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

Policy

Implements the policy in the February 22, 2018 Secretary of Defense Memorandum and the February 2018 DoD Report and Recommendations on Military Service by Transgender Persons, assigns responsibilities, and prescribes procedures regarding the standards for accession, retention, separation, in-service transition, and medical care for Service members and applicants with gender dysphoria, as applicable.

Guidance for Medical Care in Military Treatment Facilities for Service Members Diagnosed with Gender Dysphoria

Policy

DHA IPM 19-003: Reserve Health Readiness Program

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (i): • Provides utilization guidance and funding requirements for the RHRP contract to supplement Reserve Component Individual Medical Readiness (IMR) and Deployment Health activities when Service organic health readiness resources are not available to meet mission requirements. • Provides utilization guidance and funding requirements for the RHRP contract for Active Duty enrolled in TRICARE Prime Remote, U.S. Coast Guard (USCG), USCG Reserves, and re-deploying DoD civilians (e.g., U.S. Army Corps of Engineers and U.S. Army Intelligence and Security Command). • Communicate procedure guidance to all DoD organizations utilizing RHRP services. • Will expire effective 12 months from the date of issue and be converted to a DHA-Procedural Instruction.

  • Identification #: 19-003
  • Date: 3/8/2019
  • Type: DHA Interim Procedures Memorandum
  • Topics: Health Readiness

TRICARE ACD: Provider Information Meeting 2019 Category I Current Procedural Terminology Codes

Publication
3/5/2019

This document provides information about changes to the ACD in 2019

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Military Service by Transgender Persons and Persons with Gender Dysphoria

Policy

This Fact Sheet for Service Members discusses the Department of Defense policy with respect to Military Service by Transgender Persons and Persons with Gender Dysphoria, and answers frequently asked questions about the policy

Standing Orders for Administering Gardasil 9 Human Papillomavirus Vaccine to Children and Adolescents

Publication
3/1/2019

Standing orders authorize nurses, pharmacists, and other appropriately trained healthcare personnel, where allowed by state law, to assess a patient’s immunization status and administer vaccinations according to a protocol approved by an institution, physician, or other authorized practitioner.

Alcohol-Related Disorders

Publication
3/1/2019

Alcohol abuse is a maladaptive pattern of alcohol use leading to clinically significant impairment or distress.

Factitious disorders

Publication
3/1/2019

Factitious disorders (e.g., Munchausen syndrome, hospital addiction syndrome, Ganser’s syndrome) are classified as mental health disorders. Individuals with these disorders intentionally produce or feign physical signs and symptoms. Their behavior is motivated by their desire to assume “sick roles” (e.g., hospitalization, medical evaluation, and treatment). 2 Malingering is not classified as a mental health disorder but may be a behavioral expression of an underlying mental illness. Malingering refers to the intentional fabrication or exaggeration of symptoms by a person who is motivated by external incentives (e.g., to avoid military duty or other work, avoid legal responsibilities, criminal prosecution, or incarceration, or to obtain financial compensation). Malingering is associated with military conscription and service and is considered an offense under the U.S. military’s criminal justice system particularly if the offense is committed during a time of war.

Personality Disorders

Publication
3/1/2019

This case definition was developed by the Armed Forces Health Surveillance Branch (AFHSB) Medical Surveillance Monthly Report (MSMR) staff for the purpose of descriptive epidemiological reports on mental disorders and mental health problems among active duty Service members.1 The reports provide a comprehensive look at the status of mental health in the Services and provide in depth information on numbers, rates, and trends of personality disorders and other mental health diagnoses that fall within the range of ICD-9-CM codes 290-319 (mental disorders).

Psychoses

Publication
3/1/2019

Psychoses are a component of certain serious mental disorders and are usually marked by an individual having false beliefs about what is taking place in reality.

PTSD

Publication
3/1/2019

Post-traumatic stress disorder, commonly referred to by its acronym, PTSD, is a severe anxiety disorder that can develop after exposure to any event that causes psychological trauma.

Substance-Related Disorders

Publication
3/1/2019

Substance abuse is a maladaptive pattern of substance use leading to clinically significant impairment or distress.

TRICARE ACD: Provider Information Meeting 2019

Publication
2/14/2019

This document provides information about changes to the ACD in 2019

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TRICARE ACD: Category I CPT Code Changes Q&As #3

Publication
2/14/2019

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TRICARE ACD: Category I CPT Code Changes Q&As #4

Publication
2/14/2019

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DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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