Army Memorandum for Meb Appeal by dmm28859

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									Army Physical Disability
  Evaluation System
       (APDES)
  An Overview of the MEB/PEB Process




              LTC Dorough
                17 Jan 08




             UNCLASSIFIED
                                   Army Physical Disability Evaluation System

                                                        OUTLINE
         PURPOSE: To provide an overview of the Army Physical Disability Evaluation
             System (APDES) and to inform key personnel of their responsibilities for
             the APDES.

                              •         The Physical Profile
                              •         MMRB
                              •         Medical Evaluation Board (MEB) Process/Case flow
                                      –     Role of the Physician
                                      –     Role of the Physical Evaluation Board Liaison Officer
                                            (PEBLO)
                                      –     Role of the Case Manager (CM)
                                      –     Role of the Commander
                                      –     Role of the Soldier
                              •         Components of the MEB Packet
                              •         MEB Dispositions and Appeals
                              •         PEB Process, Dispositions, and Appeals
                              •         Physical Evaluation Board (PEB)/Physical Disability
                                        Agency (PDA)
                              •         Confidentiality, My MEB, APDES booklet
                              •         Army vs. Veterans Affairs (VA) Disposition
                              •         Medical Evaluation Board Internal Tracking Tool (MEBITT)
                              •         Resources for the Soldier and the Triad
                              •         Questions


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil              UNCLASSIFIED                     2
                                   Army Physical Disability Evaluation System




                      It all starts with the
                      Physical Profile
                      DA Form 3349




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            3
                                   Army Physical Disability Evaluation System



                           Who Gets a Copy of the Profile?

            • ORIGINAL in Soldier’s medical record
            • One copy to Unit CDR
            • One copy to Soldier
            • One copy to MPD (Military Personnel Division) or
                Personnel Service Center (PSC), as applicable. (For
                ARNGUS soldiers, the State Military Personnel Office
                (MILPO)




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            4
                                   Army Physical Disability Evaluation System


                          Physical Profile – DA Form 3349
            • All Soldiers issued a permanent profile with a “3” or “4” in PULHES will
                be referred to either the Physical Performance Evaluation System for
                an MMRB or the Army Physical Disability Evaluation System for an
                MEB (Medical Evaluation Board)

            • Permanent “3” or “4” profiles – physician needs to determine if
                limitation meets retention criteria IAW Ch 3, AR 40-501

            • If the Soldier meets retention criteria, MMRB is mandatory
            • If the Soldier does not meet retention criteria, entry into the physical
                disability (MEB / PEB) system is mandatory

            • The DA 3349 requires profiling officer to check either a MMRB or MEB
                / PEB box (Block 4c)




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                     5
                                   Army Physical Disability Evaluation System


                          Unit Commander Actions for the
                                 Physical Profile
        • Review profile, evaluate appropriateness, determine if soldier can
            perform mission required by his/her PMOS or duty assignment
              – If a Soldier has recurrent temporary profiles, the commander may
                 refer to a medical provider for a “fitness for duty evaluation.”

        • Complete the “Action by Unit Commander” section of the profile

        • Contact Physician to discuss profile (if needed)

        • Provide the S-1/Human Resources profile data for USR proposes.
            Soldiers with a P3/P4 profile should be reported unavailable for
            deployment/PCS on USR until cleared through MMRB/PEB.



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                6
                                   Army Physical Disability Evaluation System


                          Physical Performance Evaluation
                               System PPES/MMRB
           • PPES - designed to evaluate Soldiers with permanent
               medical conditions through MMRB
                    – Determine if Soldier can perform satisfactorily in their
                      PMOS in a worldwide field environment
                    – Provide continuity of effort among CDRs, Physicians,
                      Personnel and the Physical Disability system.
                    – Allows CDRs to evaluate the physical abilities of their
                      Soldiers and determine if referral into the APDES is
                      necessary.
           • Reference: AR 600-60.



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED             7
                                   Army Physical Disability Evaluation System

                                      MMRB
                            (MOS Medical Retention Board)
       • Not a “medical board” per se – is a administrative board to
           determine capacity to serve in current MOS / AOC under worldwide
           deployable conditions

       • Monthly board:
               – O-6/BDE CDR, Field Grade Medical Officer, CSM, 2 x 1SG,
                 Recorder w/o vote
               – 5 Officers (if the Soldier is an officer)

       • Possible Outcomes:
            - Retain, Reclassify, Trial of Duty, Refer to MEB

       • Proceedings approved by GCMCA (or designee)


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            8
                                   Army Physical Disability Evaluation System



                          Medical Evaluation Board (MEB)
    • The MEB Process begins when optimum medical care has been reached or
        when the physician determines the Soldier will not be able to return to duty

    • Designed to evaluate the Soldier’s medical condition(s) to determine if they
        do or do not meet the Medical Retention Standards IAW AR 40-501,
        Chapter 3

    • Documents the Soldier’s medical condition(s) and duty limitations

    • Refers the Soldier to the Physical Evaluation Board (PEB), when the
        findings and recommendations stipulate they do not meet retention
        standards or when referred by an MMRB

    • Does not mean the Soldier is automatically discharged from military
        service

LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                   9
                                   Army Physical Disability Evaluation System

                                      A Medical Board is NOT...
            •   A “MOS reclassification Board”
                 -- reclassification is considered by the MOS/Medical Retention
                Board (MMRB) for Soldiers with P3 who meet retention
                standards

            •    The Soldier WILL NOT sit in front of a panel of board members

            • The MEB is an informal process comprised of at least two
                 physicians who compile, assess, and evaluate the Soldier’s
                 medical history to determine if your duty is affected by their
                 medical status




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED              10
                                   Army Physical Disability Evaluation System



                         Medical Evaluation Board (MEB)
   • Soldier can NOT RECLASSIFY at this point (note: currently under review for
       possible change)

   • Informal board at the Medical Treatment Facility (MTF)
   • Documents Soldier’s medical status and duty limitations to determine if duty
       is affected by their medical status

   • Unit Commanders authorized to refer Soldiers to MTF for evaluation if Soldier
       cannot perform duties
         – Refer to Soldier’s Primary Care Manger (PCM)
         – Can be in writing on a DD Form 689

   • References: AR 40-400, AR 635-40


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            11
                                   Army Physical Disability Evaluation System

                                                The Disability Case Flow

                                                           Physical
                                                           Disability
                                                            Agency



               Physical                                     Physical          Transition
              Evaluation                                Evaluation Board        Center
                Board                                    Liaison Officer           Orders



                                                            Medical                 Active Component

                                                           Evaluation              New Cases
                                                             Board                  Reserve Component



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil          UNCLASSIFIED                     12
                                   Army Physical Disability Evaluation System

                                            Role Of The Physician


       • Apply the Medical Retention                          Standards as dictated
         in AR 40-501
       • Responsible for all elements dictated in the
         Physician Phase
       • Complete Narrative Summary (NARSUM) and
         Profile IAW PDA Medical Examiners Guidance
       • Ensure the NARSUM is consistent with all profiles



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                  13
                                   Army Physical Disability Evaluation System


                Role Of The Physical Evaluation Board
                       Liaison Officer (PEBLO)
      • The PEBLO counsels the Soldier or if the MTF determines that
          Soldier is not mentally competent; the PEBLO counsels the
          designated next-of-kin on MEB/PEB findings, related rights and
          benefits
      •   Once notified of MEB initiation, the PEBLO will contact Soldier and
          schedule an initial briefing
      •   PEBLO Counseling Checklist (DA Form 5893–R): PEBLO use this
          form to counsel Soldiers throughout the process. This document will
          be signed by the PEBLO and the Soldier at the time of PEB election
          and forwarded for inclusion in the record of proceedings
      •   Provides the Soldier with authoritative and timely answers to their
          questions




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            14
                                   Army Physical Disability Evaluation System


                Role Of The Physical Evaluation Board
                       Liaison Officer (PEBLO)
       • Schedules Physical Examinations
       • Coordinate with the Case Manager for necessary Board related Medical
           Appointments and Consults
       •   The PEBLO will prepare and mail the request for the Commander’s
           Evaluation Letter and personnel/administrative data
       •   Educate the Soldier and the Command on the PDES process
       • Advise the Command on the Soldier’s progress
       • Ensure MEB packet is prepared and distributed in a timely, complete,
           and accurate manner to the PEB




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            15
                                   Army Physical Disability Evaluation System

                                  Role Of The Case Manager

       • Facilitate the timely scheduling of MEB appointments and coordinating
           results of specialty consults
       •   Closely manage appointments for Soldiers undergoing MEB processing
       •   Consult with PEBLO reference status of required clinical
           evaluations/documentation, appointments, required orders needed for
           extension on active duty
       •   Assist Medical Officer with execution of individual Soldier Plan of Care
       •   Assists all team members, particularly Soldier/Family Member, to
           establish realistic, measurable goals with consideration to desires of
           patient and benefit limitations, available resources




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                  16
                                   Army Physical Disability Evaluation System

                                        Role Of The Commander

       • Prepare the Commander’s Letter
       • Provide Line of Duty (LOD) to the Soldier (note: most MEBs do not
           require an LODI in order to go to the PEB)
       •   Ensure all applicable personnel/administrative information requested by
           the PEBLO is provided
       •   Maintain accountability and visibility of the Soldier




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                 17
                                   Army Physical Disability Evaluation System

                                               Role Of The Soldier
 • Attend all appointments – contact counselor if unable to make an
      appointment with no shows will be reported to Soldier’s Commander
 •    Complete the History Form prior to physical
 •    Must complete comprehensive Physical Exam
 •    Assist the Command in providing required personnel/administrative data:
        – Leave and Earning Statement (LES)
        – Enlisted Record Brief (ERB)/Officer Record Brief (ORB)
        – Last 3 Non-Commissioned Officer Evaluation Reports (NCOERs)/Officer
           Evaluation Reports (OERs)
        – Army Physical Fitness Test (APFT)
        – Provide copies of Approved Retirement or Separation Orders
        – Provide copies of Orders for recent promotions or demotions
 •    Concur/Non-concur with all outcomes from PEBLO counseling within the
      scope of rights/benefits and Due Process afforded to the Soldier


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            18
                                   Army Physical Disability Evaluation System

                                   What is in a Soldier’s MEB
                                  Personnel/Performance Data**
     •     ERB/ORB/PQR
     •    Personnel Certificate is completed by the custodian of
           the Soldier’s 201 file (PSB)
     •    Commander’s Evaluation Letter
     •    NCOERs/OERs (E-5 And above) (Last 3)
          (if necessary)
     •    APFT SCORECARD (Last 3 tests) (if necessary)
     •    LES (Current End of Month)
     •    DA Form 4187 (Name changes, loss of rank, promotions,
         etc)
     •   **RC Soldiers have additional requirements (see next slide).


    Note: These administrative requirements are currently under review for
    reduction
LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            19
                                   Army Physical Disability Evaluation System

                                       Reserve Component
                                    Personnel/Performance Data
      • Orders for all active duty periods – where injury/illness
             incurred
      •      Reserves – Chronological Statement of Retirement Points
             (ARPC 249-2-E) (commonly known as RPAS)
      •      National Guard – Retirement Points History Statement
             (NG Form 23) (commonly known as RPAM)
      •      Approved Line of Duty (if necessary)
      •      20 Year Letter if applicable




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            20
                                   Army Physical Disability Evaluation System


                                                        MEB Process

  • After completion of the MEB, the Soldier
      will be counseled and they will review
      the MEB findings and recommendations

  • They can consult with a lawyer   from the
      Office of the Special Counsel (OSC) or
      some other advocate before signing the
      MEB.

  • The MEB will only state the Soldier does
      or does not meet retention standards
      IAW AR 40-501, Chapter 3

  • The Soldier will receive a copy of their
      MEB and supporting documents for their
      files.

LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil       UNCLASSIFIED        21
                                   Army Physical Disability Evaluation System

                                                    MEB Dispositions
                                                        • Generally, If the Soldier meets retention
                                                          standards within the limits of their profile
                                                          they are returned to duty in their MOS.

                                                        • If the Soldier does not meet retentions
                                                          standards, their case will be referred to the
                                                          Physical Evaluation Board (PEB) for further
                                                          disposition

                                                        • If the MEB is a MOS/Medical Retention
                                                          Board (MMRB) directed MEB, their case is
                                                          forwarded to the Physical Evaluation Board
                                                          (PEB), even though they meet retention
                                                          standards. If profile is upgraded to P2 and
                                                          the Soldier meets retention standards, they
                                                          are RTD


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil        UNCLASSIFIED                                22
                                   Army Physical Disability Evaluation System


                                                Can the Soldier appeal the
                                                         MEB?
       • YES - If the Soldier disagrees with any portion of their
           Medical Board, they have the right to appeal it.

       • The Soldier will have 3 working days to submit a written
           appeal stating why/what they disagree with on the MEB

       • The OSC can assist the Soldier with their appeal.

       • The written appeal is then submitted to the Deputy
           Commander for Clinical Services (DCCS) for further
           consideration. Their appeal becomes part of the MEB

LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil    UNCLASSIFIED           23
                                   Army Physical Disability Evaluation System

                                                        MEB Appeals
        • The DCCS will review the
             Soldier’s appeal and make one of
             the following recommendations:

              -- MEB stands as written

              -- Can send back to health care
             provider for further information

              -- Can forward to PEB with
             attachments or additional notes



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil       UNCLASSIFIED        24
                                   Army Physical Disability Evaluation System


            Is there any way the Soldier can stay in?
       • YES, the Soldier can submit a request for Continuation on Active
           Duty (COAD) or Continuation on Active Reserve Status (COAR)
               – https://www.hrc.army.mil/site/protect/active/epord/coad.htm


       • The MEB counselor will provide the Soldier with specific criteria/details
           related to requesting this

       • The Soldier can also obtain information and counseling on
           COAD/COAR from the OSC

       • Generally, HRC is the approval
          authority for most requests
           -- G-1 is the disapproval authority
              for AW2 requests.


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                 25
                                   Army Physical Disability Evaluation System



                                                        Delays/ Hold Ups

                  – Physician leaves (TDY, deploy, etc)
                  – Command is unaware of process
                  – Soldier does not inform Command of condition
                  – Cannot initiate MEB without permanent profile (P3/P4)
                  – LOD investigations are not completed
                  – Soldier misses appointment due to own negligence or lack of
                    Command support
                  – Soldier wants second opinion
                  – Soldier appeals (legal right)
                  – Additional medical conditions are discovered after referral to MEB




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil          UNCLASSIFIED              26
                                       Army Physical Disability Evaluation System


                                  Physical Disability Evaluation System Processing
                                                    Timeline Goals          Color Key
                                                                                                                                    MEDCOM Actions
                                                                              Phases                                                HRC Actions

                                                                                                                                   Installation Actions
                   Rehabilitation                      MEB
                   Phase                               Physician Phase                                                             ,
                   Temp Profile (NTE 1 yr)              Perm Profile                                                             OC s
                                                                                                                                R r
                                                                                                                             SP rde
                                                                                                                           N o
                          Surgery, PT, trial
                                                                                                                         RA cuts
                            of duty, etc.
                                                                                               se             iew via T es,
                   R
                                                                                              a            ev
                   T               Rehab
                                                                                            Ph            R         ge eiv
                                  Complete                                                              A       essa rec
                   D
                                                                                      B LO           /P
                                                                                                       D       m tion
                             or            M                    Physician/                          B        B la
                  Physician issues          E
                                                   14 days     Soldier Appt        PE             PE      PD stal
                                                 to complete      Review                                    In




                                                                                                                                                          Final Out
                  P3/ P4                                                      PEBLO assemble
                    Meets medical retention
                                            B      physical    clinical data
                                                                             case, counsel Soldier
                          standards - No            Exams
                                                                                on MEB/PEB
                                                                                                                             Transition Out
                                                (PartI/PartII ) Consults
                                                                                                     (InFormal /Formal   -Transitional leave (AC)
                    Meets medical retention                                   (Soldier has 72 hrs                        - PTDY (AC)
                                                                  Dictates                                Appeal)
                       standards - Yes                                       to appeal to DCCS)
                   M                                              Board                                                  -Clearing time:
                   M Re-class, 6 mos                                             Mail to PEB                               < or = 90 days (RC)
                   R probation status,                           NARSUM                                    40              < or = 90 days (AC)
                   B   Retain, MEB
                                                               90 Days
                       60 days to conduct                                                              Findings           Unit & Transition Point
                            MMRB                                                                       Determined
                                      Optimal Care Achieved                                                               coordinate separation date




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil                               UNCLASSIFIED                                                                      27
                                   Army Physical Disability Evaluation System


                          Physical Evaluation Board (PEB)
      There are 3 PEBs - Located at the following locations
      Washington, DC PEB
      FT Sam Houston, TX PEB
      FT Lewis, WA PEB
      MEMBERS:

            President or Presiding Officer (generally a colonel)
            Personnel Management Officer (field grade or Civilian Adjudication Officer)
            Physician (MC Officer or Civilian, generally with Army MC experience)
            If service member is Reserve Component (RC), a member will be RC
            Request for Enlisted, female, minority may be made
                  -- Request in writing through MEB Counselor
                  -- Board expands to 5 members for enlisted representation
                  -- May be 3 or 5 members for female or minority representation

LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                       28
                                   Army Physical Disability Evaluation System


                                                        PEB Process
     • The PEB is the only board in the Military that can determine
         whether a Soldier is fit or unfit for continued Military Service.

     • If found unfit, the PEB will determine whether the unfitting
         disability is compensable

     • If compensable, the PEB will determine the disability rating
         based on the severity of the medical condition

     • Not every medical condition is given                             a rating.

     • Only those medical conditions that render the Soldier unfit
         for further Military Service will be rated.


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil         UNCLASSIFIED          29
                                   Army Physical Disability Evaluation System


                                                        PEB Process

       • Once the PEB has rendered a decision, the MEB
           counselor will be notified

       • The PEBLO will schedule a review and
           counseling session with the Soldier on the PEB
           findings and recommendations, usually within 24
           hours

       • The Soldier is given ten (10) calendar days to
           concur or nonconcur

       • The Soldier can also consult with an attorney
           from the OSC to determine whether they want to
           request a formal hearing.




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil        UNCLASSIFIED       30
                                   Army Physical Disability Evaluation System

                                    Types Of PEB Dispositions
    • Fit for Duty
    • Unfit for Duty
             – SWOB (no % given)
             – SWSP
                      • Rating of 0%-20% and less than 20 YOS
             – TDRL
                      • Rating of 30% or more or 20 YOS and medical condition is NOT
                        stabilized enough for permanent rating
                      • Periodic re-exams every 12 - 18 months (5 yr maximum)
                      • Minimum of 50% pay for TDRL retirement check
             – PDR
                      • Rating of 30% or more or 20 YOS

    • Disability Compensation: The PEBLO calculates the estimated disability
         severance pay or YOS (years of service) method or percentage of disability
         rating for retired pay, as applicable in each case



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                   31
                                   Army Physical Disability Evaluation System

                  PEB Appeal Process For Fit For Duty
      • The Soldier is entitled to submit a written appeal

      • The Soldier may request a formal hearing, as an exception
          to policy (usually done by VTC unless Soldier is assigned to
          one of the installations with a PEB located on it)

      • The PEB President decides whether to grant a request for
          formal hearing to contest a fit finding




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            32
                                   Army Physical Disability Evaluation System

                                               PEB Appeal Process
       • If the disposition is “UNFIT FOR FURTHER
           MILITARY SERVICE”, the Soldier has the
           right to request a formal hearing with or
           without personal appearance.

       • The Soldier can also submit a written appeal
           as to what they disagree with.

       • The Soldier has the right to be represented
           by an attorney from JAG or by a counsel of
           choice (civilian - at the Soldier’s own
           expense) for their formal hearing.

       • They may also elect to have representation
           from any of the various veterans
           organizations, if available. (DAV- Disabled
           American Veteran) These services are free.



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            33
                                   Army Physical Disability Evaluation System

                            US Army Physical Disability Agency
                                       (USAPDA)
       • Component of HRC
       • Reviews and approves/disapproves findings and recommendations of the PEB
       • The USAPDA may:
               – Return case to PEB for reconsideration, clarification, further
                 investigation, formal hearing or other action
               – Issue modified finding which could change Soldier’s disability rating
                 and/or disposition
                        • Soldier has appeal rights (counsel + 10 days to sign)

       • If USAPDA modifies PEB findings and the Soldier nonconcurs, the case will be
           forwarded to USAPDAB for final decision.




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                     34
                                   Army Physical Disability Evaluation System

                                    Final Disposition
                            US Army Physical Disability Agency
       • Physical Disability Board receives case from USAPDA and acts on final
           decision by USAPDA

       • UNFIT:
               – Transmits message to the local Transition Center for disability
                 separation/retirement orders
               – Assigns final separation/retirement date: “Not Later Than 90
                 days” for AD and RC
               – Transition Center will publish appropriate orders

       • FIT FOR DUTY:
               – Issues a fit memorandum to the MTF
               – The fit memorandum completes the disability evaluation
                 processing




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED               35
                                   Army Physical Disability Evaluation System

                                      US Army Versus VA Disposition

       • Army rates only conditions determined to be physically unfitting,
           compensating for the loss of a military career
       •   VA may rate any service-connected impairment, thus compensating for
           loss of civilian employability
       •   Army ratings are permanent upon final disposition
       •   VA rating may fluctuate with time, depending upon the progress of the
           condition
       •   Army disability compensation is affected by years of service and basic
           pay
       •   VA compensation is a flat amount based upon the percentage of rating
           received.

   NOTE: Several MTFs (Army, Navy, and Air Force) have
   begun testing a single physical exam process with the VA.
   Will expand throughout the MHS over the next 12+ months.
LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                36
                                   Army Physical Disability Evaluation System


                Medical Evaluation Board Internal Tracking Tool
                                   (MEBITT)

       • System fielded to Military Treatment Facilities (Tracks the individual
            Soldier from initiation of the Medical Board thru final disposition)
       •    Provides MTF access to real time and historical data
       •    Provides MTFs the ability to conduct data analysis, provide updates on
            soldiers MEB status, and identifies when cases have exceeded
            processing standards
       •    System managed and operated by the MEDCOM and data input by
            PEBLO


       Note: Your PEBLO can access MEBITT at any time and provide you with
       information regarding your Soldier’s board upon request. MEBITT is
       also the system that updates My MEB on AKO.


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                 37
                                   Army Physical Disability Evaluation System


                       How does the Soldier know what is
                       going on with his/her case?
                     My MEB/PEB Portal https://www.us.army.mil/suite/page/417118




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED               38
                                   Army Physical Disability Evaluation System

                      Where does the Soldier get information
                         about the MEB/PEB Process?
          In addition to the briefing the Soldier receives from the MEB office, the Soldier
          will receive the APDES booklet. Soldiers should always communicate directly
          with their assigned PEBLO if they have any remaining questions/concerns.




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                          39
                                   Army Physical Disability Evaluation System


                                   What about confidentiality?
• A Soldier’s medical board is personal and private

•   Limited information can be provided to their unit:
      – THE FACT THAT A SOLDIER IS UNDERGOING
         DISABILITY PROCESSING

         – WHERE THE SOLDIER IS IN THE BOARD PROCESS

         – WHETHER THE SOLDIER WAS FOUND FIT OR UNFIT


• Family members do not have automatic access to the Soldier’s medical
    records/board status without their written permission

• KEEP EVERYONE CONCERNED INFORMED.

LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            40
                                   Army Physical Disability Evaluation System

                         How Can the Soldier Make This as
                              Painless as Possible?
          • The Soldier must NOT miss any of their appointments – They need
              to be on time, with their ID card, in the appropriate Uniform, with
              documentation on hand

          • NO SHOWS FOR ANY MEDICAL APPOINTMENT WILL BE
              REPORTED TO THEIR COMMANDER – This causes delays in the
              MEB Process

          • The Soldier must always provide accurate phone numbers to their
              PEBLO

          • The Soldier must contact their PEBLO before leaving town




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED                41
                                   Army Physical Disability Evaluation System

                                                        Still Need Help?

       • Each Soldier has a PEBLO assigned to them who can
           answer any question related to the MEB/PEB. You should
           get to know the PEBLO assigned to your company/squad by
           name and know his/her phone number, e-mail, and office
           location.
       •   Talk to your MTF’s PEBLO supervisor to set up briefings for
           your unit if you need further education.
       •   Additional guidance on the APDES can be found at
           https://pad.amedd.army.mil/meb.html (requires AKO log in).




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil          UNCLASSIFIED     42
                                   Army Physical Disability Evaluation System




                                           QUESTIONS ???????




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil   UNCLASSIFIED            43
                                   Army Physical Disability Evaluation System


                                                   BACK UP SLIDES




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil    UNCLASSIFIED           Date-Time-Group
                                                                                       44
                                   Army Physical Disability Evaluation System

                                                  Basic Terminology
              APDES – Physical Disability Evaluation System
              APDAB - Army Physical Disability Appeal Board
              ERB – Enlisted Review Brief
              EPTS – Existed Prior to Service
              FFD – Fit For Duty
              MEB - Medical Evaluation Board
              MMRB - MOS/Medical Retention Board
              ORB – Officer Review Brief
              PDR – Permanent Disability Retirement
              PEBLO – Physical Evaluation Board Liaison Officer
              PEB - Physical Evaluation Board
              PPES – Physical Performance Evaluation System Agency
              SWSP – Separation with Severance Pay
              SWOB – Separation without Benefits
              TDRL – Temporary Disability Retired List
              USAPDA – U.S. Army Physical Disability




LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil    UNCLASSIFIED           45
                                   Army Physical Disability Evaluation System

                                                        Regulatory Guidance
        • DOD Directive1332.18, Separation or Retirement for Physical Disability
        • DOD Instruction 1332.38, Physical Disability Evaluation
        • DOD Instruction 1332.39, Application of the Veterans Administration
            Schedule for Rating Disabilities

        • AR 600-60, Physical Performance Evaluation System
        • AR 40-400, Patient Administration
        • AR 40-501, Standards of Medical Fitness, CHAPTERS 3 & 7
        • AR 635-40, Physical Evaluation for Retention, Retirement, or Separation
        • Veteran’s Administration Schedule for Rating Disabilities (VASRD)


LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil           UNCLASSIFIED        46
                                   Army Physical Disability Evaluation System

                           Physical Performance/Physical
                                     Disability




     MMRB                                       MEB                PEB          USAPDA




    RETURN TO DUTY                                                              APDAB
    RECLASSIFICATION                                    RETURN TO DUTY
    PROBATION (1-6 MO)



LTC Dorough, DSN 471-8763 /marsha.dorough@us.army.mil          UNCLASSIFIED          47

								
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