UNCLASSIFIED
01 04 0119D0Z NOV 94 RR RR UUUU
HQDA WASHINGTON DC//DAPE-CPC//
AIG 9150
AIG 9893
CDR USAMEDCOM FSM TX//MCHO-CL-P//
CDR USAHSC FSH TX//HSHI-QZ//
CDR 7TH MEDCOM HEIDELBERG GE//AEMCL-PA//
CDR 18TH MEDCOM SEOUL KOREA//EAMC-PAD//
UNCLAS



SUBJ: EVALUATION GUIDELINES FOR ELIGIBLE CIVILIAN EMPLOYEES WHO WERE ASSIGNED TO THE PERSIAN GULF

1. AS OF 22 SEP 94, OFFICE OF THE UNDER SECRETARY OF DEFENSE (PERSONNEL AND READINESS) ISSUED AUTORITY FOR CIVILIAN EMPLOYEES, AT THEIR REQUEST, TO RECEIVE EVALUATION FOR ILLNESSES BELIEVED TO BE RELATED TO THE EMPLOYEES' SERVICE IN THE GULF WAR THEATER.

2. DEPARTMENT OF THE ARMY HAD OVER 3,100 CIVILIAN EMPLOYEES ASSIGNED TO DESERT STORM/SHIELD. WE ARE INDEBTED TO THESE EMPLOYEES FOR THE SACRIFIES THEY MADE IN DIRECT SUPPORT OF THE GULF WAR EFFORT. THEY WORKED SIDE-BY-SIDE WITH OUR MILITARY PERSONNEL AND ARE ENTITLED TO EQUAL CONSIDERATION.

3. THE COMPREHENSIVE CLINICAL EVALUATION PROGRAM (CCEP) IS INTENDED TO PROVIDE A THOROUGH MEDICAL EVALUATION TO ELIGIBLES WHO ARE EXPERIENCING ILLNESSES WHICH MAY BE RELATED TO THE PERSIAN GULF WAR. IT CONSISTS OF THREE INCREASINGLY SOPHISTICATED LEVELS OF CLINICAL EXAMINATION. CIVILIAN EMPLOYEES MAY REQUEST PHASE I EVALUATION FROM LOCAL MEDICAL TREATMENT FACILITIES (MTF). FURTHER EVALUATION, IF NECESSARY, WILL BE PERFORMED AT TRICARE REGIONAL MEDICAL CENTERS.

4. CURRENT/FORMER CIVILIAN EMPLOYEES WHO FEEL THAT THEY HAVE MEDICAL PROBLEMS ASSOCIATED WITH THEIR DEPLOYMENT TO THE PERSIAN GULF SHOULD CALL 1-800-796-9699 TO BE PLACED ON THE PERSIAN GULF ILLNESS REGISTRY.

5. THE FOLLOWING PROCEDURES WILL EASE THE EVALUATION PROCESS:

  1. AFTER BEING PLACED ON THE REGISTER, AN APPOINTMENT SHOULD BE MADE WITH THE NEAREST MTF FOR PHASE I EVALUATION. NO LEAVE WILL BE CHARGED FOR PHASE I. CURRENT/FORMER CIVILIAN EMPLOYEES WILL SUBMIT DOCUMENTATION OF TOUR IN THE GULF WAR THEATER TO THE MTF.

  2. IF FURTHER EVALUATION IS NEEDED (PHASES II/III), THE EMPLOYEE WILL BE REFERRED TO THE NEAREST TRICARE REGIONAL MEDICAL CENTER.

  3. IF NECESSARY, ARMY CIVILIAN EMPLOYEES WILL BE AUTHORIZED TDY FOR PHASES I AND II/III. INVITATIONAL TRAVEL ORDERS MAY BE USED IF APPROPRIATE. TDY COST FOR FORMER WILL BE INCURRED BY COMMANDS FROM WHICH EMPLOYEES WERE DEPLOYED. CURRENT EMPLOYEES' COSTS WILL BE BORN BY THE EMPLOYEES PARENT COMMAND.
6. THE FOLLOWING PROCEDURES SHOULD BE FOLLOWED IN INITIATING A CLAIM FOR OCCUPATIONAL ILLNESS/DISEASE UNDER THE EMPLOYEES' COMPENSATION ACT:

  1. FORM CA-2 MUST BE FILED. COMPLETION OF FORM CA-2 AND THE APPROPRIATE EVIDENCE CHECKLIST SHOULD BE FORWARDED TO THE OFFICE OF WORKERS' COMPENSATION PROGRAMS (OWCP) WITHIN 10 DAYS OF NOTICE BY THE EMPLOYEE. THE CIVILIAN PERSONNEL OFFICE (CPO) WHICH SERVICED THE EMPLOYEE DURING DEPLOYMENT WILL ASSIST THE EMPLOYEE IN GATHERING THE EVIDENCE AND SUBMITTING THE DOCUMENTATION TO THE OWCP.

  2. AN EMPLOYEE WHO HAS BEEN SEEN PREVIOUSLY BY A PRIVATE PHYSICIAN OR A MILITARY PHYSICIAN MUST SUBMIT SUPPORTING EVIDENCE FROM THAT PHYSICIAN.

  3. MEDICAL DOCUMENTATION DOES NOT HAVE TO BE SUBMITTED WITH THE CA-2 IMMEDIATELY UNLESS IT IS ALREADY OR CAN BE MADE AVAILABLE WITHIN THE 10 DAY TIMEFRAME FOR SUBMISSION. OCCUPATIONAL DISEASE CLAIMS USUALLY REQUIRE EXTENSIVE DEVELOPMENT OF MEDICAL EVIDENCE AND OWCP WILL NOTIFY THE EMPLOYEE AND AGENCY WHEN ADDITIONAL EVIDENCE IS NEEDED, BOTH FACTUAL AND MEDICAL. THE BURDEN OF PROOF RESTS UPON THE EMPLOYEE UNTIL THE CLAIM IS APPROVED.
7. REQUEST THESE GUIDELINES BE DISSEMINATED IN THE LOCAL AREA.

8. POINTS OF CONTACT FOR POLICY ISSUES: CAROL SIMLEY DSN 221-9980 (WORKERS' COMPENSATION), BOBBY WINN DSN 221-1346 (MTF PROCEDURES).