From:
Director, RAO Baguio [[email protected]]
Sent:
Friday, March 31, 2006 9:51 PM
Subject:
RAO Bulletin Update 1 April 2006
RAO
Bulletin Update
1 April
2006
THIS
BULLETIN UPDATE CONTAINS THE FOLLOWING ARTICLES:
�
==
Military Funeral Conduct [03] --------- (New bill in Congress)
== SBP DIC
Offset [08] -------------------- (Senate amendment passed)
== VA
Registries Update 02 --------------- (How to sign on)
==
Estate Tax (
== TSP
Scam --------------------------------- (Where to call)
==
Tricare User Fee [10] ------------------- (HR 4949 blocking bill)
==
Fraudulent Internet Coupons ----------- (How to spot)
==
Military Recruiting (Feb 06) ----------- (Figures are up)
== CAR
Eligibility -------------------------- (Clarified)
==
Veteran Diabetes & Obesity ----------- (VA action)
==
Women�s Service Memorial ----------- (Opening 20 Oct 07)
==
Atomic Vets [02] ------------------------ (HR 4183 & 4184 status)
== VA
Budget 2006 [14] ------------------- (Increase sought)
== VA
Budget 2007 [02] ------------------- (Fees & Copays)
== VA
Help Lines [01] --------------------- (House hearings)
== TFL
Claim Processing ------------------ (Procedure used)
==
Military Tattoo Criteria ----------------- (Revised policy)
== DFAS myPay Look Alikes -------------
(Not affiliated)
== ID
Card w/o Sponsor Present ---------- (How to obtain)
== VA
Medical Records -------------------- (Ask to see)
==
Diabetes [01] ----------------------------- (Safety alert)
== VA
Homeless Vets ---------------------- (Senate hearing)
== VA
Health Care Funding [05] --------- (Voted down)
== Virgina Survivor Education Bill ------- (Submitted for
signature)
==
Tricare Uniform Formulary [09] ------�
(3rd tier list)
==
Disputing Credit Reports ---------------�
(How to dispute)
MILITARY
FUNERAL DISORDERLY CONDUCT UPDATE 03:�
H.R. 5037, the Respect for
SBP DIC
OFFSET UPDATE 08:� In a voice vote, the
Senate passed an amendment by Sen. Bill Nelson, D-Fla.,
to the fiscal 2007 budget resolution that would fix two inequities in the
Survivor Benefit Plan. First, the amendment would eliminate the
dollar-for-dollar reduction of SBP annuities incurred by some 61,000 surviving
military spouses who receive Dependents Indemnity Compensation. Second it would
end SBP premium payments on 1OCT 06, for military retirees age 70 or older who
have paid the premiums for 30 or more years. Although current law stops those
payments at 30 years, it doesn�t take effect until 1 OCT 08, which will require
198,000 retirees to pay premiums for as many as 36 years. The budget resolution
is only an internal congressional document that itself is never enacted into
law; however, Senate support on the proposals at this stage of the budget
process is an indicator of its intent for action later on bills that could
become law. The corresponding House bill to end the SBP offset is Rep. Henry
Brown�s (R-SC) HR-808. The paid-up SBP bill is Rep. Jim Saxton�s (R-NJ) HR-968.
[Source: Armed Forces News 24 Mar 04]
VA REGISTRIES
UPDATE 02:� There are several Registers
for qualified Veterans at VA Medical Centers (IRR-Ioinizing
Radiation Exposure, AO-Agent Orange, SHAD, Gulf I, & Others). Generally,
these Registers are administered in the VAMC Environmental Agents Office (some
refer to it as �Occupational & Safety Hazards�) and not the Clinics.� Administration of these Registers is governed
within designated VA Handbooks (IRR-Handbook 1301.1, AO-Handbook 1303.1, &
Others). VA Handbooks relating to the various Registers can be observed &
downloaded from the VA at www.va.gov/EnvironAgents.
Various Register Newsletters can be received, as published, by going to the
same Site. To be placed on one or more of these Registers (as eligible) the
veteran must fill in a Request Form. Proof must be included per Register
requirements from acceptable source documents such as Orders, Certificates,
etc.
���� There are many occasions where veterans
have attempted to be placed on a Register and were informed that there is no
such Register, etc.. These answers are either a result of misinformed VA
personnel, the veteran is inquiring at the wrong location within the VAMC, or
other misunderstandings. Many of the older, more familiar employees, have
either retired or are in process of doing so. Many of the newer replacements
are in the process of getting up to speed regarding the rules. If no Register
exists for the particular activity the veteran was involved in the
Environmental Agents Office can in many cases place the veteran into an applicable
Program for treatment.� Being on a
Register and receiving treatment(s) for listed diseases can assist the veteran
in a related claim or claims. Generally, treatment and applicable medications
for recognized diseases by the specific Register is free. By being on a
Register your priority level may also be elevated.�
��� In instances where a request is not honored
or difficulty is encountered with a request to be placed on a Register� assistance is available from Dick Conant at
[email protected] which could remedy the situation.� Your email request should include the
veteran�s name, address, telephone number, SSN, and email addee (if
available).� Also the VAMC &
Location. This information is kept Confidential within the initial
communication.� It will be forwarded to a
VA source in Washington, DC who usually contacts the Registry Coordinator at
the VAMC in question within 48 hours (normal work day) directing that Office to
make contact with the Veteran and initiate the Registry process. The local VMAC
Registry Coordinator will then contact the Veteran to setup the necessary
appointment(s).� These services are
available to every veteran eligible for being placed on a Register and receive
the applicable treatments.� [Source:
ESTATE
TAX (
1)� Assets owned at death, such as brokerage,
IRA, and 401(k) accounts;
2)� 50% of jointly held assets;
3)� Face value of life insurance policies you own
and are the insured of;
4)� Value of certain assets transferred within
three years of death;
5 )
Present value of certain annuities; and
6)� Assets in certain types of trusts you
exercise control over.
The
projected changes in estate tax exemption levels and tax brackets over the next
several years are:
-���� Exemption: 2006 thru 2008 $2 million; 2009
$3.5 million; 2010 Not taxed; 2011 $1 million
-���� Top Estate tax bracket: 2006 46%, 2007 thru
2009 45%; 2010 N/A; 2011 55%.
���� Seventeen states and the
���� An inheritance tax is an assessment made
on the portion of an estate received by an individual. It differs from an estate
tax which is a tax levied on an entire estate before it is distributed to
individuals. It is strictly a state tax. Eleven states still collect an
inheritance tax. They are:
TSP
SCAM: Users of the government�s Thrift Savings Plan are the latest group to be
targeted by a phishing scam.� However, TSP officials said 20 MAR that they
think few people were taken in by an e-mail hoax targeting participants in the
401(k)-style retirement plan for federal employees. The scam first came to plan
administrators' attention 16 MAR, when calls began arriving around 2 p.m.
regarding a suspicious e-mail. The message guided recipients to a TSP
look-alike Web site and sought personal data, including Social Security numbers
and TSP personal identification numbers. Visitors then were prompted for credit
card, ATM and account information.� About
500 people called TSP about the suspicious e-mails, and officials responded
around 6 that evening by suspending online transactions on the legitimate Web
site. The FBI was alerted, and users of the TSP site were warned of the scam.
By the next morning, the link to the fraudulent site no longer worked and online
access to the official link was restored that afternoon.
���� Online withdrawals and loans initiated
since 16 MAR are being reviewed internally before being processed, with a delay
of up to two days expected. Plan officials said this is the first known "phishing" scam -- in which perpetrators entice users
to divulge confidential data by impersonating a legitimate online business --
to target the TSP. They did not know how the perpetrators developed their
e-mail distribution list, which included both TSP members and non-members, some
of whom had no connection to government employment. Plan officials emphasized
that individuals should never divulge personal, credit or banking information
in response to unsolicited e-mails, and noted that the plan does not store
participant e-mail addresses. TSP uses e-mail to communicate with members only
in limited circumstances in which the member requests one-time e-mail
notification and would never request credit card information or an ATM number.
Plan participants should have been suspicious to receive an unsolicited message
regarding their account. The page where users were directed to enter their
Social Security number closely resembled a legitimate TSP Web page but
grammatical errors on the second page, where credit card information was
solicited, should have been a red flag. TSP call center staff members are
prepared to assist those who did fall the scam. Affected plan members should
call 1(877) 968-3778. [Source: GovExec.com newsletter 21 Mar 06]
TRICARE
USER FEE UPDATE 10:� With the backing of
13 military associations, a bill blocking the Bush administration�s planned
Tricare free increases for military retirees was introduced 15 MAR 06.�� The Military Retirees' Healthcare Protection
Act, H.R. 4949, would prevent that could affect 3 million military retirees and
their families unless and until Congress approved changes that would then have
to be signed into law. The bill would block the Pentagon from dramatically
raising health care fees on military retirees by removing the Secretary of
Defense�s current authority to make virtually unlimited increases in four
specific areas:
1)�� Enrollment fees for retired members and
survivors in TRICARE Prime
2)�� Pharmacy co-payments
3)�� Enrollment fees for the new TRICARE Reserve
Select program that was implemented last year to maintain health coverage
continuity for Guard and Reserve families
4)�� Retiree and survivor co-payments for
inpatient care
The bill
which currently has 118 cosponsors was referred to the House Armed Services
Committee, where sentiment already is running strongly against the Pentagon
plan that would double or triple fees for enrolling in Tricare for military
retirees under age 65. The chief sponsor of the bill Rep. Chet Edwards (D-TX)
Texas commented that he wondered how people would react if a bill was
introduced that created a tax of $1,000 for retired officers and $490 for
retired enlisted people and had that money go to cover the cost of the war?
That is, essentially, what the Bush administration is doing by asking for
retirees to be charged to cover military expenses with Tricare user fees.�
���� After a two-hour hearing on the subject 14
MAR, the Senate Personnel Subcommittee Chairman Lindsey Graham (R-SC) said,
"There is no way a 115% increase in co-pays and enrollment fees in the
TRICARE health insurance program is going to happen in the next two years�.
Graham did not rule out the possibility that Congress might go along with some
small bump-ups in the price of the popular coverage for both active-duty
members and retirees and their families.�
But he insisted that any steep increases were off the table until GAO or
some other independent analyst studied the problem and made recommendations for
curbing program costs.� All of the
witnesses at the hearing insisted there are other cost-saving options and all
laid out several recommendations for consideration by the subcommittee. Graham
cautioned the groups that "an erosion of benefits is inevitable" over
time as the cost of the program competes with the Pentagon's other needs for
military housing, pay increases, new weapons, and peacekeeping operations.
����� The president of the Military Officers
Association of America commented that defense leaders pushing to triple or
quadruple health fees for military retirees seem to forget that career service
members already paid their premiums up-front, through two or three decades of
service and sacrifice. Sydney Hickey of the National Military Family
Association, another group supporting the bill, said she is particularly
opposed to Pentagon plans to establish an enrollment fee for Tricare Standard
health insurance coverage, which has no such fee today. It would change the
earned access of military health care into the opportunity to buy access to
military health care, in essence changing the earned benefit into an insurance
plan. Following the strong bipartisan support for the blocking legislation, DoD
announced that they would halt the proposed increases for now and has told
Tricare contractors to cancel plans for an 1 OCT rate hike.
��� On 29 MAR, representatives from DoD faced
boxes full of 40,000 letters when testifying before the House Armed Services
Personnel Subcommittee. Subcommittee Chairman John W. McHugh (R-NY) said that
these were the letters received by members of Congress since the Administration
proposed severe increases in TRICARE Prime and TRICARE Standard costs for
Military Retirees under the age of 65. The dramatic display shows how effective
communicating your concerns are to members of Congress. Representative McHugh
said, �These are the voices of beneficiaries that we cannot ignore.� This shows
how important it is for you to contact your Senators and Congress members to
tell them of your opinions and concerns. They do listen to you. At the hearing
representatives of both The Military Coalition and the National Military and
Veterans Alliance testified against the proposed increases. [Source:
NavyTimes.com Rick Maze & CongressDaily David
Hess articles 15 Mar 06 ++]
FRAUDULENT
INTERNET COUPONS:� Defense Commissary
Agency officials who are alerting customers about a recent rise in the use of
fraudulent Internet or home-printed coupons and steps the agency has taken to
address the issue. Commissaries gladly accept Internet or home-printed coupons provided
they meet these requirements:
-���� The coupons must have "dot-scan"
bars below expiration dates or bar codes with Product Identification Numbers (PINs), and
-���� They coupon cannot be for free products.
This is
an expansion of acceptance criteria for home-printed coupons because
counterfeit coupons have shown up recently in commissaries and other
supermarkets nationwide. Officials are pointing to Internet trading as the
source of the counterfeit coupons. Counterfeit coupons are circulating on the
Internet through auction services, message boards, e-mails and other means
causing millions of dollars in losses to the grocery industry.� Fraudulent coupons presented recently at
commissaries were for products ranging from laundry detergents, air fresheners
and deli meats to sodas, chips and over-the-counter medications. Defining more
stringent requirements for stores to accept home-printed coupons is one phase
of action the agency is taking to combat the problem. Educating customers about
how to avoid getting taken by counterfeit coupons is the other phase, and it's
been described as the best line of defense against possible fraud.
���� People who purchase or trade coupons are
inherently at risk of receiving counterfeit coupons, therefore customers
shouldn't buy or trade for coupons. The sale or transfer of coupons is a
violation of virtually all manufacturers' coupon redemption policies, according
to the
-���� Look for the dot-scan bar below the
expiration date on Internet coupons. If they don't have a dot-scan bar, look
for a PIN and bar code.� Many now have
both a dot-scan bar along with a PIN and bar code.
-���� Look out for coupons printed on photocopy,
plain white, photographic or card stock and coupons with fuzzy images or
misspelled words.
-���� Look out for unusually long expiration
dates.
-���� Look out for coupons sent to you in
electronic format by someone other than a manufacturer or its authorized
representative.
-���� Look out for coupons with printing on only
one side.
-���� Look out for multiple coupons for the same
product with identical PINs.
[Source:
DECA News Release 13 Mar 06 ++]
MILITARY
RECRUITING (FEB 06): DoD has announced its recruiting and retention statistics
by the active and reserve components for the month of February.
Active
duty recruiting. All services exceeded their recruiting goals in February. The
Navy�s recruiting goal was 2,593, and it enlisted 2,696 (104 percent). The
Marine Corps� goal was 1,661, and it recruited 1,734 (104 percent). The Air
Force goal was 2,353, and it recruited 2,375 (101 percent). The Army's goal was
6,000, and it recruited 6,114 (102 percent).
Active
duty retention. All services are projected to meet their retention
(reenlistment) goals for the current fiscal year.
Reserve
forces recruiting. Only two of the six reserve components met or exceeded their
recruiting goals in FEB as noted below:
����� Army National Guard: Goal: 6,536 Recruited:
6,583 (101%)
����� Army Reserves: Goal: 2,359 Recruited: 2,279
(97%)
����� Air National Guard: Goal: 772 Recruited:
680 (88%)
����� Air Force Reserves: Goal: 490 Recruited:
573 (117%)
����� Navy Reserves: Goal: 874 Recruited: 710
(81%)
����� Marine Corps Reserves: Goal: 546 Recruited:
469 (86%)
For FEB,
Army National Guard retention was 106% of the cumulative goal of 13,478, and
Air National Guard retention was 95% of its cumulative goal of 4,046. The Army
Guard is at 336,183 of the approved and funded end strength of 350,000, while
the Air Guard is at 105,321 of an authorized 106,800. Three factors are
contributing to the success, say officials. First, Guard members who have
returned from
Componant��� Accessions��� Goal��� Percent
Army�� 25,973����� 25,100����� 103%
Navy��� 12,454����� 12,236����� 102%
Marine
Corps����� 11,572����� 11,050����� 105%
Air
Force� 12,064����� 11,994����� 101%
Army
National Guard����� 20,487����� 18,991����� 108%
Army
Reserve����� 11,063����� 11,247����� 98%
Navy
Reserve����� 3,415� 4,021� 85%
Marine
Corps Reserve�� 2,937� 3,004� 98%
Air
National Guard��� 3,179� 4,064� 78%
Air
Force Reserve��� 4,748� 4,647� 102%
[Source:
Your Guide to U.S.Military 10 Mar & Armed Forces
News 17 Mar 06]
CAR
ELIGIBILITY: The Commandant of the Marine Corps, Gen. M. W. Hagee,
has clarified the eligibility requirements for the Marine�s Combat Action
Ribbon to authorize issuance in connection with improvised explosive device
(IED) attacks. To be eligible, an individual must participate in a �bona fide�
ground or surface combat fire-fight or action while under enemy fire, and the
performance while under fire must be satisfactory. Hagee
wrote in a Marine directive (ALMAR 010-06) that the use of the word �or� in the
phrase �fire-fight or action� clearly allows a commander considerable leeway in
determining eligibility beyond the scope of just a fire-fight engagement. He
stated, �I consider exposure to a detonated IED as being under enemy fire.
Therefore, Marines who take appropriate actions during such an engagement meet
both CAR eligibility requirements.� The guidance is retroactive to 7 OCT 01.
[Source: Armed Forces News 3 Mar 06]
VETERAN
DIABETES & OBESITY: In a 27 FEB news conference the Secretaries of the VA
and HHS along with the Surgeon General announced the start of a campaign called
�HealthierUS Veterans� - a multi-pronged educational
effort to spawn healthy eating and physical activity among veterans, their
families and members of their communities.�
Obesity and deadly diabetes are at significantly higher levels among
���� VA medical centers will promote nutrition
and exercise with local groups in 40 communities that receive grants from HHS
in a program called �Steps to a HealthierUS.�
Overweight patients receiving VA health care may participate in weight loss
programs tailored to their needs.� They
may also receive pedometers, diet advisories and �prescriptions� suggesting how
much to walk�or, in the case of wheelchair users, how much to roll.� The two secretaries also plan to kick off
regional educational campaigns this spring in four cities where VA and HHS
Steps programs collaborate.� Local celebrities
and members of veterans service organizations will be invited to participate.
In May, the �HealthierUS Veterans� program will
participate with the President�s Council on Physical Fitness during the
council�s annual rally in
WOMEN IN
MILITARY SERVICE MEMORIAL:� The Women in
Military Service for America Memorial is located in
���� The Memorial site is the 4.2-acre
Ceremonial Entrance to
�� The Register, which serves as the heart of
the Women's Memorial, is a computerized database of information about the women
who are registered. Visitors can access the photographs, military histories,
and individual stories of registrants by simply typing names into a computer
terminal. The Register serves as an active resource, creating an on-going
record of history as it is made. The Foundation is actively seeking to register
as many veterans, Active Duty, National Guard and Reserve servicewomen as
possible. Women from service organizations, who served overseas during time of
war, as well as Cadet Nurses, are also eligible to register. To check if you or
someone else is registered you can contact the Registration Department at (703)
533-1155, (800)222-2294 or at [email protected].� Registration can be done online. Approximately
250,000 of the two million women eligible have been registered thus far.
���� The Memorial is open every day except
Christmas between 08-1700 OCT 1 thru MAR 31 and 08-1900 Apr 1 thru SEP30.� Admission is free.� Parking is available for a modest fee at the
Visitor's Center at
ATOMIC
VETS UPDATE 02:� The Recognition of
Forgotten Atomic Veterans and their Surviving Spouses Act of 2005 (HR 4183) was
introduced in the house by Rep Bob Filner (D-CA) in NOV 05.� Its purpose is to improve the availability of
benefits for veterans and the surviving spouses of veterans who were exposed
while in military service to ionizing radiation, and for other purposes.�� It directs the Attorney General to:
(1)
Obtain from the files of the Operations Office of the Department of Energy in
(2)� To use the service serial number of those
veterans identified to obtain the veteran's social security number;
(3) Use
that veteran's social security number to locate the veteran and, if living,
advise that veteran of the provisions of the Radiation Exposure Compensation
Act, including the right of the veteran to file a claim under that Act;
(4) Use that
veteran's social security number to locate the surviving spouse of the veteran
(if any) and advise the surviving spouse of the provisions of the Radiation
Exposure Compensation Act, including the right of the surviving spouse to file
a claim under that Act.
���� Rep Filner also introduced the You Were
There, You Get Care Act of 2005 (HR 4184) to expand the Radiation Exposure
Compensation Act to include radiation exposure presumptions for veterans who
served in the 1991 Persian Gulf War and subsequent conflicts. It further
requires that medical research be done on the depleted uranium (DU) problem by
organizations not connected with the DOD or DVA to determine cures for DU
exposure and any diseases caused by DU exposure.
���� Both bills were referred to the Committee
on the Judiciary and the Committee on Veterans' Affairs for action in their
respective areas for a period to be subsequently determined by the
Speaker.� As of MAR 06 HR 4183 has only 2
cosponsors and HR 4184 has 4 cosponsors.�
Action on these two bills is doubtful unless veterans and other
concerned parties contact their representatives to encourage them to cosponsor
the bills. [Source:
VA
BUDGET 2006 UPDATE 14:� Rep. Chet Edwards
(D-TX) secured approval in the House Appropriations Committee of an amendment
to an emergency supplemental bill. His amendment frees up an additional $275
million for health care to help pay for an increase in patients from the
current war. The number of veterans from the war accessing the system is far
above what VA had projected. The bill cleared the House Appropriations
Committee and is expected to pass on the House floor next week. [Source: VFW
Washington Weekly 18 Mar 06]
VA
BUDGET 2007 UPDATE 02: Both the House of Representative�s and the Senate�s
Veterans Affairs Committees have rejected the Administration�s proposals to
charge a $250 yearly enrollment for veterans in Categories 7 and 8 (those who
have higher incomes and no service-connected disabilities)� and increasing their pharmacy co-pay from the
present $8 co-pay to $15 prescription.�
Additionally, the Senate voted 100-0 to support an amendment to thir budget recommendations that would eliminate the need
to enact an annual enrollment fee and higher prescription co-pays. The
amendment, offered by Sen. Conrad Burns (R-MT) adds $823 million to the
approximately $80 billion DVA budget proposed by the Administration for FY2007.
Sen. Larry Craig (R-ID) chairman of the Senate VA Committee, voted with his
colleagues to endorse the amendment, but called it a tough decision.� Without enactment of the fees and increased
co-pays, the VA system needs additional funding, which will have to come from
other federal programs.� [Source: FRA NewsBytes 18 Mar & http://thomas.loc.gov� & TREA 24 Mar 06 ++]
VA HELP
LINES UPDATE 01:� VA officials told a
congressional committee 16 MAR Thursday that they�re working to better inform
veterans of potential pension benefits, as well as to boost the accuracy of the
help lines that veterans from around the country call for assistance. Speaking
before a subcommittee of the House Committee on Veterans� Affairs, VA officials
admitted that their outreach efforts had failed to reach certain people who
could benefit from its pension program. The American Federation of Government
Employees (AFGE) said in testimony that VA workers face many challenges in
their jobs, including a growing number of complex claims, staff attrition and
intense productivity pressures, including the three-minute rule. The rule, the
union said, requires a caller to spend no more than three minutes on hold
waiting for a VA employee to answer, and for the discussion itself to last no
longer than an additional three minutes. Witnesses testified that although
phone inquiries are typically not very case-specific, the responses often last
more than a few minutes, especially if corrective action is needed or
specialized information needs to be retrieved. The subcommittee chairman Rep.
Jeff Miller (R-FL) Miller and ranking Democrat Rep. Shelly Berkley (NV) said
they would continue to investigate the union�s complaint.
���� Rep. Berkley said she has been told the VA
has assigned people to answer phones as punishment for poor performance. Jack
McCoy, the VA�s associate deputy undersecretary for policy and program
management, said mistakes have been made, but denied there is a three-minute
rule. He said there are daily performance standards requiring 64 calls to be
answered, but said there is no specific time limit on any one call. He also defended
VA employees answering the calls.� The
Committee also said that they were disappointed in a recent study detailing the
bad information that veterans received when they called the agency for help. In
a VA mystery caller program investigators pretending to be veterans called to
ask questions.� It was found that up to
50% of the information provided was wrong and that callers often were treated
rudely. It was reported on 30 DEC 05 that an estimated 2 million people were
missing out on VA pensions aimed at helping low-income veterans or their
widows.� VA help lines are one of the
primary means to alleviate that situation and people calling them were more
likely to receive completely wrong answers than completely right ones. The
disability subcommittee hearing was held in response to those reports. Rep.
Berkley and the subcommittee chairman Rep. Miller said the VA must do better.
��� VA told the committee it is working to
improve communications between its benefits division and its health system.
Starting 1 MAY the department will include in enrollment letters to certain new
VA health-system patients information that lets them know that they might be
eligible for pension benefits. On the help-line issue, the agency is expanding
training for and oversight of the people who answer questions from veterans or
their family members.� In January, the VA
notified its offices nationwide of the training and oversight increases and
told the top official in each regional office to be directly involved in
improving help-line performance. A new online reference system for VA phone
workers is scheduled to be available by the end of the year. [Source: Times
staff writer Rick Maze & Knight Ridder Newspapers
Chris Adams articles 16 Mar 06]
TFL
CLAIM PROCESSING:��� Tricare and Medicare
have an agreement to share claims and eligibility data electronically on a
daily basis. Under this methodology, when Tricare detects a Medicare claim paid
to a particular physician or other provider for a Tricare For Life beneficiary,
Tricare automatically process' a payment to the same physician or provider to
cover the Medicare deductible and co-payment.�
The patient will subsequently receive an Explanation of Benefits [EOB],
showing what Medicare paid and what Tricare paid with a zero balance for the
beneficiary.� Tricare will accept
Medicare adjudication in the vast majority of cases...i.e., when Medicare pays,
so will Tricare. There are some exceptions; e.g. physical therapists, where
Tricare and Medicare adjudication standards are different, but Tricare will
accept Medicare adjudication for physicians, hospitals, psychologists, etc. The
sequence of payers is:
-���� For Medicare and Tricare covered services,
Medicare pays first and the remaining beneficiary liability may be paid by TFL.
-���� For services covered by Tricare but not by
Medicare, such as care received overseas, TFL pays first and Medicare pays
nothing.� Beneficiaries are responsible
for the Tricare fiscal year deductible and cost shares.
-���� For services covered by Medicare but not
by Tricare, such as chiropractic services, Medicare is the first payer and TFL
pays nothing.� Beneficiaries are
responsible for Medicare deductibles and coinsurance.
-���� For services not covered by Medicare or
Tricare such as cosmetic surgery, Medicare and Tricare pay nothing.� Beneficiaries are responsible for the entire
bill.
���� Beneficiaries with other health insurance
(OHI), such as a Medicare supplement or employer-sponsored medical coverage may
use TFL. Anyone desiring to cancel their OHI must contact their OHI
administrator directly and upon receipt of the termination notice mail a copy
to WPS TFL, P.O. Box 7890, Madison WI 53707-7890. By law, Tricare pays claims
only after all OHIs have paid. Typically, after
Medicare processes a claim (either approving or denying it) the claim is
automatically forwarded to the beneficiary's OHI.� Once the OHI processes the claim, the
beneficiary needs to file a paper claim with Tricare for any out-of-pocket
expenses.� Tricare may reimburse the
beneficiary if the services provided are covered by Tricare.�� Paper claims must be submitted to WPS using
a DD Form 2642, www.tricare.osd.mil/claims/Dd_2642.pdf, along with a copy of
the provider's itemized bill, the Medicare summary notice and EOBs from all OHIs.� TFL claims must be filed within one year from
the date the care is received.� For
claims status, information and OHI updates, beneficiaries can:
�������� Call WPS TFL Beneficiary Services at
1-866-773-0404 (TDD users should call 1-866-773-0405);
�������� Contact a local Beneficiary Counseling
and Assistance Coordinator by using the locator at www.tricare.osd.mil/bcacdcao/;
or
�������� Visit the TRICARE Claims Web site,
www.tricare.osd.mil/claims/default.htm.
[Source:
Tricare Help E-mail Service Office of the Surgeon General msg 20 Mar 06]
MILITARY
TATTOO CRITERIA: The Army has revised its policy on tattoos in an effort to
bolster recruitment of highly-qualified individuals who might otherwise have
been excluded from joining.� Tattoos are
now permitted on the hands and back of the neck if they are not �extremist,
indecent, sexist or racist.� Army Regulation 670-1, which was modified via a
message released 25 JAN06, also now specifies: �Any tattoo or brand anywhere on
the head or face is prohibited except for permanent make-up.� If a soldier's
current command has no issue with his/her tattoos, the soldier should have
personnel files so annotated that the soldier is in line with AR 670-1. Though
not mandatory, having the notation entered serves as back-up documentation at a
follow-on command, which might feel the soldier's tattoos do not meet Army
regulations.
���� The Navy tattoo policy was last modified
JAN 03 by NAVADMIN 021-03. It specified no tattoos/body art/brands on the head,
face, neck, or scalp. Tattoos/body art/brands elsewhere on the body that are
prejudicial to good order, discipline and morale or are of a nature to bring
discredit upon the Navy are prohibited. For example, tattoos/body art/brands
that are excessive, obscene, sexually explicit or advocate or symbolize sex,
gender, racial, religious, ethnic or national origin discrimination are
prohibited. In addition, tattoos/body art/brands that advocate or symbolize
gang affiliation, supremacist or extremist groups, or drug use are prohibited.
Tattoos/body art/brands cannot be visible through uniform clothing.� The use of gold, platinum or other veneers or
caps for purposes of ornamentation are prohibited. Teeth, whether natural,
capped or veneer, cannot be ornamented with designs, jewels, initials, etc.
���� Also prohibited are intentional body
mutilation, piercing, branding/intentional scarring that are excessive or
eccentric. Some examples are:
(1) A
split or forked tongue;
(2)
Foreign objects inserted under the skin to create a design or pattern;
(3)
Enlarged or stretched out holes in the ears (other than a normal piercing).
(4)
Intentional scarring that appears on the neck, face, or scalp.
Waivers
can be requested for prior service and existing body modifications from the
Chief of Naval Operations.� [Source:
http://usmilitary.about.com Mar 06]
DFAS myPay LOOK ALIKES:�
The Defense Finance and Accounting Service (DFAS) is cautioning members
of the military community to be aware that several look-alike myPay Web sites now can be found on the Internet. While
these Web site contain the word �myPay� and may be
legitimate business concerns, they are not in any way affiliated with DFAS�s official myPay Web
site.� Examples of Web sites that contain
the word �myPay� in their Web address include:
�
http://www.mypay.com��
�
http://www.mypaysolutions.com��
�
http://www.mypayloanservices.com.
The
official myPay Web site is located at
https://mypay.dfas.mil. Servicemembers and their families are advised to make
sure they are at the official myPay Web site before
they share any personal information, which potentially could be used for
unscrupulous purposes. The Air Force has mandated the use of myPay for receipt of payroll products, such as leave and
earnings statements, net pay advices, etc. The myPay
Web site also allows users to update certain segments of their pay, including
changing the number of federal withholding exemptions they claim. Many
servicemembers currently receive their information via myPay,
which has helped save on postage and other operating expenses. Military members
and their families are encouraged to continue using myPay
and simply take a moment to verify they are at the official myPay
Web site.� [Source: MOAA News Exchange 17
Mar 06]
ID CARD
w/o SPONSOR PRESENT:� Issuance of a
military dependent�s ID card without the sponsor bring present can be done
under the following circumstances:
1)�� Deceased:�
Obtainable if the surviving spouse or eligible child presents a death
certificate along with their other documentation proving their association to
the deceased sponsor.
2)�� Abandoned:�
Obtainable if efforts on the part of the spouse or eligible child to get
the sponsor to provide a signed DD Form 1172 have gone without response.�� Also, if the sponsor provides a response
telling the spouse that he/she will not provide or sign a DD 1172.�� In these cases an official attempt is made
by the ID card issuing office to contact the sponsor. If the member refuses then
the ID card office can, once the official association is established by
marriage certificates, birth certificates, etc., issue a card to the
beneficiary.
3)�� Deployed:�
A temporary card can issued to cover the time that it takes to obtain
the DD 1172 if dependents cannot easily obtain it in a timely manner due to
their sponsor being deployed.� If the
spouse has a power of attorney a card can be issued for a full four year
period.�
���� Once Children are registered in DEERS they
are eligible until their 21st birthday even though they may never obtain an ID
card.� If they marry or join the military
the sponsor should report the change of status of the child and return the
dependent ID card. If sponsor for whatever reason takes away the ID card and
sends the card to the Service Personnel office and tells them to remove a
child�s privileges they cannot comply with the request. Under the law dependent
children are entitled to the benefits associated with having an ID once they
have been enrolled in the Realtime Automated Personell ID System (RAPIDS).� Marriage or joining the military removes that
dependency status.�� Spouses will remain
eligible for benefits even if their ID card expires as long as she/he was
initially enrolled in RAPIDS unless there is a divorce or change in
status.� [Source: DMDC msg 9 Mar 06]
VA
MEDICAL RECORDS:� While visiting your
local VA medical care provider you are entitled to view any and all medical
records concerning your care. You can ask to view the home page of your computerized
medical record during your appointments with Primary Care and/or Specialty
Physicians. This is the page that first comes up with all of your basic
information. It should show your allergies, your disabilities &
percentages, and special notations such as radiation exposure, agent orange,
etc. This information should also be present on any appointment print outs. If
you believe there are errors or omissions contact the VA Eligibility Office and
have them corrected or added. During VA medical appointments the veteran is
entitled to ask questions and receive satisfactory answers and explanations. If
the Veteran has impairments such as hearing, vision, etc. that may result in
misunderstandings the veteran is entitled to have a person along during the
visit who can understand such as a spouse, family member, etc.
���� In instances where the explanations are
not satisfactory go to the �Patient Representative� to clear things up.� The Patient Representative is the veteran�s
go between in the VAMC. In most instances the Patient Representative should be
able to resolve the problem. Oft times the problems are from misunderstandings.
If the problem is not resolved by the Patient Representative the veteran is
entitled to file a written grievance and explanation to the VAMC Administrator.
If this communication does not satisfy the grievance the veteran is entitled to
take it to VA in Washington, DC.�
Additionally, the veteran is entitled to:
1.)� Furnish copies of medical papers from sources
other than VA and have those entered into the VA Medical Records File by their
Primary Care provider. These copies should also be filed in the Medical Record
hard copy file in the Facility Archives.�
2.)� Visit the Archives and review the contents of
his/her file at any time
3.)� Obtain Second Opinions from other than VAMC
Facilities.
4.)� Copies of pertinent VA treatments to take to
private sector medical facilities.
5.)� Check out copies of X-ray�s, ultrasounds, and
other tests to take to other Medical Facilities for review by other Physicians
connected with the veteran�s health or for second opinions.� These copies must be returned to the
VAMC.�
[Source:
Dalene Renfroe VA VIST Mar
06]
DIABETES
UPDATE 01:� The Food and Drug
Administration (FDA) has issue a safety alert on Blood Glucose Meters.� These meters help people with diabetes check
their blood sugar which is a critical step in managing diabetes. According to
the American Diabetes Association, about 20 million people in the United
States, or 7% of the population, have the condition. The VA reports that 20% of
vets have it. Diabetes that is not well-controlled by those afflicted can lead
to severe complications inclusive of kidney failure, blindness, and
amputations. Recent problems reported to the FDA indicate that some people who
use certain blood glucose meters may have problems properly setting the units
of measurement on their meters or may inadvertently switch them. Also, in some
cases, jarring or dropping the meter can cause the units to switch without the
user being aware. These actions can lead to misinterpretation of glucose test
results and to dosage errors in insulin or in oral diabetes medication. The
problem meters are designed to report blood glucose levels in two different
measurements.� The U.S. standard of
milligrams per deciliter (mg/dL) and a standard used
in Europe and elsewhere of millimoles per liter (mmol/L).�
���� According to reports, users have
accidentally changed one unit of measure to the other while setting their
meter�s date and time, or while changing the battery.� There also have been reports of the unit of
measure changing after a meter was jarred or dropped.� To date, at least three companies have
reported this problem. Manufacturers are not instructing users to return their
meters. Instead, the firms have issued worldwide notifications to all health
care professionals and users, when known, about the problem. In addition to
verifying the correct unit of measure and code number each time it is used
patients should take the time to review their glucose meters with their
diabetes health care providers and read the information that accompanies the
device. People who think they may have been using the wrong readout on their
meters for a long period of time, and who are now worried about their health,
should contact their doctors immediately. To a problem with affected Blood
glucose meters with problems should be reported to the FDA�s MedWatch Program www.fda.gov/medwatch.� As an added safety measure newer models of
meters should have the correct unit of measure locked in place. [Source: FDA
Consumer magazine March-April 2006]
VA
HOMELESS VETS:� The Senate Veterans�
Affairs Committee held a hearing to examine homeless veterans programs within
VA. Federal officials estimate that on any given night, approximately 250,000
veterans go homeless, which is about one percent of the nation's 24.5 million
veterans. But veterans represent a disproportionate number within the homeless
population of
VA
HEALTH CARE FUNDING UPDATE 05:�� Annual
funding for VA health care has again been shot down.� On 16 MAR a vote was taken in the Senate on Sen Stabenow�s (D-MI) Amendment No. 3141 to an original
concurrent resolution setting forth the Government�s congressional budget for
fiscal year 2007 and including the appropriate budgetary levels for fiscal
years 2006 and 2008 through 2011.� The
purpose of� S.Amdt.
3141 to S.Con.Res. 83 was to provide an assured
stream of funding for veteran's health care that would take into account the
annual changes in the veteran's population and inflation to be paid for by
restoring the pre-2001 top rate for income over $1 million, closing corporate
tax loopholes and delaying tax cuts for the wealthy.� The amendment was defeated by a vote of 54
(53 Rep + 1 Dem) to 47 (44 Dem + 2 Rep). Following is the roll call vote which
vets should remember come the next election:
YEAs for VA annual health care funding -�
NAYs opposed to annual VA health care funding
[Source:
FRA NewsBytes & http://thomas.loc.gov 18 Mar 06
++]
VIRGINA
SURVIVOR EDUCATION BILL:�
(i)�� A citizen of
(ii)� Is and has been a citizen of
(iii) If deceased, was a citizen of
(iv) In the case of a qualified child, is deceased
and the surviving parent had been, at some time previous to marrying the
deceased parent, a citizen of Virginia for at least five years or is and has
been a citizen of Virginia for at least five years immediately prior to the
date on which the admission application is submitted by or on behalf of such
child; or,
(v)� In the case of a qualified spouse, is
deceased and the surviving spouse had been, at some time previous to marrying
the deceased spouse, a citizen of Virginia for at least five years or is and
has been a citizen of Virginia for at least five years prior to the date on
which the admission application was submitted by such qualified spouse.
(vi) Death must have been the result of service as
an active duty member in the United States Armed Forces, United States Armed
Forces Reserves, the Virginia National Guard, or Virginia National Guard
Reserve.
Education
benefit can be obtained at any
TRICARE
UNIFORM FORMULARY UPDATE 09:� On 19 JAN 06
the assistant secretary of defense for Health Affairs & TMA director made
the decision to place additional medications on the TRICARE Uniform Formulary
and to designate others as nonformulary (or third
tier). The following chart shows the medications alphabetically by category,
their formulary status [i.e. tier-one generics ($3), tier-two brand name ($9),
or third tier ($22)] and the date the decision will be implemented for 30 day
supply at network retail pharmacies and $22 for a 90 day supply through the
mail order pharmacy. Third tier drugs are not available at military treatment
facility (MTF) pharmacies unless the prescription has been written by an MTF
provider and medical necessity is established:
Alzheimer's
Disease Drugs�������
Aricept(r)����� ���2��������
**�������
Cognex(r)�������� 3�������� Apr. 19, 2006�������
Exelon(r)�������� 2�������� **�������
Namenda(r)�������� 2�������� **�������
Razadyne(r)�������� 2�������� **�������
Nasal
Corticosteroids�������
Beconase AQ(r)�������� 3������ ��Apr. 19, 2006�������
Flonase(r)�������� 2�������� **�������
Nasacort
AQ(r)�������� 3�������� Apr. 19, 2006�������
Nasarel(r)�������� 2�������� **�������
Nasonex(r)�������� 2�������� **�������
Rhinocort
AQ(r)�������� 3�������� Apr. 19, 2006�������
Vancenase
AQ(r)�������� 3�������� Apr. 19, 2006�������
Vancenase
AQ DS(r)�������� 3�������� Apr. 19, 2006�������
Macrolide/Ketolide Antibiotics�������
Azithromycin�������� 1�������� **�������
Biaxin XL(r)�������� 2�������� **�������
Clarithromycin��� �����1��������
**�������
Erythromycin
(Various formulations)�������� 1�������� **�������
Ketek(r)�������� 3�������� Mar. 22, 2006�������
Pediazole(r) (Generic)��������
1�������� **�������
Zmax(r)�������� 3�������� Mar. 22, 2006�������
Antidepressants�������
Buproprion�������� 1�������� **�������
Buproprion SR�������� 1�������� **�������
Citalopram�������� 1�������� **�������
Cymbalta(r)�������� 3�������� July 19, 2006�������
Effexor (r)�������� 2�������� **�������
Effexor XR(r)�������� 2������� �**�������
Fluoxetine�������� 1�������� **�������
Fluvoxamine�������� 1�������� **�������
Lexapro(r)�������� 3�������� July 19, 2006�������
Mirtazapine�������� 1�������� **�������
Nefazadone�������� 1�������� **�������
Paroxetine�������� 1�������� **�������
Paxil
CR(r)�������� 3�������� July 19, 2006�������
Pexeva(r)�������� 2�������� **�������
Prozac
Weekly(r)�������� 3�������� July 19, 2006�������
Sarafem(r)�������� 3�������� July 19, 2006�������
Trazadone�������� 1�������� **�������
Wellbutrin
XL(r)�������� 3�������� July 19, 2006�������
Zoloft(r)�������� 2�������� **�������
**
Doesn't apply�������
[Source:
TMA News Release 10 Feb 06]
DISPUTING
CREDIT REPORTS: After you have obtained and reviewed a free copy of your credit
report you should take action if you find something you disagree with. Under
the Fair Credit Reporting Act, both the consumer reporting company and the
information provider (that is, the person, company, or organization that
provides information about you to a consumer reporting company) are responsible
for correcting inaccurate or incomplete information in your report. To take
advantage of all your rights under this law, contact the consumer reporting
company and the information provider. Tell the consumer reporting company, in
writing, what information you think is inaccurate. Consumer reporting companies
must investigate the items in question (usually within 30 days) unless they
consider your dispute frivolous.� They
also must forward all the relevant data you provide about the inaccuracy to the
organization that provided the information. After the information provider
receives notice of a dispute from the consumer reporting company, it must
investigate, review the relevant information, and report the results back to the
consumer reporting company. If the information provider finds the disputed
information is inaccurate, it must notify all three nationwide consumer
reporting companies so they can correct the information in your file.
���� When the investigation is complete, the
consumer reporting company must give you the written results and a free copy of
your report if the dispute results in a change. This free report does not count
as your annual free report under the FACT Act..�� If an item is changed or deleted, the consumer
reporting company cannot put the dispute information back in your file unless
the information provider verifies that it is accurate and complete. The
consumer reporting company also must send you written notice that includes the
name, address, and phone number of the information provider. Tell the creditor
or other information provider in writing that you dispute an item.� Many providers specify an address for
disputes. If the provider reports the item to a consumer reporting company, it
must include a notice of your dispute. And if you are correct, that is if the
information is found to be inaccurate, the information provider may not report
it again.
���� If the consumer reporting company or information provider won�t correct the information you dispute you can ask that a stat