ADMINISTRATIVE RESPONSIBILITY FOR PATIENTS IN CIVILIAN MTF
Administrative responsibility of an Army MTF for patients in these circumstances
includes, but is not limited to:
a. Necessary professional medical evaluation and assistance. Prompt contact
between a physician at the responsible Army MTF and the attending civilian physician
should be make in order to determine the patient's condition and the feasibility of
evacuation to a Federal MTF.
b. Notification to the patient's parent unit and (when appropriate) temporary duty
c. Personnel functions for patients assigned and/or attached to a medical holding
d. Arranging government or civilian transportation for transfer between MTFs or
travel following completion of hospitalization.
e. Preparation of appropriate medical records and reports as required (e.g., SI/VSI
or death notification, line-of-duty investigation, etc.).
f. Preparation of vouchers for payment of care (see Section II) received by an AD
member in civilian facilities.
g. Preparation of bills to AD Army officers who are hospitalized in civilian hospitals.
They will be billed by the hospital Medical Services Account Office (MSAO) at the current
subsistence rate. (See Lesson 4 for procedures.)
Section II. PAYMENT OF CIVILIAN FACILITIES
COSTS AND FORMS
a. General. AD Army officers in civilian facilities pay the same subsistence rate
as they do when they receive care in an Army MTF. They are billed for this through the
MSAO of the MTF in whose geographic area of responsibility they were hospitalized. The
medical commander in whose assigned geographic area the patient is treated assumes
responsibility for the approval and payment of the civilian medical care obtained within their
b. Verification. The approving MEDDAC/MEDCEN verifies that the patient was
entitled to the services received and determines why care was not obtained from a Federal
MTF if one is in the vicinity of the place of treatment.