating closely with the interagency to align our increased preparedness posture.

• Identification #: N/A
• Date: 1/30/2020
• Type: Guidelines
• Topics: N/A

TRICARE Prime and TRICARE Select Out-of-Pocket Expenses for Calendar Year 2020

Memo outlining the TRICARE Prime and TRICARE Select beneficiary out-of-pocket expenses for calendar year 2020. These rates will be effective January l, 2020.

• Identification #: N/A
• Date: 1/21/2020
• Type: Memorandums
• Topics: Information for Patients: About TRICARE | Rates and Reimbursement

2019 Billing Rates for Care Provided to Foreign Nationals

• Identification #: N/A
• Date: 1/14/2020
• Type: Memorandums
• Topics: UBO Rates Overview | Rates and Reimbursement

Armed Forces Reportable Medical Events Guidelines and Case Definitions Memo

The Armed Forces Reportable Medical Events Guidelines and Case Definitions (RME Guidelines) standardize reporting and tracking of disease and other conditions of public health and military importance. Timely reporting permits earlier recognition of public health events and interventions to protect the health of the force.

• Identification #: N/A
• Date: 1/1/2020
• Type: Memorandums
• Topics: Armed Forces Health Surveillance Division

Notification and Federal Employee Antidiscrimination and Retaliation Act Policy

• Identification #: N/A
• Date: 12/18/2019
• Type: Memorandums
• Topics: N/A

DOD Shelf-Life Management Program: Program Administration

This manual implements policy, assigns responsibilities, and provides procedures for the shelf-life program to identify and manage items having deteriorative characteristics and to mitigate the risk of shelf-life expiration.

• Identification #: 4140.27, Volume 1
• Date: 12/11/2019
• Type: Manual
• Topics: Shelf Life Extension Program

Alternative Dispute Resolution and Conflict Management Policy

• Identification #: N/A
• Date: 12/6/2019
• Type: Memorandums
• Topics: N/A