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AUTHORIZATION FOR TEMPORARILY NOT PHYSICALLY QUALIFIED (TNPQ) RESERVE MEMBERS TO ATTEND INACTIVE DUTY TRAINING (IDT) 

R 051108Z DEC 00  ZYW
  FM CMC WASHINGTON DC//RA/RAP//
  TO MARADMIN
  BT
  UNCLAS  //N10001//
  MARADMIN 584/00
  MSGID/GENADMIN//
  SUBJ/AUTHORIZATION FOR TEMPORARILY NOT PHYSICALLY QUALIFIED (TNPQ)
  /RESERVE MEMBERS TO ATTEND INACTIVE DUTY TRAINING (IDT)//
  REF/A/DOC/CMC(RAP)/YMD:990310//
  REF/B/DOC/ASD(RA)/YMD:921203//
  REF/C/DOC/ASN(M&RA)/YMD:981223//
  REF/D/DOC/NCPB/YMD:981223//
  NARR/REF A IS MCO P1001R.1J (MCRAMM), REF B IS DODINST 1241.1, REF C
  IS SECNAVINST 1770.3B AND REF D IS SECNAVINST 1850.4D.//
  POC/L. ACKISS/MAJ/PRIPHN:(703) 784-9136/TEL:SECPHN:/TEL:784-9136.//
  RMKS/1. PURPOSE.  THE INTENT OF THIS MARADMIN IS TO MODIFY MARINE
  CORPS RESERVE POLICY ON DRILL ATTENDANCE FOR THOSE MEMBERS OF THE
  SELECTED MARINE CORPS RESERVE (SMCR) CLASSIFIED AS TNPQ.  ACTION
  ITEMS IN THIS MARADMIN WILL BE INCLUDED IN THE NEXT REVISION OF REF
  A.
  2.  BACKGROUND.  ONGOING REVIEW OF EXISTING POLICY HAS ELICITED
  CHANGES TO THE TNPQ POLICY PUBLISHED IN REF A.
      A.  REF B GUIDANCE STATES "MEMBERS AUTHORIZED INCAPACITATION PAY
  UNDER SECTION 204(G) OF 37 U.S.C. SHALL NOT BE ALLOWED TO ATTEND    
      INACTIVE DUTY TRAINING PERIODS OR TO ACQUIRE RETIREMENT POINTS FOR
  DRILL".  ACCORDINGLLY, THOSE MEMBERS IN RECEIPT OF INCAPACITATION
  PAY/BENEFITS (I.E. NOE RECIPIENTS) ARE PROHIBITED FROM IDT ATTENDANCE
  UNDER THIS MODIFICATION.
      B.  REF C DIRECTS COMMANDERS TO "DISQUALIFY FROM DUTY ANY
  RESERVISTS REPORTING WITH A PHYSICAL CONDITION OR WHO, DURING A
  PERIOD OF DUTY, INCURS AN INJURY, ILLNESS, OR DISEASE WHICH RENDERS
  THE MEMBER PHYSICALLY INCAPACITATED.  A RESERVIST SO DISQUALIFIED
  SHALL NOT BE RETURNED TO A DUTY STATUS UNTIL FOUND PHYSICALLY
  QUALIFIED BY A MILITARY OR CONTRACT PHYSICIAN".  AN AUTHORIZED
  MEDICAL DEPARTMENT REPRESENTATIVE (MDR) MAY RECOMMEND RETURNING A
  MEMBER TO A FULL OR TNPQ DUTY STATUS.
      C.  REF D PROVIDES THE POLICIES AND PROCEDURES FOR EVALUATION OF
  PHYSICAL FITNESS FOR DUTY AND DISPOSITION OF PHYSICAL DISABILITIES.
  3.  ACTION.
      A.  CMC (RAP)
          (1) THE FOLLOWING REVISIONS TO REF A ARE HEREBY DIRECTED:
              (A) PARAGRAPH 3105.6 AND 3105.6A ARE MODIFIED IN THEIR
  ENTIRETY TO READ:    
      "6.  MARINE RESERVISTS ARE MEDICALLY CLASSIFIED AS FIT FOR FULL
  DUTY, NOT FIT FOR FULL DUTY, AND TNPQ.  RESERVISTS WILL NOT BE JOINED
  TO THE IRR, AN SMCR UNIT, OR IMA DETACHMENT NOR PERFORM ANY CATEGORY
  OF AD OR IDT WHEN FOUND NOT FIT FOR FULL DUTY PER CURRENT
  REGULATIONS WITH THE EXCEPTION OF INTERUNIT TRANSFERS APPROVED BY
  THE GAINING UNIT COMMANDER AS STIPULATED IN PARAGRAPH 2403.4 OF THIS
  ORDER.  THIS PARAGRAPH DOES NOT APPLY TO AR PERSONNEL
      A.  TEMPORARILY NOT PHYSICALLY QUALIFIED (TNPQ) DETERMINATION.
  A RESERVIST MAY BE CLASSIFIED AS TNPQ WHEN THE MEMBER HAS A MEDICAL/
  DENTAL CONDITION OF A MINOR OR TEMPORARY NATURE (I.E., BONE
  FRACTURE, MINOR SURGERY, DENTAL CLASS III CONDITION, ETC.) THAT IS
  EXPECTED TO BE RESOLVED WITHIN 6 MONTHS AND WOULD NOT NORMALLY
  PRECLUDE THE MEMBER FROM ATTENDING DRILL.  THE MEDICAL DEPARTMENT
  REPRESENTATIVE (MDR) WILL VERIFY THAT THE PROGNOSIS FOR RECOVERY
  SHOULD BE LESS THAN 6 MONTHS.  THE FOLLOWING GUIDELINES APPLY TO
  MEMBERS WHO ARE TNPQ:
              1) THE RESERVIST IS RESPONSIBLE FOR NOTIFYING HIS/HER    
      CO/OIC/COMMAND REPRESENTATIVE WITHIN 5 DAYS AFTER THE INJURY/ILLNESS
  HAS OCCURRED.  DOCUMENTATION FROM THE MARINE'S ATTENDING PHYSICIAN
  MUST BE PROVIDED TO THE UNIT NOT LATER THAN THE NEXT SCHEDULED DRILL
  FOLLOWING THE DIAGNOSIS OF INJURY/ILLNESS/CONDITION.  IF
  DOCUMENTATION IS MAILED TO THE RESERVE CENTER, USE OF CERTIFIED
  MAIL IS STRONGLY RECOMMENDED.  ALL MEDICAL EXPENSES INCURRED WILL BE
  BORNE BY THE MARINE.  MEDICAL DOCUMENTATION MUST INCLUE THE NATURE
  OF THE ILLNESS AND RECOMMEND WHAT PHYSICAL LIMITATIONS ARE PLACED ON
  THE INDIVIDUAL WHILE PERFORMING DRILLS.
              2) UPON RECEIPT OF THE DOCUMENTATION AND AUTHORIZATION
  BY THE MEMBER'S CO/OIC/COMMAND REPRESENTATIVE, THE MDR SHALL PREPARE
  A LETTER OF INSTRUCTION NOTIFYING THE MEMBER THAT THEY ARE TNPQ AND
  OUTLINING CONDITIONS OF PARTICIPATION TO BE FOLLOWED DURING THE
  PERIOD OF TNPQ.
              3) MEMBERS MAY NOT PERFORM ANY TYPE OF AT, ADT, ADSW AS
  DEFINED IN THIS ORDER, OR OFF-SITE DRILLS WHILE TNPQ.  IF
  THE MEMBER'S UNIT PERFORMS AN OFF-SITE DRILL, THE MEMBER'S DRILLS    
      WILL BE PERFORMED AT THE HOME TRAINING SITE OR RESCHEDULED.
              4) MEMBERS MAY BE CLASSIFIED AS TNPQ FOR A PERIOD NOT TO
  EXCEED 6 MONTHS.  AN EXTENSION OF TNPQ MUST BE REQUESTED THROUGH AND
  APPROVED BY COMMARFORRES (HSS) AFTER CONSULTATION WITH DIRECTOR,
  PHYSICAL QUALIFICATION AND REVIEW (MED-25), BUREAU OF MEDICINE AND
  SURGERY IF BASED ON MEDICAL/DENTAL DOCUMENTATION THAT THE
  DISQUALIFYING FACTOR IS EXPECTED TO BE RESOLVED WITHIN AN ADDITIONAL
  6 MONTHS.  IF IT APPEARS THE DISQUALIFYING FACTOR IS OF A MORE
  PERMANENT NATURE, THE MEDICAL/DENTAL OFFICER AND RESERVE ACTIVITY
  SHALL INITIATE FITNESS EVALUATION PROCEEDINGS BY FORWARDING THE
  APPROPRIATE MEDICAL DOCUMENTATION TO MED-25, FOR CONSULTATION AND
  DETERMINATION, VIA COMMARFORRES (HSS).  DUE TO THE TIME SENSITIVITY
  OF THE MEDICAL DOCUMENTATION TO BE REVIEWED, NO OTHER VIA ADDRESSEES
  ARE REQUIRED.  INFORMATION COPIES FORWARDED THROUGHOUT THE CHAIN OF
  COMMAND ARE ENCOURAGED.
              5) TO ENSURE THE COMMANDER AND MDR ARE KEPT INFORMED OF
  THE MARINE'S STATUS, THE MEMBER IS REQUIRED TO PROVIDE MEDICAL    
      DOCUMENTATION EVERY 30 DAYS FROM THE MEMBER'S ATTENDING PHYSICIAN.
  RESERVISTS WHO FAIL TO COMPLY WITH THIS REQUIREMENT MAY BE
  TERMINATED FROM THE TNPQ STATUS AFTER APPROPRIATE NOTIFICATION.
  FAILURE TO PROVIDE REQUIRED DOCUMENTATION COULD RESULT IN
  ADMINISTRATIVE ACTIONS INCLUDING, BUT NOT RESTRICTED TO,
  ADMINISTRATIVE SEPARATION AND/OR (FOR ENLISTED PERSONNEL) REDUCTION
  IN RANK.
              6) UPON COMPLETION OF TREATMENT, A RELEASE FROM THE
  ATTENDING PHYSICIAN PROVIDING MEDICAL CARE CERTIFYING THE MEMBER'S
  ABILITY TO PERFORM ALL DUTIES WITHOUT RESTRICTIONS WILL BE SUBMITTED
  TO THE CO/OIC FOR REVIEW BY THE MDR.  THIS WILL ALSO BE DOCUMENTED
  IN THE MEMBER'S MEDICAL RECORD."
      B.  UNIT COMMANDERS WITHIN MARFORESS SHALL:
          (1) ENSURE THAT DUTIES OF THOSE MEMBERS ASSIGNED TO TNPQ ARE
  STRICTLY WITHIN THE LIMITATIONS PRESCRIBED BY THE MDR AND WILL NOT
  AGGRAVATE OR IMPEDE RECOVERY FROM THE MARINE'S INJURY/ILLNESS/
  CONDITION OR INCUR POTENTIAL COMMAND LIABILITY (I.E. TNPQ MEMBER
  OPERATION OF MILITARY VEHICLES/CERTAIN MACHINERY/AIRCRAFT SHALL BE    
      PROHIBITED).
          (2) ENSURE THAT MEMBERS WHO ARE TNPQ ARE FULLY COGNIZANT
  OF THE CONDITIONS OF PARTICIPATION TO BE FOLLOWED DURING THE PERIOD
  OF TNPQ AS PROVIDED IN THE MDR LETTER OF INSTRUCTION.
          (3) ENSURE THAT MEMBERS IN RECEIPT OF INCAPACITATION
  PAY/BENEFITS (I.E. NOE RECIPIENTS) ARE NOT AUTHORIZED TO ATTEND
  IDT PERIODS.
          (4) ENSURE THAT THE COMMAND AND THE MDR ARE AWARE OF THE
  MEMBER'S INJURY/ILLNESS/CONDITION STATUS, AS UPDATED IN THE REQUIRED
  DOCUMENTATION, OR TAKE APPROPRIATE ADMINISTRATIVE ACTIONS.
  4.  INDIVIDUAL MEMBER CASE EVALUATION BY THE MDR AND UNIT COMMANDER
  IS ESSENTIAL IN DETERMINING APPROPRIATE ASSIGNMENT OF DUTIES FOR
  OPTIMAL TRAINING BENEFIT BALANCED AGAINST THE MEDICAL PROGNOSIS FOR
  RECOVERY.
  5.  QUESTIONS PERTAINING TO THIS MESSAGE CAN BE ADDRESSED TO THE
  POC ABOVE, MGYSGT ORSINO (RAM-3) AT (703) 784-9146 OR DSN
  278-9146, OR HMC STOKES (COMMARFORRES (HSS) AT (504) 678-8638 OR
  DSN 678-8638.//
  BT