219-222

Question 1

What are the two best checks you can perform to obtain evidence of a patients’ eligibility for medical care in the MTF?

Answer 1

A valid ID card and DEERS.

Question 2

In which category of patients will each member possess a blue ID card? What is the name and form number of this card?

Answer 2

Uniformed services retirees; DD Form2RET.

Question 3

What color is the ID card for family members of active and retired members? What is the name and form number of this card?

Answer 3

Tan; DD Form 1173, US Uniformed Services Identification and PrivilegeCard.

Question 4

DEERS checks should be performed on what categories of patients?

Answer 4

Children under age 10 must be enrolled in DEERS, but they don’t need their own IDcard.

Question 5

Which beneficiary category doesn’t need an ID card, but must be enrolled in DEERS to receive medical care?

Answer 5

Children under the age of 10.

Question 6

If a patient fails a DEERS check and wants to use a DD Form 1172 to verify eligibility, who certifies the DD Form 1172 to verify the patient is eligible to receive medical care at a military facility?

Answer 6

MPF.

Question 7

What is used to verify eligibility and benefits for a SAF designee?

Answer 7

The designee letter to verify eligibility and benefits.

Question 8

Who performs a risks assessment when the eligibility for a patient to receive medical care at a military facility is questionable?

Answer 8

A competent medical authority performs a riskassessment.

Question 9

How long (days) after receiving medical care is the patient given to provide evidence of eligibility before they are billed?

Answer 9

Within 30 days.

Question 10

In addition to written instructions outlining the process used to determine patient eligibility for medical care at an MTF, what other procedures should be established in the MTF verification procedures?

Answer 10

Procedures should be established to verify the eligibility of all beneficiaries who have prescriptions from non-federal providers, and to allow adult family members or friends to pick up prescriptions from the pharmacy for an eligible beneficiary.

Question 11

What basis is a quarters patient treated on?

Answer 11

Outpatient.

Question 12

What purpose does the quarters authorization formserve?

Answer 12

As notification to the patient, the patient’s commander, and Public Health.

Question 13

Personnel from which US uniformed service cannot receive care in an Air Force MTF under the SAF designee program?

Answer 13

Army

Question 14

What is the maximum amount of time an SAF designee letter can remain in effect?

Answer 14

Two years.

Question 15

How long are perspective designees under the abused family members criteria entitled to medical care?

Answer 15

One year after sponsor’s discharge.

Question 16

When completing an application for SAF designee status, if the justification for designee status is
under the best interest of the government criteria, what information should be addressed?

Answer 16

The effects of denying designee status (for example, litigation cost, negative press coverage).

Question 17

Who has disapproval authority for request for designee status?

Answer 17

MTF commander and MAJCOM surgeon general for requests not meeting the criteria in AFI 41–115.

Question 18

When are applications for SAF designee status not forwarded to HQUSAF/SGMA?

Answer 18

Those that the MTF commander or MAJCOM disapproves.

Question 19

Under the SAF designee program, what type of care is provided to former Air Force females that were discharged under other than honorable conditions and pregnant at the time of discharge?

Answer 19

Care is limited to prenatal and delivery, as well as follow-up care not to exceed six weeks. Supplemental care is limited to diagnostic tests associated with maternity care. Postpartum sterilization is authorized when performed during the obstetrical admission.

Question 20

What type of care is authorized for the newborns of former Air Force females under the SAF designee program?

Answer 20

Care is authorized in conjunction with delivery to include postpartum well-baby check and related immunizations.

Question 21

What is the mission of the SNIAC program?

Answer 21

The mission of the SNIAC process is to:

(1) identify active duty service members with family members who have special medical and/or educational needs,

(2) help those families to obtain information on required services, and

(3) ensure they have access to necessary services if reassigned. The process also assists the MPF in updating the Assignment Limitation “Code Q” that is assigned to the sponsor for the purpose of ensuring service availability upon PCS.

Question 22

Name the two components of the SNIAC program.

Answer 22

Special needs coordinator and the FMRCprocess.

Question 23

What forms are processed by the special needs coordinator and FMRCcoordinator?

Answer 23

The appropriate AF Form 1466, AF Form 1466D, DD Form 2792, and Addendum B.

Question 24

Who must have an educational clearance as part of the FMRC process?

Answer 24

All family member children who are eligible to attend DODDS.

Question 25

What part of the SNIAC program ensures the safety of service members and their families?

Answer 25

AMOU developed between SNIAC process and key civilian agencies, which specify interagency client- focused processes that ensure the safety of service members and their families, and enhances access to community resources.

Question 26

Who accomplishes family member clearance screenings for sponsors that are on unaccompanied assignments?

Answer 26

The MTF in closest proximity to the family.

Question 27

What automated on-line tool is used to develop a chronological log?

Answer 27

Q-base.