scope:

Scope and Applicability.

This instruction applies to all budget submitting office 18 commands, units, personnel, and operational activities having medical personnel under the authority, direction, and control of Chief, Bureau of Medicine and Surgery (BUMED).

Purpose.

To provide policy and guidance concerning administrative separation (ADSEP) for conditions not amounting to a disability (CnD). This instruction is a complete revision and should be reviewed in its entirety. The changes in subparagraphs 1a through 1c have been implemented.

a. Clarified requirements for designation as convening authority (CA).

b. Clarified and defined mental health provider.

c. Established the requirement for all providers, not just embedded providers, transferring patients, to document diagnostic assessments and therapeutic intervention in electronic health system of record; guidance on disclosure of protected information, documenting of information on conditions related to sexual trauma, sexual assault and other sensitive information in Medical Evaluation Board (MEB) Reports (MEBR).

d. Updated CA signature authority delegated to civilian pay (CIVPAY) privileged physicians or O-4 and above privileged physicians, board eligible or board certified, with previous assignment and experience comparable to department head, director or chief of clinical services.