UNCLASSIFIED US Army Reserve Command Fort Bragg, NC 271100ZSEP17 OPERATION ORDER 17-120 (United States Army Reserve Command (USARC), Medical Readiness Red to Green 2.0) (U) References: Annex A. Time Zone Used Throughout the Order: (Zulu). 1. (U) Situation. a. On an annual basis, each Army Reserve Soldier is required to complete a Periodic Health Assessment (PHA) and a dental assessment, which provides Commanders essential information regarding the health and mission readiness of their units. Medical Readiness Classification (MRC) 4 is assigned when a Soldier fails to complete their annual PHA and/or annual dental assessment as directed by AR 40-501. Commanders are responsible for ensuring that their Soldiers complete the requisite health assessments on an annual basis as required by Army policy, recognizing that the Army system of record (MEDPROS) affords our Soldiers a 90-day “grace period” after the 12month expiration of their assessments. Accordingly, Soldiers are reported as being MRC4 at 15 months after the completion of their previous assessments and are considered non-deployable. b. While USARC is at historically high levels of medical readiness, the MRC 4 is not at 2% or less as directed by HQDA EXORD 054-17. This historic accomplishment was achieved utilizing the current Reserve Health Readiness Program (RHRP) resources and contract vendor (Logistic Health Incorporated (LHI)). RHRP remains the primary means for Army Reserve Soldiers to achieve medical readiness. In addition, Army Reserve Soldiers are authorized to use Active Component Army Military Treatment Facilities (MTFs) for PHAs, dental assessments, and/or other Individual Medical Readiness (IMR) services. c. The number one focus for medical readiness is deployability. Commanders will prioritize medical readiness services that make Soldiers deployable (annual PHA, annual dental examination and required Dental Class 3 treatment). 2. (U) Mission. Effective 27 Sep 17, Commanders at all levels will take immediate action to properly identify Soldiers with MRC 4 Level within their commands IOT counsel, prioritize, and mitigate to less than 2% the MRC 4 level. 3. (U) Execution. a. Commander’s Intent.
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UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) (1) Purpose. To achieving and maintaining Medical Readiness of ≥ 85% and MRC 4 ≤ 2%. (2) Key Tasks. (a) All commands down to the detachment level will assign personnel with the required resources and systems access to identify and track the medical readiness status of all Soldiers assigned. (b) Commanders are responsible for ensuring the readiness of their formation and cannot afford unready Soldiers who fail to maintain their medical and dental readiness. Commanders will use sound judgement to take the appropriate corrective action on all Soldiers who are designated as MRC 4 IAW Annex B; to include initiating a suspension of favorable action through a non-transferable flag, written counseling, and disciplinary actions if warranted. (c) Commanders will counsel Soldiers (TPU, AGR/ADOS, or IMA) that are ≥ 12 months since their last assessment(s) (Annex F). (3) Endstate. Mitigation of the medically not ready population maximize the readiness of America’s Army Reserve by all commands achieving and maintaining Medical Readiness of ≥ 85% and MRC 4 ≤ 2%. b. Concept of Operations. (1) All Soldiers are categorized in one of four Medical Readiness Classifications. (a) MRC 1 (Medically Ready/Deployable): Soldier meets all medical readiness requirements. (b) MRC 2 (Partially Medically Ready/Deployable): Soldier has a medical deficiency that is correctible within 72 hours. (c) MRC 3 (Not Medically Ready/Non-Deployable): Soldier has an identified medical Deployment Limiting (DL) condition. (d) MRC 4 (Not Medically Ready/Non-Deployable): Soldier’s current health status is unknown because of missing health information to include a Soldier not completing their annual PHA and/or annual dental exam. (2) In accordance with AR 600-8-2, commanders will initiate a suspension of favorable action (Flag) code of “X” for all Selected Reserve/TPU Soldiers not on active duty who are MRC 4 and not in compliance with the PHA and/or annual dental examination requirement.
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UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) (3) The primary means for Army Reserve Soldiers to receive PHAs and dental assessments is the Reserve Health Readiness Program (RHRP) and their contract vendor (Logistic Health Incorporated (LHI)) by way of individual in clinic appointments or group events. Additionally, Army Reserve Soldiers may utilize Army Military Treatment Facilities (MTFs) for PHAs and dental assessments. (Annex H) c. Task to Staff and Subordinate Units. (1) USARC G1, Health Affairs Office. Act as lead agent for this mission, providing guidance to USARC Staff and OFTS Commands. (2) USARC G-1, Military Personnel Management Office. Provide Subject Matter Expert (SME) guidance to assist OFTS Commands in the management of MRC4 Soldiers’ personnel actions, to include but not limited to Suspension of Favorable Actions (FLAG), Unsatisfactory Participants, Non Participants, Incentives, and Separation Process NLT 31 DEC 17. (3) OFTS Commands. (a) Commanders. 1. Commanders will implement guidance IAW Annex B. 2. All commands down to the detachment level, which do not have a full time Health Readiness Coordinator, appoint by additional duty memo (Annex E), a primary and alternate Medical Readiness NCO/Officer NLT 31 DEC 17. The Medical Readiness NCO/Officer will: a. Track, by name, the medical readiness status of all Soldiers b. Provide unit leadership a list of all Soldiers that are ≥ 12 months since their last assessment(s) c. Educate Soldiers regarding the Army standards for medical and dental readiness and the resources available to meet those standards. 3. Counsel all Soldiers (TPU, AGR/ADOS, or IMA) that are ≥ 12 months since their last assessment(s) (Annex F). Formal counseling will make them aware of the consequences if they fail to become compliant by the 15 month point. 4. Schedule MRC 4 Soldiers and all Soldiers overdue (past 12 months) for their annual PHA and/or dental exam utilizing one of the available resources. All Soldiers can also use their personal dentist (at their own expense) to achieve dental readiness by having their dentist complete a DD 2813 (Annex D) and FAX it to: 1-608793-2960. 3 UNCLASSIFIED
UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) 5. Initiate a suspension of favorable action (Flag) code of “X” for all Selected Reserve/TPU Soldiers not on active duty who are MRC 4 and not in compliance with the PHA and/or annual dental examination requirement (IAW AR 600-8-2). Commanders will ensure Soldiers are properly counseled (Annex F) upon initiation of the flag. These flags are non-transferable and will only be removed upon verification of medical readiness compliance. (b) Active Guard Reserve (AGR) Soldiers. 1. MRC4 Soldiers are not authorized passes or Days of No Scheduled Activity (DONSA) until they produce verification of being compliant, including evidence of a completed appointment. 2. Priority task is to resolve their MRC4 status and to become deployable. 3. AGR Soldiers will be counseled and liable to administrative action to be leveraged, as necessary. 4. Commanders can initiate a (Flag) code of L which is a “Commander’s Investigation” when AGR Soldiers fail to complete the Periodic Health Assessment (PHA) and dental assessment. Commanders can use the (Flag) code of A “adverse actions” to reprimand for non-compliance. These actions include, but are not limited to initiation of a non-punitive memorandum of reprimand, censure, or admonishment or initiation of proceedings for administrative reduction in grade IAW AR 600-8-19. These actions may include Release from Active Duty. (REFRAD). (c) Troop Program Unit (TPU) Soldiers. 1. TPU Soldiers that are MRC 4 are not authorized to attend Individual Duty Training (IDT) or Annual Training (AT) until they produce verification of being compliant. AGR and Active Duty for Operational Support-Reserve Component (ADOS-RC) Soldiers on orders more than 90 days, which are MRC 4 are prohibited from taking pass or Days of Nonscheduled Activity (DONSA). 2. Units and Soldiers may start scheduling PHA and Dental appointments after the 9 months after their last appointment. The exception is that the MTF will not see Soldiers prior to the 12 month mark. d. Coordinating Instructions. N/A. 4. (U) Sustainment. N/A. 5. (U) Command and Signal.
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UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) a. Command. N/A. b. Control. OPSEC. All personnel associated with this operation are to become familiar with the USARC Critical Information List (CIL), to prevent disclosures. At no time will critical information be transmitted or discussed via non-secure means of any type. All material directly or indirectly related to this operation will be properly marked, stored and disposed of using approved methods and processes. All accidental disclosure of CILs must be reported as a CCIR per USARC OPORD 17-066 (USARC, CCIR) and associated FRAGORDs. c. Signal. (1) MAJ Joseph Catamisan, USARC Medical Operations, at (910) 570-8100 or usarmy.usarc.usarc-hq.list.surgeon-operations@mail.mil. (2) MAJ Mike McCray, USARC Clinical Operations, at (910) 728-0648 or usarmy.usarc.usarc-hq.mbx.usarc-surgeon@mail.mil. ACKNOWLEDGE: Receipt of this message NLT 72 hours of receipt to the Watch Team – Army Reserve Operations Center at usarmy.usarc.usarc-hq.mbx.ar-opscenter@mail.mil.
LUCKEY LTG OFFICIAL: ROBERSON G-3/5/7 ANNEXES: Annex A (References) Annex B (USAR MRC 4 Policy) Annex C (Medical Readiness NCO/Officer User Guide) Annex D (DD 2813) Annex E (Sample Medical Readiness NCO/Officer Appointment Memo) Annex F (Medically Non-compliant Counseling Form) Annex G (How to CSMM) Annex H (MTF Utilization Procedures) Annex I (Q & A) Annex J (Crib Sheet) Annex K (Funding Code 61 Prioritization) 5 UNCLASSIFIED
UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) DISTRIBUTION: OPERATIONAL COMMANDS: 3 MCDS 79 TSC 200 MP CMD 311 SC(T) 335 SC(T) 377 TSC 412 TEC 416 TEC 807 MCDS FUNCTIONAL COMMANDS: 1 MSC 7 MSC 9 MSC ARAC AR-MEDCOM MIRC USACAPOC(A) TRAINING COMMANDS: 75 TNG CMD (MC) 80 TNG CMD (TASS) 83 US ARRTC 84 TNG CMD (UR) 85 USAR SPT CMD 108 TNG CMD (IET) USAR SPT CMD (1A) SUPPORTING COMMANDS: 63 RSC - USAG-FHL 81 RSC - USAG-Fort Buchanan 88 RSC - USAG-Fort McCoy 99 RSC - ASA-Dix 76 ORC ARCD LEGAL CMD ARECs / ARETs: 6 UNCLASSIFIED
UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) USARPAC ARNORTH ARSOUTH ARCENT AFRICOM CENTCOM USAREUR USARAF 8TH ARMY NORTHCOM USARJ I CORPS PACOM SOUTHCOM III CORPS XVIII ABC USASOC EUCOM SOCOM COPY FURNISH: USARC XOs USARC DIR/DEP/CH/ASST OCAR Directors & Deputies
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UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) ANNEXES: Annex A (References) UNCLASSIFIED Annex A (References) to OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0)
Annex B (USAR MRC 4 Policy) USAR MRC4 Policy_DE6signed_21JUL2017.pdf
Annex C (Medical Readiness NCO/Officer User Guide) TBP Annex D (DD 2813) DD 2813.pdf
Annex E (Sample Medical Readiness NCO/Officer Appointment Memo) Sample - Additional Duty Memo.docx.doc
Annex F (Medically Non-compliant Counseling Form)
Non Compliant Counseling Form.pdf
Annex G (How to CSMM) How To CSMM.pdf
Annex H (MTF Utilization Procedures) UNCLASSIFIED Annex H (MTF Utilization Procedure) OPORD 17-120 (USARC, Medical Readiness to Green 2.0)
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UNCLASSIFIED OPORD 17-120 (USARC, Medical Readiness Red to Green 2.0) Annex I (Q & A)
Army Reserve Policy for Medical Readiness Classification 4 (MRC4)
Annex J (Crib Sheet)
Crib Sheet.pdf
Annex K (Funding Code 61 Prioritization)
RMA Code 61 Prioritization.pdf
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