Air Force Assignment Limitation Code Q

Health Care/Special Needs

Military treatment facilities

The clinics and services available at military treatment facilities vary by location. Before you move, identify the military treatment facility that will serve you, visit its website to learn about the services available and get contact information.

Moving to a new TRICARE region

If you anticipate a move to another TRICARE region, work with your local TRICARE service center or case manager before your move to ensure the transition is as smooth as possible. On arrival at the new duty location, you or your sponsor should contact the beneficiary counseling and assistance coordinator or the TRICARE service center to ensure the transition plans are in place and to obtain authorizations for TRICARE Extended Care Health Option services, if applicable.

Beneficiary counseling and assistance coordinator

All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators. They provide information, guidance and assistance on benefit options, TRICARE Prime enrollment, special authorizations, status of claims, eligibility and assistance with referrals and appointments. If you or your family member has more severe needs, contact your TRICARE case manager.

Case management

Case management involves a team of health care professionals who help you and your family find solutions to complex health problems. It is important to inform your case manager if you are moving as he or she will connect you with the case manager at your new location.

Extended Care Health Option

The Extended Care Health Option provides financial assistance to beneficiaries of active-duty service members who qualify based on specific mental or physical disabilities. The Extended Care Health Option offers an integrated set of services and supplies beyond the basic TRICARE program. Regional contractors in each of the TRICARE regions and overseas administer the program.

Transporting medical equipment

Contact your installation’s household goods/transportation office for information on special procedures for the transportation of medical equipment.

Federal and state health care programs

Medicaid provides health coverage for individuals and families with low incomes or have a disability. The department of social services or the department of medical assistance may administer the Medicaid program in your state. Supplemental Security Income, or SSI, is a cash assistance program intended to meet basic needs for disabled adults and children who have limited resources. Families must reapply after moving to a new state.

Many states offer services for children with special health care needs funded by the Maternal and Child Health Services Block Grant, or Title V. State departments of health websites and local health departments can provide information on state health benefits. The Maternal and Child Health Bureau website has more information, including state points of contact.

Other important resources

TRICARE debt collection assistance officers assigned to regional offices and military treatment facilities worldwide can help beneficiaries understand and get assistance with debt collection issues related to TRICARE.

Installation Specific Information

Exceptional Family Member Program (EFMP)

Overseas Medical Screening --  All military personnel with assignment instructions for outside the continental United States who elect to serve the accompanied tour must have family members medically and educationally screened and, if required, enrolled in the Exceptional Family Member Program (EFMP). This process should be completed  as early as 6 months prior to the report no later than date (RNLTD) and not later than 30 days before RNLTD Identification during overseas medical screening can result in a delay of approval for the family member travel if the family member has an exceptional medical or educational need and has not previously been enrolled in EFMP. The Air Force EFMP program ensures members are assigned where family members with exceptional needs can receive services required.

EFMP is a program specifically designed to ensure service availability for family members of active duty military in event of a PCS, to assist families with relocation when a medical (or special education) condition exists and services are not available at the current or projected location and to assist families with finding resources on base and in the community.  Active duty sponsors are given an assignment limitation code Q (Q-Code) to identify their families enrollment in the EFMP program.

A medical exceptional need is one that requires specialized care (urology, neurology, psychiatry, developmental pediatrics, etc.) for an ongoing chronic illness.

An educational exceptional need is one which requires special educational services in order to progress academically. These services are identified on an Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) and may include resource room, psychological services, occupational or physical therapy, etc.

Enrollment is mandatory for all active duty military personnel who have a family member with an exceptional need.

Your EFMP status is processed through the Military Personnel Flight at your current assignment.  Likewise, the overseas medical clearance paperwork is processed through the Medical Treatment Facility (MTF) at your current assignment.   It is your MTF’s responsibility at your current assignment to contact your gaining unit to ensure EFMP service availability. 

Overseas Medical Screening --  All military personnel with assignment instructions for outside the continental United States who elect to serve the accompanied tour must have family members medically and educationally screened and, if required, enrolled in the Exceptional Family Member Program (EFMP). This process should be completed  as early as 6 months prior to the report no later than date (RNLTD) and not later than 30 days before RNLTD Identification during overseas medical screening can result in a delay of approval for the family member travel if the family member has an exceptional medical or educational need and has not previously been enrolled in EFMP. The Air Force EFMP program ensures members are assigned where family members with exceptional needs can receive services required.

EFMP is a program specifically designed to ensure service availability for family members of active duty military in event of a PCS, to assist families with relocation when a medical (or special education) condition exists and services are not available at the current or projected location and to assist families with finding resources on base and in the community.  Active duty sponsors are given an assignment limitation code Q (Q-Code) to identify their families enrollment in the EFMP program.

A medical exceptional need is one that requires specialized care (urology, neurology, psychiatry, developmental pediatrics, etc.) for an ongoing chronic illness.

An educational exceptional need is one which requires special educational services in order to progress academically. These services are identified on an Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) and may include resource room, psychological services, occupational or physical therapy, etc.

Enrollment is mandatory for all active duty military personnel who have a family member with an exceptional need.

Your EFMP status is processed through the Military Personnel Flight at your current assignment.  Likewise, the overseas medical clearance paperwork is processed through the Medical Treatment Facility (MTF) at your current assignment.   It is your MTF’s responsibility at your current assignment to contact your gaining unit to ensure EFMP service availability.


Associated Links

TRICARE
Find out everything you need to know about your medical benefits.

Beneficiary Counseling Assistance Coordinator
A BCAC educates beneficiaries, and enhances a thorough understanding of TRICARE programs.

TRICARE Mobile App for Pharmacy Assistance
Check prescriptions status; order home delivery; find a pharmacy and more all from your phone. You must be registered before downloading the mobile app.

EFMP Offices

Use the Resource Directory on this site for contact information on Air Force EFMP offices. For a complete listing, including maps and directions for EFMP points of contact, visit Military OneSource's(previously Military HOMEFRONT) MilitaryINSTALLATIONS directory.

Overview

EFMP is a mandatory enrollment program, administered by AFPC that works with the medical community and the key community agencies to identify Active Duty sponsors who have family members with special educational or medical needs.

The Air Force Exceptional Family Member Program (EFMP) is designed to provide support to military family members with special needs. EFMP is offered by all branches of the military, and each Service includes a variety of personnel, medical, and family support functions under the EFMP umbrella. The portions of EFMP support that are provided by the AF Medical Service are known as EFMP-Medical (EFMP-M).  EFMP-Family Support (EFMP-FS) is the community support component provided by Airman and Family Readiness Centers (A&FRCs).  EFMP-M and EFMP-FS work together with the  Assignments  branch at the Air Force Personnel Center (AFPC) to provide comprehensive and coordinated medical , education, community support, housing, and personnel services to families with special needs.  All three functions work with other military and civilian agencies to enhance the quality of life for families as they relocate around the world with their sponsors.

Additionally, EFMP-FS, EFMP-M, and EFMP-Assignments (EFMP-A) strive to ensure Air Force sponsors are assigned or employed in locations that support both the accomplishment of the mission and the well-being of families.  There may come a time that a sponsor will be required to go unaccompanied.

The Family Member Relocation Clearance (FMRC) is mandatory for all family members traveling OCONUS and for all special needs family members traveling CONUS in conjunction with sponsor’s PCS.  This process is used to ensure specialized care/services are available at the projected gaining location.

The Air Force defines a special medical need as any condition that cannot be resolved by a family practice physician and requires ongoing care or treatment by a specialist. Even if a patient is not currently receiving treatment but has a physical or emotional condition that may require medical care, he/she is considered to have a special need. Children with special educational needs are those from 3-21 whose schools have them on an Individualized Education Program (IEP), those from 0-3 years who have an Individualized Family Service Plan (IFSP), or those who are being evaluated for special education, related services, or early intervention services.

Screening

Family Member Relocation Clearance (FMRC) is a mandatory process that the Air Force uses to screen all family members traveling overseas with their sponsors, as well as those family members with previously identified special medical and educational needs who are relocating within the continental United States (CONUS). The FMRC process follows these steps:

  1. Airman receives assignment notification and obtains FMRC paperwork during initial appointment with military personnel flight (MPF) for outbound assignments.
  2. At least six month prior to travel, Airman completes AF Form 1466 (Request for Family Member’s Medical and Education Clearance for Travel) and AF Form 1466D (Dental Health Summary) for each family member over age 2.  (Please note: Viewer Software 6.5 may be required to download Air Force forms. Visit the Viewer Software 6.5 Download Area page for additional information).
  3. Airman coordinates completion of DD 2792-1 by school/early intervention staff for each child with an IEP/IFSP.
  4. Airman coordinates completion of DD 2792 and appropriate addenda by medical care provider for each child with a special medical condition.
  5. FMRC coordinator at MTF meets with airman to review and help complete forms, schedules joint screening interview, and gathers medical records for all family members.
  6. Airman and all family members have joint screening appointment at MTF with special needs coordinator (SNC) and medical review officer (only the exceptional family member is required to attend if assignment is in CONUS).
  7. If special needs are identified, FMRC coordinator sends facility determination inquiry (FDI) to gaining MTF for determination (in coordination with DoDDS, if overseas).
  8. If needs can be met, FDI is returned within two weeks and assignment processing continues; if needs cannot be met at overseas assignment location, FDI is forwarded to the gaining MAJCOM Behavioral Health Consultant to find an alternate assignment.
  9. For EFMs not recommended for travel to a CONUS location, the FDI is returned to the FMRC coordinator who notifies the SNC and sponsor and forwards documentation to the MPF.

 

Enrollment Process

Enrollment in the EFMP is mandatory. Airmen are required to initiate enrollment at their MTF as soon as special needs are known without waiting for the FMRC process. Information on the DD 2792 and DD 2792-1 is used by the SNC in consultation with the medical reviewer to make enrollment decisions. Enrollment criteria is provided by the Air Force Operating Agency and based on DoD guidance. For a service member to become enrolled in the EFMP-M, the SNC must:

Initiate an assignment limitation code “Q” (by forwarding an authorization letter to the Air Force Personnel Center (AFPC) via the MPF)

Open a “special needs assignment coordination record” at the MTF

Enter identifying information into an electronic log, “Q-Base.”

To initiate enrollment of an Air Force family from another Service’s MTF, DD 2792 and DD 2792-1 should be completed and forwarded to the SNC at the Air Force MTF where the sponsor is assigned.

 

AF Form 4380, Air Force Special Needs Screener

AF Form 4380, Air Force Special Needs Screener is placed in the cover of the service member’s medical record at inprocessing is used to alert the SNC at the gaining MTF of a new Q-coded sponsor. The SNC ensures assignment coordination record is transferred in.

 

Enrollment Updates

The Air Force does not code specific disabilities or require service members to update their enrollment status. Instead, special needs are re-evaluated each time a service member receives reassignment notification. At these times, and also during routine health care, removal of the Q-Code and closure of the assignment coordination record may be initiated if the criteria for special needs is no longer present.

 

Assignment Considerations

The Air Force will authorize family travel for a Q-coded airman to any location overseas where the MTF, in coordination with DoDDS, indicates that medical and/or educational needs can be met. Reassignments within CONUS are based on the gaining MTF’s assurance that medical needs can be met. Airmen with exceptional family members are not exempt from unaccompanied assignments to remote locations and must remain worldwide qualified. Families whose sponsor takes an unaccompanied remote assignment with a follow-on assignment must be screened prior to the remote assignment and again within six months prior to traveling to the follow-on assignment. Air Force assignment options are sometimes limited by the service member’s occupational specialty. Airmen in this situation will often change specialties in order to better support the needs of their families.

 

Sources of Information about Air Force EFMP

Air Force families seeking information about EFMP should be referred first to the Air Force Special Needs Web site. For questions and concerns not addressed there, they may be referred to the special needs coordinator at the nearest Air Force MTF.

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