DEPARTMENT OF THE AIR FORCE - AF

1 DEPARTMENT OF THE AIR FORCE headquarters united states AIR FORCE WASHINGTON, DC AFMAN41-120_AFGM2018-01 4 January 2018 MEMORANDUM FOR DISTRUBUTION MAJCOMs/FOA/DRUs FROM: HQ USAF/SG 1780 Air FORCE Pentagon Washington, DC 20330-1780 SUBJECT: Guidance Memorandum to AFMAN 41-120, Medical Resource Management Operations This Guidance Memorandum immediately implements changes to AFMAN 41-120, Medical Resource Management Operations clarifying requirements for the Financial Improvement Audit Readiness (FIAR) assessments and announcing the deletion of section regarding Wireless Internet for Patients within the Medical Group. This AFGM applies to individuals at all levels who manage, approve, expense, or distribute Defense Health Program appropriations.

2 It does not apply to the Air Reserve Component (ARC). Compliance with this memorandum is mandatory. To the extent its directions are inconsistent with other Air FORCE publications, the information herein prevails, in accordance with AFI 33-360, Publications and Forms Management. (Added) May delegate the authority to review/sign the quarterly FIAR self-assessment communicator to the MDSS/CC or SGA. (Replace) Cardholders and Approving Officials must verify that purchases reflected on bank statements are supported by a receipt. (T-0). Note: Cardholders must file receipts together with the bank statement. (Replace) Toward that end and to compel the AFMS audit readiness posture, the audit elements explained in paragraph (Focus Areas) will be available within the Manager s Internal Control Tool (MICT) in the form of a self-assessment communicator.

3 The MICT self-assessment communicator replace s the Medical Commander s Checklist for Audit Readiness Part B, dated December 2012. The Resource Management Office (RMO) will upload assessment documents into MICT, or have the documents available for MTF/CC or designee review on a share drive or in hardcopy form, prior to MTF/CC or designee validating/signing the assessment. (Replace) Financial Improvement and Audit Readiness (FIAR) self-assessments using the MICT self-assessment communicator will be conducted quarterly. The MTF/CC, or designee, will review/sign the quarterly MICT self-assessment communicator by either validating the assessment in MICT or signing a hardcopy of the MICT self-assessment communicator.

4 If the assessment is validated in MICT, then the RMO will take a screen shot of the MTF/CC or designee validation screen in MICT to include in the FIAR self-assessment communicator file. Self-assessments must be completed and signed (hardcopy or validated in MICT) by the MTF/CC or designee NLT the end of the following quarter. (T-1) The requirement to conduct the quarterly self-assessment may only be waived by AF/SG1/8Y. (Replace) The completed and signed MICT self-assessment communicators (with the corresponding financial reports containing the highlighted transactions that were reviewed) should be maintained in RMO and be available for review by external reviewers upon request.

5 Retain the documents for two (2) Fiscal Years. Documents may be retained electronically or in hardcopy form. (Replace) Cardholders and Approving Officials must verify that purchases reflected on bank statements are supported by a receipt. Note: Cardholders must file receipts together with bank statements. (Deleted) Wireless Internet for Patients within the Medical Group. DHP funding of commercial wireless internet is not permitted. Although wireless internet serves a morale purpose, it is not a medical mission requirement. This Memorandum becomes void after one-year has elapsed from the date of this Memorandum, or upon publication of an Interim Change or rewrite of the affected publication, whichever is earlier.

6 MARK A. EDIGER Lieutenant General, USAF, MC, CFS Surgeon General BY ORDER OF THE SECRETARY OF THE AIR FORCE AIR FORCE MANUAL 41-120 6 NOVEMBER 2014 Health Services MEDICAL RESOURCE MANAGEMENT OPERATIONS COMPLIANCE WITH THIS PUBLICATION IS MANDATORY ACCESSIBILITY: Publications and forms are available on the e-Publishing website at for downloading or ordering. RELEASABILITY: There are no releasability restrictions on this publication. OPR: AF/SGY Supersedes: AFI 41-120, 18 October 2001 Certified by: AF/SG1/8/Y (Brig Gen Charles E. Potter) Pages: 139 This publication implements Air FORCE Policy Directive (AFPD) 41-1, Health Care Programs and Resources.

7 It provides general guidance and procedures for Air FORCE planning, programming, budgeting, and execution of the Defense Health Program (DHP) appropriation. It applies to individuals at all levels who manage, approve, expense, or distribute Defense Health Program appropriations. It does not apply to the Air National Guard (ANG). This AFMAN may be supplemented at any level, but all supplements must be routed to AF/SGY for coordination prior to certification and approval. Refer recommended changes and questions about this publication to the Office of Primary Responsibility (OPR) using the AF Form 847, Recommendation for Change of Publication; route AF Forms 847 from the field through the appropriate functional chain of command.

8 The authorities to waive wing/unit level requirements in this publication are identified with a Tier ( T-0, T-1, T-2, T-3 ) number following the compliance statement. See AFI 33-360, Publications and Forms Management, Table for a description of the authorities associated with the Tier numbers. Submit requests for waivers through the chain of command to the appropriate Tier waiver approval authority, or alternately, to the Publication OPR for non-tiered compliance items. Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with (IAW) Air FORCE Manual (AFMAN) 33-363, Management of Records, and disposed of IAW Air FORCE Records Information Management System (AFRIMS) Records Disposition Schedule (RDS).

9 The use of the name or mark of any specific manufacturer, commercial product, commodity, or service in this publication does not imply endorsement by the Air FORCE . 2 AFMAN41-120 6 NOVEMBER 2014 SUMMARY OF CHANGES This document has been completely revised and must be reviewed in its entirety. Major changes include converting from an Air FORCE Instruction to an AF Manual; tiering requirements IAW AFI 33-360; updating roles and responsibilities; explaining the history of the Defense Health Program appropriation; identifying commodities that are not funded with the DHP; expounding on appropriations law principles, financial data elements, patient travel, medical programming, and medical civilian pay; funding for medical readiness; funding for civilian employee Occupational Health examinations; funding for medical contracts; funding for continuing health education.

10 Medical reimbursements; Triannual Reviews; and Financial Improvement and Audit Readiness requirements. Chapter 1 PROGRAM OVERVIEW 9 Overview.. 9 DoD Medical Mission.. 9 DHP History.. 9 Military Service Re-organizations.. 9 Funding Distinctions.. 9 DHP Appropriation Legislation.. 10 Beneficiaries of the DHP Appropriation.. 10 TRICARE Contracts.. 10 Veterinary Services.. 10 Other DHP Purposes.. 10 DHP Budget Authority.. 11 Other DHP authorities: .. 11 Medicare Eligible Retiree Health Care Fund (MERHCF).. 11 Chapter 2 ROLES AND RESPONSIBILITIES. 13 Air FORCE Surgeon General (AF/SG).. 13 AF/SG Medical Planning and Programming Directorate (AF/SG8).