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United States Navy
Naval Base Guam, Bldg. 104
Santa Rita, GU 96915
Health care and other services for families with special needs are available and accessible to military families across all installations. It’s important to know that programs and service may vary from installation to installation. Make sure you make contact with your health care provider(s) before your move. Also make sure you know how to reach them during and after your move in case of emergencies.
Whether this is your first move, or you’re a seasoned professional, moving is a big deal. A little planning and preparation can help make your move as easy as possible. Try the following Department of Defense resources to help you get organized:
Make sure your transition is as smooth as possible by visiting Moving on the TRICARE website. Talk to your case manager and regional contractor 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 services.
All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators who educate beneficiaries and help them 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.
Many states offer services that are funded by the Maternal and Child Health Services Block Grant, or Title V, for children with special needs. Contact your state or local health department for information on state health benefits. The Maternal and Child Health Bureau website has more information, as well, including state points of contact.
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:
The qualifying family member’s disability must be entered properly in the Defense Eligibility Enrollment Reporting System to have access to ECHO services.
For qualifying medical and/or educational special needs, 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 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 case manager know if you are moving. They can help you connect with a 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.
TRICARE debt collection assistance officers, or DCAO, are assigned to regional offices and military treatment facilities worldwide and can help beneficiaries understand and get assistance with debt collection issues related to TRICARE.
Exceptional Family Member Program (EFMP)
The Exceptional Family Member Program is designed to safeguard you or your children with special needs when you are permanently reassigned to a new duty station. The Program ensures that an exceptional family member (EFM) is not moved to a location lacking necessary medical facilities or resources.
The program covers many medical, physical and emotional conditions. You should discuss any questions with your primary care manager (PCM) or call your current installation's EFMP coordinator.
Enrollment -- To enroll in the program, the special-needs family member must be listed in the Defense Enrollment Eligibility Reporting System (DEERS), be the sponsor's dependent and live in the sponsor's home.
If you answer yes to any of the following questions, you should contact the EFMP coordinator:
EFM Program InformationA sponsor or family member can inquire about the program or a school official or PCM may make a recommendation. The family member in need then will undergo a series of examinations and evaluation.
Family members, after being evaluated, will be placed in categories based on their needs. This helps alert the sponsor's branch of service when a permanent change of duty station is pending. All services will try to assign sponsors to areas where the needs of the EFM can be met. This does not mean, however, that the service member will not be sent to areas where care is unavailable. The sponsor can still be assigned to unaccompanied tour, sea duty, deployments, or other rotation.
One of the first questions that arise in discussing the Exceptional Family Member Program (EFMP) is how will it affect the sponsor's career. In all the service branches, enrollment will not disrupt the sponsor's chances for promotion, their ability to attend schools or other temporary duty assignments.
The program will determine locations to which an exceptional family member (EFM) can move when the sponsor is reassigned. The service branch usually will try to keep the family together by finding a location with the services the EFM will require. Remember, though, that the program does not make service members non-deployable nor does it exempt them from unaccompanied tours, sea duty, field problems, or other military-related missions. It only ensures that the EFM will not be sent to an area that lacks the needed facilities.
Helping Your Family
Often a family with a special needs child or a spouse needing special care fears that the program will somehow make life more difficult. The truth is that there are a wealth of programs that may be beneficial to both the family member and the sponsor.
There are five or six categories that the EFM can be placed in after they are evaluated. This alerts your installation to the assistance you or your family member will. For some disabled children or spouses, special housing may be provided with wheelchair access or other features.
Installations often work with civilian agencies to provide specialized care or support. There are programs available through your installation s Family Service/ Community Service Center that provide reduced childcare, financial assistance and counseling about medical costs, support groups for persons caring for special-needs children and more.
The fact that a family may not be able to move to a secluded location should not deter anyone from seeking assistance that is readily available. Also, EFMP enrollment is mandatory for all sponsors, in all service branches, with a special-needs dependent living in their home.