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(ii) Charge interagency rates for inpatient care of all individual in paragraph (c)(2) of this section except Members of Congress. Charge Members of Congress at full reimbursement rates.

(3) Complete and submit, per Subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or DD 7A (Report of Treatment. Furnished Pay Patients, Outpatient Treatment, part B) when outpatient or inpatient care is rendered to Secretarial designees whose charges for care have not been waived.

$728.78 American Red Cross representatives and their dependents.

(a) Potential beneficiaries. (1) Volunteer workers. (2) Full-time, paid employees. (3) Dependents of personnel enumerated in paragraph (a) (1) and (2) of this section when accompanying their Sponsor outside the continental United States, including Alaska, Hawaii, and Puerto Rico. (b) Care authorized. (1) When services of the American Red CrOSS (ARC) have been accepted in behalf of the Federal Government under applicable DOD regulations, beneficiaries in paragraph (a)(1) of this section are Considered “employees” of the Government for the purpose of this part and are authorized health care in USMTFs, both in and outside the United States for work-related conditions. See § 728.53(a)(2) regarding the Specific application of this authorization. (2) Beneficiaries enumerated in paragraph (a) (1) and (2) of this section are authorized health Care in USMTFs located outside the United States for both work and nonwork-related Conditions. See §728.53(a)(2) for treatment of work-related conditions of those in paragraph (a)(1) of this section. (3) Beneficiaries identified in paragraph (a) (1), (2), and (3) of this Section are authorized emergency Care in USMTFS outside the continental United States, including Alaska, Hawaii, and Puerto Rico where facilities are not otherwise available in reasonably accessible and appropriate nonFederal hospitals. Provide hospitalization only for acute medical and Surgical conditions, exclusive of nervous, mental, or contagious diseases or those

requiring domiciliary care. Routine dental care, other than dental prosthesis and Orthodontia, is authorized on a space available basis provided facilities are not otherwise available in reasonably accessible non-Federal faCilities.

(c) Records disposal. Upon completion of treatment of accredited representatives of the American Red CrOSS or their dependents, forward medical records, including all clinical records and x-ray films, to the Medical Director, National Headquarters, American Red Cross, 20th and D Street NW., Washington, DC 20006.

(d) Charges and collection. Charge beneficiaries in paragraph (a) (1) and (2) of this section the rate applicable to officer personnel and dependents in paragraph (a)(3) of this section the dependent rate. Complete and submit, per subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, part B) when Outpatient Or inpatient Care is rendered to ARC personnel or to their dependents.

§ 728.79 Employees of Federal contractors and subcontractors.

(a) Beneficiaries. (1) U.S. citizen contractor, engineering, and technical service personnel designated as U.S. Navy Technicians. (2) Civilian employees of contractors and Subcontractors Operating under U.S. Government, COntracts. (3) Dependents of personnel enumerated in paragraph (a) (1) and (2) of this section when accompanying their sponsor outside the continental United States or in Alaska. (b) Care authorized. (1) Beneficiaries identified in paragraph (a) (1) and (2) of this section may be provided emergency Care in naval MTFS for illnesses and injuries occurring at work in or outside the United States. (2) While Serving OutSide the continental United States or in Alaska, where facilities are not otherwise available in reasonably accessible and appropriate non-Federal facilities, beneficiaries identified in paragraph (a) (1), (2), and (3) of this section may receive hospitalization and necessary outpatient services in naval MTFs on a reimbursable basis. Except for beneficiaries in paragraph (a)(1) of this Section who are serving aboard naval vessels, all others enumerated may only be hospitalized for acute medical and surgical conditions, exclusive of nervous, mental, or contagious diseases or those requiring domiciliary Care. Routine dental care, other than dental prosthesis and orthodontia, is authorized on a space available basis provided facilities are not otherwise available in reasonably accessible and appropriate non-Federal facilities. (c) Charges and collection. Care is authorized on a reimbursable basis. Complete and submit, per subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, part B) when outpatient or inpatient care is rendered.

$728.80 U.S. Government employees.

(a) Civil Service employees of all Federal agencies, including teachers employed by Department of Defense Dependent’s Schools (DODDS) and their dependents, may be provided hospitalization and necessary Outpatient services, (other than occupational health services), on a reimbursable basis, outside the continental limits of the United States and in Alaska, where facilities are not otherwise available in reasonably accessible and appropriate non-Federal hospitals. Except for employees who are serving aboard naval vessels, hospitalization may be furnished only for acute medical and Surgical conditions, exclusive of nervous, mental, or contagious diseases or those requiring domiciliary care. Routine dental care, other than dental prosthesis and orthodontia, is authorized on a space available basis provided facilities are not otherwise available in reasonably accessible and appropriate non-Federal facilities.

(b) Such civilian employees and their dependents may be provided medical, surgical, dental treatment, hospitalization, and optometric care at installations in the United States which have been designated remote by the Secretary of the Navy for the purpose of providing medical care.

(c) The major objective of the following programs for civil Service employ– ees, regardless of location, is emer– gency treatment for relief of minor ailments or injuries to keep the employee On the job:

(1) The Department of Labor, Office of Workers’ Compensation Programs (OWCP), governs the overall medical Care program for employees of the Government who sustain injuries while in the performance of duty, including diseases proximately caused by conditions of employment (see $728.53).

(2) Federal Civil Service employees and applicants for such employment are authorized services as outlined in chapter 22, section XIII, of the Manual of the Medical Department (MANMED). When appropriated fund and nonappropriated fund employees, including unpaid volunteer employees, require emergency and nonemergency occupational health Services due to an illness Or an injury On the job, provide this limited care through your occupational health Service, emergency room, Or evening primary care clinic, as appropriate. This care is rendered free of charge to the employee, the employee’s command, or insurance Carrier. Included with this group are Military Sealift Command (MSC) civilian ma— rine personnel (authorized additional care and services as outlined in BUMINST 6320.52 and care under §728.53(a)(7)) and members of the National Oceanic and Atmospheric Administration (NOAA) Serving with the Navy.

(3) Under the technical control of the Surgeon General of the Army, the DOD Civilian Employees’ Health Service is responsible for administering the health program for all Federal civil service employees in the District of Columbia area.

(d) Care, other than occupational health services, is provided on a reimbursable basis. Complete and Submit, per subpart J, a DD 7 (Report of Treatment. Furnished Pay Patients, Hospitalization Furnished, part A) or DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, part B) when outpatient or inpatient care is rendered.

§ 728.81 Other civilians.

(a) General. In an emergency, any person may be rendered care in naval MTFS to prevent undue suffering or loss of life or limb. Limit care to that necessary Only during the period of the emergency, and if further treatment is indicated, initiate action to transfer the patient to a private physician or civilian facility as soon as possible. Further, Subject to the provisions of $728.3, the following personnel are authorized care as set forth. (b) Beneficiaries and eartent of care. (1) Provide all occupational health Services to civilian employees paid from nonappropriated funds, including Navy exchange employees and Service club employees, free of charge (see § 728.80(c)(2)). Provide treatment of occupational illnesses and injuries other than in emergencies per rules and regulations of the Office of Workers’ Compensation Programs (see $728.53). (2) Civilians attending the Federal Bureau of Investigation (FBI) Academy, Marine Corps Development and Education Command, Quantico, VA, may be rendered care at the Naval Medical Clinic, Quantico, VA, for emergencies. Such persons who are in need of hospitalization for injuries or disease may be hospitalized and classed as civilian humanitarian nonindigents with the approval of the Cognizant hospital’s commanding officer. EXCEPTION: Certain individuals, such as employees Of the Federal Bureau of Investigation who are injured in the line of duty, may be entitled to care at the expense of the Office of Workers’ Compensation Programs (OWCP) (see $728.53). (3) The following civilians who are injured or become ill while participating in Navy or Marine Corps Sponsored Sports, recreational or training activities may be rendered Care On a temporary (emergency) basis until Such time as disposition can be effected to another source of care. (i) Members of the Naval Sea Cadet Corps. (ii) Junior ROTC/NDCC (National Defense Cadet Corps) cadets. (iii) Civilian athletes training or Competing as part of the U.S. Olympic effort.

(iv) Civilians competing in Navy or Marine Corps Sponsored competitive IneetS. (v) Members of Little League teams and Youth Conservation groups. (vi) Boy Scouts and Girl Scouts of America. (4) Other civilian personnel included below are not normally eligible for Care in naval MTFs; however, under the conditions set forth, care may be rendered. (i) Potential beneficiaries. (A) Civilian representatives of religious groups. (B) Educational resentatives. (C) Athletic clinic instructors. (D) USO representatives. (E) Celebrities and entertainers. (F) Social agencies representatives. (G) Others in a similar status to those in §728.81(b)(4)(i) (A) through (F). (H) News correspondents. (I) Commercial airline pilots and employees. (J) Volunteer workers. This category includes officially recognized welfare workers, other than Red Cross. (ii) Care authorized. (A) Persons enumerated in paragraph (b)(4)(i) (A) through (G) of this section, who are Contracted to provide direct Services to the Armed Forces and who are acting under orders issued by the Department of Defense or one of the military departments to visit military commands OverSeaS, and their accompanying dependents, may be provided medical Care in naval MTFS Outside the 48 Contiguous United States and the District of Columbia, provided local civilian facilities are not reasonably available or are inadequate. Limit inpatient Care to acute medical and Surgical conditions exclusive of nervous, mental, or contagious diseases, or those requiring domiciliary care. Routine dental care, other than dental prostheses and orthodontia, is authorized on a space available basis outside the United States, provided such care is not otherWise available in reasonably accessible and appropriate non-Federal facilities. (B) Persons enumerated in paragraph (b)(4)(i) (H) and (I) of this section are authorized emergency medical and dental care in naval MTFS outside the 48

institutions repcontiguous United States and the District of Columbia provided local civilian facilities are not reasonably available or are inadequate. (C) Persons enumerated in paragraph (b)(4)(i)(J) of this section, both within and outside the 48 contiguous United States and the District of Columbia, may receive care in naval MTFs for injuries or diseases incurred in the performance of duty as beneficiaries of OWCP (see $728.53). Additionally, if such volunteers are sponsored by an international organization (e.g., the United Nations) or by a voluntary nonprofit-relief agency registered with and approved by the Advisory Committee on Voluntary Aid (e.g., CARE), they may receive other necessary nonemergency medical care and occupational health services while Serving outside the 48 contiguous United States and the District of Columbia. (c) Charges and collection. Care is provided on a reimbursable basis. Complete and submit, per subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, Hospitalization Furnished, part A) or DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, part B) when Outpatient Or inpatient care is rendered.

$728.82 Individuals whose military records are being considered for correction.

Individuals who require medical evaluation in connection with consideration of their individual circumstances by the Navy, Army, and Air Force Board for Correction of Military Records are authorized evaluation, including hospitalization when necessary for the proper conduct thereof.

$728.83 Persons in military custody and nonmilitary Federal prisoners.

(a) Potential beneficiaries. (1) Military prisoners. (2) Nonmilitary Federal prisoners. (3) Enemy prisoners of war and other detained personnel. (b) Care authorized—(1) Military prisomers. (i) Whose punitive discharges have been executed but whose sentences have not expired are authorized all necessary medical and dental care. (ii) Whose punitive discharges have been executed and who require hos

pitalization beyond expiration of sentences are not eligible for care but may be hospitalized as civilian humanitarian nonindigents until final disposition can be made to Some other appropriate facility. (iii) On parole pending completion of appellate review or whose parole changes to an excess leave status following completion of sentence to confinement while on parole are members of the military Service and as such are authorized care as outlined in subpart B. (iv) On parole whose punitive discharge has been executed are not members of the military service and are therefore not entitled to care at Government expense. If the Circumstances are exceptional, individuals herein who are not authorized care may request Secretarial designee status under the provisions of $728.77. (2) Nonmilitary Federal prisoners. Under the provisions of this Section, nonmilitary Federal prisoners are authorized only emergency medical care. When such care is being rendered, the institution to which prisoners are sentenced must furnish necessary guards to effectively maintain custody of prisoners and assure the Safety of other patients, staff members, and residents of the local area. Under no circumstances will military personnel be voluntarily used to guard or control Such pris– Oners. Upon completion of emergency care, make arrangements for immediate transfer of the prison?ers to a nonmilitary MTF or for return to the facility to which Sentenced. (3) Enemy prisoners of war and other detained personnel. Subject to the proviSions of $728.3, enemy prisoners of war and other detained personnel are entitled to and may be rendered all necessary medical and dental care. (c) Charges and collection. Care provided individuals enumerated in §728.83(b)(1) (ii), (iv), and (2) is on a reimbursable basis. Complete and submit, per Subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, HOSpitalization Furnished, part A) or DD 7A (Report of Treatment Furnished Pay Patients, Outpatient Treatment, part B) when Outpatient or inpatient Care is rendered.

Subport H-Adjuncts to Medicol
Core

§ 728.91 General.

Adjuncts to medical care include but are not limited to prosthetic devices such as artificial limbs, artificial eyes, hearing aids, Orthopedic footwear, spectacles, wheel chairs, hospital beds, and similar medical Support items or aids which are required for the proper Care and management of the condition being treated. Generally, expenses incurred for procurement of Such items, either from civilian sources as Supplemental care or from Stocks maintained by the facility, are payable from Operation and maintenance funds available for support of naval MTFs. However, certain adjuncts may be cost-shared under CHAMPUS for CHAMPUS-eligible individuals under circumstances enumerated in the COOperative Care Or Services criteria of $728.4(z).

$728.92 Policy.

(a) Provide adjuncts to medical Care to eligible beneficiaries receiving inpatient or Outpatient care when, in the Opinion of the attending physician, such adjuncts will offer substantial assistance in Overcoming the handicap or Condition and thereby contribute to the well-being Of the beneficiary.

(b) Unless necessary for humanitarian reasons, do not furnish Orthopedic and prosthetic appliances on an elective basis to members of the naval service with short periods of Service remaining when the defect requiring the appliance existed prior to entry into

Service and when such members will be
separated from the service because of
these defects.
(c) For active duty members, make
the initial allowance of orthopedic
footwear and Orthopedic alterations to
standard footwear the same quantity
as provided in the initial clothing al-
lowance.
(d) Base the number of Orthopedic
and prosthetic appliances issued or re-
placed for other authorized recipients
upon the individual’s requirements as
determined by the attending physician
to be consistent with the highest
Standards of modern medicine.
(e) Former members of the uniformed
Service should be advised that they
may obtain durable medical equip-
ment, medical care, and adjuncts from
Veterans Administration facilities.
(f) Dependents are authorized certain
adjuncts per §§ 728.31 (c) and (d) and in
instances where items are not nor-
mally authorized at the expense of the
Government, they may be provided at
Cost to the United States if available
from Government Stocks under the fol-
lowing conditions:
(1) Outside the United States.
(2) At Specific stations within the
|United States which have been author-
ized by the Secretary of the Navy to
Sell these items.

§ 728.93 Chart of adjuncts.

The following chart and footnotes provide information relative to adjuncts which may be furnished the Several categories of beneficiaries eligible for medical care at naval MTFs.

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