Health Care/Special Needs

Whether this is your first move, or you’re a seasoned professional, moving can be a challenge. A little planning and preparation can help make your move as easy as possible. Try the following Defense Department resources to help you get organized:

• PCS & Military Moves on Military OneSource.mil provides comprehensive moving resources, information and services all in one simple location
• Plan My Move, an online tool that helps break down the moving process into clear, customizable steps, with checklists to help keep you organized and on track
• EFMP & Me, an online tool to help you plan for transition and continuity of support services for your family member(s) with special needs

Make sure your transition is as smooth as possible by visiting Moving on the TRICARE website. Talk to your medical case manager before you move. They can help you find a new doctor and other resources to avoid any interruptions in coverage.

On arrival at your new duty location, you or your sponsor can contact the Beneficiary Counseling and Assistance Coordinator at the military treatment facility. They can help if you have questions or need assistance with authorizations for TRICARE Extended Care Health Option, or ECHO, services.

All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators who educate beneficiaries and help with TRICARE-related eligibility, enrollment, referrals/authorizations and claims processing questions. If you or your family has more complex needs, contact your TRICARE case manager.

TRICARE debt collection assistance officers are assigned to regional offices and military treatment facilities worldwide. DCAOs assist with confirmed debt collection due to unpaid TRICARE claims. Please note, the debt must be in collections or listed on your credit report.

Medicaid provides health coverage for eligible individuals and families with low incomes or with special needs. The department of social services or the department of medical assistance may administer the Medicaid program in your state. Supplemental Security Income is a cash assistance program intended to assist adults and children with special needs who have limited resources. Families must reapply after moving to a new state.

Medicaid waivers are state-specific Medicaid programs that provide funding for long-term care services to be provided in the community instead of in nursing homes or hospitals. There may be waitlists for waivers, however many states have agreed to the policy of allowing active-duty military families to enroll in their state of legal residence to get on the wait list.

Learn more about Benefits for Families With Special Needs, or review the Government Assistance Programs course on MilLife Learning.

The TRICARE Extended Care Health Option provides supplemental services to:

• Family members of active-duty service personnel (this includes activated National Guard and reserve service personnel)
• Family members who are covered under the Transitional Assistance Management Program
• Children or spouses of former service members who are victims of abuse and qualify for the Transitional Compensation Program
• Family members of deceased active-duty sponsors while they are considered transitional survivors.

The qualifying family member’s disability must be entered properly in the Defense Eligibility Enrollment Reporting System to have access to TRICARE ECHO services.

For qualifying medical and/or educational special needs, TRICARE ECHO offers integrated services and supplies beyond those offered by your TRICARE program option (such as TRICARE Prime and TRICARE Select). See this TRICARE ECHO factsheet for more information, or listen to this TRICARE ECHO webinar on Military OneSource.

Military hospitals and clinics are found at military bases and posts around the world. They are also referred to as military treatment facilities. Before you move, find out your new military treatment facility and contact them for local information.

Medical case management involves a team of health care professionals who help you and your family find solutions to complex health problems. It is important to let your medical case manager know if you are moving. They can help you connect with a medical case manager at your new location. Learn more about TRICARE case management services.

If your family member has special transportation needs for the move, such as oxygen or a special bed or wheelchair, contact your TRICARE medical case manager. They can advise you on equipment and transportation.

You can also contact your current installation’s household goods/transportation office (outbound) for information on special procedures for transporting medical equipment.

Medical Support to Family Member Relocation and Exceptional Family Member
Program (EFMP)-M.

The EFMP-M process is a program specifically designed for active duty families to:

• Ensure availability of services for family members of active duty military personnel in the event of a PCS move.
• Assists families with relocation when a medical or special education condition exists and services are not available at the current or PCS location. 
• Assist families in finding needed resources both on base and in the community.

A medical special need means that the family member requires specialized medical care (urology, neurology, psychiatry, developmental pediatrics, etc.) for an ongoing, chronic illness.

An educational special need means that a family member requires special educational services in order to progress academically. These services are identified in an Individualized Education Plan (IEP) or Individualized Family Service Plan and may include resource rooms, psychological services, occupational or physical therapy, and/or adaptive equipment.

Enrollment is mandatory for all active duty military personnel who have a family member(s) with a special need(s). EFMP personnel can help to ensure needed services will be available, on or off base, prior to a PCS move. They can also help with EFM reassignments and deferments.

The Air Force ensures families with special needs are assigned to locations where required services are available. Family Member Relocation Clearance (FMRC) is a screening process used to identify special needs and determine the availability of services at projected locations. The EFMP process does not affect who is eligible for PCS, TDY, or mobility. Enrollment will continue as long as a special need exists.

Personnel arriving with a Special Needs Family Member should contact the Exceptional Family Member Program-Medical (EFMP-M) office upon arrival; they are located at the Ross Medical Clinic on Goodfellow AFB. Please call 325-654-4371. For additional information on support services and resources for exceptional family members, please contact the Exceptional Family Member
Program - Family Support (EFMP-FS) Coordinator located at the Airman and Family Readiness Center.

DoDI 1315.19
AFI 36-2110
AFI 40-701