Medical Services Patient Administration

1 Army Regulation 40 400 Medical ServicesPatientAdministrationHeadquarter sDepartment of the ArmyWashington, DC8 July 2014 UNCLASSIFIEDSUMMARY of CHANGEAR 40 400 Patient AdministrationThis rapid action revision, dated 8 July 2014--o Updates policy on designees of the Secretary of the Army (para 3-50).o Replaces management control with internal control (throughout).o Deletes of the ArmyWashington, DC8 July 2014 Medical ServicesPatient Administration *Army Regulation 40 400 Effective 8 August 2014 History.

2 This publication is a rapid actionr e v i s i o n . T h e p o r t i o n s a f f e c t e d b y t h i sr a p i d a c t i o n r e v i s i o n a r e l i s t e d i n t h esummary of This consolidated regulationp r e s c r i b e s p o l i c i e s a n d m a n d a t e d t a s k sgoverning the management and adminis-tration of patients . It includes Departmentof Defense and statutory policies regard-ing Medical care entitlements and man-a g e d c a r e p r a c t i c e s.

3 I t a l s o i m p l e m e n t sN o r t h A t l a n t i c T r e a t y O r g a n i z a t i o n a n dA m e r i c a n , B r i t i s h , C a n a d i a n , a n dA u s t r a l i a n a p p r o v e d s t a n d a r d i z a t i o This regulation applies tot h e A c t i v e A r m y , t h e A r m y N a t i o n a lGuard/Army National Guard of the UnitedStates, and the Army Reserve, unlesso t h e r w i s e s t a t e d . I t a l s o a p p l i e s d u r i n and exception proponent of this regulation is TheSurgeon General.

4 The proponent has theauthority to approve exceptions or waiversto this regulation that are consistent withcontrolling law and regulations. The pro-ponent may delegate this approval author-ity, in writing, to a division chief withinthe proponent agency or its direct report-ing unit or field operating agency, in thegrade of colonel or the civilian may request a waiver to thisregulation by providing justification thatincludes a full analysis of the expectedbenefits and must include formal reviewby the activity s senior legal officer.

5 Allwaiver requests will be endorsed by thecommander or senior leader of the requ-e s t i n g a c t i v i t y a n d f o r w a r d e d t h r o u g ht h e i r h i g h e r h e a d q u a r t e r s t o t h e p o l i c yproponent. Refer to AR 25 30 for internal control process. Thisregulation contains internal control provi-sions in accordance with AR 11 2 andidentifies key internal controls that mustbe evaluated (see appendix C).S u p p l e m e n t a t i o n.

6 S u p p l e m e n t a t i o n o fthis regulation and establishment of com-mand and local forms are prohibited with-o u t p r i o r a p p r o v a l f r o m T h e S u r g e o nG e n e r a l ( D A S G H S Z ) , 7 7 0 0 A r l i n g t o nB o u l e v a r d , F a l l s C h u r c h , V A22042 improvements. Users areinvited to send comments and suggestedimprovements on DA Form 2028 (Recom-m e n d e d C h a n g e s t o P u b l i c a t i o n s a n dB l a n k F o r m s ) d i r e c t l y t o T h e S u r g e o nG e n e r a l ( D A S G H S Z )

7 , 7 7 0 0 A r l i n g t o nB o u l e v a r d , F a l l s C h u r c h , V A22042 This regulation is availablein electronic media only and is intendedfor command levels A, B, C, D, and E fort h e A c t i v e A r m y , t h e A r m y N a t i o n a lGuard/Army National Guard of the UnitedStates, and the Army (Listed by paragraph and page number)Chapter 1 Introduction, page 1 Purpose 1 1, page 1 References 1 2, page 1 Explanation of abbreviations and terms 1 3, page 1 Responsibilities 1 4, page 1 Chapter 2 Patient Policies, page 1 Eligibility verification 2 1, page 1 Identification procedures 2 2, page 1 Priorities 2 3, page 1*This regulation supersedes AR 40 400, dated 27 January 40 400 8 July 2014iUNCLASSIFIEDC ontents ContinuedPrimary care management 2 4.

8 Page 2 NATO STANAG/ABCA QSTAG agreements 2 5, page 2 Authorization and funding for Medical and non- Medical attendant travel of AD Soldiers, Family members, andretirees 2 6, page 2 Medical examinations for insurance purposes 2 7, page 3 Maternity care for active duty members 2 8, page 3 Remediable physical defects developed in the military service 2 9, page 3 Hospitalization before the effective date of separation or retirement orders 2 10, page 3 Statements of prolonged hospitalization 2 11, page 3 Consent by a nonmilitary Patient to Medical care 2 12, page 3 Patient transfers 2 13, page 5 Care beyond an MTFs capability 2 14, page 5 Admission of psychiatric patients 2 15, page 7 Ancillary Medical Services 2 16, page 7 Family planning Services 2 17, page 7 Abortions 2 18, page 7 Cosmetic surgery 2 19, page 8 Health Insurance Portability and Accountability Act 2 20.

9 Page 8 Chapter 3 Persons Eligible for Care in Army MTFs and Care Authorized, page 8 Section IMembers of the Uniformed Services , page 8 Members of the Uniformed Services on active duty 3 1, page 8 Members of the Uniformed Services Reserve Components 3 2, page 8 Members of the Senior Reserve Officers Training Corps of the Armed Forces 3 3, page 10 Section IIApplicants, page 11 Designated applicants for enrollment in the Senior Reserve Officers Training Program (except ROTC scholarshipapplicants)

10 3 4, page 11 Applicants for cadetship at the Service academies and ROTC scholarship applicants 3 5, page 11 Applicants for enlistment or reenlistment in the Armed Forces, including applicants for enlistment in the ReserveComponents 3 6, page 11 Applicants for appointment in the Regular Army and Reserve Components including members of the ReserveComponents who apply for active duty 3 7, page 11 Applicants who suffer injury or acute illness 3 8, page 12 Section IIIR etired Members of the Uniformed Services , page 12 Eligible retired members 3 9, page 12 Periodic Medical examinations 3 10, page 12 Section IVFamily Members of the Uniformed Services , page 12 Care authorized Family members 3 11, page 12 Medical care not authorized Family members 3 12, page 12 Surviving dependents of Reserve members 3 13.