ADMINISTRATIVE MESSAGE ROUTINE R 301230Z NOV 01 ZYB MIN PSN 927131J23 FM CNO WASHINGTON DC//N1// TO NAVADMIN UNCLAS //N07220// NAVADMIN 310/01 MSGID/GENADMIN/N1// SUBJ/FY-02 MEDICAL CORPS OFFICER SPECIAL PAY PLAN// REF/A/DOC/PL 101-510/05NOV1990// REF/B/LTR/ASD HA/16AUG2001/NOTAL// REF/C/DOC/SECNAVINST 7220.75C/31MAY1990// NARR/REF A AUTHORIZES MSP FOR MEDICAL CORPS OFFICERS. REF B PROVIDES DOD POLICY GUIDANCE FOR ADMINISTRATION OF MULTI-YEAR SPECIAL PAY (MSP) AND INCENTIVE SPECIAL PAY (ISP),AND DOLLAR AMOUNTS FOR FY-02. REF C PROVIDES GENERAL GUIDANCE FOR MEDICAL CORPS OFFICER SPECIAL PAYS.// RMKS/1. THIS NAVADMIN ANNOUNCES FY-02 MSP AND ISP PLAN FOR ACTIVE DUTY MEDICAL CORPS OFFICERS. THIS MSG HAS BEEN COORDINATED WITH THE COMMANDANT OF THE MARINE CORPS (CMC), WHO HAS AUTHORIZED TRANSMISSION TO MARINE CORPS ACTIVITIES. AUTHORITY IS DELEGATED TO CHIEF, BUREAU OF MEDICINE AND SURGERY (MED-527) OR HIS DESIGNEE TO EXECUTE CONTRACTS, EFFECTIVE 1 OCT 01. REFS (A) THROUGH (C) PERTAIN. 2. MEDICAL MULTI-YEAR SPECIAL PAY. A. ELIGIBILITY REQUIREMENTS. (1) MEDICAL CORPS OFFICERS BELOW GRADE O7; (2) MUST HAVE AT LEAST EIGHT YEARS CREDITABLE SERVICE AS DETERMINED BY HEALTH PROFESSIONAL PAY ENTRY DATE (HPPED) PER REF C, OR HAVE NO OBLIGATED SERVICE COMMITTMENT INCURRED FOR MEDICAL EDUCATION AND TRAINING; (3) HAVE COMPLETED INITIAL RESIDENCY TRAINING, OR SCHEDULED TO COMPLETE INITIAL RESIDENCY TRAINING BEFORE 1 OCT 01; AND (4) MUST EXECUTE A WRITTEN AGREEMENT APPROVED BY BUMED TO REMAIN ON ACTIVE DUTY FOR TWO, THREE, OR FOUR YEARS. B. ANNUAL PAYMENTS. MSP WILL BE PAID ACCORDING TO LENGTH OF CONTRACT. INITIAL ANNUAL INSTALLMENTS WILL BE PAID UPON ACCEPTANCE BY (MED-527) OF MSP SERVICE AGREEMENT. CONTRACTS WILL BE EFFECTIVE NOT EARLIER THAN DATE OF APPROVAL BY (MED-527). THERE IS NO RETROACTIVE AUTHORITY FOR MSP CONTRACTS. SUBSEQUENT INSTALLMENTS WILL BE PAID ON OR ABOUT THE ANNIVERSARY DATE OF (MED-527) APPROVAL VIA ELECTRONIC FUNDS TRANSFER (EFT) FROM DFAS. THE FOLLOWING ANNUAL RATES (IN DOLLARS) WILL BE PAID BY SPECIALTY FOR CONTRACT LENGTH SHOWN: CONTRACT LENGTH: 2 YEAR 3 YEAR 4 YEAR CATEGORY ONE 12,000 13,000 14,000 ANESTHESIOLOGY FAMILY PRACTICE GENERAL SURGERY NEUROSURGERY ORTHOPEDICS PSYCHIATRY RADIOLOGY SUBSPECIALTY CAT I (NOTE 1) CATEGORY TWO 8,000 9,000 10,000 AEROSPACE MEDICINE DERMATOLOGY EMERGENCY MEDICINE INTERNAL MEDICINE NEUROLOGY OB/GYN OPHTHALMOLOGY OTOLARYNGOLOGY PATHOLOGY PEDIATRICS PREVENTIVE/OCCUP/PHYS MED SUBSPECIALTY CAT II (NOTE 2) SUBSPECIALTY CAT III (NOTE 3) SUBSPECIALTY CAT IV (NOTE 4) UROLOGY CATEGORY THREE (NONE) CATEGORY FOUR (NO MSP) SUBSPECIALTIES: SPECIALTIES GROUPED FOR PAY PURPOSES INTO THE FOLLOWING CATEGORIES: NOTE (1): SUBSPECIALTY CATEGORY I (FORMERLY SURGICAL SUBSPECIALTIES). INCLUDES ADULT CARDIOLOGY, CARDIO-THORACIC SURGERY, COLON AND RECTAL SURGERY, ONCOLOGY SURGERY, PEDIATRIC SURGERY, PLASTIC SURGERY, ORGAN TRANSPLANT, TRAUMA/CRITICAL CARE SURGERY, AND VASCULAR SURGERY. NOTE (2): SUBSPECIALTY CATEGORY II. NUCLEAR MEDICINE PHYSICIANS. NOTE (3): SUBSPECIALTY CATEGORY III (FORMERLY CRITICAL CARE SPECIALIST). INCLUDES PHYSICIANS RESIDENCY TRAINED IN: ALLERGY/IMMUNOLOGY, GASTROENTEROLOGY, NEPRHOLOGY, PULMONARY MEDICINE, HEMATOLOGY/ONCOLOGY, PEDIATRIC CARDIOLOGY, NEONATOLOGY, AND PHYSICIANS WHO ARE FELLOWSHIP TRAINED CRITICAL OR INTENSIVE CARE MEDICINE SPECIALIST. NOTE (4): SUBSPECIALTY CATEGORY IV. (FORMERLY INTERNAL MEDICINE/PEDIATRIC SUBSPECIALTIES). INCLUDES ALL INTERNAL MEDICINE/PEDIATRIC SUBSPECIALTIES NOT LISTED IN SUBSPECIALTY CATEGORY III. C. EXISTING MSP CONTRACT. SUBJECT TO (MED-527) ACCEPTANCE, A MEDICAL CORPS OFFICER WITH AN EXISTING MSP CONTRACT MAY TERMINATE THAT CONTRACT TO ENTER INTO A NEW MSP CONTRACT, WITH AN EQUAL OR LONGER OBLIGATION AT THE FY-02 MSP ANNUAL RATE. ANY UNEARNED PORTION OF TERMINATED MSP CONTRACT WILL BE RECOUPED PRO RATA. THE EARLIEST CONTRACT EFFECTIVE DATE USING THIS AUTHORITY IS 1 OCT 01. D. ACTIVE DUTY OBLIGATION (ADO) FOR MSP. (1) MSP ADO WILL BE SERVED AFTER ADO(S) FOR MEDICAL EDUCATION AND TRAINING OR PREVIOUS MSP AGREEMENTS. (2) IF NO ADO FOR MEDICAL EDUCATION AND TRAINING EXISTS AT TIME OF A MSP EXECUTION, THE MSP ADO IS SERVED CONCURRENTLY WITH THE MSP AGREEMENT PERIOD AND ALL NON-EDUCATION AND TRAINING ADO'S. IF MSP AGREEMENT IS EXECUTED PRIOR TO THE STARTING DATE OF FELLOWSHIP TRAINING AND THERE IS NO PRIOR ADO FOR EDUCATION AND TRAINING, THE MSP ADO IS SERVED CONCURRENTLY WITH THE MSP AGREEMENT PERIOD. IF THE MSP AGREEMENT IS EXECUTED ON OR AFTER THE STARTING DATE OF THE FELLOWSHIP TRAINING, THE PHYSICIAN IS OBLIGATED FOR THE FULL FELLOWSHIP PERIOD AND THE MSP ADO WILL BEGIN ONE DAY AFTER FELLOWSHIP ADO IS COMPLETED. ONCE A PHYSICIAN BEGINS TO SERVE THE MSP ADO, IT WILL BE SERVED CONCURRENTLY WITH ANY EXISTING ADO, INCLUDING ADO'S FOR OTHER SPECIAL PAY AGREEMENTS AND MEDICAL EDUCATION AND TRAINING INCURRED AFTER EXECUTION OF THE PARTICULAR MSP AGREEMENT. (3) ADO'S FOR ADDITIONAL SPECIAL PAY, INCENTIVE SPECIAL PAY, PROMOTION AND PCS MAY BE SERVED CONCURRENTLY WITH MSP ADO. (4) MSP OBLIGATION IS BINDING UPON RECEIPT OF FIRST ANNUAL INSTALLMENT. 3. INCENTIVE SPECIAL PAY. A. PER REF (B), FY-02 ISP RATES ARE AUTHORIZED FOR CONTRACTS BEGINNING ON OR AFTER 1 OCT 01 BY SPECIALTY AS INDICATED BELOW: SPECIALTY ANNUAL AMOUNTS IN DOLLARS AERO MEDICINE 12,000 ANESTHESIOLOGY 36,000 DERMATOLOGY 18,000 EMERGENCY MEDICINE 26,000 FAMILY PRACTICE 13,000 GENERAL SURGERY 29,000 INTERNAL MEDICINE 14,000 NEUROLOGY 14,000 NEUROSURGERY 36,000 OB/GYN 31,000 OPHTHALMOLOGY 28,000 ORTHOPEDICS 36,000 OTOLARYNGOLOGY 30,000 PATHOLOGY 16,000 PEDIATRICS 12,000 PREV/OCCUP/PHYS 12,000 PSYCHIATRY 15,000 RADIOLOGY 36,000 SUBSPECIALTY CATEGORY I (NOTE 1) 36,000 SUBSPECIALTY CATEGORY II (NOTE 2) 31,000 SUBSPECIALTY CATEGORY III (NOTE 3) 23,000 SUBSPECIALTY CATEGORY IV (NOTE 4) 14,000 UROLOGY 28,000 SUBSPECIALTIES: SPECIALTIES GROUPED FOR PAY PURPOSES INTO THE FOLLOWING CATEGORIES: NOTE (1): SUBSPECIALTY CATEGORY I (FORMERLY SURGICAL SUBSPECIALTIES). INCLUDES ADULT CARDIOLOGY, CARDIO-THORACIC SURGERY, COLON AND RECTAL SURGERY, ONCOLOGY SURGERY, PEDIATRIC SURGERY, PLASTIC SURGERY, ORGAN TRANSPLANT, TRAUMA/CRITICAL CARE SURGERY, AND VASCULAR SURGERY. NOTE (2): SUBSPECIALTY CATEGORY II. NUCLEAR MEDICINE PHYSICIANS. NOTE (3): SUBSPECIALTY CATEGORY III (FORMERLY CRITICAL CARE SPECIALIST). INCLUDES PHYSICIANS RESIDENCY TRAINED IN: ALLERGY/IMMUNOLOGY, GASTROENTEROLOGY, NEPRHOLOGY, PULMONARY MEDICINE, HEMATOLOGY/ONCOLOGY, PEDIATRIC CARDIOLOGY, NEONATOLOGY, AND PHYSICIANS WHO ARE FELLOWSHIP TRAINED CRITICAL OR INTENSIVE CARE MEDICINE SPECIALIST. NOTE (4): SUBSPECIALTY CATEGORY IV (FORMERLY INTERNAL MEDICINE/PEDIATRIC SUBSPECIALTIES). INCLUDES ALL INTERNAL MEDICINE/PEDIATRIC SUBSPECIALTIES NOT LISTED IN SUBSPECIALTY CATEGORY III. B. ELIGIBILITY: (1) MEDICAL CORPS OFFICER, BELOW THE GRADE OF O7, WHO HAVE COMPLETED SPECIALTY QUALIFICATION BEFORE 1 OCT 01 AND HAS A CURRENT, UNRESTRICTED LICENSE TO PRACTICE MEDICINE; (2) MUST EXECUTE WRITTEN AGREEMENT TO REMAIN ON ACTIVE DUTY FOR PERIOD OF NOT LESS THAN ONE YEAR. A COPY OF ALL ISP CONTRACTS MUST BE FORWARDED TO (MED-527) AND (PERS-4415); AND (3) MUST BE CURRENTLY CREDENTIALED AND PRIVILEGED AT A MILITARY TREATMENT FACILITY IN THE SPECIALTY FOR WHICH ISP IS TO BE PAID. C. GRADUATE PROGRAM DIRECTORS. DIRECTORS OF GRADUATE MEDICAL EDUCATION PROGRAMS WHO WERE ELIGIBLE FOR ISP UNDER EXISTING AUTHORITY WILL CONTINUE TO BE ELIGIBLE FOR THAT ISP RATE UNTIL PERMANENTLY REASSIGNED FROM TRAINING DIRECTOR POSITION. NEWLY ASSIGNED PROGRAM DIRECTORS WILL ONLY BE ELIGIBLE FOR ISP AMOUNTS AS SPECIFIED FOR THEIR SPECIALTY. D. MEDICAL CORPS OFFICERS WITH AN EXISTING ISP AGREEMENT AND NOT UNDER AN MSP, MAY TERMINATE THAT ISP AGREEMENT ONCE, ON OR AFTER 1 OCT 01, ONLY TO ENTER INTO A NEW ONE-YEAR ISP AGREEMENT IF THE NEW AGREEMENT RESULTS IN A HIGHER ISP RATE THAN THE AGREEMENT BEING TERMINATED. THIS PROVISION IS NOT INTENDED TO ALLOW MEDICAL CORPS OFFICERS TO ARBITRARILY TERMINATE AN ISP AGREEMENT SOLELY FOR THE PURPOSE OF CHANGING THE ANNIVERSARY DATE TO COINCIDE WITH AN ASP AGREEMENT OR A RETIREMENT, RESIGNATION, OR RELEASE FROM ACTIVE DUTY DATE. THIS PARAGRAPH SUPERSEDES PARA (14)(A)(7) OF REF (C). 4. ADDITIONAL SPECIAL PAY (ASP) A. MEDICAL CORPS OFFICERS WHO ARE ELIGIBLE FOR VARIABLE SPECIAL PAY (VSP), AND NOT UNDERGOING MEDICAL INTERNSHIP OR INITIAL RESIDENCY TRAINING, AND WHO EXECUTE A WRITTEN AGREEMENT TO REMAIN ON ACTIVE DUTY FOR ONE YEAR, ARE ENTITLED TO ASP FOR ANY CONSECUTIVE 12-MONTH PERIOD AT THE ANNUAL AMOUNT OF $15,000. A COPY OF ALL LOCALLY APPROVED ASP CONTRACTS WILL BE FORWARDED TO (MED-527) AND (PERS-4415). 5. BOARD CERTIFICATION PAY (BCP) A. PER REF (C), MEDICAL OFFICERS SHOULD SUBMIT A REQUEST, COMMANDING OFFICERS FIRST ENDORSEMENT, AND A COPY OF THEIR BOARD CERTIFICATE TO (MED-527) TO START BCP. UPON RECEIVING A COPY OF THEIR RECERTIFICATION, MEDICAL CORPS OFFICERS SHOULD SUBMIT A COPY OF THE RECERTIFICATION TO (MED-527) TO CONTINUE BCP. IF NO RECERTIFICATION IS RECEIVED, BCP WILL BE AUTOMATICALLY TERMINATED THE DAY AFTER THE ORIGINAL CERTIFICATION'S EXPIRATION DATE. 6. ADMINISTRATIVE PROCEDURES. A. MSP SUBMISSION PROCEDURES ARE THE SAME AS MEDICAL OFFICER RETENTION BONUS GUIDANCE PROVIDED IN REF (C). THE FORMAT FOR MSP REQUEST LETTER WAS REVISED ON 1 SEP 97 AND THIS FORMAT MUST BE USED. CONTACT YOUR DESIGNATED COMMAND SPECIAL PAY COORDINATOR OR ADMINISTRATIVE DEPARTMENT FOR A SAMPLE OF THE REVISED MSP REQUEST LETTER. MSP REQUESTS SUBMITTED IN THE OLD FORMAT WILL BE RETURNED WITHOUT ACTION. BUMED WILL DETERMINE ADO INCURRED FOR MEMBERS WHO TERMINATE CURRENT MSP AND EXECUTE NEW MSP CONTRACTS. MEMBERS WILL BE INFORMED OF ADO VIA APPROVAL NOTIFICATION LETTER. ACCEPTANCE OF FIRST MSP PAYMENT BY MEMBER INDICATES AGREEMENT TO TERMS OF MSP CONTRACT AND ADO. B. ISP SUBMISSION PROCEDURES AND ESTABLISHMENT OF ENTITLEMENT REQUIRE ELIGIBILITY AS ESTABLISHED BY REF (C). MEDICAL OFFICERS MUST BE CURRENTLY CREDENTIALED AND PRIVILEGED IN THE SPECIALTY FOR WHICH ISP IS TO BE PAID. USE FORMAT REF (C), ENCLOSURE (4) OR (5) AS APPLICABLE, FOR REQUESTING ISP BY SUBSTITUTING "ISP" FOR "ASP" WHENEVER IT APPEARS IN THE APPLICATION. COMMANDING OFFICERS WILL APPROVE/DENY FY-02 ISP CONTRACTS PER REF (C). ON A CASE BY CASE BASIS, SECNAV MAY APPROVE RECOMMENDATIONS FOR ISP PAYMENTS TO FULLY QUALIFIED PHYSICIANS ASSIGNED TO A POSITION REQUIRING A SUBSTANTIAL PORTION OF TIME PERFORMING MILITARY UNIQUE DUTIES UNDER ADVERSE CONDITIONS OR IN REMOTE OCONUS LOCATIONS THAT PRECLUDE ABILITY TO SPEND APPROPRIATE TIME IN A CLINICAL SETTING. PHYSICIANS IN THESE UNIQUE POSITIONS MUST SUBMIT THEIR REQUESTS TO (MED-527), VIA THEIR CHAIN OF COMMAND. INFORMATION REGARDING POSITION UNIQUENESS AND CREDENTIALING MUST BE INCLUDED IN THE REQUEST. A COPY OF ALL LOCALLY APPROVED ISP CONTRACTS MUST BE FORWARDED TO (MED-527). C. MEDICAL CORPS OFFICERS WHO ENTER INTO MSP CONTRACTS FOR FY-02 AS SPECIFIED IN THIS GUIDANCE MAY ENTER ISP CONTRACTS DURING FY-02 AT THE AMOUNTS LISTED ABOVE FOR THE SAME SPECIALTY AS STATED ON THE MSP CONTRACT. THE OFFICER WILL CONTINUE ISP ELIGIBILITY AT THAT RATE FOR EACH ACTIVE YEAR OF THE MSP CONTRACT (THE MSP AND ISP ARE LINKED TOGETHER). SHOULD FUTURE REASSESSMENTS CAUSE AN INCREASE TO THE ISP RATE FOR A SPECIALTY, THE OFFICER MAY TAKE ADVANTAGE OF THAT INCREASE ONLY BY SIGNING A NEW MSP CONTRACT (AT THE ANNUAL RATE IN EFFECT AT THAT TIME) WITH AN EQUAL OR LONGER OBLIGATION. D. THOSE MEDICAL CORPS OFFICERS RECEIVING A MSP UNDER PREVIOUS AUTHORITY ARE NOT ELIGIBLE TO RECEIVE ISP AT THE FY-02 HIGHER RATES WITHOUT RENEGOTIATING FOR A FY-02 MSP CONTRACT WITH AN EQUAL OR LONGER OBLIGATION (AS EXPLAINED IN PARAGRAPH 2C OF THIS MSG). E. MSP AND ISP PAYMENTS FOR OFFICERS PROMOTED TO O7 WILL BE RECOUPED PRO RATA BASIS, BASED ON THE EFFECTIVE DATE OF PROMOTION TO THAT GRADE. F. POLICY GENERALLY PRECLUDES PAYMENT OF ISP DURING THE SAME FISCAL YEAR IN WHICH RESIDENCY TRAINING IS COMPLETED. WHEN TRAINING IS COMPLETED OUT OF CYCLE AT A TIME OTHER THAN THE NORMAL END OF JUNE, THE EFFECTIVE DATE FOR ISP SHALL BE CALCULATED FROM THE COMPLETION OF TRAINING PLUS THREE MONTHS. G. IF A MEMBER IS CURRENTLY UNDER FIRST TERM OBLIGATION AS AN ACTIVE DUTY MEDICAL CORPS OFFICER WITHOUT ADO FOR TRAINING,AND THEIR ASP AND MSP DATES ARE NOT ALLIGNED WITH THEIR DATE OF RELEASE FROM ACTIVE DUTY, MEMBER MAY REQUEST TO ALLIGN THEIR ASP AND MSP DATES TO COINCIDE WITH THEIR RELEASE FROM ACTIVE DUTY DATES. H. TERMINATION OR DENIAL OF SPECIAL PAYS ARE BASED AND CONSIDERED ON INADEQUATE MILITARY OR PROFESSIONAL PERFORMANCE, DOCUMENTED IN THE OFFICER'S FITNESS REPORT, INDIVIDUAL CREDENTIALS FILE (ICF), OTHER QUALITY ASSURANCE AND IMPROVEMENT (QAI) RECORDS, OR OTHER COMMAND FILES. I. TO AVOID DELAY'S IN PROCESSING CONTRACTS, ALL REQUEST SHALL BE FAXED TO COMM: (202) 762-3367/3304 DSN: 762-3367/3304 OR E-MAIL TO THE APPROPRIATE (MED-527) SPECIAL PAYS TECHNICIAN. IF YOUR LAST NAME BEGINS WITH: A-E: MQJAMES@US.MED.NAVY.MIL F-J: TDWILLIAMS@US.MED.NAVY.MIL K-O: TRHARRISON@US.MED.NAVY.MIL P-T: CEBOATWRIGHT@US.MED.NAVY.MIL U-Z: KMGASTON@US.MED.NAVY.MIL J. DUE TO ADMINISTRATIVE DELAY IN RELEASE OF FY-02 MSP PLAN, ELIGIBLE MEDICAL CORPS OFFICERS ARE AUTHORIZED A ONE-TIME RETROACTIVE APPROVAL OF MSP CONTRACTS FOR A DATE OF 1 OCT O1. OFFICERS DESIRING TO TAKE ADVANTAGE OF THIS ONE-TIME PROVISION MUST ENSURE THAT THEIR MSP SERVICE AGREEMENT LETTER WITH COMMAND ENDORSEMENT IS RECEIVED BY (MED-527) NLT COB 21 DEC 01. CONTRACTS RECEIVED AFTER 21 DEC 01 WILL BE EFFECTIVE NOT EARLIER THAN DATE OF APPROVAL BY BUMED. 7. TERMINATION OF ENTITLEMENT TO SPECIAL PAY. A. CHIEF, BUMED MAY TERMINATE OR DENY AT ANY TIME A MEDICAL CORPS OFFICER'S ENTITLEMENT TO ASP, ISP, AND MSP. REASONS FOR DENIAL/TERMINATION MAY INCLUDE BUT ARE NOT LIMITED TO LOSS OF PRIVELEGES, COURTS MARTIAL CONVICTIONS, VIOLATIONS OF UCMJ, FAILURE TO MEET OR MAINTAIN ELIGIBILITY REQUIREMENTS, OR FOR REASONS THAT ARE IN THE BEST INTEREST OF THE NAVY. B. IF ENTITLEMENT TO ONE OR MORE AFOREMENTIONED SPECIAL PAYS IS TERMINATED, THE OFFICER SHALL BE PAID, ON A PRO RATA BASIS, THE PORTION SERVED UP TO THE OFFICIAL DATE OF TERMINATION. 8. RECOUPMENT OF MSP, ISP, AND ASP SHALL BE CONDUCTED IN ACCORDANCE WITH SECTION 301D(C) AND 302(F) OF TITLE 37, USC. 9. POC'S ARE LCDR J. A. BRADLEY OR HMC(FMF) T. D. WILLIAMS AT (202) 762-3364/DSN 762-3364 OR E-MAIL JABRADLEY@US.MED.NAVY.MIL OR TDWILLIAMS@US.MED.NAVY.MIL. 10. RELEASED BY VADM NORB RYAN, JR., N1.// BT