Medical corps special pay guidance



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MEDICAL CORPS SPECIAL PAY GUIDANCE
LEGACY TO CONSOLIDATED SPECIAL PAYS:
This pay plan applies to the Navy Medical Corps special pays as authorized by ASD(HA) memo Health Professions Officer Special and Incentive Pay Plan dated 27 September 2016. All Medical Corps officers receiving special pays in FY17 will convert to Consolidated Special Pays (CSP) as directed by the National Defense Authorization Act (NDAA) of 2008 (Public Law 110-181).


  1. Medical Corps Officers under a Legacy Multi-year Special Pay (MSP) contract due an anniversary installment in FY17.



  1. The contract will be amended to reflect the MSP agreement is now a CSP Retention Bonus (RB), and all future payments will continue to be made. Everything contained in the original MSP agreement will remain the same, with the exception of the Incentive Special Pay (ISP) which will now become a portion of the CSP Incentive Pay (IP). The rate will remain the same, but will be comprised in the total IP rate. The IP will be the consolidation of the Legacy Special Pays Incentive Special Pay (ISP), Additional Special Pay (ASP), and Variable Special Pay (VSP). Amended contracts will not incur any additional Active Duty Service Obligation (ADSO).




  1. Those Medical Officers due an anniversary MSP/ISP payment in FY17 will be paid the MSP as normal in FY17, but if the officer is due to submit for ASP prior to the MSP/ISP anniversary date then it is possible the lump sum ISP payment will not be made, and will be included in the IP payments. Also, the officer will submit a request for IP on the date submitted for the ASP. The first year of IP will be adjusted and pro-rata to reflect any VSP, ASP or ISP already been paid for any portion of the period. After the first year the IP will be readjusted to reflect the full rate IP. If the officer is in receipt of Board Certification Pay (BCP), the officer will submit for the CSP BCP at the same time as the CSP IP.




  1. Medical Corps Officers NOT due a Legacy Multi-year Special Pay (MSP/MISP) anniversary payment will submit for CSP IP at this first special pay submission opportunity in FY17. For example, an officer’s ISP effective date is 1 October, and ASP effective date is 1 July, the officer will submit a CSP IP request/agreement effective 1 October 2016. . If the officer is in receipt of Board Certification Pay (BCP), the officer will submit for the CSP BCP at the same time as the CSP IP.




  1. For those who become initial board certified in FY17, and that date is prior to either the ASP or ISP date, then the officer is eligible to submit for the IP and CSP BCP effective the date of certification, or date entering active duty, whichever is later.

To receive a bonus or pay, an officer determined to be eligible for the bonus or pay shall enter into a written agreement, if required as explained below. When an officer becomes eligible for a lower IP rate it is the officer’s responsibility to contact the Chief, BUMED to ensure the IP rate is reduced. Reduction in IP rates occurs when the officer enters Initial Residency, or when the officer is under a Retention Bonus (RB) where the member is eligible for a higher IP rate while under an RB, and the RB agreement has completed and the officer is now eligible for a lower IP rate. Failure to do so on the part of the member could result in overpayment of IP and will be recouped:


2. TERMINATION/DENIAL OF SPECIAL PAY: A Commanding Officer may submit a request to Chief, BUMED to terminate at any time, or endorse recommending disapproval a request, a Medical Corps officer’s IP, RB, or BCP. Reasons for termination of IP and/or RB may include, but are not necessarily limited to: Loss of privileges; Courts martial convictions; violations of the Uniform Code of Military Justice; failure to maintain a current, unrestricted license to practice medicine, or reasons that are in the best interest of the Navy. Chief, BUMED will make determination on what, if any, special pays are to be terminated/denied. If entitlement to one or more of the aforementioned special pays is approved to be terminated/denied, the officer shall be paid, on a pro-rata basis, the portion served up to the official date of termination/denial.
A special pay that is terminated will result in recoupment of the unexecuted portion of the agreement. Caution should be taken to ensure all regulations have been adhered to by the command regarding the program for which the recommendation is being made, and the member has been given every opportunity to correct any deficiencies prior to recommending termination or denial of special pays. Also, it is essential the officer must be counseled by the command regarding this recommendation prior to submission to Chief, BUMED.
Eligibility for special pays is determined by Chief, BUMED, and includes determination of whether member is able to obligate for the length of the agreement being requested. Special Pay obligations cannot exceed statutory service limits as determined by Chief, BUMED.

3. REPAYMENT POLICY:


a. Except as provided in paragraphs b and c below, an officer who is paid IP, RB, or BCP the receipt of which is contingent upon the officer fulfilling specified conditions of eligibility, service, or assignment, shall repay the United States any unearned portion of the IP, RB, or BCP if the officer fails to fulfill the conditions of eligibility, service, or assignment and may not receive any unpaid amount of the IP, RB, or BCP after failing to fulfill such specified conditions. Situations requiring repayment include, but are not limited to:

1) An approved request for voluntary release from the written agreement specifying the conditions for receipt of the bonus or pay if, due to unusual circumstances, it is determined by the designated competent authority of the Navy that such release would clearly be in the best interests of both the Navy and the officer concerned;

2) An approved voluntary separation from the Naval service, or from active duty in the Naval service, or release from an active status in the Navy Reserve prior to fulfillment of the terms and conditions such as the period of service obligation required for receipt of the bonus or special or incentive pay;
3) An approved voluntary request for relief from an assignment;
4) Failure to execute orders to a billet commensurate with the officer’s specialty or skill, grade, or career progression;
5) Disability or physical disqualification resulting from misconduct, willful neglect, or incurred during a period of unauthorized absence;
6) Upon processing for separation for cause, including misconduct;

7) An approved detachment for cause; and

8) Upon processing for separation by reason of weight control and/or physical readiness test failure.

9) Upon promotion to O-7 repayment for unearned IP and/or RB. However, an officer continues eligibility for specialty rate of both IP and RB while frocked to O-7 or higher. O-7 and higher are eligible for the GMO IP; therefore, the only IP recouped upon promotion is the difference between GMO and the specialty IP which the officer was receiving prior to promotion to O-7,


b. If for any of the following reasons an officer fails to fulfill the specified conditions of eligibility, service, or assignment for which IP, RB, or BCP are paid to the officer, repayment of the unearned portion of the IP, RB, or BCP is not required, but any remaining unpaid amount shall not be paid:

1) Separation from the Naval service by operation of laws or regulations independent of misconduct;

2) Separation from the Naval service under a hardship separation or sole survivor discharge as defined under section 303a(e)(2)(B) of Title 37, United States Code.

3) Where the Secretary of the Navy (or designee) determines that repayment of the unearned portion of the pay or bonus would be contrary to a personnel policy or management objective, against equity or good conscience, or contrary to the best interests of the United States.


c. If for any of the following reasons an officer fails to fulfill the specified conditions of eligibility, service, or assignment for which IP, RB or BCP are paid to the officer, repayment of the unearned portion of the pay or bonus will not be required, and any remaining unpaid amount will be paid to the member’s final pay account or upon separation:

1) Disability separation or retirement under Chapter 61 of Title 10, United States Code, where such disability is not the result of the officer’s misconduct, willful neglect, or incurred during a period of unauthorized absence; and, the injury or illness was incurred in the line of duty in a combat zone designated by the President or the Secretary of Defense or in a combat related operation designated by the Secretary of Defense.

2) Death in which the proximate cause is not misconduct on the part of the officer or individual; or

3) Where the Secretary of the Navy (or designee) determines that the repayment of the unearned portion of the pay or bonus received by the officer and to refrain from paying any remaining unpaid amount to the officer would be contrary to a personnel policy or management objective, against equity or good conscience, or contrary to the best interests of the United States.


4. BANKRUPTCY. An obligation to repay the United States as described herein is, for all purposes, a debt owed to the United States. A discharge in bankruptcy under Title 11, United States Code does not discharge an officer from such debt if the discharge order is entered less than 5 years after—

a. The date of termination of the written agreement or “contract” on which the debt is based; or


b. In the absence of such written agreement or “contract”, the date of termination of the eligibility, service, or assignment on which the debt is based.


CONSOLIDATED SPECIAL PAYS (CSP)

1. ACCESSION BONUS (AB)


a. Eligibility. To be eligible for AB, an individual must:
(1) Be a graduate of an American Medical Association (AMA) or American Osteopathic Association (AOA)-accredited school of medicine, and possess a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
(2) Be fully qualified to hold a commission or appointment as a commissioned officer in an Active Component of the Medical Corps.
(3) Be fully qualified in the specialty to which appointed in the Medical Corps.
(4) Have a current, valid, unrestricted license or approved waiver.
(5) At the time of commission or appointment, have completed all mandatory service obligations if financial assistance was received from the DoD in order to pursue a course of study to become an officer, or pursue a course of study leading towards appointment in the Corps/specialty. This includes, but is not limited to, participants and former participants of a Military Service Academy, Reserve Officers Training Corps, Armed Forces Health Professions Scholarship Program, Financial Assistance Program, Uniformed Services University of the Health Sciences, and other commissioning programs.
(6) Execute a written agreement to accept a commission or appointment as an officer of the Military Services to serve on active duty for a specific period. An individual who holds an appointment as an officer in either the Active or Reserve Component is not eligible for an AB. A former officer who no longer holds an appointment or commission, and is otherwise qualified and eligible must have been honorably discharged or released from uniformed service at least 24 months prior to executing the written agreement to receive AB.
b. AB Amounts. Physicians are considered a Critically Short Wartime Specialty pursuant to USC Title 37, Chapter 5, Section 335(a)(2). Physicians who meet the conditions in subparagraphs 1.a(1) through 1.a(6) of this Pay Plan are eligible for an AB payable for written agreements in the amounts in Table 1.
c. Service Obligations. During the discharge of the service obligation associated with AB, individuals are eligible for Incentive Pay (IP). Any additional obligation incurred by these pays shall be served concurrently. During the discharge of the service obligation associated with AB, individuals are not eligible for a Retention Bonus (RB).
d. Authorized AB. The Chief, Navy Recruiting Command may, upon acceptance of the written agreement, approve AB to an eligible individual in the amount in Table 1 for a 4-year obligation. Eligible individuals who sign a written agreement to serve on active duty or in an active status in exchange for receiving AB are authorized to receive AB. Based on Service-unique requirements, the Chief, Navy Recruiting Command may decline to offer an AB to a Physician. Once the agreement is entered into, Physicians are only authorized to enter other special pay agreements under CSP as defined in USC Title 37, Chapter 5, Section 335.

2. IP


a. Eligibility. A Physician is eligible for IP if he or she:


  1. Is serving in the Medical specialty for which the IP is being paid, unless terminated.

(2) Executes a written agreement to remain on active duty beginning on the date the contract is executed. Once the IP agreement is entered into there is no requirement to submit another IP request unless the officer loses eligibility, or becomes eligible for another IP rate. Eligible officers are required to submit requests when they become eligible for a higher IP rate, for FY17 officers will become eligible when submitting for either the ASP or ISP, whichever is the first to submit for in FY17, or upon completion of a Retention Bonus (RB) and then eligible for a lower non-RB rate IP. For those who complete an RB, and the IP rate remains the same, submission of a new IP agreement is not required.


(a) For Active Component: active duty for a period of not less than 1 year.
(b) For Reserve Component: active duty for a period of more than 30 days and not for training only.
(3) Possesses an unrestricted license (or approved waiver). Subject to acceptance by the Chief, BUMED, an officer must be currently credentialed, privileged, and practicing at a facility designated by the Navy as an authorized medical facility, in the Medical specialty for which the IP is being paid. The Chief, BUMED may also approve recommendations on a case by case basis for IP payments to Physicians assigned to positions requiring a substantial portion of time performing military-unique duties under adverse conditions, or in remote locations outside the United States, or that preclude the ability to spend appropriate time in a clinical setting. Flag officers at the rank of O-7 and above are eligible for the General Medical Officer (GMO) IP rate.
b. Monthly Payments. IP is paid monthly and shall be paid in the annual amount in Table 2. After the initial year agreement the IP payments will continue, at the rate in the agreement, with no requirement for additional IP agreements or requests unless the officer becomes eligible for a different IP rate.
c. Not Under RB Agreement. Subject to acceptance by the Chief, BUMED, a Physician not under an RB agreement, who becomes eligible for a higher IP rate may request to terminate and renegotiate for the higher rate IP. The new agreement will be for a minimum of 1year from date of renegotiation.
d. Under RB Agreement. Physicians who enter an RB contract shall continue IP eligibility at the IP rate with RB in effect at the time the RB contract is effective, and will continue for the duration of the RB agreement. If the IP with RB agreement authorized the physician a higher IP rate, upon termination/completion of the RB agreement the physician is required to submit an IP request/agreement for the new lower rate IP, or Chief, BUMED will terminate the IP in its entirety.
e. Completion of Qualifying Training. The effective date of IP shall be calculated from the completion of the qualifying training plus 3 months.

3. RB


a. Eligibility. To be eligible for RB, a Physician must:
(1) Be below the grade of O-7.
(2) Have completed either:
(a) Any active duty service commitment incurred for participating in a commissioning program.
(b) The active duty service obligation (ADSO) for AB or Accession Health Professions Loan Repayment Program (HPLRP) is paid as an accession incentive, and must be served prior to eligibility for an RB, or an individual eligible for AB and/or Accession HPLRP may decline the AB/HPLRP (prior to first payment) and accept the RB.
(3) Have completed specialty qualification for which the RB is being paid prior to the beginning of the fiscal year during which a written agreement is executed, but no earlier than 3 months after completing qualifying training.
(4) Executes a written agreement, accepted by the Chief, BUMED, to remain on active duty in the specialty for which the RB is being paid for 2, 3, or 4 years.
(5) Have a current, valid, unrestricted license or approved waiver, and subject to acceptance by the Chief, BUMED, must be currently credentialed, privileged, and practicing at a facility designated by the Navy as an authorized medical facility, in the Medical Specialty for which the RB is being paid. The Chief, BUMED may also approve recommendations on a case by case basis for RB payments to Physicians assigned to positions requiring a substantial portion of time performing military-unique duties under adverse conditions or in remote locations outside the United States, or that preclude the ability to spend appropriate time in a clinical setting.
b. Service-Unique Requirements. The Chief, BUMED may decline to offer an RB to Physicians or may restrict the length of an RB contract to less than 4 years based on service needs or requirements.
c. Prior Multiyear Pay (MP) or RB. Subject to acceptance by the Chief, BUMED, a Physician with an existing MSP, or with an existing RB contract as authorized in this attachment, may request termination of that contract to enter into a new RB contract with an equal or longer obligation at the RB annual rate in effect at the time of execution of the new RB contract. The new obligation period shall not retroactively cover any portion or period that was executed under the old contract. An officer may not receive a special pay under both the Legacy and CSP Pay Plans.
d. ADSOs. ADSOs for RB shall be established in accordance with subparagraphs 3.d.(1) through 3.d.(4) of this Pay Plan.
(1) ADSOs for education and training and previous MP agreements shall be served before serving the RB ADSO.
(2) When no education and training ADSO exists at the time of an RB contract execution, the RB ADSO shall be served concurrently with the RB contract period and all non-education and training ADSOs. Also, if the RB contract is executed before the start date of residency/fellowship training and no other education and training ADSO exists, the RB ADSO shall be served concurrently with the RB contract period. However, if the RB contract is executed on or after the start date of residency/fellowship, the Physician is obligated for the full residency/fellowship period and the RB ADSO shall begin 1 day after the residency/fellowship ADSO is completed. Once a Physician has begun to serve an RB ADSO, he or she shall serve it concurrently with any future ADSO, including obligations for other special pay agreements or medical education and training obligations incurred after the execution date for that particular RB contract.
(3) Obligations for an RB may be served concurrently with any other service obligation, to include IP, Board Certified Pay (BCP), promotion, non-clinical doctorate degree, non-clinical master’s degree, and non-Medical military schooling.
(4) During the discharge of the service obligation associated with the HPLRP paid as a retention incentive, individuals are eligible for an RB. The RB ADSO is consecutive to all HPLRP obligations.
e. Annual Pay Amounts for Multiyear RB. Annual payment amounts for multiyear RB contracts shall be in the amounts in Table 2. The RB shall be paid annually on the anniversary date of contract.
4. BCP. Medical Specialists are eligible to receive BCP at the annual rate as indicated in Table 3 paid in equal monthly amounts. To be eligible for BCP, an officer must:

a. Be certified by a recognized board in the clinical specialty as listed in Table 4.


b. Possess a current, valid, unrestricted license or approved waiver.
c. Executes a written agreement to remain on active duty beginning on the date the contract is executed.


  1. BCP eligibility is the later of, date of certification, date of license, date assigned the qualifying specialty, or date reported to active duty.

5. PAYMENT


a. IP and BCP shall be paid monthly. RB and AB shall be paid in annual installments for the length of the agreement. Upon acceptance by the Chief, BUMED, the total amount paid under the agreement shall be fixed during the length of the agreement. The amount of each bonus or pay is listed in Tables 1-3.
b. A Physician who enters into a written agreement is eligible to the full amount of the bonus or pay earned for fulfilling the conditions for such bonus or pay. Specified conditions may include a service obligation and the eligibility requirement described in this attachment.

GLOSSARY
PART I. ABBREVIATIONS AND ACRONYMS


AB

Accession Bonus

AMA

American Medical Association

AOA

ADSO


American Osteopathic Association

Active Duty Service Obligation



ASD(HA)

Assistant Secretary of Defense for Health Affairs

CSP

DO


Consolidated Special Pay

Doctor of Osteopathic Medicine



HPLRP

Health Professions Loan Repayment Program

IP

Incentive Pay

MD

Doctor of Medicine

MP

Multiyear Pay

RB

Retention Bonus












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