Q: How does a Non-Medical Attendant
(NMA) obtain a Naval Exchange (NEX) Letter?
A: An NMA may be given a temporary Navy Exchange privilege
document enabling the individual to purchase items on behalf of an active
duty member who is hospitalized at the Walter Reed National Military Medical
Center. Additionally, the NEX letter will provide access and grant
privileges to purchase items at the commissary at Forest Glen. A NEX letter
may be given to a NMA who do not currently hold exchange privileges (i.e.
dependents of active duty service members or dependents of retirees). If the
NMA does currently have a dependent military identification card, a NEX
letter will NOT be given.
The NEX letter must be carried on the individual person with an acceptable
form of photographic ID, which is necessary to make purchases. If the
guidelines in the NEX letter aren’t adhered to, the Commanding Officer, Navy
Support Activity, Bethesda reserves the right to withdraw the privilege.
Your Soldier’s Squad Leader will be the point of contact to assist the NMA
with obtaining the NEX letter.
Q: Is there transportation to the Forest Glen Commissary?
A: Yes, Naval Support Activity Bethesda (NSA-B) and
WTB-NCR shuttles makes trips to the commissary at Forest Glen.
Q: How do I get Basic Life Support Training while I’m a NMA at
A: Basic life support classes, specifically, the “Heart
Saver” class is provided to interested NMAs through the Walter Reed National
Military Medical Center’s Education and Training Depart, contact Ms
Christian Powell at 301-319-5209 to schedule a class. Instructions are also
provided on the Automated External Defibrillator (AED). The AED is a
portable electronic device that automatically diagnoses a potentially life
threatening cardiac arrhythmias and is able to treat arrhythmias through
Q: Define Non Medical Attendant.
A: A Non Medical Attendant – a person selected by an
eligible Soldier, and approved by the Soldier’s attending physician and the
Military Treatment Commander,( in the case of the WTB-NCR, the approval
authority is the CDR, WTB-NCR) who will contribute to the healing and
recovery of the Soldier. This individual is placed on military orders which
provide certain benefits to the individual. To be eligible for a NMA, a
Soldier must be found to be “seriously ill, injured, or wounded”; or” very
seriously ill, injured or wounded” by their attending physician and due to
the illness, injury, or wounds, needs continuing outpatient treatment.
Q: What are Invitational Travel Orders (ITO)?
A: The NMA program allows physician-designated, seriously
ill or injured, or very seriously ill or injured Soldiers to identify an
individual that will be placed on Invitational Travel Orders (ITO) to
provide support and assistance to the Soldier as they heal and recover.
Q: What is Special Compensation for Assistance with Activities of
Daily Living (SCAADL)?
A: SCAADL was authorized by the Fiscal Year 2010 National
Defense Authorization Act. This special monthly compensation is for service
members who incur a permanent catastrophic injury or illness. SCAADL helps
offset the loss of income by a primary Caregiver who provides non-medical
care, support and assistance for the service member.
Q: Is SCAADL automatic?
A: No, the service member or guardian must apply, and a
DoD or VA physician certifies eligibility. A service member should contact a
member of his or her recovery team (such as the primary care manager, nurse
case manager, Recovery Care Coordinator, non-medical case manager, or unit
leadership) for SCAADL application form and guidance.
Q: What steps should I take to apply?
A: Contact a member of your recovery team, such as the
primary care manager, nurse case manager, Recovery Care Coordinator,
non-medical case manager, AW2 Advocate or unit leadership for the SCAADL
application and guidance.
Your DoD or VA physician will complete a DD Form 2948. If your attending
physician is not affiliated with DoD or VA, arrangements can be made by
contacting your recovery team to have a DoD or VA physician review your case
and complete the certification. Your application (DD Form 2948) will be
forwarded, via your chain of command, to the Warrior Transition Command
(WTC) for processing.
Q: Who receives the SCAADL payment?
A: SCAADL is paid directly to the service member, not the
service member’s designated Caregiver. It is up to the service member to
ensure the compensation flows accordingly.
Q: Can the Service Member or Caregiver accept donations?
A: . Gifts or donations accepted by the NMA or Caregiver
on behalf of the Soldiers in Transition (STs). There are a few caveats to
accepting gifts and/or donations. Every gift offer must be reviewed by the
ethics advisor to avert any violation of ethics law. A variety of statutes
and regulations govern acceptance of gifts to the Army, Soldiers and Family
When a Soldier or Family Member is approached regarding a gift or donation,
they should notify their chain of command immediately to avert any violation
of ethics law and identify who can accept or not accept such gratuities. The
chain of command is knowledgeable regarding the policies, procedures for
receiving, accepting, processing and reporting gifts offered by Non-Federal
entities in accordance with 10 USC 2601, DOD 7000.14R (Vol. 12, Chapter 30),
AR 1-100 and AR1 – 101 and DOD 5500.7-R. The chain of command can also
direct them to the appropriate entities for IRS reporting or processing.
Q: What is the process for Soldiers to attend outings or events
while at Bethesda?
A: Soldiers are assessed by the WTB-NCR Inter-Disciplinary
Team (IDT) using the Comprehensive Transition Plan Policy Guidance, to
ensure the event/outing contributes to the Soldier’s rehabilitation.
Q: How do NMAs or Caregivers request leave or respite care?
A: The NMA or Caregiver should coordinate leave or respite
care request to the Soldier’s designated Squad Leader (SL). The SL serves as
the first line supervisor to the Soldier and the link to command. The SL is
responsible for facilitating the resolution of administrative issues that
arise, and helps guide the Soldier through the WTU process while enforcing
the military standards.
Q: As the NMA or Caregiver, who do I contact when I have
questions or when issues arise?
A: The Soldier’s SL, serves as the first line supervisor
to the Soldier and the link to command. The SL is responsible for
facilitating the resolution of administrative issues that arise, and helps
guide the Soldier through the WTU process while enforcing military
Q: As the NMA or Caregiver, where do I obtain health care for
A: The NMA is entitled to military evaluation and care on
a space available basis at WRNMMC. The NMA will be required to provide
information of their private health insurance to WRNMMC and the Nurse Case
Manager will assist the NMA or Caregiver to locate health care in the
community based on their insurance plan if the care isn’t available at
Q: Are there designated parking spots for Soldiers in Transition
(STs) and/or NMA/Caregiver of the ST?
A: Yes, to facilitate NMAs of STs or Warriors parking, the
NMA completes a parking request application (obtained from the ST’s Squad
Leader). The NMA processes the application with the Navy installation’s
Visitor’s Center located at Gate #1. The NMA will need the following
documents to process the parking application with the Visitor Center:
(a) NMA orders
(b) Car registration document
(c) Driver’s license
(d) Proof of Insurance
Once the application has been processed, the NMA will receive a “Yellow”
parking placard to be displayed in the dash of the car. The NMA is permitted
to park in the following areas:
(a) Parking garages under Bldg 17 and Sanctuary Hall
(b) Parking lots located in front of Bldgs 60 & 61
Q: What do I do if as a NMA or Caregiver I received a parking
A: The NMA or Caregiver should contact the Soldier’s SL
Q: Is there a place for me to obtain temporary items (housing
items) during my stay at Bethesda?
A: The WTU-NCR provides a Lending closet that’s managed by
NMAs. The lending closet has items for the NMAs to borrow during their stay
such as pots, pans, baking dishes etc. The Family Readiness Soldier
Assistance point of contact can be contacted by the Soldier’s SL to assist
the NMA or Caregiver with the lending closet.
Q: How are room assignments determined when the Soldier is ready
to transfer from Inpatient to Outpatient lodging?
A: The transfer process is coordinated by the Soldier’s
Inter-Disciplinary Team (IDT), Nurse Case Manager and the Soldier’s SL. A
lodging outpatient room is determined by the Soldier’s health and
rehabilitation needs. The case manager meets with the Soldier and family and
to do a room orientation to ensure the room meets the needs of the Soldier.
Q: Is there any training for NMAs or Caregivers?
A: Yes, The Department of the Army has initiated a formal
training course for NMAs and their Soldier to provide support and assistance
to the Service Member as they heal and recover.
Q: Who do I see as a NMA or Caregiver if I have questions about
A: The Soldier’s SL is the first line supervisor and will
provide referrals to the appropriate subject matter experts.
Q: What is the role of the Soldier Family Assistance Center
A: A comprehensive centralized coordinating office that
provides a variety of services for Soldiers in Transition and his/her Family
members. The SFAC supports the hospitals and Warrior Transition Brigades, by
developing, coordinating and providing designated services that address
complex administrative and personal needs involving Soldiers in Transition
and his/her Family members.
Q: What documents do I need to access day-care (Austin’s Room)
Bldg 62, Tranquility Hall?
A: The family member needs to bring the child’s birth
certificate and shot records for each child.
Q: How do I contact the school liaison officer?
A: The school liaison officer can be contacted through the
NSA Bethesda Fleet & Family Support Center, located in Bldg 11, first floor.
Q: What other organizations provide donations (personal
toiletries, movies, books, some clothing items, etc.) to family members or
A: The Red Cross Office – located at Walter Reed Medical
Center, Bldg. 8, 2nd Fl, Rm 2189
The SFAC – located, Tranquility Hall, Bldg. 62, 2nd Fl
The Warrior Family Coordination Cell (WFCC) – located, Tranquility Hall,
Bldg. 62, 2nd Fl
Q: What does HIPAA stand for?
A: ”Hipaa” stands for the health insurance portability and
accountability act. This act/law is used to assure that all patients have a
right to privacy.
Q. What does IDES stand for?
A. IDES stands for “The Integrated Disability Evaluation
System” streamlines injured Soldiers’ benefits. It features a single set of
disability medical examinations appropriate for determining both fitness and
disability and a single set of disability ratings provided by VA.