[Code of Federal Regulations]
[Title 32, Volume 5]
[Revised as of July 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 32CFR732.18]

[Page 357-358]
 
                       TITLE 32--NATIONAL DEFENSE
 
                   CHAPTER VI--DEPARTMENT OF THE NAVY
 
PART 732_NONNAVAL MEDICAL AND DENTAL CARE--Table of Contents
 
         Subpart B_Medical and Dental Care From Nonnaval Sources
 
Sec. 732.18  Notification of illness or injury.

    (a) Member's responsibility. (1) If able, members must notify or 
cause their parent command, the nearest naval activity, or per OPNAVINST 
6320.6, the nearest U.S. Embassy or consulate when hospitalized in a 
foreign medical facility to be notified as soon as possible of the 
circumstances requiring medical or dental attention in a non-Federal 
facility. The member will also assure (request the facility to make 
notification if unable to do so personally) that the following 
information is passed to the adjudication authority serving the area of 
the source of care (Sec. 732.20). This notification is in addition to 
the requirements of article 4210100 of the Military Personnel Command 
Manual (MILPERSMAN) or Marine Corps Order 6320.3B, as appropriate. The 
adjudication authority will then arrange for transfer of the member and, 
if appropriate, newborn infant(s), to a Federal facility or for such 
other action as is appropriate.
    (i) Name, grade or rate, and social security number of patient.
    (ii) Name of non-Federal medical or dental facility rendering 
treatment.
    (iii) Date(s) of such treatment.
    (iv) Nature and extent of treatment or care already furnished.
    (v) Need or apparent need for further treatment (for maternity 
patients, need or apparent need for further care of infant(s) also).
    (vi) Earliest date on which transfer to a Federal facility can be 
effected.
    (vii) Telephone number of attending physician and patient.
    (2) Should movement be delayed due to actions of the member or the 
member's family, payment may be denied for all care received after 
provision of written notification by the adjudication authority.
    (3) The denial is Sec. 732.18(a)(2) will be for care received after 
the member's condition has stabilized and after the cognizant 
adjudication authority has made a request to the attending physician and 
hospital administration for the member's release from the civilian 
facility. This notification must specify:
    (i) Date and time the Navy will terminate its responsibility for 
payment.
    (ii) That care rendered subsequent to receipt of the written 
notification is at the expense of the member.
    (b) Adjudication authority. As soon as it is ascertained that a 
member is being treated in a nonnaval facility, adjudication authorities 
must make the notifications required in MILPERSMAN, article 4210100.11. 
See part 728 of this chapter on message drafting and information 
addressees.
    (1) Article 4210100.11 of the MILPERSMAN requires submission of a 
personnel casualty report, by priority message, to the primary and 
secondary next of kin (PNOK/SNOK) of Navy members seriously or very 
seriously ill or injured, and on those terminally ill (diagnosed and 
confirmed). While submission of the personnel casualty report to the 
PNOK and SNOK is a responsibility of the member's command, adjudication 
authorities must advise the member's command when such a member is being 
treated or diagnosed

[[Page 358]]

by non-Federal sources. The message will also request forwarding of the 
member's service and medical records to the personnel support detachment 
(PSD) supporting the activity in which the OMA is located. Additionally, 
the notification should contain a request for appropriate orders, either 
temporary additional duty (TEMADD) or temporary duty (TEMPDU).
    (i) Request TEMADD orders if care is expected to terminate within 
the time constraints imposed for these orders.
    (ii) Request TEMDU Under Treatment orders for members hospitalized 
in a NMTF within the adjudication authority's area of responsibility.
    (2) Make prompt message notification to the member's commanding 
officer when apprised of any medical condition, including pregnancy, 
which will now or in the foreseeable future result in loss of a member's 
full duty services in excess of 72 hours. Mark the message ``Commanding 
Officer's Eyes Only.''