Air Force Wounded Warrior (AFW2) Program

STEP

ACTION OWNER

NARRATIVE

1

Referral Agency

If a referral agency identifies a potential AFW2 to the WII Cell via WII Referral Worksheet, the WII Cell will do the following:

2

WII Cell

WII Cell will review the referral worksheet and forward to the Referral Voting Panel which consists of the Regional Program Manager (RPM), Clinical Case Manager (CCM), and RCC.

3

CMT

Determine if RSM meets criteria for enrollment in the AFW2 program.

If the RSM does meet the criteria: See Step 4.

If the RSM does not meet the criteria: See Step 6.

4

RTL

If approved, identify to WII Cell who is assigned as the LC, Phase of Care of the RSM, and the Reporting Identifier (RI) on the WII Referral Worksheet.

5

WII Cell

If a RSM is identified via:

1. Casualty Morning Report (CMR) and is either VSI or SI

-OR-

2. DES identifies to the WII Cell cases that meet criteria for enrollment, the WII Cell will do the following:

WII Cell will follow Step 4 and assign to the region team (LC & NMCM) where the RSM is receiving treatment (primary), or where the RSM is physically located.

6

WII Cell

If case does not meet criteria, notify the referring individual the RSM is not approved for enrollment.

7

WII Cell

Update. 1. AFFIRST - Edit “Customer” Tab, select Wounded Warrior

2. Upload. Upload WII Referral, vRED and MilPDS SURFs and any other pertinent documents to DoD-CMS case in “Attachments” and 3. Notify RCC

8

WII Cell

Notify Commander, and each RSM of CMT - RCC, CCM and NMCM via email message.

9

WII Cell

If medical authority deems RSM is VSI/SI, request Family Liaison Officer (FLO).

Emergency Family Member Travel (EFMT) if required for VSI/SI if authorized by a medical authority.

10

WII Cell

Category (CAT) 3 Notifications. If the RSM is identified as a “Category 3” in the WII Referral Worksheet, contact RTL to determine if a Federal Recovery Coordinator (FRC) referral is appropriate.

STEP

ACTION OWNER

NARRATIVE

1

WII Cell

Once it is determined that a RSM is enrolled into the AFW2 Program the following steps will occur:

2

WII Cell

On VSI/SI and DES enrollments, the WII Cell will select the appropriate Regional Care Management Team based where the RSM is physically located. The WII Cell will then create the case in DoD-CMS, to include attaching SURFs and vRED documents, as well as updating AFFIRST and the appropriate Reporting Identifier (RI) code in MilPDS (see Guideline 13). On referrals, the Lead Care Manager will notify the WII Cell on who will be assigned as the LC on the referral form. Lastly, when activating a case that was previously categorized as a One Minute Assistance (OMA), the WII Cell will remove the OMA designation (in Category Assignment area, remove check from Secondary Program Association).

NMCM/RCC

Specifically Regarding DES Cases, the LC assigned by the WII Cell will normally be the NMCM, while the RCC will take a secondary role.

Important: As the AFW2 program "boots on the ground" representative, the RCC will make simple face-to-face contact with the RSM NLT 3 duty after enrollment. When face-to-face is not feasible, telephone or email contact will suffice. This introduction with late enrollment RSMs ensures they understand their RCC is available to assist them with local needs should they come up.

On DES Cases, the NMCM is expected to contact the RSM within 3 duty days to assess their current needs and determine way forward. The NMCM will conduct an initial Comprehensive Needs Assessment (CNA) NLT 5 days of WII Cell notification of enrollment into AFW2 program.

3

LC

The AFW2 LC will make contact with each enrolled RSM within 3 duty days of assignment. When applicable, the LC “must” make sure the spouse/caregiver is part of the initial and future contacts. Update caregiver information in DoD-CMS if it is determined that RSM has a caregiver (stipend or non-stipend).

Additionally, if it is determined that RSM has a caregiver, the LC will send an email to the Caregiver Program Manager attaching the word document templates at Figure 2 (fully filled out Caregiver Program Referral & Meet Your Care Management Team).

Once the AFW2 Caregiver Program Manager/Coordinator receives the email, they will personally reach out to the caregiver and grant access to the Caregiver Facebook Closed Group.This notification should also contain information as it pertains to the caregiver that would be helpful for the Caregiver Program Manager to know, such as the caregiver’s own medical or non-medical needs, employment goals, or personal concerns. In-turn, the Caregiver Program will reach out to the caregiver, send them a Welcome Letter, and educate them on the “Linking Individuals into a Network of Care” (LINC) Mentorship Program.

Note: Care Managers should continue to make every effort to build a trusting relationship with the caregiver and keep them informed throughout the entire recovery process, to include ensuring coordination of the caregiver’s medical and non-medical (financial, administrative, personnel, & logistic problems) needs, briefing them on all RSM benefits & entitlements, as well as providing them a hard copy of the CRP upon completion and whenever changes are made to the document.Ensure caregivers are aware and given the opportunity to participate in AFW2 C.A.R.E events, scheduled PEER Forums, or other events held for spouses at the local level. Care Managers should help the Caregiver Program Manager identify caregivers who could serve in a caregiver mentorship role or need assistance from another Caregiver LINC mentor as a mentee. (Program SMEs: Ms. Tonya McGough, DSN 665-5326, tonya.mcgough@us.af.mil, or Ms. Kelli Williams, 665-4410, kelli.williams@us.af.mil).

4

LC

- Care Managers will provide the current year Caregiver Resource Directory to both the RSM and caregiver as this document provides a multitude of available networks and resources to assist them. Regional Peer Support Coordinators can provide hardcopy versions.

- Also ensure the RSM & caregiver are aware of the following additional resources:

- National Resource Directory (NRD) www.NRD.gov

- AFW2 Website: http://www.woundedwarrior.af.mil

5

At the appropriate time, Care Managers should provide AFW2 Handout 1 as a tool to counsel/assist the RSM/Caregiver during the initial stages of recovery.

- At the appropriate time, Care Managers should provide AFW2 Handout 2 as a tool to counsel/assist the RSM/Caregiver at the time it’s determined the RSM is likely to transition from military to civilian status.

· Note: Both Handouts can be found on the AFW2 SharePoint site:

https://cs3.eis.af.mil/sites/23490/default.aspx

6

NMCM

The LC will thoroughly populate and validate data in the DOD-CMS fields as instructed on the DOD-CMS Mandatory Update Requirements (see Guideline 14). This includes updating the DoD Team contact listing. CM is reserved for the RCC, NMCM information is also filled in at the appropriate area. Ensure the current “LC” box is checked appropriately, and then changed as the LC changes.

7

RCC/NMCM

AFW2 RCC/NMCM will conduct an initial Comprehensive Needs Assessment (CNA) of the RSM and family's needs, within 5 duty days and collaborate with the CMT NLT 15 (duty days if applicable). Document CNA’s in DoD-CMS using the Comprehensive Needs Assessment (CNA) checklist or Comprehensive Recovery Plan (CRP).

8

RCC

Will initiate the RSM and family ICP (AF Version: Comprehensive Recovery Plan (CRP) within 15 days of WII Cell notification of enrollment into AFW2 program.

9

RTL

When RCCs serving in the LC role are unable to assist RSMs as result of temporary absences away from the office, the RTL will determine appropriate course of action to manage a RSM’s non-medical care. This includes considering assigning another case manager to back up the RCC during periods of absence.

10

RCC

RCCs serve as the LC until they facilitate a warm hand-off with the AFW2 NMCM. This occurs at the time the RSM receives separation or retirement orders.

11

RCC/NMCM

RCCs or NMCMs will notify A&FRC; either in writing or by phone for all RSMs whose medical needs require one-on-one assistance.

12

RCC

The warm hand-off consists of the following:the RCC will fill out the Case Transfer Preparation Checklist (Figure 2), then call the applicable NMCM using the checklist to assist the discussion/change of LC role

13

RCC

After the discussion, the RCC will note the LC change and attach the completed checklist in DoD-CMS. Before turning case over to NMCM, RCCs will work with either the RSM or the NMCM to ensure at minimum a copy of the AF Form 356 and separation/retirement orders are attached in DoD-CMS and all applicable fields are updated.

Note: While the LC changes from RCC to NMCM at time of retirement/separation, the RCC may still be called upon to assist RSM as needed. Both RCCs and NMCMs are expected to use the CRP as the single source to guide and document RSMs and family members through the recovery process. Both should also refer to the AFW2 Checklist found in Guideline 26 as an additional source to ensure all areas are covered as the RSM travels through the Continuum of Care.

14

NMCM

Once the NMCM officially becomes the LC, they must reach out to the RSM within 3 duty days.

15

NMCM

During the Reintegration & Transition Phase of Care, it is very important that NMCMs make benefits and entitlements (b/e’s) a cornerstone in their counseling each time they engage with the RSM and/or caregiver,especially those that involve future finances. RSMs & their family members cannot properly plan for their future without proper counseling by the LC. Ensure RSMs/families are aware of what b/e’s they are entitled too, to include AF length of service pay if eligible (concurrent receipt (CRDP), VA pay, how VA offset works, what their responsibilities are in applying for b/e’s, and when they should expect to receive them.Use DFAS inquiries/SURFs to assist in this process. NMCM will ensure retired pay account is established and projected properly NLT 10 days prior to effective date (20^th day after retirement effective date). NMCMs will properly document the above in DoD CMS, to include actual pay comps provided to the member. Example:

- AF Pay: $364.00 (received)

- AF Pay: $2552.52 (received)

- VA Pay: $3348.64 (1 Oct 16)

- SBP Deduction: $177.48 (spouse/child)

STEP

ACTION OWNER

NARRATIVE

1

RCC

Under IC3’s LC concept, except for those cases not identified until after PEB results have been released (DES Cases), the RCC will collaborate on the case formally with the IC3 CMT, consisting of the CCM or Health Care Integrator (HCI) (if no CCM), and NMCM by the 5th workday of case assignment. This collaboration effort will continue throughout the RSM’s recovery as directed by the LC.

2

RCC/CCM/

NMCM

The entire 3-page LC checklist will be used by both Clinical Case Manager (CCM) and AFW2 LC on “CAT 3 Airmen who have been enrolled into the Federal Recovery Coordination Program”.

After opening a case in DoD-CMS:

- Select “LC Checklist” on left side just above the Print Forms area

- Select “Edit” button on the top right side of the page

- Check “applicable items”

- Select “Save” on the bottom right side of the page

Note: Under IC3, normally CCMs serve as the LC while the RSM is hospitalized (Recovery Phase of Care). As they transfer out of inpatient care the LC will normally be transferred back to the RCC, all of which is documented in DoD-CMS.

3

NMCM

Under IC3 the entire CMT will collaborate together to facilitate the completion of the three page LC Checklist in DoD-CMS. At the time the RSM retires or separates from the AF, the LC, normally the NMCM, is responsible for the DoD/VA Transfer. Only Airmen whose injuries or illnesses are considered catastrophic (CAT 3 requiring an FRC) will require a formal warm-handoff with the VA, to include telephonic call and referral packet.

Every DoD/VA transfer will consist of the following referral packet:

- LC Checklist (must be completely filled out) (found in the Print Forms area in DoD-CMS)

- CRP (found from the Print Forms area in DoD-CMS)

- AF Form 356 (found in Attachments area of DoD-CMS)

- DD Form 214 and Ret Ord

Note: Ensure the VA Transition & Care Program Manager (TCM) or Liaison contact is updated in DoD-CMS

- Select “Enrollment”

- Select “VA Team” tab

- Select “Edit” button on the top right side of the page

- Check “applicable items” (suggest VA Liaison)

- Select “Save” on the bottom right side of the page

Once the warm hand-off is complete, the NMCM will update the case notes in DoD-CMS with all pertinent information/actions taken pertaining to this paragraph.

4

NMCM

The NMCM will call either the VA Liaison or the TCM to establish a relationship, provide contact info, discuss the RSM, and let them know they’ll be transferring the Referral Packet to them using the DoD Approved AMRDEC SAFE system.

5

NMCM

A current listing of either VA Liaison or VA TCM contacts can found at the following websites:

http://www.oefoif.va.gov/caremanagement.asp

http://www.oefoif.va.gov/valiaisons.asp

https://va.deps.mil/dod/IC3/Pages/Home.aspx

6

NMCM

The transfer of LC to the VA is not complete until appropriate documents have been forwarded/ relationship has been established with the VA Liaison or TCM. Once complete, the NMCM, still serving in the “AFW2 LC role” will continue to assist RSM with post DOS transition services (Stabilization & Resolution).

N/A

Note: While formal warm handoffs are no longer required for CAT 1 or CAT 2 RSMs, the NMCM should make every effort to assist the RSM’s connect with their local VA. Many times this should include an informal call to the local VA Liaison or TCM.

STEP

ACTION OWNER

NARRATIVE

1

WII Cell

Assign. The WII Cell will initially ensure RSMs are assigned to a CMT based on where the RSM is actually residing or receiving medical care.

2

RTL

Change case from one region to another. When the RSM leaves his/her normal unit of assignment location, the losing unit of assignment RTL will coordinate with the gaining RTL before moving the case to the region where the RSM is physically located. Once accomplished, the gaining RTL will ensure the gaining RCC and NMCM are aware of the regional change and determine who will service in the LC role.

STEP

ACTION OWNER

NARRATIVE

RSM

The RSM has been RTD and C Coded.

RCC

In the event the RSM is RTD and C Coded, the RCC continues as the LC and coordinates with the assigned NMCM on the status of the case.

1

LC

Update. Case Disposition in DoD-CMS.

2

NMCM

Review. Conduct Reporting Identifier (RI), Review and update MilPDS as appropriate (Guideline 8, Step 7)

3

RCC

Contact. Contact the RSM every 90 days (face-to-face when permissible) to assess RSM’s status/condition and confirm demographic information. Inform the RSM they will be monitored quarterly and to contact the RCC in the event an IRILO is reinitiated.

4

RCC

NMCM

Collaborate. RCC will contact NMCM to discuss contact findings and ensure detailed notes are documented in DoD-CMS

STEP

ACTION OWNER

NARRATIVE

RCC

The RCC has the lead and will contact/coordinate with the RSM (face-to-face contact when possible, but if not possible, via telephone or lastly by email, to assess RSM's status/condition, MCM, PEBLO, PCM/P, CC, etc., to confirm the case status.

1

RCC/NMCM

The RCC will coordinate with the AFW2 care manager to discuss case status and details.

2

RCC

If the case meets the RTD criteria above, the RCC will consider recommending Sustainment to the RTL.

3

RTL

If RTL concurs, they will forward for a Sustainment Decision to the appropriate RPM.

4

RPM/RTL

If the RPM approves the sustainment request, he/she will update DoD-CMS Case note documenting the decision, place the DoD-CMS case into a “Suspend” status and tell RTL to make appropriate RI update (see Guideline 13, Step 7)

STEP

ACTION OWNER

NARRATIVE

NMCM

Upon placement of the RSM in TDRL status. The AFW2 NMCM, as LC, will, follow up with the RSM NLTD every 30 days for as long as it takes to ensure all immediate needs are met. Once the only true need is awaiting placement of the RSM into Permanent Disability Retirement List (PDRL) status, RTLs will have the flexibility to direct 90-day contact follow-up increments.

1

NMCM/RTL

The AFW2 LC will assess if the case is ready for Sustainment and inform the RSM. If the case is Sustainment ready, the NMCM will recommend Sustainment of case to the RTL. The RTL will forward it to the corresponding Region Program Manager (RPM) for approval.

2

RTL/RPM

If case is approved for Sustainment by the RPM, the RPM will update DOD-CMS case note, update the case to a "Suspend" status in the Case Category field, and email sustainment approval back to the RTL.

3

NMCM

Notifies RSM of sustainment approval and ensure they know they can always reach back to AFW2 when needing additional support.

1

NMCM

Identification Phase.

- Pull the Points Credit Summary (PCARS) in MilPDS and post in DoD-CMS “Attachments” Folder.

- NMCM educate RCC how to read PCARS.

- NMCM review MilPDS SURF and identify to the RCC if ETS or HYT is pending. RSM could be placed erroneously in the Inactive Ready Reserve (IRR) if either one expires.

2

NMCM

Identification Phase.

- Review DEERS in GIQD screen to determine if the RSM is on AD orders and covered by Tricare.

- Review DEERS Family screen to determine if the RSM is either civil service, Air Reserve Technician, AFR, or ANG Federal Technician.

3

LC

If the RSM is on an active duty orders contact the Air Reserve Component Case Management Division (ARC-CMD) (MEDCON Cell), to determine if they are aware of the case.

4

LC

Recovery Phase.

If applicable, determine Traumatic Injury Protection Under Service-Members’ Group Life Insurance (TSGLI) eligibility (The RSM must be paying into SGLI).

5

LC

Rehabilitation Phase.

- If the RSM is either an ART or a Federal Technician, advise him/her to go to the Civilian Personnel Office to determine options in the event IRILO is approved for IDES processing.

- Ensure the RSM is aware of IRILO outcome of RTD-C Code may prevent future deployments, eligibility for PME or active duty tours.

6

LC

Fitness Evaluation Phase.

- Inquire if RSM has VA rating; VA rating may change when IDES has been completed; if RSM has a VA appeal for a condition – refer to VA MSC to have it pulled or else VA may not rate condition in IDES.

- Ensure the Office of the Airman’s Council (OAC) counsels RSM of IDES outcomes of 20% or less; AFR or ANG RSMs with 15 years or more Satisfactory Years will be offered Inactive Status List Reserve Section (ISLRS).

- Ensure the RSM is aware of MyPers to inquire about Reduced Retirement Pay Age (RRPA).

- Advise the RSM to request a “20 Year Letter” via MyPers or by calling the Total Force Center if PCARS shows 20 or more satisfactory years.

9

LC

- If the RSM is ANG, refer to their State Transition Assistance Advisor (TAA) to further assist them with their transition.

- If the RSM is not on an Active Duty Orders of 180 days or greater, Transition GPS is not mandated.

10

LC

- Ensure the RSM received an Active Duty SBP briefing. RSMs may require LC to assist in scheduling an appointment with an active duty counselor.

- NMCM pull DD Form 2656 from ARMs to validate correct SBP form was completed.

11

LC

Reintegration/Transition.

Inform the RSM if traditional AFR or ANG, DD Form 214 will NOT be issued. If the RSM is on Active Duty Orders, the unit must request a DD Form 214 from ARPC. If the RSM is on an Active Guard Reservist (AGR) tour, advise to fill out the DD Form 214 worksheet upon notification by the vMPF.

12

LC

Stabilization.

Check DEERS to ensure the RSM has not been placed in reserve retired status (did not get issued the pink ID card) for this will prevent Tricare eligibility.

13

NMCM

- If the RSM is awarded VA disability prior to IDES and is receiving payment, inform the RSM that until DFAS applies a VA Waiver to retirement pay, they will erroneously be paid concurrently and may incur a debt.

- Check DFAS for VA Waiver for cases such as this.

- For the RSMs who have applied for the “20 Year Letter” check DFAS “MBRENT” screen to validate.

STEP

ACTION OWNER

NARRATIVE

1

NMCM

Inform the applicable RCC in the event MilPDS personnel review indicates the RSM has an UIF, Referral EPR and/or Lost Time.

Note: If the RSM has an approved Post 9-11 Transfer, it may be voided based on character of service. (See Figure 10)

2

LC

Contact the PEBLO to confirm the RSM is a dual action case.

3

NMCM

Monitor the Dual Action processing package through AFPC’s Case Management System (CMS) – AFPC/DPSOR Invol Sep Section is OPR

4

LC

Ensure the RSM has secured legal counsel and is aware of service characterizations and benefits on character of service.

5

LC

Discuss preparations to include civilian employment in the event Dual Action final determination is administrative separation.

6

LC

Ensure the RSM has support/counseling network, such as: Military Family Life Consultant (MFLC), First Sergeant, chaplain, Vet Center, caregiver, family etc.

7

RCC

Identify financial concerns; ensure the RSM has contacted the Airman and Family Readiness Center (A&FRC;) and received budget counseling to include a budget analysis in event he or she is administratively discharged.

8

RCC

If the RSM is under medical care and requires medications, inquire with CCM assigned for what courses of action are available to the RSM for prescription refills.

9

RCC

Counsel the RSM on the In-Transition Program for behavioral health support.

10

RCC

If needed, discuss Discharge Review Board (DRB) to request change to discharge characterization and Reenlistment Code.

STEP

ACTION OWNER

NARRATIVE

Current AFW2 eligibility requirements for enrollment (AFI 34-1101, para 5.1) into the program are as follows:

a. Identified as Seriously Injured (SI) or Very Seriously Injured (VSI) on Casualty Morning Report (CMR) or by Medical Authority

b. Case-by-case basis, Airmen with highly complex medical conditions as provided by a Medical Authority or medical diagnosis of:

- Post Traumatic Stress Disorder (PTSD)

- Traumatic Brain Injury (TBI)

- Purple Heart Recipient

c. Air Reserve Components (ARC) who:

Returned for more than 6 months on Title 10 medical orders (Serious/Severe Conditions)

1

LC/RTL

Region Team Lead’s (RTL) have the flexibility to inactivate cases only under certain conditions:

1. When the PEB results have returned and accepted by the RSM that does not meet AFW2 enrollment criteria (use AF Form 356 to verify), or the basic criteria of 70% for any one condition, inactivation will not occur until the RSM separates. This should be the exception and not the rule, as RTLs will make the decision on what is the best interest of the RSM & family.

2. The RSM is leaving the AF as a result of a regular (non-medical) retirement or separation (use retirement/separation orders to verify) and he/she does not have complex medical issues requiring additional care management. RTLs will look at the entire case and not just focus on the regular retirement/separation.

3. After initial enrollment, the RTL determines if the RSM no longer meets enrollment criteria.

4. The RSM is deceased

Exclusion. Combat-related cases as deemed by either the Physical Evaluation Board (PEB) or those holding a combat-related Reporting Identifiers (RI) (9W000/92W0, 9W200/92W2), any RSM (combat or non-combat) identified with service related PTSD/TBI, or any Purple Heart recipient are excluded from this policy and WILL NOT be inactivated.

2

RTL/WII Cell

RTLs will collaborate with the LC, and then if inactivation is still in order consult with the WII Cell Program Manager (PM) who will concur/non-concur whether the RSM should be inactivated.

3

LC

If the WII Cell PM concurs with the inactivation request, the LC will contact the RSM and inform them of decision to inactivate and let them know they will continue to assist until their DOS.

The LC will provide necessary resources and referral information to facilitate their transition to civilian life.

The RTLs have the flexibility to approve support past the RSMs Date of Separation (DOS) until the LC determines adequate support has been provided.

4

LC/RTL

In the event a RSM is deceased, ensure appropriate case count and accomplish the following:

a. Inform the Chief, NMCM Branch ASAP

b. CLOSE DoD-CMS Case

c. Inform IT and Special Programs Manager of inactivation updates.

d. If needed, Case Managers can still apply case notes until all final actions have been accomplished without reopening case in DoD-CMS.

If the case is does not meet AFW2 enrollment criteria and is “inactivated”

in DoD-CMS, the RSMs is be eligible for C.A.R.E Events/Adaptive

Rehabilitation Sport Program (ASRP) opportunities.

5

RTL

Important: On cases approved for inactivation as result of not meeting AFW2 Enrollment Eligibility, the 9W RI must be removed by appropriate MilPDS and DoD-CMS updates.

STEP

ACTION OWNER

NARRATIVE

1

RCC/NMCM

Document. OMAs or one-time-assists within DoD-CMS.

2

RCC/NMCM

Determine. 1. Is this a one-time assist or 2. Or a situation that requires longer tracking to resolve the issue but does not meet criteria for enrollment?

3

RCC/NMCM

Create. New DoD-CMS case record.

4

RCC/NMCM

Complete in DoD-CMS.

1. Client Info - 1. Case Status Field, select “Closed “from drop down list; 2. Reason Code Field, select “One-Time-Assist” from drop down list; 3. Complete rest of screen as normal.

2. Category Assignment – Choose “Secondary Program Association”

3. Input case notes as normal.

5

RCC/NMCM

Close. Cases will be opened and closed in DoD-CMS on the first day; updates can be made on as “as needed basis.”

STEP

ACTION OWNER

NARRATIVE

1

RTL/NMCM

The RTL or appointed NMCM will review the VTA on a monthly basis NLT the 5th of each month.

2

RTL

The RTL will ensure that all Recovery, Rehabilitation, and Fitness Evaluation cases have been checked.

3

LC/RTL

A case note with of the VTA findings will be documented on each RSM in DoD-CMS, as well as passing down the results of this review to the applicable care managers, via email.

4

LC/RTL

If during the review it is determined that a change of phase of care is required, the reviewer will make sure appropriate case management systems are updated to reflect the current status, and notify the LC or case manager of change.

Check. Service Status & Service

STEP

ACTION OWNER

NARRATIVE

1

WII Cell

At the time a RSM is enrolled into the AFW2 program, the WII Cell will assign either the RI 9W000/92W0 (combat placeholder) or 9W300/92W3 (non-combat).

2

WII Cell

The WII Cell will update the assigned RI in MiLPDS and make an entry in

the contact details of DoD-CMS.

3

WII Cell

The WII Cell will forward the initial AFW2 assignment email to the RTL

with mention of the RI update made.

4

CMT/RTL

When determining award of 9W200/92W2 prior to the PEB final decision authority, or after receiving the Limited Assignment Status (LAS), RI, or ruled combat by a PEB but RTD, the following steps will be adhered to:

1: The LC, with assistance from other members of the Case Management Team (CMT), will conduct a thorough assessment to determine if the combat injured Airman truly meets the 9W200/92W2 award criteria. When making this assessment, the CMT will look at a variety of evidence, to include: CMRs, the severity of the injury/disability, how the injury occurred, review of the Narrative Summary (NARSUM) if made available, information received from RSM’s unit leadership or attending medical staff, personnel documents such as EPRs/OPRs, as well as a first hand evaluation of the RSM’s physical and/or cognitive abilities after talking to him/her.

2: If the CMT determines award of RI 9W200/92W2 may be appropriate, they will provide their rationale to their RTL.

- If the RTL believes the request “does not” meet the requirements for award of the RI, they'll reply to the CMT with the disapproval notice/reason to include additional instructions if warranted.

- If the RTL believes evidence supports consideration, he/she will bring that evidence to the Care Management Branch Chief (or if not available the Support Branch Chief), who will determine whether or not further RI 9W200/92W2 is appropriate. The results of this decision will be documented as a note in DoD-CMS.

: If the Care Management Branch Chief (DPFWM) believes the request meets the requirements for award of the RI, he/she will authorize the RTL to notify the requesting CMT/LC to process the authorized template memorandum through the RSM’s First Sergeant and Primary Care Manager (PCM) or Mental Health Provider (MHP) (when applicable).

4: If the First Sergeant and PCM/MHP both concur on the memorandum that the combat designation RI is appropriate, the CMT/LC notifies the RTL to make the appropriate MilPDS update, before filing the memorandum in the Attachments area of DoD-CMS, and annotate in the case notes section that RSM was approved for a RI. The AFW2 RI effective date is determined by the incident date on the CMR; if no CMR exists, effective date is the case establishment date.

5

CMT/LC

RTL

If the 9W200/92W2 was not awarded previously and the Informal Physical Evaluation Board (IPEB) determines the RSM’s injuries were combat related, the CMT/LC will file the appropriate source documents (AF Form 356, TDRL or PDRL order) as attachments in DoD-CMS, and forward a request for MilPDS update to their RTL. If the RSM appeals IPEB findings, and at a later date the Formal Physical Evaluation Board (FPEB) or in some cases SAFPC decides the RSM’s injury was not combat related, the RSM’s CMT/LC will forward the RI removal request to their RT, who will remove the RI from MilPDS, update RI 9W300/92W3, then make an annotation in DoD-CMS. Note: If the CMT/LC knows that the RSM is appealing their IPEB findings, wait for FPEB or final authority findings to request RI update.

6

RTL/LC

Other than initial entry updates performed by the WII Cell, all other 9W000/92W0 MilPDS updates is accomplished by the RTL. While DoD-CMS entries/remarks may be accomplished by the LC. As with paragraph 4 above, if at a later date the PEB (final authority) decides the RSM’s injury was not combat related, the RSM’s LC will make an entry/remark in DoD-CMS and forward the RI removal request and RI 9W300/92W3 update to their RTL for MilPDS update.

7

RTL

When the I-RILO or medical evaluation process determines to return the RSMs to duty:

Those RSMs previously awarded RI 9W200/92W2 will have their RI changed to 9W000/92W0 unless they are in the middle of their promotion cycle (between PECD and selection release), in which their RI will be changed after the release date. Those RSMs previously awarded RI 9W000/92W0 will continue to keep the RI.

8

RTL

If the case is inactivated as result of RSM not meeting AFW2 enrollment criteria, any previous 9W RI must be removed.

9

LC

Combat-related RI Re-evaluation requirement: The LC will ensure their RSMs with a RI 9W200/92W2 designation are re-evaluated once a year, NLT the anniversary date of previous medical certification. Re-evaluation is by accomplished by PCM/MHP certification on the designated memorandum. (Figure 4). If this review is not accomplished or the DoD medical authority fails to confirm that the injury or illness is combat- related (w/ exemptions), this RI will be removed in MilPDS and replaced with 9W000/92W0 RI by the RTL or designee.

Category

Fields to update

Responsibility for update

Remarks

Client Info

Update all fields except the Religion and Home of Record

Case Status:

- Active: Cases actively worked

- Closed: Inactive/Deceased

- Suspended: Sustainment

(If case is closed or suspended, you must take additional step and add the Reason Code (i.e., inactivated by RTL for not meeting AFW2 criteria, Deceased, or Sustainment.

Religion: N/A. Do not fill.

Service Status & Service needs to be continually monitored and updated as status changes.

Unit: Update PAS Code/Unit

Use the following format:

MH1LFCRX – 62 AMS

Installation: Base of assignment as listed on SURF

Current address fields are pulled over from DEERS when record is created. Care Manager will ensure each time they contact RSM they review and update contact data if necessary.

Permanent Address Use the “Street” field to record whether or not the RSM currently resides in base housing. Use “Y” for RSMs living in base quarters, privatized housing, or TLF. Use “N” for RSMs not living in base housing.

Home of Record

Enter the two digit Region Code:

NE – Northeast

NC – North Central

NW – Northwest

SE – Southeast

SC – South Central

SW - Southwest

WII Cell

WII Cell initiates case and updates initial information

New cases will be updated within 72 Hours. NMCM responsible for updating all initial information, then lead coordinator keeps it current.

Identifying Information: Long SURF, vRED & DEERS.

- Unit/Installation: (abbreviate when possible:

Unit: 19 AMXS

Installation: Little Rock AFB

Category Assignment

Primary Program Association:

USAF Wounded Warrior Program

Secondary Program Association:

Not required except when documenting One Minute Assistance (OMA)

Category of Assignment:

1- Mild injury or illness, expected to

RTD, receives short-term medical treatment

2- Most will be in this category; serious injury or illness, unlikely to RTD, may be medically separated from the military.

3- Severe or catastrophic injury or illness, highly unlikely to RTD, will likely be medically separated from the military, and will require a FRC referral.

Evaluation Reason: TBD by WII Cell.

Notify FRC (CAT 3): Will always be “Yes” as FRC referrals will be accomplished on all CAT 3 RSMs.

Notification Reason:

Type the following text that applies:

Severe or catastrophic injury or illness

Assessor: Normally RCC or CCM who performed initial assessment. For DES cases, Non-Medical Case Manager. Update appropriate contact information

Information Source: Enter how the RSM entered the AFW2 program from the drop down menu. (Once selected, DO NOT CHANGE!)

WII Cell

Enrollment Power of Attorney

Should be accomplished specifically for RSMs that are critically injured, have projected surgeries, and those with potential to become incapacitated. Such RSMs should also consider an advanced directive.

RCC

_______________

NMCM

All RSMs should have a POA in the case of incapacity and should consider having in advance directive in their medical chart. _____________________________________

DES cases

Enrollment Family Info

Update all fields

Spouse Information: Current and

Permanent (verify pre-populated information from DEERs is correct).

Dependent Information: Use to add the children/legal dependents

Other Point of contact: Use this filed to add the caregiver information

NMCM

Dependent Information fields will also be used to update Parents and Siblings if RSM is single or they are living in same household as RSM.

Use DEERs inquiry and/or vRED to populate these fields.

Enrollment Command POC

Update all fields except CC’s address and secondary email/phone.

- Name/Rank of CC (unless

separated)

- Command: Unit/MAJCOM Designation (abbreviate when possible – 66 FSS (AFMC) rather than 66 FORCE Support SQ)

WII

_______________

NMCM/RCC

Will do the initial update

_____________________________________

LC will update as needed

Enrollment Service Info

Use WII Referral/SURF/Orders, update fields when applicable and available.

Prior to separation, only update TIS, Home Command/location. The block that shows separation date will be the Expired Term of Service date (ETS).

For now, until this requirement is built into a future system update, the Mobilization Command will be used to update the AF Disability Percentage, while the Mobilization Command Location will be used to update the VA Disability Percentage.

After retirement/separation orders have been issued, it’s very important to revalidate TIS, ETS, and DOS. If applicable Retirement Date (one day after DOS), TDRL or PDRL date (should match retirement date),

Home Command: Enter the MAJCOM where assigned (i.e., ACC, AETC, etc.)

Command When Injured: Enter the current Disposition below:

- Identification

- Recovery

- Rehabilitation

- Fitness Evaluation

- Reintegration/ Transition

- Stabilization/ Resolution

- Sustainment

Command When Injured Location: Enter one of the below DES Actions, if applicable:

- For Airmen currently going through the IDES process:

-- BCMR

-- Dual Action

-- FPEB

-- IPEB

-- PDBR

-- SAFPC

- For Airmen with an approved IDES result:

-- Admin Sep-Hon

-- Admin Sep-OTH

-- ANG/Res--Reg Ret Age 60

-- DwS

-- NCR--Ret/Disch

-- PDRL

-- Reg Discharge

-- Reg Retirement

-- RTD

-- RTD from MEB

-- RTD from TDRL

-- RTD--IRILO

-- RTD--LAS

-- RTD--NMB

-- TDRL

-- TDRL-R

NMCM

Lead Coordinator ensures information is current

When updating AF and VA Disability percentages only fill in the number, not ”%” (percentage sign). So as example, would be recorded as 70, versus 70%.

Enrollment Awards

Personal Awards: Update Combat Awards only (mandatory). If no combat awards type in “none”.

Unit Awards (not required).

NMCM

Sources:

- Decoration Print-out

- Casualty Screen

- DD Form 214

Enrollment Education & Training

Update all fields as documented on the Long SURF

Vocation = Duty Title

Military Occupation = AFSC (2W171)

Client and Family Preferred Language (optional): If able to obtain it from the RSM.

NMCM

Ensures information is current

Enrollment DOD Team

Update all fields if applicable, available and or known.

Use the WWP field to update the RCC. Drop down on the WWP and change to AFW2 and add the name and email for the RCC.

The CBHCO field is not used.

WII Cell

CM is reserved for the RCC, NMCM information will also be filled in at the appropriate area. Ensure the current “LC” box is checked appropriately, and then changed as the LC changes.

On SOCOM cases, the CM will be reserved for the SOCOM RCC/Advocate. In this case AFW2 RCC information will be placed in the WWP area.

Enrollment

VA Team

Update all fields if applicable, use VTA to update MSC

NMCM

Ensure the VA TCM or VA Liaison who was established as LC during the warm-handoff is updated in this area appropriately.

Enrollment Incident/Injury Info

Update all fields if applicable and available

The Primary Injury field will be updated with the initial Case Category:

Select “Other” from the dropdown and enter one of the following:

- Illness

- Injury

- PTSD

- OMH

All other diseases, injuries, etc., will be input into the Secondary Injury and Tertiary Injury fields.

DO NOT CHANGE THE PRIMARY INJURY AFTER CASE CREATION.

WII/RCC

_______________

NMCM

WII will do initial entry, RCC will complete the rest

Don’t get concerned about Dates of Deployments are on the top part of this page (can be pulled from MilPDS)

Other areas on this page need to be updated, as it will be the primary source in obtaining specific incident/injury reports

Use Casualty Reports, Referral worksheets and known information to update this data

_____________________________________

For DES cases

Enrollment Medical Admin Info

Mandatory for those with SCADDL or if RSM identifies a caregiver. For all others, update these fields if applicable, known, or available.

This screen is used primarily to identify RSM’s Caregiver information. Also used to verify the enrollment status in DEERs and Tricare.

RCC

_______________

NMCM

____________________________________

For DES cases

Needs Assessment

Update all fields (follow guidance as directed by AFW2 Training and Quality Assurance Program Manager).

RCC

______________

NMCM

- Updated Pre-IDES or Post-IDES based on the needs of the RSM. Mandatory entries required by RCC.

- Needs Assessment and Comprehensive Recovery Plan should correlate with each other, and should be monitored and updated routinely as RSMs needs change.

_______________________________

- For DES cases

Comprehensive Plan

Comprehensive Plan

(follow guidance as directed by AFW2 Training and Quality Assurance Program Manager).

- Under the needs category tool box update all fields as applicable

- Family Support

- Financial

- Employment

- Benefits and Compensation

- MEB/PEB

- Transportation

- Housing

- Legal

- Medical Care

RCC

- Mandatory usage/entries by RCCs.

- Plan/goals should correlate with needs assessment and should be monitored and updated routinely as RSMs needs change.

- NMCM: Review only to assess RSM’s past/current/future needs.

- In some instances updates can be made by the NMCM when applicable.

- Use RCP to identify open items as well as projected follow-up dates.

Contact Details

- Contact Method – Self explanatory

- Contacted By – If not listed in the drop down, drop down to “Other” and add the name of the person/persons phoned or emailed. Do not use N/A. More than one name can be placed in this area. Example: RCC – John Doe, Mary Jane

- Contacted At – If not listed in the drop down, select “Other” to add additional contact information and notes.

- Created Date – Self-explanatory.

- Notes:

Use this area to provide information not captured in the CRP, to include administrative details, along with annotating the required 30 day contact.

30 day contact statement must include:

1) Phase of Care

2) DOS/ETS Date

3) RCC Summary of Discussion (Identify which goal(s) discussed under RCC Summary of Discussion)

ALL

The highest levels of DoD Leadership review your written work. Notes should be professionally written, and must be written and formatted in a way that makes it easy for the reader to understand. Notes should be written without any emotion, be concise, and clearly articulate the story.

Use hard return/bullet formatting. Do not copy and paste emails into the note. Instead, attach the email in DoD-CMS and refer to it in the case note.

NOTE: Care managers will accomplish a follow up for active cases in DoD-CMS every 30 days at a minimum. RCCs monitoring RTDs w/ limitations will make quarterly contacts with the RSM.

Attachment

Add any and all necessary file attachments to the case that would assist in the overall management of the case.

Emails should also be added to this area (NOT pasted in Contact Details).

ALL

Important: Use proper naming conventions when attaching documents. Examples:

- AF356 (PDRL) – Montana, Joseph

- RETORD (TDRL) – Lott, Ronnie

- vRED – Rice, Jerry

- MiLPDS (Long) – Craig, Roger

- DD214 – Kapernick, Colin

LC Checklist

Only the first (page 1) Lead Coordinator Checklist, will need to be updated throughout the entire recovery process. This can be accomplished by either the RCC or NMCM. After opening a case, the LC Checklist can be found on the left side just above the Print Forms area. When the care manager opens up the LC Checklist, they can update it as items are assessed/action taken by clicking on the black “Edit” button on the top right side of the page. Once in editing mode, the LC can check the applicable items before saving the checklist updates on the bottom right side of the page.

RCC/NMCM

To keep this form updated the care manager will need to collaborate with the CMT on a regular basis.

LC Data

N/A

N/A

Print forms

Comprehensive Plan (PDF)

LC Checklist

At the time the RSM retires or separates from the Air Force, the LC, normally the NMCM, will be responsible for finalizing and sending a copy of the completed LC Checklist and the Comprehensive Recovery Plan (CRP) from the Print Forms area located on the left side of the page to facilitate the warm hand-off with the VA when applicable.

NMCM

Under IC3, warm hands required for all CAT 3 illnesses/injures, cases requiring a Federal Reserve Coordinator (FRC), or at the RTL’s discretion, serious or complex CAT 2 injuries/illnesses.

STEP

ACTION OWNER

NARRATIVE

1

RCC/RTL

Airmen designated as CAT 3 are referred by the RCC or Clinical Case Manager to the VA Federal Recovery Coordination Program (FRCP) POC, located at AFPC/DPFW through their respective RTL.The RCC or CCM will complete the FRCP Referral Form, FRCP Form (V2) (see Figure 6), and send the form to the RTL. In-turn, the RTL will send it to the AFW2 FRCP POC.

Note: A CAT 3 Airman has a severe/catastrophic injury or illness, is highly unlikely to RTD, and will most likely be medically separated from the military.

2

RTL

Will file the request, then make a case note in DoD CMS that the request was received, then suspense for 3 business days to follow-up with AFW2 FRCP POC on status of the request.

3

FRCP POC

Will assess CAT 3 referrals for FRCP eligibility and will make contact with RCCs regarding any referral consideration. Airmen meeting initial eligibility criteria are referred by AFPC/DPFW to the VA Central Office in Washington, D.C. for FRCP enrollment consideration (FRCP POC will fax the referral to the VA Central Office).

After submission, the FRCP POC will monitor and follow-up on each request to make sure the RTL is aware of status and final approval/disapproval. Airmen not meeting initial eligibility criteria are returned to the referring RCC for continued care, along with written notice and reasons for non-consideration.

4

FRCP POC

Will provide RTLs/RCPMs weekly status updates during weekly care management meeting.

5

RTL

Document DoD CMS on whether or not FRC was assigned. If FRC was assigned document name and contact information of that individual and notify RCC of the FRCP decision.

6

FRC

Federal Recovery Coordinator (FRC): Will provide oversight and assistance for the care, management and transition of CAT 3 Airmen on active duty enrolled in the FRCP, and when they transition to veteran status. FRC, in partnership with the RCC and the NMCM, will oversee the development and execution of the personalized ICP and help eliminate barriers to the services and resources identified in the plan. Elements of the ICP are executed by a CMT of health care providers, RCCs, NMCMs, and A&FRC; personnel and advocates in partnership with the FRC.

Note: ALL AFW2 care managers should utilize AF FRC POC for unique or complex care coordination issues that involve VA care, regardless of whether or not the illness injury is considered CAT 3. .

STEP

ACTION OWNER

NARRATIVE

1

RSM

RSMs are considered to have successfully reintegrated, achieved stability and either RTD without any medical or physical limitations or made fully aware of all applicable benefits and entitlements.

RSM will either be TDRL, PDRL or Discharge with Severance (DwS)

2

NMCM

Contact. Review CNA with the RSM to confirm resilience, independence, and that all benefits, entitlements and employment/education plans are in place.

3

NMCM

Ensure: Minimum guidelines are followed to request transfer of case to Sustainment

4

NMCM

Ensure: All applicable areas of DoD-CMS have been filled out:

1. PEB decision, AF/VA Disability percentages/and separation data in the Service Information under Enrollment area.

CRP completed if applicable. Look to green up those applicable areas in DoD-CMS.

2. TDRL Status (if applicable)

3. DD Form 214 for those on AD or on Active Duty Orders

a. Ensure SPD is correct

b. Ensure NGB Form 22 is received for ANG regardless if AD

4. The RSM is enrolled and handed off to the VA

5. Verify pay and entitlements have been received

a. If applicable, verify severance pay is processed and taxes are not withheld for combat related RSMs

b. VA offset, dependent rate applied

c. Survivor Benefit Plan (SBP) is accurate

d. Verify tax/not taxed (combat) applied

6. Confirm Tricare enrollment is correct

7. Employment/School to include VocRehab

8. SSDI verification (if applicable)

9. If combat, CRSC counseling/status

10. If applicable VA Caregiver

11. Statement indicating the RSM was contacted of this change of status (i.e., verify sustainment letter went out)

5

NMCM

Remove. Purge all temporary documents out of DoD-CMS except the following:

1. Initial WII Cell Referral

2. Retirement Orders

3. DD Form 214

4. AF Form 356

5. Only relevant high risk/high profile email correspondence which may be needed for historical reference in the future

6. All SCAADL Documentation (for audit purposes)

6

NMCM

Request. After documenting all requirements complete for Sustainment consideration, make formal request with applicable RTL.

7

RTL

Request. RTL review and request transfer of case to Sustainment with corresponding RPM.

8

RPM

Review. Approve/Disapprove request

9

RPM

Update. In DoD-CMS go to “Client Info” and change “Case Status” from “Active” to “Suspended.”

STEP

ACTION OWNER

NARRATIVE

RCC/NMCM

It is the AFW2’s Care Manager’s responsibility to build a successful partnership with their SOCOM counterparts who also advocate on behalf of the same RSMs. This includes communicating with SOCOM commanders, medical staffs and installation helping agencies such as A&FRCs.; Possibly the most important relationship is the one built between the AFW2 RCC and the Care Coalition’s RCC or Advocate. When these two identities work harmoniously together the RSM wins. This process can’t always be done by email, rather it needs a personalized approach. It involves building trust through care and communication. There is no tolerance for instances in which our program is not communicating effectively with our SOCOM partners. It is true, we don’t want to duplicate efforts already being accomplished by SOCOM, nor slow their recovery coordination process down, that’s why it’s even more important to communicate care with them. This ensures each CM/advocate can properly perform the actions their program requests them to do, as well as be able to properly document the recovery coordination process in DoD-CMS or other case management systems.

All AFW2 Care Managers will ensure the same level of advocacy/care/assistance is provided to SOCOM personnel enrolled in AFW2 program as afforded to RSMs not assigned to SOCOM. This can be accomplished through either direct or indirect assistance.

When SOCOM Care Coalition is serving as Primary Program Association Support, AFW2 CMs should not contact SOCOM personnel without first talking to the applicable Care Coalition RCC or Advocate.

Individual program enrollment criteria will not change. Both AFW2 and SOCOM Care Coalition have different enrollment criteria to suit the specific needs and resources associated with their own individual program. When a RSM is enrolled in both programs, and one program decides to close/sustain/or disengage from active case management of an RSM, the applicable LC or CM is obligated to provide this information to the other program’s CM so the RSM can continue to receive active case management if needed.

In cases where there are perceived roadblocks, it’s very important you elevate these concerns through your AFW2 RTL who in-turn may elevate the issue to AFW2 leadership.

AFW2 and SOCOM are two different organizations, with different enrollment policies. They may assist RSMs in different ways, but understand that by continuing to work together as one team we can both complete our program’s #1 mission. The mission is to provide well-coordinated and personalized support to wounded, ill & injured RSMs and their caregivers/families.

1

Once the AFW2 LC is determined, an update is made in the Category Assignment area of DoD-CMS. SOCOM Care Coalition is identified under the Primary Program Association and the AFW2 program is identified as the Secondary Program Association

2

The CM not in the LC role (normally AFW2 care manager) will serve in a supporting capacity. This may change, if needed, when both organizations agree the RSM is better served by changing the LC. Both AFW2 and SOCOM Care Coalition must understand that to the RSM, whoever has the LC role should be transparent to them. And both, the AFW2 and SOCOM care managers, will work as a team on behalf of their advocacy. The advantage of DoD-CMS is that both programs and their individual CMs will be able to communicate and document actions as part of the same helping team. This does not negate the fact that both program CMs need to continuously collaborate by phone/in-person on cases/RSMs enrolled in both programs.

STEP

ACTION OWNER

NARRATIVE

RCC

SCAADL Criteria:

To be eligible for SCAADL, an Airman MUST MEET all of the following conditions:

1. Have a permanent, catastrophic injury or illness* that was incurred or aggravated in the line of duty; AND

2. Have been certified by a DoD or VA licensed physician to be in need of assistance from another person to perform personal functions required in everyday living or require constant supervision to avoid harm to self or others; AND

3. In the absence of the provision of such assistance, would require hospitalization, nursing home care, or other residential institutional care; AND

4. Be an outpatient and have a designated primary caregiver; AND

5. Categorized by a licensed Health Care Professional as meeting Category 3 criteria as outlined in DoDI 1300.24; highly unlikely to return to duty and will most likely be medically separated from the military.

* Catastrophic injury or illness defined: A permanent, severely disabling injury, disorder, or illness incurred or aggravated in LOD that compromises the ability to carry out ADLs to such a degree that the RSM requires personal or mechanical assistance to leave home or bed, or requires constant supervision to avoid physical harm to self or others, and is unlikely to recover from such a disability.

SCAADL eligible Airmen must be referred to the Federal Recovery Coordination (FRC) Program. This is to re-emphasize that DoDI 1300.24, Recovery Coordination Program, requires that all CAT 3 Airmen must be referred to the FRC Program (see FRCP Referral section in this guide).

SCAADL eligible Airmen must be enrolled in, or eligible for, the AFW2 Program.

It's imperative that RCCs and CCMs work together to ensure local providers and leadership are fully aware of the SCAADL Program’s intent and eligibility criteria.

2. The RCC, in working with the CCM, will ensure SCAADL re-evaluations are completed at least every 150 days from the date of RSM’s last SCAADL effective date. If complete, SCAADL applications are not received by the 180th day, SCAADL compensation will terminate. In order to re-establish a RSM’s SCAADL compensation, the Care Management Team (CMT) will need to provide a new SCAADL application. The effective date of compensation will be the date the physician certified eligibility on the DD Form 2948.

RCC

The RCC, in coordination with the CCM, will be the conduit to submit all SCAADL applications to the SCAADL Program Manager. The RCC will review and ensure each application is complete, accurate, and legible before submission (See SCAADL Processing Procedures below). This will help streamline the process among the SG community, commanders, and the AFW2 Program.

RCC

SCAADL Processing Procedures:

1. ALL SCAADL applications will require the following documentation (with limited exceptions) in order to process a RSM’s SCAADL application:

a. AF SCAADL Worksheet; use AF SCAADL Fact Sheet to inform the RSM/caregiver of program criteria and eligibility

b. SCAADL Application, DD Form 2948 (Pages 1-4)

c. Medical documentation that supports the SCAADL application; requires completion of DD Form 2870 (Figure 6). Medical documentation should include references to the RSM’s ADL loss(es) and/or supervision/protection needs. Documentation should be within 60 days of the SCAADL applicationdate.

d. Upload supporting legal documentation if RSM is not able to sign DD Form 2948

Terminations require a new DD Form 2948 ONLY if member/caregiver desire to appeal the decision. The physician and/or commander will annotate non-concurrence on form as applicable.

1

RCC

The following procedures are used to send SCAADL requests to AFPC/DPFWS:

1. The RCC will scan and attach all above documents within the RSM’s DoD-CMS casefile, under the “Attachments” area of the case. The documents should be scanned into two files (one file which includes AF SCAADL worksheet and DD Form 2948, and a second file which includes the medical documentation).

2. The RCC will follow a set filename nomenclature for attachments (i.e., SCAADL Initial – RSM’s Last Name, First Name, or SCAADL Re-Eval – RSM’s Last Name, First Name).

3. Once uploaded to DoD-CMS, send an informational email to the AFPC/DPFW SCAADL organizational email box, afpc.dpfw.scaadl@us.af.mil, indicating a SCAADL application was uploaded and requires review.Subject line of email should include one of the following, as applicable:

-Initial SCAADL, Last Name-Re-Eval SCAADL, Last Name -Terminate SCAADL, Last Name

4. NOTE: All subsequent SCAADL application revisions/corrections, to include additional documentation, will follow same format with brief description in DoD-CMS that the file was “Corrected”.

Actions to take within DoD-CMS:

1. d. Enter note in DoD-CMS stating the application was submitted

2. e. For Initial applications, add SCAADL goal to CRP under Benefits and Compensation

3. f. For Re-evaluations, close previous SCAADL goal once application is submitted

4. g. For Terminations, enter a note in DoD-CMS stating that termination was requested, reason for termination, and that the member/caregiver are aware

5. g. Do not close/change goal created by SCAADL PM, unless appropriate to do so, i.e., adding New Action or extending goal month to month post-DOS if VA Caregiver stipend and/or Aid and Attendance compensation is not yet received

6. h. Ensure Caregiver information is updated

NOTE: All current SCAADL material is located in DoD-CMS under DOCUMENTS, USAF, SCAADL

STEP

ACTION OWNER

NARRATIVE

1

LC

As soon as they receive the case from the WII Cell, the LC will use the DD Form 2870 (Figure 6), Authorization for Disclosure of Medical or Dental Information, by giving it to the RSM to fill out and authorize disclosure. The DD Form 2870 and the words transcribed in block 8 have been approved by AFPC/JA with the verbiage required to meet our program requirements (Figure 8). RSMs are considered to have successfully reintegrated, achieved stability and either RTD without any medical or physical limitations or made fully award of all applicable benefits and entitlements. RSM will either be TDRL, PDRL or DwS.

2

LC

The LC will also have each RSM fill out and sign the attached PII Disclosure Statement .

3

LC

Once both documents are signed, the LC will upload each document as attachments within the DoD-CMS case record.

These signed documents are very important to have on file for the entire CMT, who will be advocating on behalf of the RSM throughout the continuum of care.

It is the responsibility of the LC to ensure the forms remain current; at a minimum both forms are to be updated annually. The LC will add a goal in DoD-CMS with a Projected Goal Date of one year later.

STEP

ACTION OWNER

NARRATIVE

The LC may not obtain medical information from the PEBLO

LC

If the RCC needs non-medical information emanating from the IDES process, the first approach is contacting the RTL to see if the information can be obtained out of VTA. If not, the LC may request it from the PEBLO but must have the AFW2 enrollment form/email as evidence.

LC/CCM/

PEBLO

The LC (normally the RCC) may solicit information from the CCM or PEBLO by presenting the RSM’s AFW2 enrollment email to validate program enrollment. The CCM will only provide unfitting diagnosis, specialty referrals, and future medical appointment schedule.

STEP

ACTION OWNER

NARRATIVE

1

RCC

Provide each installation IG, within his/her region, apprised of AFW2 RSMs living in any type of government quarters, i.e., dorms, on-base or contracted housing, TLFs or DoD lodging quarters living. This must be accomplished by the 15th of each month.

2

RCC

Build a comprehensive list of enrolled RSMs living at bases you serve and keep it continuously updated by adding and deleting RSMs as applicable.

3

RCC

When requested by the commander, accompany him or her to the house being inspected.

STEP

ACTION OWNER

NARRATIVE

NMCM

Request remaining SRB on an approved combat related RSM’s enlistment (unpaid portion) by submitting the request electronically through AFPC’s Case Management System (not to be confused w/ DOD-CMS). This request should be accomplished no earlier than 30 days prior to DOS. While DFAS Separations does have an open window where they can still process the necessary transactions after DOS, it is best not to wait to long thus prevent RSM hardship by requiring them to submit their request through the Board for Correction of Military Records (BCMR).

1

NMCM

Enter into AFPC CMS by logging on to the following website:

https://w45.afpc.randolph.af.mil/AFPCSecureNet40/CheckPortal.aspx

2

NMCM

Select Responsibility: AFPC AF Wounded Warrior “Select” button

3

NMCM

In the “Enter/Update/Request Status on a Case” area enter RSM’s SSAN, Select CMS Case Type: Critical Skills Ret Bonus (Enlisted), then hit the “Enter New CMS Case”

4

NMCM

Enter the following mandatory statement in the Case Description area:

The RSM was medically retired effective ____________ as a result of combat-related injury. He/she is entitled to the future SRB payment of $____________. However, there is not an SPD code that authorizes future payments. OSD has directed that combat injured medical retirees must be

paid future SRB payments: "In accordance with the OSD Memo's dated February 6, 2009, May 21, 2008, Subject: Repayment of Unearned Portions of Bonuses, Special Pay, and Educational Benefits or Stipends, paragraph (2), also, DoDFMR 7A, Chapter 2, Table 2-1, dated July 2014 and 10 U.S.C. Chapter 61, 10 U.S.C. 1413a (e), please adjust the RSM's pay account and issue a lump sum payment for the remaining (type) bonus installments."

NOTE: To fill in the dollar amounts above you can call the VIP and Wounded Warrior DFAS Rep, Ms. Jennifer Hanson at DSN 699-9253, or email her at jennifer.m.hanson2.civ@mail.mil

5

NMCM

In the comments block listed as RANDOLPH AFB TX (AFPC/ AFPC AF Wounded Warrior (DPFWS): Provide RSM’s current mailing address, then type in the name of the documents you have attached. Must retrieve from ARMs and attach current reenlistment document, retirement/separations orders, and DD Form 214 if applicable. Also indicate in the same block that this request will need to be submitted to DFAS AC 3892 Separations/DFAS Indianapolis

6

NMCM

At the bottom right, hit the “Refer” button. In doing so it will first be sent locally to AFPC TSFS ADSC Office (DP1TA) who will review and push to DFAS.

7

NMCM

Browse, Download, and Submit required attachments.

8

NMCM

As the requesting official, the NMCM will inquire and review status of the case on a weekly basis. This is to ensure the case is not held for long length of period in any office or to see if there are any requests for AFW2 to provide additional information or documents. The request for SRB recoupment may take as long as 30 days to process.

STEP

ACTION OWNER

NARRATIVE

1

WII Cell

Sends notification of each enrollment to the Career Readiness Section.

2

ER2L

Reviews RSM enrollment, collaborates with corresponding LC to determine appropriate time to begin career readiness counseling/preparation.

3

LC

Beginning in the Rehabilitation Phase of Care and no later than the Fitness Evaluation Phase of Care, the LC will educate the RSM on Operation Warfighter (OWF) opportunities (only applicable to those RSMs who have at least 6 months left on active duty). If RSM is interested, obtain a filled out Employments Questionnaire and updated Resume. Forward these documents (through DoD CMS) with RSM background information and RSM’s intent to the appropriate

4

ER2L

ER2L will make contact with RSM and assist them through the OWF application process.

5

LC

- Once determined that the likelihood is the RSM will separate or retire as a result of not being medically fit, the LC will first assess and then educate RSM as it pertains to the following career readiness opportunities:

- Assess:

-- Does RSM want to work?

-- Does the RSM want to go to school?

-- Is RSM looking to obtain veteran assisted training?

-- Does RSM have no intention to work?

- If RSM has no plans to work as a result of his/her disabilities, assist them with Social Security Disability (SSDI), and counsel them on VA Unemployability, and VA Caregiver compensation programs.

- If RSM is interested in going to school, assist RSMs with VA’s Post 9-11 GI Bill or Montgomery GI Bill processes as applicable.

http://www.benefits.va.gov/gibill/montgomery_bill.asp

- Advocate/solicit/and provide link to Vocational Rehabilitation (VR&E;).

- Ensure RSM receives Career Readiness/Transitional Assistance at their local A&FRC; as early as possible.

-- Arrange one-on-one transitional assistance for RSMs w/ cognitive or severe injuries or illnesses.

- If RSM wants to work emphasize the importance of a good resume and encourage them to start working on one immediately. Advise them that they can obtain resume assistance through their local A&FRC.;

-- Combat Wounded Warriors or those with cognitive issues – If the RSM desires, arrange one-on-one Resume assistance with their local A&FRC;

- Discuss & solicit for an upcoming C.A.R.E Employment Bootcamp

- Provide link to Career Readiness closed Facebook Group

- In general terms, introduce AF Civil Service Employment Program (AF CSEP/Schedule A/Central Salary Account (CSA)

- If employment assistance is desired, ensure RSM is aware of who their ER2L is:

Employment Readiness Program Manager (ER2L)

Felicia McCollum

Felicia.mccollum.3@us.af.mil

210-565-0804

Western Region

Tina Chaney

Tina.chaney.1.ctr@us.af.mil

210-565-3998

Central Region

Moses Espinosa

Moses.espinosa.ctr@us.af.mil

210-565-5227

Eastern Region

Michelle Leiwig

Michelle.leiwig.1.ctr@us.af.mil

210-565-3660

- Obtain Employment Questionnaire and RSM’s resume and forward to appropriate ER2L

6

ER2L

As the SME, the ER2L will work directly with the RSM requesting employment assistance. This includes expertise counseling, identifying appropriate referral agencies or available resources, and process employment application requests. All actions will be documented in DoD CMS. ER2L will courtesy copy the LC on any correspondence sent to the RSM.