scope:

Scope and Applicability.

This instruction is applicable to all healthcare providers delivering care to Sailors or Marines in medical treatment facilities (MTF) and includes guidance on how operational medicine healthcare providers may integrate with MEB processes. In addition, this instruction provides a process to fulfill MEB requirements and deployability assessments outlined in references (a), (b), (d) through (o) for consideration by Defense Health Agency (DHA) MTFs.

Purpose.

To clarify and prioritize expectations of the Medical Evaluation Board (MEB) for the Disability Evaluation System (DES), temporary limited duty (TLD, also known as LIMDU), and administrative separation (ADSEP) for conditions not amounting to a disability (CnD) per references (a) and (b). This instruction supersedes the process described in reference (c), Manual of the Medical Department, chapter 18, articles 18-2, 18-5, 18-10, and 18-11. Navy Medicine Readiness and Training Commands (NAVMEDREADTRNCMD) must perform the MEB functions described in enclosure (1), staff MEB roles described in enclosure (2), and process DES cases per references (a), (d) through (f), and per the pre-DES and MEB phase workflow in enclosure (3).