DD FORM 2792-1 Special Education Intervention Summary
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The Exceptional Family Member Program (EFMP) supports the continuum of care for all eligible sponsors and their family member in order to improve the quality of life for families that support a member with special medical and/or educational needs. EFMP is a DOD-mandated enrollment program designed to support individual, family, and unit readiness.
DD Form 2792 -
Medical Enrollment Form
Medical Enrollment Form
- The sponsor, spouse or guardian completes and signs the authorization to release information on page 1, the demographic information on page 2, and the patient identifying information at the top of each subsequent page before submitting the form to the medical provider.
- The EFMP Manager or Family Case Worker completes the administrative information on page 3.
- The medical provider completes all sections of the medical summary on pages 4-7 and signs, stamps and dates in the designated area at the bottom of page 7.
- There are three addendums that are completed as applicable by a physician or mental health clinician. Addendum 1 is to be completed if the patient has been evaluated for asthma within the past 5 years. Addendum 2 is to be completed if the patient has a mental health diagnosis by the clinician or a medical provider familiar with diagnosis and treatment of patient. Addendum 3 is completed if the patient has been diagnosed with Autism Spectrum Disorder or developmental delay by a medical provider familiar with diagnosis and treatment plan for the patient. If any addendum is not applicable to the patient it should not be completed or signed.
Completed by Primary Care Physician
- Medical service providers must complete specific sections of the Department of Defense form, DD 2792, required to enroll, update information or disenroll family members from the Exceptional Family Member Program (EFMP). The primary purpose of the form is to provide detailed information on the medical services the patient requires to the EFMP screening coordinator who will ensure the family member will be stationed at an installation where they will have access to the appropriate care.
Eligible for reimbursement when charged a fee by a Tricare authorized provider (MARADMIN 309/15)
DD Form 2792-1
- Educational enrollment form
- Completed by school
- May require submission of IEP or IFSP (when appropriate)
EFMP DD2792 Reimbursement
The Marine Corps Exceptional Family Member Program is a mandatory enrollment program designed to coordinate permanent change of station assignments for active duty sponsors who have a family member with special needs. When Marines are assigned to locations where their family members have access to required care, it allows the Marine to focus on the mission, enhancing the individual and family readiness.
Marines and families often contact EFMP with recommendations about how the program can better support families and we value this communication. Several months ago, families began notifying EFMP that some TRICARE authorized providers were charging for completion of the DD Form 2792. This form is used across the Department of Defense to identify the medical requirements of family members for the purpose of EFMP enrollment. Enrolled families must also submit an updated form every three years to ensure that the most current information is available for EFMP assignment review.
As we investigated, we learned that network providers cannot receive TRICARE reimbursement for the time associated with completion of this form and therefore passed the cost to the individual family. Additionally, we have learned that absent regulation, authorized provider charges to families are inconsistent, and in some cases, cost prohibitive for families.
The Marine Corps believes that families should not bear the cost of form completion to comply with a DoD-mandated program, and we have instituted a reimbursement process, retroactive to October 1, 2014. We have authorized reimbursement at actual cost, up to a maximum of $200/package, whichever is less. We recognize that some providers are charging more than the $200/package, however with education, may reduce their charges to align with our reimbursement. In some cases, providers have been charging less than the maximum amount authorized by the Marine Corps; we commend them and encourage them to keep their rates consistent. EFMP-enrolled Marines who are interested in pursuing a reimbursement, should contact their assigned EFMP office for assistance.
DD 2792 Reimbursement Information & Forms
- MARADMIN 309/15
- Reimbursement Flyer
- Optional Form 1164 (Please right click and select save as)
- Frequently Asked Questions
Disability Rights of California
Special Education advocacy support for families includes Individualized Education Program (IEP) goals and objectives. “Least Restrictive Environment” and “Prior Written Notice” assistance is offered to families to help better understand the special education laws and policies in the local schools. Call (800) 776-5746 or visit their website.
TASKmil – Team of Advocates for Special Kids – Military
Non-profit agency that assists military parents of children with special needs in California to access assistance and support in early intervention, education, medical, or therapeutic support services for their children.
Call (866) 609-3218 or visit TASKmil.
Specialized Training of Military Parents (STOMP)
STOMP, a parent-directed program, exists to empower military parents, individuals with disabilities, and service providers with knowledge, skills, and resources so that they might access services to create a collaborative environment for family and professional partnerships without regard to geographic location.
Call (253) 565-2266 or visit their website.
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