MEDICAL WAIVER WORKFLOW

Medical Action Tracking System (MATS)
The Medical Action Tracking System (MATS) is an Army National Guard web-accessible medical waiver processing and tracking application. The MATS application provides an electronic method for submitting, storing, tracking, and reporting medical waivers/actions to the ARNG Office of the Chief Surgeon (ARNG-CS). MATS uses a role-based access control system, which limits actions and visibility available to users based on their role's permissions.

MOS Selection
When submitting a Medical Waiver request, the MOS is a major component in the waiver decision making process and is directly linked to the waiver. Consequently, any request for a MOS change after a waiver decision is completed will require re-evaluation by the Waiver Authority. This process could take up to 72 business hours.

Medical Waiver Workflow
a. The RRNCO must intitiate the request for waiver from Recruiter Zone. The RRNCO must ensure that a projection has been done.
b. The NCOIC must approve/disapprove the request for waiver from Leader Zone. Even though the RRNCO is initiating the workflow from RZ, if he or she has LZ access, the system may recognize the RRNCO as being at the NCOIC level, thus causing the workflow to be Returned Without Action (RWA).
c. The State Ops LNO should now be able to action the request for waiver.
d. Height/weight (to include max weight) data and ASVAB line scores must be present in ARISS. MATS is used for the submission of medical waivers. The waiver workflow (only) for medical waivers is initiated and approved by the State Ops LNO in GCRc once the medical waiver has been approved.

Urgent Medical Waivers (IAW AOC Para 4-6)
a. Urgent medical waivers are considered on a case-by-case basis and must include the applicant information, as well as justification for the request. The justification must be stated in email and submitted with enough time to process through the Service Medical Waiver Review Authority (SMWRA) by 1730 EST. Complicated medical cases such as multiple disqualifications or behavioral health diagnosis will not be considered. Simple cases, such as penicillin allergies or astigmatism may be justified for this process (but not guaranteed). Urgent medical waivers will be initiated by the MEPS GC or State Operations using MATS. Once the waiver has been initiated in MATS, the RRC, RRB CSM/SGM or RRB XO must contact the SMWRA.
b. Waivers submitted from a training installation will be recognized as urgent. Build these as NPS waivers with the original pre-ship required documents in MATS according to DODI 6130.03 standards. This is necessary to ensure the waiver workflow is properly routed. The consult for disqualification must be included (for example, vision and hearing consults).

DMPM Medical Waiver
Refer to DMPM Medical Waivers for Behavioral Health and Medical Discharges.

Medical Waiver Appeals
a. IAW AR 601-210 Para 4-26, medical waivers may not be resubmitted unless original condition has changed.
b. IAW ARNG-CS guidance, the applicant must have new medical documentation:

• Physician specialist out-ranks generalists (Primary Care).
• Medical Doctor out-ranks Physician Assistants/Nurse Practitioners unless the PA/NP works in the specialty.
• Ophthalmologists out-ranks Optometrist.

MATS Documents Checklist
a. Enlistment Medical Waiver
b. Approval for MEPS Physical
c. Commissioning Medical Waiver
d. DoDMERB Medical Waiver

Note: IAW AR 601-210 Para 4-5c(6), if separated  for medical reasons, must submit DA Form 4707, DA Form 3947, and/or DA Form 199.

Note: Additional docs required/allowed by Chief Surgeons Office:

• ADD/ADHD - Transcripts / work references / pharmacy records / proof of no Individualized Education Program (IEP)
• Statement from coaches / employer
• Approved ARNG conduct waivers
• Waivers from RA/USAR are reviewed
• Waivers from other branches are considered

References
a. Medical Waiver Processing Slides
b. AR 40-501 Standards of Medical Fitness
c. DoDI 6130.03 Medical Standards
d. AR 40-400 Patient Administration Chapter 7
e. Asthma Medical Waiver
f. Hearing Loss Medical Waiver
g. ADD/ADHD Medical Waiver
h. DMPM Medical Waivers
i. Underheight Medical Waiver