5.3. Admission of Active Duty Service Members (ADSM)
Memorandum of Agreement (MOA). A "Memorandum of Agreement between the Department of Veterans Affairs (VA) and the Department of Defense (DOD) for Medical Treatment Provided to Active Duty Service Members (ADSM) with Spinal Cord Injury, Traumatic Brain Injury, Blindness, or Polytraumatic Injuries" is in effect. The objective is to provide the highest quality care for ADSM who sustain SCI/D.
NOTE: Refer to the current VA-DOD MOA for criteria for safe and effective transfer, operational specifics, and expectations.
- When the patient is ready for transfer, arrangements are to be effected immediately.
- VA will provide sufficient medical information and documentation for the designated DOD Military Treatment Facility (MTF) to conduct a medical evaluation board for disability determination.
- The SCI Center staff will coordinate with community hospitals so that VA-eligible DOD patients with SCI/D, who are ready for transfer to another hospital, are transported directly from a community hospital to a VA SCI Center.
- Certain VA medical centers are currently designated as capable of providing the sophisticated care and intensive rehabilitation required by recently spinal cord injured military service personnel. NOTE: These centers are designated in Appendix C.
- VA SCI Centers will assist DOD MTFs in selecting the most appropriate participating VA SCI Center to provide treatment to prospective ADSMs under the VA-DOD MOA. Consideration will be given to selecting a VA SCI Center closest to the ADSM's home of record or other location requested by the ADSM (guardian, conservator, or designee), subject to availability of beds at the medical center and approval by Tricare Management Activity (TMA). If the preferred or approved VA SCI Center is unable to accept the patient, DOD, in coordination with VA, will assist in locating an appropriate VA medical center for placement of the patient. NOTE: The Chief Consultant, SCI/D Services (11S), VHA Central Office, 810 Vermont Avenue, NW, Washington, DC, 20420, will assist when necessary.
- ADSMs with SCI/D who are transferred to VA SCI Centers must be reported quarterly through SCI Services in the quarterly new injury report.