MEDICAL RETENTION REVIEWS FOR THE NAVY SELECTED RESERVE MEMBER:
R 241353Z JAN 23 MID200080679203U
FM CNO WASHINGTON DC
INFO CNO WASHINGTON DC
PASS TO OFFICE CODES:
INFO CNO WASHINGTON DC//DNS//
MSGID/NAVADMIN/ CNO WASHINGTON DC/JAN//
SUBJ/ MEDICAL RETENTION REVIEWS FOR THE NAVY SELECTED RESERVE MEMBER//
REF/B/DOC/ DODINST 6130.03, VOL. 2/4SEP20//
REF/C/DOC/ DODINST 6490.07/5FEB10//
NARR/REF A IS COMMANDER NAVY RESERVE FORCE POLICY FOR RESERVE MEDICAL.
REF B IS DoDI 6130.03, VOL. 2 ON MEDICAL STANDARDS FOR MILITARY SERVICE:
REF C IS DoDI 6490.07 ON DEPLOYMENT-LIMITING MEDICAL CONDITIONS FOR SERVICE
MEMBERS AND DOD CIVILIAN EMPLOYEES.
RMKS/1. The purpose of this Navy Administrative (NAVADMIN) message is to
communicate required contents and routing procedures for Medical Retention
Reviews (MRR) for Navy selected Reserve members, as required by references
(a) and (b). This communication is in advance of an update to the
NAVMED P-117, Chapter 15, Article 23.
2. Echelon 5 medical departments will initiate an MRR if they determine
that a Navy Reserve member has a service-limiting condition, which was not
incurred on Active orders, does not improve within the period of Temporarily
Not Physically Qualified (TNPQ), and the condition meets at least one of
a. Does not meet published retention standards in reference (b) and any
future published Navy and Marine Corps-specific retention standards.
b.Makes Reserve member incapable of serving on a large deck surface
ship with the medical support of a senior medical officer;
c.Requires a waiver to deploy per reference (c); or
d.Makes Reserve member incapable of working in an operational setting
for at least six months without access to specialty medical care.
e.If it is unclear whether a Navy MRR submission is necessary and
consistent with applicable guidance, the echelon 5 medical representative
must discuss with the next higher echelon. MRR submissions are often
unnecessary for conditions that meet published medical retention standards
and do not interfere with drilling or mobilization. Medical representatives
will consider both medical standards and the members ability to
satisfactorily perform appropriate military duties commensurate with the
members office, grade, rank, or rate. A condition that does not necessitate
an MRR, or which has been determined physically qualified (PQ) during an MRR,
might still require an area of responsibility waiver if the Reserve member is
mobilizing to a more restrictive theater.
3. The Navy MRR package will be sent, via appropriate chain of command, to
the echelon 4 Medical Director for submission.
4. The echelon 4 Medical Director will review Navy MRR packages and provide
one of the following recommendations regarding qualification for retention:
a.Physically qualified: For Navy Selected Reserve deemed PQ for
retention, echelon 4 will provide documentation of PQ status and a Page 13
for entry into the members medical record.
b.Physically qualified for retention but with potential Mobilization
limitations: For Navy Selected Reserve deemed PQ but with potential
Mobilization limitations, echelon 4 will submit determination to
NAVPERSCOM (PERS-95) for message release.
c.Not physically qualified (NPQ): All NPQ determinations by the echelon
4 Medical Director will be routed to BUMED-N34 to determine whether NPQ
retention is recommended, or NPQ retention is not recommended, prior to
sending to PERS.
For NPQ determinations, when a recommendation can be made regarding retention
in the Reserve Component, BUMED will send the recommendation to NAVPERSCOM
(PERS-95) for adjudication and final action.
d.If a recommendation cannot be made regarding retention (e.g.,
incomplete information, not enough time after treatment initiated to
demonstrate stability or instability), the echelon 4 Medical Director or
BUMED-N34 will request further information from the cognizant echelon 5
medical representative and the member via the members administrative chain of
5. Receipt of Veterans Affairs disability compensation for one or more
service-connected conditions does not, in and of itself, render a Service
member unfit for retention. Before initiating a Navy MRR, it is the
responsibility of the echelon 4 and echelon 5 medical personnel to assess
whether a Veteran Affair compensable condition will likely affect performance
of duty, retention, or prevent the member from safely or effectively
fulfilling duties during a mobilization or deployment commensurate with the
members office, grade, rank, or rate.
6. Echelon 3 may develop standard operating procedures to assist echelon 5
medical representatives on identifying conditions that require a Navy MRR.
7. Navy Bureau of Medicine and Surgery points of contact for procedural
questions regarding this policy can be reached at
firstname.lastname@example.org. This mailbox is not configured to
receive email containing protected health information or personally
8. This NAVADMIN will remain in effect until superseded or canceled,
whichever occurs first.
9. Released by Mr. Andrew S. Haeuptle, Director, Navy Staff.//