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EFMP Frequently Asked Questions

EFMP Awareness Enrollment Disenrollment Assignment Coordination

Family Support Respite Care Reimbursement Program Tricare ECHO



EFMP Awareness


  1. Do Marines enrolled in the Exceptional Family Member Program need to check in with EFMP when they arrive at Henderson Hall?
     
     

    • Actually, ALL Marines (inbound and outbound) assigned to Henderson Hall are required to be briefed by EFMP staff. EFMP is located in Bldg. 12.



Enrollment


  1. What is the DD Form 2792?

    • This is the Family Member Medical Summary that is used for enrollment in the Exceptional Family Member Program. This form must be completed by a qualified medical provider and submitted to your local installation EFMP office or HQMC EFMP via email hqmc.efmp@usmc.mil. It is the sponsor's responsibility to update their enrollment every 3 years or as the medical needs of the exceptional family member's conditions change. If your family member no longer requires special medical services, have your physician complete the form for medical status updates.

  2. What is the DD Form 2792-1?

    • This is the Special Education/Early Intervention Summary for children ages 0 – 21 inclusive and who have an Individualized Family Services Plan (IFSP) or an Individualized Education Program (IEP). The form is completed by an early intervention (EI) or school official and submitted to your local installation EFMP office or via email to hqmc.efmp@usmc.mil. A DD 2792 (medical summary) must also be submitted. If your family member no longer requires an IFSP or IEP, have the appropriate EI or school official complete the form to document the change in status. Please include relevant special education paperwork.

  3. Will the Marine Corps reimburse the cost of completing the DD Form 2792?

    • Yes, the Marine Corps believes that families should not bear the cost of form completion to comply with a DOD mandated program. Some TRICARE authorized providers are charging families for completion of the DD 2792, referencing the TRICARE policy manual which expressly excludes reimbursement for completion of the form. Absent reimbursement or regulation, authorized provider charges to families are inconsistent and, in some cases, cost prohibitive for family members.


      Marines will be reimbursed for pages 4-7 at the actual cost charged to the family or $60, whichever is less. If page 8 (Asthma Addendum), 9 and 10 (Mental Health Addendum), or 11 (Autism Spectrum Disorders and Significant Developmental Delays) are applicable, reimbursement will be actual cost charged to the family or $15 per page, whichever is less. Reimbursement will never exceed $200/package.


      If a TRICARE authorized provider charges more than the Marine Corps will reimburse, families may ask providers to reconsider the cost charged to the family to align with USMC EFMP reimbursement amounts. If providers are unwilling to do this, families are responsible for any costs beyond the maximum reimbursement amounts. Families should contact their EFMP office for any questions about reimbursement.

  4. Who is eligible for the Exceptional Family Member Program?

    • An official family member with an exceptional medical or special education need, registered in DEERS, who resides with the active duty service member sponsor. This can include a spouse, child or dependent adult. It is mandatory (by MCO 1754.4B) that the Marine enroll a family member who has special medical or educational needs. Contact your EFMP office if you are unsure if you should enroll a family member.

  5. What are EFMP eligibility requirements?

    • REF: MCO 1754.4B
      It is DoD policy that family members who meet any of the following criteria will be enrolled in the EFMP:

      • Potentially life threatening conditions and/or chronic medical/physical conditions requiring follow up support more than once a year and/or specialty/sub-specialty care.
      • Current and chronic (duration of six months or longer) diagnosed mental health condition, inpatient, or intensive outpatient mental health service within the last two years. Intensive outpatient is defined as monthly, or more frequent, mental health services.
      • A diagnosis of asthma or other respiratory-related diagnosis with scheduled use of inhaled anti-inflammatory agents or bronchodilators, a history of acute asthma exacerbations, or history of hospitalizations, as captured on the DD Form 2792.
      • A mental health diagnosis (including Attention Deficit Disorder) that requires prescribed psychotropic medication(s) and/or treatment by a mental health provider (e.g., psychiatrist, psychologist, licensed clinical social worker, etc.).
      • Special Education Eligibility Under the Individuals with Disabilities Education Act (IDEA):
        • An infant or toddler with a developmental disability (birth through two years inclusive) in conformity with an Individualized Family Service Plan (IFSP) specifying early intervention services.
        • A school-age child (ages 3 through 21 years inclusive) is entitled when a school determines a child's educational performance is adversely affected by one or more disabling conditions. Eligibility for special education services is documented by a current Individual Education Program (IEP).

  6. How do you enroll a family member in the EFMP?

    • By submitting a DD Form 2792. Also, submit a DD Form 2792-1 for any children receiving special education, to include children ages 0-3 with an Individualized Family Service Plan (IFSP). If you have any questions about the enrollment process, please contact your local EFMP office.

  7. How do you ensure confidentiality?

    • Ensuring the confidentiality of all Personally Identifiable Information and Protected Health Information is paramount. All enrollment forms and accompanying documents and information are maintained in a password controlled database with predefined need-to-know criteria for all EFMP staff members. Information contained in the database will not be shared without specific written permission from the sponsor and/or adult family member. Local EFMP Managers provide limited information to the Unit Commander, or his/her designee to ensure commands are aware of those Marines who need to complete an update to maintain compliance. The information shared with the command is limited to the name, date of enrollment, and date of next tri-annual update. The specific medical diagnosis and treatment and/or special education needs of the family member will not be shared with the Command, unless the sponsor and/or adult family member provides written permission to do so. The EFMP Case Management System will not become an element of the Manpower Management System, individual record books, or the parent command records of the sponsor, nor be referenced in performance appraisals such as Fitness Reports.


Disenrollment


  1. How do I disenroll my family member?

    • EFMP is a DoD-mandated enrollment program, for the purposes of assignment coordination. When enrollment conditions are present, enrollment is mandatory. If you feel your family member no longer meets the enrollment criteria, a DD 2792 and DD 2792-1 (when applicable) must be submitted confirming the absence of enrollable conditions. When forms are complete, they can be returned to the local EFMP office or sent to HQMC EFMP via email at hqmc.efmp@usmc.mil. HQMC EFMP will review submitted information and notify the sponsor of the determination via letter to the official government email account.

  2. Will my family member automatically be disenrolled if I fail to update their enrollment by the every-3-year due date?

    • No, your family member will remain enrolled in the program. The only way to disenroll is by resubmitting the enrollment forms and having them evaluated for disenrollment.

  3. When should I update my family member’s enrollment?

    • When any of these conditions occur:

      • Before the 3-year enrollment update deadline
      • Whenever the family member’s condition worsens or improves, effecting their needs
      • When the family member’s status changes, through age, custody, or any instance in which they are no longer an official family member in DEERS


Assignment Coordination


  1. What does EFMP Assignment Coordination mean?

    • The Exceptional Family Member Program is a mandatory enrollment program for sponsors with qualifying family members. Assigning Marine sponsors to locations that can support the needs of their family member ensures that the sponsor's performance of duty is not inordinately affected by the demands of caring for their Exceptional Family Member. This allows the sponsor to concentrate on performing his/her duties and contributes to the operational readiness of the Marine Corps. This is especially critical in overseas assignments where the provision of services may be limited. Successful execution of the EFMP improves the quality of life for Marine Corps families with special needs.

      If you have any questions or need assistance with the Henderson Hall EFMP Enrollment process, please contact the Henderson Hall EFMP Office.

  2. How are EFMP assignment recommendations made?

    • Operational requirements of the Marine Corps and requirements for career development and experience are primary factors in manpower decision making. When a Marine is enrolled in EFMP, and prior to issuance of PCS orders, HQMC EFMP will review each family member's specific medical and educational needs documented in the DD 2792 and DD 2792-1. It is imperative that your EFMP forms contain the most current and accurate information to facilitate an appropriate assignment recommendation. HQMC EFMP Assignment Specialists research and confirm the availability and accessibility of necessary care in the proposed PCS location. Results of these validation efforts are communicated to the MOS monitor, who has final authority to either release or modify the orders.

  3. How does the EFMP provide relocation assistance?

    • Once you receive orders, please contact the Henderson Hall EFMP office for assistance. The Henderson Hall EFMP office will coordinate with the gaining/losing EFMP office to assist you in connecting services between duty stations. This “warm hand-off" (WHO) process ensures a smooth and seamless Permanent Change of Station (PCS) transition. Prior to your PCS from Henderson Hall, please complete the EFMP PCS Needs Assessment (relocation resources are included on this link) and then forward the information to your Henderson Hall EFMP Family Case Worker. As part of the EFMP WHO process and in order to ensure the continuum of care for your EFM, your FCW will review your completed checklist and then forward it to the gaining installation and to your new Family Case Worker so that he/she can assist you in finding the appropriate resources and support services at your new duty station.

  4. What is Continuation on Location?

    • Continuation on Location (CoL) refers to the stabilization of the family and does not require the Marine to remain in a geographic location. CoL allows the family to remain in the location of the last fully funded PCS assignment. In all cases, efforts will be made to maintain the family unit. CoL decisions are made to facilitate the continuum of care for enrolled families. The below chart has been provided by Headquarters, U.S. Marine Corps as a guide for requesting consideration for Continuation on Location. Please click here to view the chart.

      If you have any questions regarding the USMC EFMP Continuation on Location process, please contact HQMC EFMP at 703-784-0298.

      Clarifying Guidance for Exceptional Family Member Program (EFMP) Continuation on Location

  5. What is the difference between EFMP and Overseas Suitability Screening?

    • HQMC EFMP reviews all assignments for EFMP-enrolled Marines prior to issuance of the orders. The DD 2792, DD 2792-1 and IFSP/IEP are used to review family member requirements and to make an initial assignment recommendation. Following EFMP review, the monitor will release the PCS orders and families must then initiate the Suitability Screening process through the established office at the nearest Military Treatment Facility (MTF).

      Suitability screening is conducted by the Military Medical Departments and is the same for all family members, regardless of EFMP enrollment status. Suitability determination is based on a variety of factors to include: a comprehensive review of medical records, the severity of a condition and the frequency and level of treatment; the medical and dental capabilities of the MTF/ Dental Treatment Facility (DTF) and local civilian community; the availability of ancillary, early intervention, special education and medically related services; etc. For more information about Suitability Screening, please contact your Military Treatment Facility's OSS Coordinator.

  6. What can I do to ensure that I get my orders quickly?

    • 1. Make sure the enrollment paperwork for your family member(s) is accurate and includes all current medical and educational requirements.


      2. Submit your updates when due.
      During 2015, the average EFMP review cycle time for a set of orders was 7 days. When paperwork is current and accurate, we are able to quickly review orders and make assignment recommendations to your monitor. When paperwork is outdated, incomplete or inaccurate, we must contact you and request and wait for the update. The most important thing you can do is to keep your paperwork current!

  7. How does EFMP enrollment affect deployment and Unaccompanied Overseas Assignments?

    • Enrollment in EFMP has no impact on the deployment responsibilities of Marines. Overseas-unaccompanied assignments, unit deployments, and standard deployments must be carried out without interruption. When a family member's needs conflict with such assignments, the sponsor must contact his/her Military Occupational Specialty monitor to discuss possible options.


Family Support


  1. What sorts of family support services does the EFMP provide?

    • The EFMP provides each EFM a Family Case Worker (FCW). This case worker can help link the family with local services and supports, connect the family with local, state and national resources and networks, and assist in advocating in the schools. The program also provides educational resources in their lending library, and topical workshops, support groups and events. The EFMP also provides respite care reimbursement through the Respite Care Reimbursement Program.

  2. I don’t require any family support. Can I opt out?



    • Yes, you can opt out of any support or communication other than update reminders and assignment coordination by completing and submitting a Declination Form. Contact your Family Case Worker to obtain a Declination Form.

  3. What is a great way of providing our EFMP office with feedback?



  4. Does EFMP provide deployment support to families?



    • Yes. EFMP is available to offer additional assistance and resources before deployment, during deployment, and after deployment. Also see our EFMP Resources page.

  5. Can EFMP assist with special education needs such as IEPs, IFSPs, 504 plans, or SNAP/SNERT meetings?



    • Yes. EFMP Family Case Workers (FCWs) are available to assist with special education needs.

      • Review existing documents and provide feedback (even before you PCS to the area)
      • Discuss parental concerns prior to a school meeting in order to formulate a strategy, prioritize needs, and educate parents about local special education regulations or procedures.
      • Provide families with resources such as local parent resource center information, regulations, IDEA, ADA, special education rights, and more.
      • Accompany parents to meetings such as public, private, or DoD schools, county team meetings, early intervention meetings, SNAP or SNERT CDC meetings.
      • Provide a monthly parent support group so that parents can share resources and provide feedback and support.

      Please remember to keep your FCW updated with the most recent copy of IEP, IFSP, or 504 plan.


Respite Care Reimbursement Program


  1. What is the process for determining eligibility for the Respite Care Reimbursement Program?

    • The process involves the following: (1) Complete and submit these forms: Verification of Eligibility to Participate in the EFMP Respite Care Reimbursement Program, Statement of Understanding, Hold Harmless Agreement for each respite care provider, and ACH Application Form (Direct Deposit form); (2) Submit provider documentation for approval (contact HH EFMP Program Manager at 703-693-6368 to discuss provider qualifications); (3) Receive approval for provider credentials by HH EFMP Program Manager. (4) Receive notification of eligibility (5) Begin respite care.

  2. Who is eligible for the program?

    • • Children 18 years old or younger with respite care Level of Need (LoN) 3
      • All ages with respite care Level of Need (LoN) 4.

  3. How do I know my EFM’s LoN?

    • If you would like to know your EFMs LoN, please contact your Family Case Worker.

  4. How is LoN determined?

    • LoN is determined by HQ EFMP Medical Screeners based on review of the DD2792, DD2792-1, IEP/IFSP and other relevant documents submitted by the sponsor at the time of enrollment or update. They use a standardized quantitative rubric to assess the special needs of the EFM and identify the minimum level of provider skills required to maintain the health and safety of the EFM. LoN ranges from 1 to 4. EFM situations may change and can require a change in identified LoN. An enrollment update, or additional information, may be required to approve a change in respite care LoN.

  5. What if I disagree with my EFM’s current LoN?

    • Please contact your Family Case Worker to request a formal review of your EFM’s LoN. There is a formalized process which the installation EFMP will engage. You will be notified of the final decision by your installation Family Case Worker.

  6. How is my respite rate determined?

    • The reimbursement rate is based on the installation’s Child Development Center (CDC) hourly drop-in rate. Then a formula is used that takes into consideration the number of EFMs and their LoN. When you apply for the Respite Care Reimbursement Program, your installation EFMP office will send you an email, which will identify if you are eligible for the respite care program, and if so, what your respite care reimbursement rate will be.

  7. If I am not eligible for EFMP respite care, are there other resources available to me?

    • There may be other resources available to you in your community. Please contact your EFMP Family Case Worker to learn about services and programs in your community for which you may be eligible.

  8. What is the difference between category and LoN?

    • USMC EFMP does not use categories to make decisions. Prior to 2009, categories were assigned during enrollment and were used to make determinations about where EFMP enrolled Marines could be stationed. Beginning in 2009, USMC EFMP initiated the LoN to apply to respite care purposes only. Categories are used at HQMC EFMP for administrative purposes only and will not impact respite care, assignments, or enrollment/endorsement decisions.

  9. How many hours of respite care per month will the program subsidize?

    • 20 hours per family, per month

  10. If we do not use all 20 hours of respite care one month, can they be rolled over to another month?

    • No, the 20 hours per month allotted to each family does not accrue.

  11. If we do not use all 20 hours of respite care one month, can they be transferred to another family?

    • No, respite care hours cannot be transferred.

  12. Can I use respite care hours for childcare while working or attending school?



    • No, respite care cannot be used for childcare while sponsor/spouse are working or attending school. Respite care may not be used for pre-school programs or therapy sessions for the exceptional family member.




Tricare ECHO


  1. What is the ECHO Program?



    • The TRICARE Extended Care Health Option (ECHO) provides supplemental services to active duty family members with qualifying mental or physical disabilities. ECHO offers integrated services and supplies beyond those offered by the basic TRICARE health benefits program.



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