Responsible MTF. (a) If the ADSM being considered for treatment under this MOA is under inpatient or outpatient treatment outside an MTF, and no MTF is involved in the member’s treatment, DoD will assign an MTF to fulfill all responsibilities assigned to responsible MTFs below.
(b) The responsible MTF shall obtain the preferences of the ADSM (guardian, conservator, or designee) for DVA facility location. The responsible MTF will identify the appropriate participating DVA facility (listed in Appendix B) and contact the designated facility Program Point of Contact (POC) as early as possible to present the case, gain admission acceptance, and begin the referral process. The responsible MTF will provide sufficient patient medical record documentation to allow the identified DVA health care facility to decide whether to accept the patient for the indicated inpatient or outpatient treatment within the scope of this MOA. The transfer of care from MTF inpatient or outpatient treatment to DVA inpatient or outpatient treatment will involve direct telephone contact between the responsible MTF physician and the accepting DVA physician. DoD/DVA MOU Page 3Polytrauma, SCI, TBI, and Blindness
(c) Once a DVA facility has agreed to accept the patient for the indicated inpatient or outpatient treatment within the scope of this MOA. the responsible MTF will complete and submit the appropriate request for preauthorization to TMA. If a request for outpatient, appropriate transitional rehabilitation setting, or other treatment is made immediately following the discharge from inpatient treatment at a DVA facility under this MOA, the treating DVA facility is responsible for submitting the request for authorization to TMA.
(d) Clinical case management of ADSMs under the MOA will remain the responsibility of the responsible MTF and the accepting DVA facility. Upon receipt of a preauthorization, the responsible DoD MTF case manager will provide the DVA case manager with current clinical information along with the case management plan of care and discharge plan. DoD MTF case managers will update the appropriate patient tracking application(s) and forward necessary information to the DVA case manager to update the appropriate tracking application(s).
(e) Upon receipt of a preauthorization, the responsible MTF and the accepting DVA facility will coordinate the transfer of care for the patient from a DoD treatment setting to DVA treatment along with an agreed upon date and time of transfer to the appropr...
