Exceptional Family Member Program

Building 12  |  Monday-Friday: 7:30 AM – 4:30 PM
Program Manager: 703-693-6368  |  Administrative Support Assistant: 703-693-7195
Family Case Worker: 703-693-4172 / 703-693-6510  |  Education, Training & Outreach Specialist: 703-693-5353
e-mail: efmphh@usmc-mccs.org
Respite Care Reimbursement Program Orientation

EFMP Basics

Monday, October 20 • 11 AM – 1 PM
Marine Barracks, Washington, DC

Find out more »
Emergency Child Care

EFMP

Provides assistance to military families with exceptional needs

The Exceptional Family Member Program (EFMP) provides assistance to military families who have members with exceptional medical, behavioral health and educational needs. Enrollment in the EFMP is mandatory per MCO 1754.4B.

The primary mission of the Marine Corps EFMP is to ensure the continuum of care for eligible Marine Corps family members. By identifying families with exceptional needs and maximizing the provision of services, the quality of life provided to the Marine Corps family is enhanced while meeting the mission of the Marine Corps.

The EFMP assists families and the command with issues related to the exceptional family member by providing assignment coordination and family support services. Family support services include non-clinical Family Case Workers, Education, Training and Outreach, connection to local, state, and national services and resources and the Respite Care Reimbursement Program.

> Henderson Hall EFMP Standards of Service (pdf file 185 Kb)


 


EFMP Events

Workshops & Support Groups:


Please register at least 1 day prior to event by emailing efmphh@usmc-mccs.org



The EFMP wishes to make their events accessible to persons of all abilities. If you need reasonable accommodations in order to fully participate in an event please contact us. Unless otherwise noted all programs consist of a one hour workshop plus a one hour family networking and support group. During the networking and support group period learn and gain support by sharing experiences, information on services and resources, and lessons learned through successes and challenges. EFMP staff will be on hand to address questions and concerns.

Enrollment

For Exceptional Family Member Program enrollment criteria see MCO 1754.4B , chapter 2, page 4. To enroll submit a DD Form 2792 Family Medical Summary. A DD Form 2792-1 is also required for children receiving special education services through an Individualized Family Service Plan (IFSP) or an Individualized Education Plan (IEP). For more information on EFMP enrollment please see: Important Information on EFMP Enrollment and Update Process. To request direct support in completing your enrollment forms please contact the EFMP office at 703-693-6368.

 

Due to changes in DoD privacy policy, please use your DoD ID card number instead of your Social Security Number on the enrollment forms (DD Form 2792 and DD Form 2792-1).

Important Information on EFMP Enrollment and Update Process (107 KB PDF)


The DD Form 2792 Family Medical Summary (2011 Version) must be completed for ALL enrollees even if the EFM is a child who is being enrolled for educational reasons. The form must be signed on pages 1-2 by parent/guardian or by EFM of majority age. Please make sure that the demographic information on page 2 (blocks 1 through 6c) are completed, and sign and date the form in block 6 (a-c). The medical summary portion (pages 4-7) must be fully completed and signed by each attending medical provider. Medical providers must be a state licensed physician or certified/credentialed allied health care provider who is accepted by Chief, BUMED. Complete Addendums if applicable.

Download DD 2792 enrollment form (831 KB PDF)

  ADDENDUM 1
Asthma/Reactive Airway Disease Summary
This section is to be completed and signed by a medical provider if the family member has a history of asthma or reactive airway disease.
   
  ADDENDUM 2
Mental Health Summary
This section is to be completed by the mental health provider if the family member has a history associated with mental health.
   
  ADDENDUM 3
Autism Spectrum Disorders and Significant Developmental Delays
This section is to be completed and signed by a medical provider if the family member has a history of autism spectrum disorder and/or significant developmental delay.
   

The DD 2792-1 Special Education/Early Intervention Summary Enrollment Form (2011 Version) is required for:

  • All infants and toddlers (birth to age 3) receiving Early Intervention Services via an Individualized Family Service Plan (IFSP) under the Individuals with Disabilities Education Act (IDEA).
  • All school-age children (ages 3 through 21 inclusive) who are receiving special education services via an Individualized Education Program (IEP) under IDEA.
The parent and/or sponsor should complete the demographic information on page 2 and blocks 1 and 2 on page 3. The school representative completes the information in blocks 3 through 6 on page 3.

Download DD 2792-1 enrollment form (416 KB PDF)

Updates and Disenrollment

The sponsor is responsible for updating EFMP paperwork every three years or sooner if there are changes in the family member’s condition or DEERS status. It is necessary to complete and submit all enrollment paperwork for update or disenrollment purposes. For more information on EFMP enrollment, update, and disenrollment please see: Important Information on EFMP Enrollment and Update Process. To request direct support in completing your enrollment forms for update or disenrollment purposes please contact the EFMP office at 703-693-6368.

Due to changes in DoD privacy policy, please use your DoD ID card number instead of your Social Security Number on the enrollment forms (DD Form 2792 and DD Form 2792-1).

Important Information on EFMP Enrollment and Update Process (107 KB PDF)

Tricare Echo

The TRICARE Extended Care Health Option (ECHO) provides supplemental services to active duty family members (ADFMs) with qualifying mental or physical disabilities. ECHO offers integrated services and supplies beyond those offered by the basic TRICARE health benefits program.

Extended Care Health Option (ECHO) benefits include:

  • ABA reinforcement services,
  • rehabilitation,
  • special education,
  • assistive technology devices and training in their use,
  • durable medical equipment,
  • institutional/residential care,
  • expanded in-home medical services through ECHO Home Health Care, and
  • respite care
For more information about ECHO:
http://tricare.mil/~/media/Files/TRICARE/Publications/FactSheets/ECHO_FS.pdf
To enroll in ECHO, contact an ECHO Coordinator:

Respite Care Reimbursement Program

The Respite Care Reimbursement Program is intended to reduce stress on sponsor families by providing temporary rest periods for the primary caregiver(s) who care for those Exceptional Family Members with severe and profound special needs (Level of Need 3 and 4). Reimbursement for respite care is a non-entitlement benefit to be considered as a subsidy for care up to 20 hours per month. Sponsors must submit provider documentation to the Henderson Hall EFMP Program Manager for approval. Please contact us at efmphh@usmc-mccs.org or 703-693-7195 for more information about the program and to see if you are eligible.

Respite Care Reimbursement Program Forms:
For additional Respite Care Resource information see Henderson Hall Respite Care Resources.

TRICARE ECHO Respite Care

If you are enrolled in the EFMP, you may also qualify for the TRICARE ECHO program. Among other benefits, the TRICARE ECHO program offers:

  • ECHO Respite Care – 16 hours per month when receiving other authorized ECHO benefits.
  • TRICARE ECHO Home Health Care Respite – up to 40 hours per week (eight hours per day, five days per week) for those who qualify.

    Contact your ECHO Coordinator to determine eligibility.

Resources

EFMP Lending Library

The Henderson Hall EFMP office has a variety of resources available to sponsors, families and commands to borrow for up to 6 months. These resources include books, magazines, CDs, DVDs, and sensory equipment.


Download EFMP Lending Library Resource List (223 KB PDF)


Local, State & National Resources


District of Colombia Resources Maryland Resources Virginia Resources National Resources

Specialized Training of Military Parents (STOMP)


STOMP is a federally funded Parent Training and Information Center that assists military families who have children with special education or health needs. STOMP serves families in the following ways:

  • Provides information and training about laws, regulations and resources for military families of children with disabilities
  • Assists parents and professionals in developing their own community parent education/support groups
  • Provides a voice to raise awareness of issues faced by military families with children who have disabilities

The DoD Special Needs Parent Tool Kit: The DoD Special Needs Parent Tool Kit has comprehensive information and tools that are geared towards helping military families with special needs children navigate the maze of medical and special education services, community support and benefits and entitlements.


Special Care Organizational Records (SCOR): The Special Care Organization Record (SCOR) is an organizing tool for those caring for persons with special needs. It is intended to help track and organize the information necessary to care for the special needs person in the caregiver’s absence.


Listings are provided as a resource only; no USMC MCCS endorsement is implied.

EFMP Frequently Asked Questions

Enrollment


 

Q

Who is eligible for the Exceptional Family Member Program?
 

A

An official family member with an exceptional medical or special education need, registered in DEERS, who resides with the active duty service member sponsor. This can include a spouse, child or dependent adult. It is mandatory (by MCO 1754.4B) that the Marine enroll a family member who has special medical or educational needs. Contact your EFMP office if you are unsure if you should enroll a family member.
     
 

Q

What are EFMP eligibility requirements?
 

A

REF: MCO 1754.4B
It is DoD policy that family members who meet any of the following criteria will be enrolled in the EFMP:
   
  • Potentially life threatening conditions and/or chronic medical/physical conditions requiring follow up support more than once a year and/or specialty/sub-specialty care.
  • Current and chronic (duration of six months or longer) diagnosed mental health condition, inpatient, or intensive outpatient mental health service within the last two years. Intensive outpatient is defined as monthly, or more frequent, mental health services.
  • A diagnosis of asthma or other respiratory-related diagnosis with scheduled use of inhaled anti-inflammatory agents or bronchodilators, a history of acute asthma exacerbations, or history of hospitalizations, as captured on the DD Form 2792.
  • A mental health diagnosis (including Attention Deficit Disorder) that requires prescribed psychotropic medication(s) and/or treatment by a mental health provider (e.g., psychiatrist, psychologist, licensed clinical social worker, etc.).
  • Special Education Eligibility Under the Individuals with Disabilities Education Act (IDEA):
   
    • An infant or toddler with a developmental disability (birth through two years inclusive) in conformity with an Individualized Family Service Plan (IFSP) specifying early intervention services.
    • A school-age child (ages 3 through 21 years inclusive) is entitled when a school determines a child's educational performance is adversely affected by one or more disabling conditions. Eligibility for special education services is documented by a current Individual Education Program (IEP).
 

Q

How do you enroll a family member in the EFMP?
 

A

By submitting a DD Form 2792. Also, a DD Form 2792-1 must be completed for children receiving special education services through an Individualized Family Service Plan (IFSP) or an Individualized Education Plan (IEP).  If you have any questions about the enrollment process please contact your EFMP office.



Disenrollment


 

Q

How do I disenroll my family member?
 

A

By updating and submitting a DD 2792 and a DD 2792-1 (if required). HQ USMC will evaluate these documents and either update your status or disenroll your family member if EFMP services are deemed no longer necessary.
     
 

Q

Will my family member automatically be disenrolled if I fail to update their enrollment by the every-3-year due date?
 

A

No, your family member will remain enrolled in the program. The only way to disenroll is by resubmitting the enrollment forms and having them evaluated for disenrollment.

     
 

Q

When should I update my family member’s enrollment?
 

A

When any of these conditions occur:

• Before the 3-year enrollment update deadline
• Whenever the family member’s condition worsens or improves, effecting their needs
• When the family member’s status changes, through age, custody, or any instance in which
   they are no longer an official family member in DEERS


Assignment Coordination


 

Q

What does EFMP Assignment Coordination mean?
 

A

The Exceptional Family Member Program is a mandatory enrollment program for sponsors with qualifying family members. Assigning Marine sponsors to locations that can support the needs of their family member ensures that the sponsor's performance of duty is not inordinately affected by the demands of caring for their Exceptional Family Member. This allows the sponsor to concentrate on performing his/her duties and contributes to the operational readiness of the Marine Corps. This is especially critical in overseas assignments where the provision of services may be limited. Successful execution of the EFMP improves the quality of life for Marine Corps families with special needs.

If you have any questions or need assistance with the Henderson Hall EFMP Enrollment process, please contact the Henderson Hall EFMP Office.
     
 

Q

How does the EFMP provide relocation assistance?

 

A

Once you receive orders, please contact the Henderson Hall EFMP office for assistance. The Henderson Hall EFMP office will coordinate with the gaining/losing EFMP office to assist you in connecting services between duty stations. This “warm hand-off" (WHO) process ensures a smooth and seamless Permanent Change of Station (PCS) transition. Prior to your PCS from Henderson Hall, please complete the EFMP Family Transition Checklist (relocation resources are included on this link) and then forward the information to your Henderson Hall EFMP Family Case Worker. As part of the EFMP WHO process and in order to ensure the continuum of care for your EFM, your FCW will review your completed checklist and then forward it to the gaining installation and to your new Family Case Worker so that he/she can assist you in finding the appropriate resources and support services at your new duty station.   

     
 

Q

What is Continuation on Location?

 

A

Continuation on Location (CoL) refers to the stabilization of the family and does not require the Marine to remain in a geographic location. CoL allows the family to remain in the location of the last fully funded PCS assignment. In all cases, efforts will be made to maintain the family unit. CoL decisions are made to facilitate the continuum of care for enrolled families. The below chart has been provided by Headquarters, U.S. Marine Corps as a guide for requesting consideration for Continuation on Location. Please click here to view the chart

If you have any questions regarding the USMC EFMP Continuation on Location process, please contact HQMC EFMP at 703-784-0298.

Clarifying Guidance for Exceptional Family Member Program (EFMP) Continuation on Location

http://www.marines.mil/News/Messages/tabid/13074/Article/157162/clarifying-guidance-for-exceptional-family-member-programefmp-continuation-on-l.aspx


Family Support


 

Q

What sorts of family support services does the EFMP provide?

 

A

The EFMP provides each EFM a Family Case Worker (FCW). This case worker can help link the family with local services and supports, connect the family with local, state and national resources and networks, and assist in advocating in the schools. The program also provides educational resources in their lending library, and topical workshops, support groups and events. The EFMP also provides respite care reimbursement through the Respite Care Reimbursement Program.
     
 

Q

I don’t require any family support. Can I opt out?

 

A

Yes, you can opt out of any support or communication other than update reminders and assignment coordination by completing and submitting a Declination Form. Contact your Family Case Worker to obtain a Declination Form.



Respite Care Reimbursement Program


 

Q

What is the process for determining eligibility for the Respite Care Reimbursement Program?

 

A

The process involves the following: (1) Complete and submit these forms: Verification of Eligibility to Participate in the EFMP Respite Care Reimbursement Program, Statement of Understanding, Hold Harmless Agreement for each respite care provider, and ACH Application Form (Direct Deposit form); (2) Submit provider documentation for approval (contact HH EFMP Program Manager at 703-693-6368 to discuss provider qualifications); (3) Receive approval for provider credentials by HH EFMP Program Manager. (4) Receive notification of eligibility (5) Begin respite care.
     
 

Q

Who is eligible for the program?

 

A

– Children 18 years old or younger with respite care LoN 3
- All ages with respite care LoN 4.

     
 

Q

How do I know my EFM’s LoN?

 

A

If you would like to know your EFMs LoN, please contact your Family Case Worker.

     
 

Q

How is LoN determined?

 

A

LoN is determined by HQ EFMP Medical Screeners based on review of the DD2792, DD2792-1, IEP/IFSP and other relevant documents submitted by the sponsor at the time of enrollment or update. They use a standardized quantitative rubric to assess the special needs of the EFM and identify the minimum level of provider skills required to maintain the health and safety of the EFM. LoN ranges from 1 to 4. EFM situations may change and can require a change in identified LoN. An enrollment update, or additional information, may be required to approve a change in respite care LoN.

     
 

Q

What if I disagree with my EFM’s current LoN?

 

A

Please contact your Family Case Worker to request a formal review of your EFM’s LoN.  There is a formalized process which the installation EFMP will engage.  You will be notified of the final decision by your installation Family Case Worker.

     
 

Q

How is my respite rate determined?

 

A

The reimbursement rate is based on the installation’s Child Development Center (CDC) hourly drop-in rate. Then a formula is used that takes into consideration the number of EFMs and their LoN. When you apply for the Respite Care Reimbursement Program, your installation EFMP office will send you an email, which will identify if you are eligible for the respite care program, and if so, what your respite care reimbursement rate will be.

     
 

Q

If I am not eligible for EFMP respite care, are there other resources available to me?

 

A

There may be other resources available to you in your community. Please contact your EFMP Family Case Worker to learn about services and programs in your community for which you may be eligible.

     
 

Q

What is the difference between category and LoN?

 

A

USMC EFMP does not use categories to make decisions.  Prior to 2009, categories were assigned during enrollment and were used to make determinations about where EFMP enrolled Marines could be stationed.  Beginning in 2009, USMC EFMP initiated the LoN to apply to respite care purposes only.  Categories are used at HQMC EFMP for administrative purposes only and will not impact respite care, assignments, or enrollment/endorsement decisions. 

     
 

Q

How many hours of respite care per month will the program subsidize?

 

A

20 hours per family, per month

     
 

Q

If we do not use all 20 hours of respite care one month, can they be rolled over to another month?

 

A

No, the 20 hours per month allotted to each family does not accrue.

     
 

Q

If we do not use all 20 hours of respite care one month, can they be transferred to another family?

 

A

No, respite care hours cannot be transferred.

     
 

Q

Can I use respite care hours for childcare while working or attending school?
 

A

No, respite care cannot be used for childcare while sponsor/spouse are working or attending school. Respite care may not be used for pre-school programs or therapy sessions for the exceptional family member.