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. Medical, Mental Health or Educational reports do not need to be submitted with your initial medical clearance forms but be aware that Medical Clearances may require reports from providers, medical facilities, or schools for anyone with significant past medical, mental health, or special educational needs. Confidential Medical Information. Individuals assigned to an ESCAPE post has a medical clearance valid for one year. Some posts could face extreme isolation due to limited air and other transportation services, and unreliable Internet, telecommunications and postal and delivery systems. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. 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. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. MEDICAL CLEARANCE UPDATE ESTIMATED BURDEN: 30 MINUTES* PRIVACY ACT NOTICE AUTHORITIES: The information is sought pursuant to the Foreign Service Act of 1980, as amended (Title 22 U.S.C.4084). Close. Sending forms and reports to the wrong email address results in confusion. Obtaining reports from specialists, hospitals, therapists, and schools is time consuming. Do NOT submit to Medical Clearances. Be sure to attach copies of any medical reports that can help clarify a medical condition(s). Medical Clearance prior . Where a particular physical or mental health condition, or extraordinary stress are the basis or for the request. Travel orders are not required to start the process. Provide a current phone number and valid mailing address. a. This is not guaranteed. The background investigation includes interviews with current and previous contacts, supervisors and coworkers. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. Because everyone is medically cleared to be in the United States, individuals whose next tour is a domestic assignment do not require a medical clearance unless they will be doing TDY travel of 30 or more consecutive days during their domestic tour. 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. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM), (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Candidates who do not receive a security clearance are ineligible for the fellowship. See Post Specific (Class 2) Clearance for details, Afghanistan, Erbil, Iraq, Libya, Peshawar, Somalia, Syria, and Yemen. There are numerous posts where conditions appear similar to that of the U.S. but which also suffer from some of these restrictive characteristics. Allergies must also be reviewed. There are several extra steps involved in bidding on overseas jobs if you or one of your Eligible Family Members (EFM) has a Post Specific (Class 2) Medical Clearance. Do not travel to your next overseas assignment without a valid medical clearance. This reduces the need for medical travel due to lack of local health resources and limits the number of curtailments for pre-existing medical conditions. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. If you are going on TDY, indicate if you are CONUS-based, any possible ESCAPE posts you may travel to, and estimated duration of your TDY. Do NOT include any personal medical information in this communication to HR, only the posts you wish to bid upon. Reasons for a Separation or Retirement Exam. It is your clearance. 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. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. Waiting well into that time frame may result in a longer processing time. All chronic medical conditions must be listed on page 4 in assessment or problem list section. As a result, stress levels among employees may be very high. Shreds security and medical sensitive materials as directed including medical reports and old chronological files. Medical Clearance related medical expenses can 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. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Include the Medical Records coversheet. In this case, the State Department denied Dara Katz the medical clearance she needed to qualify for an overseas assignment with the Foreign Service, and then denied her request for a waiver of the clearance. MED Clearances will issue a Post Specific (Class 2) clearance only to posts capable of meeting that individuals needs. Document rationale for Post Approvals and/or Disapprovals. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. NEW CONTRACT: Top-Step Officer $43.30 - $59.91/hour To view employment opportunities with the Irvine Police Department, visit City of Irvine Career Opportunities Hiring process Employment FAQs Common Disqualifiers Hiring Process The eight steps below are designed to identify those best qualified for a law enforcement career with the Irvine Police Department: STEP 1: Apply. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. Sending forms and reports to the wrong email address results in confusion. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) List your prescription medications, hospitalizations, and medical conditions since your last clearance. 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. The employee and/or EFM should complete the separation exam within 90 days of retiring or separating from the Foreign Service. 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. Clearly print the persons name on each page submitted to Medical Records. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. The name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. All personnel must update their medical clearance prior to departure for a new overseas assignment. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. Additionally, the scope and frequency of the required follow-up must be determined. Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. The Six-Year Rule. Schools are often closed during American summer months, so the process needs to start well before the end of the school year for children with educational issues. Via email in a PDF format to MEDMR@state.gov (preferred) How Long is an ESCAPE Post Clearance Valid? Main Line: 714-990-7625. Or fax to 202-647-0292 (less preferred) 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). These are DOD medical standards. Provide a personal, legible e-mail address good for the next 90 days. Include the Medical Records coversheet. extending at an ESCAPE post, the MCU (plus, any individual who has had a new medical condition that may affect their medical clearance at the posting they are currently at or will be posted to. Send all medical forms and reports to MEDMR@state.gov. (Uniform State/USAID/U.S. The healthcare provider must print or stamp their name, as well as sign and date page 4. The clearance process may take longer than 30 days if this additional information is not available to make a medical clearance decision. Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. Or fax to 202-647-0292 (less preferred) e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid travel to localities where medical care is inadequate to meet their needs even if that travel is only for a few days. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Her exact words were, "I've sent folks with 165 systolic to Kabul, if they want to go and their doc says they are good, I'm not stopping them." This conversation was in November of 2015. A Post Specific (Class 2) Medical Clearance means you (or your EFM) have (or has) an on-going medical, mental health, or educational issue where the medical capabilities needed may not be available at every post in the world. Angina pectoris Bipolar disease Cardiac valve replacement 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. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. Failure to have all family members medical clearance in order may delay your travel orders. Medical clearance determination by Medical Services is based on its thorough review of each fellow's medical history and a physical examination, including an individual assessment of his/her specific medical needs and the medical capabilities of Foreign Service posts to meet those needs. Tips for Submitting Your Medical Clearance Application. Everyone is cleared to be in the United States. 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. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. Such requests should be submitted no earlier than May prior to the new bidding cycle and no later than 30 days prior to the bid due date. A TDY medical clearance is valid for 2 years from the date it was issued. 1 year after arrival at post for all individuals deploying to an ESCAPE post. Travel orders are not required to start the process. ESCAPE Posts: Afghanistan, Iraq, Yemen, Somalia, Libya, Syria, and Peshawar. An FSO or Eligible Family Member (EFM) may start updating their medical clearance one year prior to departing from their current post or domestic assignment. CONUS based individuals who do TDY travel to ESCAPE posts for 30 or more consecutive days have a medical clearance valid for two years from the date of issuance. This brief, two page document requires does not require a physical exam. It can be a very . Please send inquiries only to this email address. Once youve completed the background investigation and medical examination, a State Department Suitability Review Panel will examine your file (minus any privileged medical information) to determine your suitability for employment with the Foreign Service. Include the Medical Records coversheet. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. Via email in PDF format to MEDMR@state.gov (preferred) List your prescription medications, hospitalizations, and medical conditions since your last clearance. Where Can I Look Up My Current Clearance? There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. Your CDO or agency HR will send your list to MED Clearances. 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. Unsigned forms will not be accepted by Medical Records. Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Examples of chronic conditions that must meet stricter DOD requirements to be deployed to an ESCAPE include but are not limited to; tighter control of seizures, asthma, headaches and mental health issues; injectable or refrigerated medications; cardiovascular risk factors and excessive weight (BMI >35). The military provides emergency medical support for the Department of State in Afghanistan, Libya, Peshawar, Somalia, Syria, and Yemen. Make sure the agency (DOS/DOD/USAID etc.) 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. Rather than relying solely on a specific list of medical conditions, the medical evaluator must carefully consider Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. Unfortunately, about two years ago I was diagnosed with Crohn's disease. All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts Health Unit and other Medical Program benefits including assistance with a medical evacuation or hospitalization. For children with special educational needs, starting early is important. 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. Misrepresentation, including deception or fraud, in the application process. The Eight-Year Rule is set forth in the Foreign Service Act at 504, 22U.S.C.3984, which states, A member of the Service may not be assigned to duty within the United States for any period of continuous service exceeding eight years unless the Secretary approves an extension of such period for that member because of special circumstances.. 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. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. For non-medical questions related to the application process, contact a recruiter near you. The local emergency room, for example, might be completely inadequate, without ventilators, defibrillators, x-ray capabilities, etc. An official website of the United States Government, Office of the U.S. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Coordinator for the Arctic Region, Deputy Secretary of State for Management and Resources, Office of Small and Disadvantaged Business Utilization, Under Secretary for Arms Control and International Security, Bureau of Arms Control, Verification and Compliance, Bureau of International Security and Nonproliferation, Under Secretary for Civilian Security, Democracy, and Human Rights, Bureau of Conflict and Stabilization Operations, Bureau of Democracy, Human Rights, and Labor, Bureau of International Narcotics and Law Enforcement Affairs, Bureau of Population, Refugees, and Migration, Office of International Religious Freedom, Office of the Special Envoy To Monitor and Combat Antisemitism, Office to Monitor and Combat Trafficking in Persons, Under Secretary for Economic Growth, Energy, and the Environment, Bureau of Oceans and International Environmental and Scientific Affairs, Office of the Science and Technology Adviser, Bureau of the Comptroller and Global Financial Services, Bureau of Information Resource Management, Office of Management Strategy and Solutions, Bureau of International Organization Affairs, Bureau of South and Central Asian Affairs, Under Secretary for Public Diplomacy and Public Affairs, U.S. The Health Information Management Department at Department of State Hospitals - Napa is accepting applications for a full-time, permanent Senior Medical Transcriber. 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