For the most part, the military uses the same criteria for judging eligibility with the three levels. The process may take significantly longer than 30 days if additional information is needed to make a medical clearance decision. The difference is the government studies any evidence of dual citizenship which might conflict with your duties of having a security clearance. The process for completing the in-service clearance varies by employment status and where you are going. MED encourages you to have your exam at your future medical providers office to establish a medical relationship with a provider at your retirement home. The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. So before you apply to the program, you should be aware of the clearances that you must be able to obtain and maintain to stay in the program. 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. Other Medical Information for a Pre-employment or Pre-assignment Medical Clearance. Do. Via email in a PDF format to MEDMR@state.gov (preferred) If your child has educational needs or receives SNEA, reach out to the school and other specialists working with your child for recent documentation ideally well before school staff departs for the summer break and much of the staff is not at school. EFMs, age 18 and over, must provide their own email address for privacy reasons. Related Article Military Hearing Requirements and Disqualifications. They should not use an MCU: The process for completing the in-service clearance varies by employment status and where you are going. There may be no health unit at the post and next to no local medical facilities. The majority of people who have no significant health concerns and can be posted anywhere in the world. All Rights Reserved. Worldwide Availability Requirement for Foreign Service Officer Candidates, Fellows, and some First-Time Limited Non-Career Appointees. If a person is not Worldwide Available, MED Clearances will issue a Post Specific (Class 2) with a list of approved countries or a Domestic Only (Class 5) medical clearance for those whose care is best only with a domestic assignment. Keep original documents for your permanent files. 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). d. Temporary Travel (Class 6): Issued only to an eligible family member who is not medically cleared to reside at the employees assigned post but is authorized to visit that post for a period of time not to exceed 120 days per calendar year. Current or history of intraocular foreign body. These are DOD medical standards. You can also download a PDF document with this information on the Resources page. Alcohol is a substance that some people are able to handle and control better than others. All chronic medical conditions must be listed on page 4 in assessment or problem list section. The Office of Medical Clearances is responsible for ensuring the U.S. government personnel receive adequate medical evaluation and clearance prior to their assignments abroad. PDF Article 22: Medical Clearances, Waivers, and Health Issues Emotional, Mental, and Personality Disorders, 12. Consult the Medical Capabilities database and alternatively consult with post directly. PURPOSE: The information solicited from this form will assist in making a medical clearance decision for individuals eligible to participate in the The waiver request should be sent to the CDO, who will forward it to the Five/Eight Committee. Medical providers (examiners) should check the box if the individual is fit or is not fit to work in the conditions stated on page 1 of the, moving from one overseas assignment to another overseas assignment, moving from a domestic assignment to a new overseas assignment, on TDY overseas for more than 30 consecutive days, taking language or extended CONUS training the clearance is for the assigned post after language training. It extends to cover the illegal possession (including cultivation and processing) or distribution of illicit drugs. Denial of Medical Clearance | Gilbert Employment Law, P.C. The Foreign Service Act of 1980, as amended, 22 U.S.C. You want to reflect that you have good discretion and judgment when it comes to sex. All required tests on page 4 of the DS-6561 or DS-1843 should be performed within the last 12 months. MED/MHS Checkup: Foreign Service Members Weigh In 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. The healthcare provider should review all yes answers on page 2 and provide relevant comments. ESCAPE posts comprise a subset of Special Incentive Posts (SIP). The examinee, parent or guardian must sign and date page 2 of the DS-1843. Unsigned forms will not be accepted by Medical Records. Its best to tell the truth with your Security Clearance Background Investigation Questionnaire. The MOS you select determines what type (if any) military security clearance you need for the specialty. If a qualified mental health professional has made a diagnosis and that diagnosis may interfere with judgment, reliability, or stability the clearance status is at risk. One that might be a problem with some folks is having family members that have a substantial financial interest in another country or foreign-owned business. Pre-Employment or Pre-Assignment Medical Clearance Process for ESCAPE Posts. They are reminded that they must update their clearance before their next overseas assignment. ESCAPE posts have limited medical capabilities and personal security risks. All items listed in the physical exam section on page 3 must be completed by the medical provider (examiner). Individuals extending at an ESCAPE post have a medical clearance valid for one year from the date of issuance. All forms, labs and reports should be in English or with an English translation. If you shuttle between two ESCAPE posts, especially Baghdad and Erbil, please indicate both. CONUS-based TDY and WAE/REA should list all known posts they will travel to. Waiting well into that time frame may result in a longer processing time. Employees and their EFMs of one of the 5 Foreign Service Agencies must complete a: Employees, LE Staff, Contractors, and EFMs who are Non-Foreign Service Personnel must complete a: Persons holding a current valid ESCAPE medical clearance and are extending their tour at an ESCAPE post must complete the below documents annually. All blanks need to be filled in. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Reasonable doubt as to loyalty to the U.S. Government. Operation Military Kids was founded to be a resource for teens and young adults who are interested in joining the military, but don't know where to begin. Criminal conduct is pretty straightforward. Or fax to 202-647-0292 (less preferred) You can begin up to one year prior to departure from your current post. Its obvious that if you serve the United States and access sensitive information that you should have an allegiance to the country. Foreign Service (FS) or to be eligible for tenure as a career Foreign Service Officer (FSO); 2) When a Class 2 post-specific medical clearance is sought for an assignment by an FSO; or 3) When a Class 2 post-specific medical clearance is sought for a non-career appointment overseas and the individual has exhausted all appeal opportunities (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). The Suitability Review Panel has the authority to terminate your candidacy. Your CDO or agency HR will send your list to MED Clearances. The following information will help explain the pre-employment/pre-assignment process. MEDICAL REVIEW OF A CLEARANCE DECISION FOR PRE-EMPLOYMENT 22.9 On occasion, a medical clearance may be denied or limited because an applicant has a medical condition that is serious enough to preclude conversion to the Foreign Service. Is there a list of conditions that would automatically . The name of the examinee (employee, contractor, LES or EFM) and DOB must appear at the top of each page 2, 3, & 4. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Provide explanations in section IIA on page 2 or on a separate sheet of paper. and Foreign Commercial Service/Foreign Agricultural Service/Animal and Plant Health Inspection Service/USAGM) MEDICAL HISTORY AND EXAMINATION FOR INDIVIDUALS AGE 12 AND OLDER PRIVACY ACT NOTICE AUTHORITIES: The information is sought pursuant to the Foreign Service Act of 1980, as amended (Title 22 U.S.C.4084). - All BOL status submissions must be reported as either "Suitable" or . Do NOT submit to Medical Clearances. During the clearance process, you also need to complete a medical exam to assess your physical and mental health as it relates to essential job duties. Once employee obtains verification of ICASS medical program participation, submit the signed 3308 (for DOD) or 3308.5 (for Contractors) ICASS Verification Form along with the. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. (Uniform State/USAID/U.S. Coordinator for the Arctic Region, Bureaus and Offices Reporting Directly to the Secretary, Office of the Coordinator for Cyber Issues, Office of the U.S. Now that you have a solid foundation of the three different security levels (confidential, secret, and top-secret), lets study the specific security clearance disqualifiers in more detail. Medical Clearances must see reports from your specialists regarding the status of your health or educational issues. Indicating the ESCAPE post(s) of assignment is REQUIRED. All prospective employees and their family members should understand that principle before pursuing a career in the Foreign Service. CIA Requirements - CIA - Central Intelligence Agency The employee, contractor, LE Staff, or EFM must provide a full explanation of all answers checked Yes on page 2. 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. So its best not to lie and stay truthful as you fill out the personnel security questionnaire. You should list any posts you may travel to. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. However, everyone makes mistakes which means if you can prove youve learned from your past and your current track record is much stronger you could receive a waiver. Sending forms and reports to the wrong email address results in confusion. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. Please print your email legibly. The same is true regarding a pattern of high risk, aggressive, irresponsible, or emotionally unstable behavior. A DS-3057: Medical Clearance Update (MCU) is the preferred method of renewing a medical clearance. The healthcare provider must print or stamp their name, as well as sign and date page 4. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. 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. Employees subject to the six- or eight-year rule must work with their CDOs to make a request for a waiver by completing the attached 6/8 waiver request form. Trafficking in or abuse of narcotics or controlled substances. While a medical clearance is not required for TDY travel of less than 30 days, persons with health concerns should avoid to travel to localities where medical care is inadequate to meet their needs. A CONUS based individual who does no TDY travel may delay reporting notification about the new condition until bidding on or being assigned to an overseas post. Waivers of these DOD requirements may be granted in select cases. Expect to work with a variety of personalities from many cultures. 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. Those individuals will remain in a pending status. Your email address will not be published. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. I would like to be reassured that mental health care will not negatively affect security clearances, and that management understands and appreciates the benefits of mental health care and genuinely encourages people to receive the help they need. The healthcare provider must also review all current medications, dosages and frequency of use. In addition, individuals changing sponsoring agencies, deploying to an ESCAPE post, separating from the Federal Government, or becoming a REA/WAE employee are treated as new employees and will need to complete a full pre-employment or pre-assignment exam. DOS Medical Guidelines and DOD Medical Deployment Requirements. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. state department medical clearance disqualifiers. Secret Security Clearance disqualifiers include foreign partialities, personal misconduct, drug and alcohol abuse, and mental disorders. Start collecting this information early. Notify me of follow-up comments by email. You are also subject to an interview by an SSBI investigator along with field interviews of your references. Allergies must also be reviewed. Cookie Notice Financial problems that are related to gambling, alcoholism, or drug abuse also are security concerns. The Six-Year Rule is set forth in 3 FAH-1 H-2423.2, which states that continuous domestic assignments may not exceed six years without a waiver from the Director General. 7. Review posts with the clinicians in Clearances. For further questions or information, please contact MEDClearances@state.gov or call 202-663-1519. All I know is that FS has a pretty thorough medical clearance process. 1 year after issuance of a medical clearance of all individuals who extend at an ESCAPE post. The post approval process for non-Foreign Service agencies, contractors and their EFMs mirrors the approval process for Foreign Service agencies. The in-service clearance process is simplified using a DS-3057: Medical Clearance Update (MCU) form. The medical clearances often take a couple of weeks, although the process can be longer depending on the situation. This may be delayed if the individual is not properly registered, has missing signatures, incomplete documents, inaccurate email address or the writing is illegible. 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.. Tips for Your In-Service Medical Clearance Update. Finally, a periodic reinvestigation (PR) is required every five years for top-secret security clearance. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. The same is true of having associations with persons involved in criminal activity. The medical examination performed at the time of separation from the Medical Program serves to identify medical conditions that may have developed during service abroad. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. The government might ask more questions if: Basically any duties that might serve in the conflict of the interests of the U.S. government may disqualify you from security clearance. Include the Medical Records coversheet. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. Include the Medical Records coversheet. Secondly, the military needs to examine your immediate family members. Other agency employees, contractors or their family members may begin one year prior to their overseas assignment or training. Top-secret clearance takes four to eight months to complete (sometimes closer to a year depending on the applicant). Service members applying for secret clearance (along with confidential clearance) must provide five years worth of information. Most of the connections that will raise the eyebrows of government officials are straightforward. Travel orders are not required to start the process. 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. Via email in PDF format to MEDMR@state.gov (preferred) If you or your EFM has a Post Specific (Class 2) clearance, we recommend you act early. 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. This includes those retiring/separating from the Foreign Service, moving to the private sector, Civil Service or another agency, divorcing from a Foreign Service Spouse and Eligible Family Members turning 21 years of age. Tackling Mental Health Care Issues RECOMMENDATIONS TO MANAGEMENT FROM MEMBERS OF THE FOREIGN SERVICE. 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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Rob V. is the founder of OperationMilitaryKids.org. 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. List your prescription medications, hospitalizations, and medical conditions since your last clearance. After it is determined you need some form of military clearance, like secret security clearance, the government has you fill out a Security Clearance Background Investigation Questionnaire. Contractors and DOD Civilians should contact their sponsors human resources regarding payment. Please check the signature area. 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. 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. Learn more about the various security clearance disqualifiers for confidential, secret, and top secret security clearances. Therefore, the background investigation studies to see if there are any signs of sabotage, espionage, terrorism, treason, or sedition against the U.S. government or country. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. The examiner must sign and date page 4 of the DS-1843. Do not travel to your next overseas assignment without a valid medical clearance. Such clearances may only be issued to candidates whom the Office of Medical Services deems able to serve at the most isolated and restricted overseas posts. MED Clearances strives to review an employee, contractor or EFM initial documentation within 30 days after documents have been uploaded and indexed by MED Records. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. 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. In addition, MED encourages you to have your exam at your future medical providers office so that you can establish a medical relationship with your new provider. In addition to the hand written lab section, MED requires copies of the lab and radiology reports and the EKG tracing, if indicated. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. Global AIDS Coordinator and Global Health Diplomacy, Special Presidential Envoy for Hostage Affairs, Special Representative for Syria Engagement, U.S. Security Coordinator for Israel and the Palestinian Authority, Office of the U.S. Accept some type of benefits from another country. A missing signature will delay the medical clearance review process. The Department of Defense conducts a thorough background check to see if you qualify for one of the levels of clearance. Reason to Update a Medical Clearance While In-Service. Your email address will not be published. Failure to have all family members medical clearance in order may delay your travel orders. 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. Contacting your assignments officer in Human Resources for your agency. CDOs will submit on behalf of State Department employees a bid list of no more than 10 countries. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Complete a DS-1622: Medical History and Examination for Foreign Service for Children Age 11 and Younger form. Make sure the agency (DOS/DOD/USAID etc.) A foreign preference is comparable to foreign influence. 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. There are different types of security clearance, including Confidential, Secret, and Top Secret. 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.
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