Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington DC. Welcome to the Medi-Cal Provider Home. Those who send documents to MEDMR@state.gov will receive a confirmation e-mail indicating that the documents have been received. Please read and follow the instructions in Medical Clearance Guidance for Deploying to ESCAPE Posts. Post Health Unit Option: If you would like the examination at post, please contact your Foreign Service Medical Provider (RMO or MP) for guidance. The Departments Office of Medical Services determines whether a candidate is medically eligible for assignment to all Department of State posts worldwide. Medical Clearance Notices will be sent to your via the e-mail address you place on your form. 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. Yes / No 2. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. Failure to provide Medical Clearances with pertinent information will delay processing of the medical clearance decision and post assignment approval. Many Embassy or Consulate Health Units will complete a pre-employment or pre-assignment medical clearance. Medical Clearance Questions. Worldwide Available (Class 1): Issued to applicants, employees and eligible family members who have no identifiable medical conditions that would limit assignment abroad. 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. 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. Additional countries can be submitted after the first 15 have been reviewed. e. Pending (Class 7): Issued to individuals awaiting completion of the evaluation of a medical condition within 90 days. . Review the list of posts submitted by the CDO or agency HR. List your prescription medications, hospitalizations, and medical conditions since your last clearance. Read more about the other eligibility requirements in this article and on the How to Apply web page. f. Incomplete/Cancellation (Class 8): Issued to an individual whose pre-employment medical evaluation is incomplete and the application has been inactive for more than 90 days. Do NOT submit to Medical Clearances. Submit internal consults or reach out to you for additional data, as needed. Your CDO or Agency HR will notify you of posts you have been medically cleared for your next assignment. Send all medical forms and reports to MEDMR@state.gov. Complete a DS-3057: Medical Clearance Update (MCU) form. There may also be infectious and communicable diseases, such as malaria, dengue fever, typhoid, tuberculosis, rabies, encephalitis, and gastrointestinal diseases. DOD deployment requirements are generally stricter than DOS medical clearance guidelines. Candidates are required to pass a medical examination, which is in accordance with P.O.S.T. Clearly print the persons name on each page submitted to Medical Records. Add the DS-3057 Medical Clearance Update for redacting. (Applies to all U.S. Government Employees and Eligible Family Members Participating in the Department of State Medical Program). Please be sure that the name, DOB, and email address are all printed clearly. After doing the grad school thing, I think I'm ready to take the plunge. The security clearance process involves a comprehensive background investigation, conducted by the U.S. Department of State in cooperation with other federal, state, and local agencies. Non-Emergency: 714-990-7911. This exam is recommended but not mandatory. Are You Eligible to Apply for the Foreign Affairs IT Fellowship? MED or Employee Consultation Services (ECS) statement of support or non-support, as appropriate, should be included in all waivers based on limited medical clearances or on compassionate grounds. Individuals who already have a Post Specific (Class 2) medical clearance or have a new significant medical, mental health or educational issue will need to supply documentation of the issues with status and treatment plan while abroad. Providers are also encouraged to submit supporting medical reports, labs, and consults for each chronic condition. MED Clearances will reevaluate as to whether you could be issued a Post Specific (Class 2) or even a Worldwide Available (Class 1) Clearance. From one overseas assignment to another overseas assignment, From a domestic assignment to a new overseas assignment, On TDY overseas for more than 30 consecutive days, Language or extended CONUS training for the assigned post after language training, Linked assignment for both current and linked assignment, Complete an MCU for each member of the family.For adults or children with a. Contract employees should refer to their contracting managers in order to determine if they are participants in ICASS for medical care. Under the guidance of the California Department of Health Care Services, the Medi-Cal program aims to provide health care services to about 13 million Medi-Cal beneficiaries. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. 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. A description of the Peace Officer Selection Requirements Regulations can be found here. Not all agencies human resources have this capability. Specifically, what specialist appointments, radiology, laboratory, therapy visits, medications, educational interventions, and other treatment regiments you will need, when and how often. If you or your EFM has a Post Specific clearance, we recommend you ACT EARLY! In addition to the labs on DS-6561, a Hepatitis C Antibody Screen, and a Hepatitis B Surface Antigen Screen, plus a lipid profile for those 35 or older must be added to the DS-6561 or DS-1843. The Foreign Affairs Information Technology (FAIT) Fellowship is not only a unique opportunity for highly qualified, diverse college students to receive academic funding, internships and mentorship from the U.S. Department of State it is also a path to your career in the Foreign Service. A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. Consult the Medical Capabilities database and alternatively consult with post directly. These individuals must receive a Worldwide Available (Class 1 Clearance) based on their pre-employment medical exam. The healthcare provider must also review all current medications, dosages, and frequency of use. All personnel and their EFMs who have been issued a medical clearance in the past must update their clearance prior to departure for a new overseas assignment. 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. All persons posted overseas or on TDY travel for 30 or more consecutive days must have a valid medical clearance before they can access a posts Health Unit and other Medical Program benefits including assistance with a medical evacuation or hospitalization. Common Disqualifying Medical Conditions This list is provided to help you understand medical conditions that may be disqualifying for admission to the Coast Guard Academy. Any documentation should be submitted well in advance of bidding season. A waiver request should be sent to an employees CDO, who will forward it to the Five/Eight Committee. Such information should be provided directly to the Director of Medical Clearances in the Office of Medical Services, not to the CDO. The separation (or retirement) physical examination is for employees and eligible family members (EFMs) leaving the Foreign Service. For children with special educational needs, starting early is important. After a Medical Clearance is issued, any required follow-up care for any medical condition is the patients responsibility. In evaluating suitability, the Suitability Review Panel takes into consideration the following factors: More information about clearances can be found at https://careers.state.gov/work/foreign-service/specialist/information-management-specialist-selection-process/. Each diagnosis must have a statement clarifying prognosis, stability, follow-up plan, and if that follow-up must be done by a specialist. Possible Reemployed Annuitant/While Actually Employed (REA/WAE) Employee. They will only need to submit once during the two years their clearance is valid. Tips for Your In-Service Medical Clearance Update. ESCAPE Post(s) of Assignment is REQUIRED. The purpose of a medical clearance is to identify specific health needs and medical conditions that may require specialty management, follow-up or monitoring. For individuals with a Domestic Assignment Only (Class 5) clearance we recommend you notify MED Clearances when it appears your medical, mental health or educational has stabilized and improved to the point where health care or educational needs can reasonably be obtained abroad. Do not travel to your next overseas assignment without a valid medical. Exam Clinic Option: Appointments for separation or retirement examinations are available at Department of State Exam Clinic. Provide a current phone number and valid mailing address. Individuals assigned to any of these ESCAPE posts, including TDY travel of 30 or more consecutive days, must meet more rigid standards and undergo further medical vetting than addressed in this document. Waiting well into that time frame may result in a longer processing time. The following in-service employees, contractors and EFMs are required to update their medical clearance: Persons assigned to the United States and not traveling overseas do not require a medical clearance. The examiner/provider should complete the physical exam and lab portion of the exam. If you are retiring and plan to work as a REA/WAE, please check the form under both separation and pre-assignment with REA/WAE handwritten next to pre-assignment. 3901 et seq., requires all Foreign Service employees to serve a substantial portion of their careers overseas, and limits the number of years Foreign Service employees can spend in continuous domestic service. Tips for Your In-Service Medical Clearance Update. Patients can arrange appointments on personal travel, during R&R, home leave or other government funded travel when services are not available at the post of assignment. The person doing my clearance said they really don't care too much as long as you've seen your personal healthcare provider about your condition. An official website of the United States government, Office of Small and Disadvantaged Business Utilization, Office of the U.S. Early in the bidding season submit your bid list or post choices to your State Department CDO or agency human resources. Because everyone is "medically cleared" to be in the United States, individuals whose next tour is a domestic assignment do not require a medical clearance unless they will be doing TDY travel of 30 or more consecutive days during their domestic tour. Do not travel to your next overseas assignment without a valid medical clearance. Provide a valid phone number and e-mail address good for 90 days when you submit the paperwork. 6/8 Waivers Waivers of the Six-Year and Eight-Year Limits on Continuous Domestic Service Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. The process considers such factors as: failure to repay a U.S. Government guaranteed loan or meet tax obligations; failure to register for the Selective Service; past problems with credit or bankruptcy; unsatisfactory employment records; a criminal record or other violations of the law; drug or alcohol abuse; and less than honorable discharge from the armed forces. Inform your CDO or Agency HR of approval determinations. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. Class 8 clearances will also be issued to an employee or eligible family member who is in pending status (Class 7) and who has not completed the evaluation within the allotted 90 days. EFMs, age 18 and over, must provide their own email address for privacy reasons. Because everyone is medically cleared to be in the United States, individuals whose next tour is a domestic assignment do not require a medical clearance unless they will be doing TDY travel of 30 or more consecutive days during their domestic tour. The medical clearance process is designed to identify medical, mental health, or educational issues before departing for an overseas assignment. The healthcare provider must print or stamp their name, as well as sign and date page 4. Brea, CA 92821. 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. Medical Clearances United States Department of State Form Use a ds 1843 template to make your document workflow more streamlined. Main Line: 714-990-7625. A CONUS based employee who does TDY travel for 30 or more consecutive days has a medical clearance valid for 2 years from the date it was issued. The name of the examinee (employee, contractor, LES or EFM) and DOB must also appear at the top of each page 2, 3, and 4. Medical Clearances matches an individual medical needs with posts capable of providing adequate medical or education services. Failure to have all family members medical clearances completed will delay the issuing of travel orders for individuals departing Washington D.C. Please send inquiries only to this email address. Youll be asked to submit fingerprints to the Departments Bureau of Diplomatic Security as the first step in the security clearance process. Often children are under one parents orders for their current assignment and need to be switched to the other parent for an onward assignment. The Foreign Service Act of 1980, as amended, 22 U.S.C. 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. These are DOD medical standards. Individuals with a Domestic Only (Class 5) clearance have a medical condition which is incapacitating or for which specialized medical care is best obtained in the United States. Coordinator for the Arctic Region, Deputy Secretary of State for Management and Resources, Office of Small and Disadvantaged Business Utilization, Under Secretary for Arms Control and International Security, Bureau of Arms Control, Verification and Compliance, Bureau of International Security and Nonproliferation, Under Secretary for Civilian Security, Democracy, and Human Rights, Bureau of Conflict and Stabilization Operations, Bureau of Democracy, Human Rights, and Labor, Bureau of International Narcotics and Law Enforcement Affairs, Bureau of Population, Refugees, and Migration, Office of International Religious Freedom, Office of the Special Envoy To Monitor and Combat Antisemitism, Office to Monitor and Combat Trafficking in Persons, Under Secretary for Economic Growth, Energy, and the Environment, Bureau of Oceans and International Environmental and Scientific Affairs, Office of the Science and Technology Adviser, Bureau of the Comptroller and Global Financial Services, Bureau of Information Resource Management, Office of Management Strategy and Solutions, Bureau of International Organization Affairs, Bureau of South and Central Asian Affairs, Under Secretary for Public Diplomacy and Public Affairs, U.S. The examiner must sign and date page 4 of the DS-1843. For more detailed information see Post Specific (Class 2) Clearance Guidance. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. The clearance exam may also be done at the Department of State Exam Clinic in Washington DC for those over 6 years of age. Or fax to 202-647-0292 (less preferred) Under Status of Employee check or write in the appropriate designation (Employee, contractor, EFM, TDY, etc). Posted by 5 years ago. 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. All personnel must update their medical clearance prior to departure for a new overseas assignment. 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. Submit your completed forms and other medical reports to Medical Records: Send via email to MEDMR@state.gov (preferred) Reasons for a Separation or Retirement Exam. The healthcare provider must print or stamp their name, as well as sign and date page 4. When to Start the In-Service Clearance Process. The time needed for security clearance determination processing varies depending on a number of factors. All employees including Locally Employed Staff, contractors and Eligible Family Members who will be posted to a designated ESCAPE posts for 30 or more consecutive days are required to obtain a medical clearance. Criminal, dishonest, or disgraceful conduct. The Director General has delegated the authority to grant such a waiver to the Director of HR/CDA (Bureau of Human Resources, Office of Career Development and Assignments) by memorandum dated August 8, 2005. Contractors and DOD Civilians should contact their sponsors human resources. Employees of other Government agencies, contractors, fellows and Eligible Family Members (EFMs) and do not need to meet this worldwide availability requirement on their first overseas assignment. The assigned Clearance Consultant will follow the same procedure outlined for Foreign Service officers above. A medical clearance is valid until your scheduled home leave or end-of-tour whichever is sooner. Clearly print the persons name on each page submitted to Medical Records. An MCU can be submitted to your health unit (preferred) or directly submitted to. Please return to Start Here to click on the steps to a medical clearance that best fits your status and overseas assignment. A medical clearance to an ESCAPE post expires at: Tips to Employees Completing ESCAPE Post Forms, Tips to Medical Providers Completing ESCAPE Post Forms. Include the Medical Records coversheet. Angina pectoris Bipolar disease Cardiac valve replacement The process for completing a Pre-employment or Pre-assignment medical clearance varies by on t employment status and where you are going. Requests for a 6/8 waiver where neither the employee nor a family member has any special physical or mental health condition that would require the Bureau of Medical Services (MEDs) expertise may be considered by the Committee without MED input. 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. Institutional Contractors must include a 3308.5: Institutional Contractor ICASS Verification Form. Reasons for a Separation or Retirement Exam. Medical Clearances will not clear an individual to go to a post that does not have adequate resources for that person. 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. 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. Page 2 must be signed and dated. 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. Medical Clearance Notices will be sent to your e-mail address you place on your form. This is not guaranteed. Any medical clearance must be reviewed and possibly modified for the development of any new significant medical, mental health or educational issue. Your CDO or agency HR will send your list to MED Clearances. g. Separation (Class 9): Issued to employees and eligible family members following separation from States Medical Program. Our Mission. This brief, two page document requires does not require a physical exam. If a new post potentially arises, they should contact their Clearance Consultant for approval for that post. All optional tests are optional, unless clinically indicated, and not required for an ESCAPE post clearance. Medical Clearances matches that individuals medical needs with posts capable of providing the specific medical or educational services they need. Some countries have inadequate infrastructures such as a poor or negligible public health care system, poor sanitation, unreliable electricity and a lack of potable water. CONUS Option: The employee and EFMs are encouraged to have the separation medical exam completed by their private medical provider in the US. 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. 7. Employees subject to the six or eight-year rule must work with their CDOs if they wish to request a waiver of the rule. ESCAPE posts have limited medical capabilities and personal security risks. Clicking on My Clearance Status on the Customer Tools page of the MED Clearances SharePoint site, accessible via the Department of States OpenNet. Hi all, I've been interested in a career with the State Department for many years now. Close. You can also download a PDF document with this information on the Resources page. 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