The 51 MDG reached out to the Key Spouse network and others to collect questions in helping us create FAQs and provide you answers. Below are the questions received and their answers.

Q1. What catalyzed the Medical Group transformation?
A1. The Department of Defense’s enduring mission is to provide combat-credible military forces needed to deter war and protect the security of our nation. Towards this goal, the Air Force Medical Service (AFMS) is transforming the structure of its Military Treatment Facility (MTF) and has launched the new Operational Medical Readiness Squadron (OMRS) to focus on improving Airmen's lethality and rapidly return them to a medically ready state. The overall objective is to leverage Trusted Care to ensure that at least 90% of our Airmen are fully mission capable while maintaining a robust health benefit to
those empaneled to our facilities.

Q2. If I am a currently enrolled dependent or retiree, will the transformation require me to seek primary care off base?
A2. No. Dependents and retirees currently enrolled in the hospital will stay in the hospital.

Q3. Will clinics be in the same physical locations?
A3. No. It is important that the teams caring for our Airmen be co-located to work together and synergize their efforts. Therefore, the MDG will need to change its layout. All active duty clinics will be located in the upper level; dependent primary care will be located on the lower level. New department layouts will be displayed upon entry into the facility.

Q4. As a family member, can I choose my PCM?
A4. Yes. We remain committed to ensuring that you are able to find a provider with whom you can establish a healing relationship. There will be different providers that you can choose from in the Healthcare Operations Squadron (HCOS) team. However, providers assigned to active duty care, will not be assigned dependents. This is because of the unique mission with which they are tasked which requires integration with the unit and collaboration with commanders.

Q5. Can I keep my provider since we have already established a relationship?
A5. Maybe. If you are currently enrolled in the Primary Care Clinic and your provider is staying in HCOS, you will be able to keep your provider. If you are a dependent and you are assigned to Flight Medicine or your Primary Care Clinic provider is moving to OMRS, you will not be able to keep your current provider. For active duty personnel, if you are assigned to Flight Medicine, you will keep your provider. If you are active duty and assigned to Primary Care, you will be able to keep your provider if the provider is moving to OMRS.

Q6. What happens if I would like to switch my PCM?
A6. There are limited opportunities to switch PCMs. The opportunity will depend on availability of other providers and your current health condition. A request to switch PCMs will need to be submitted to the Tricare Operations and Patient Administration (TOPA) office. Active Duty members will be limited to ORMS providers while nonactive duty beneficiaries will be limited to HCOS providers. A decision will be made on a case-by-case basis.

Q7. How do the reorganization changes affect our retiree, non-command sponsored families and others (e.g., DoDDEA)?
A7. It will not affect our retirees regardless of whether they are empaneled here or if they use other 51 MDG services. In addition, it will not affect those who are currently eligible for other medical services outside of primary care visits (e.g., Pharmacy). However, since this is a reorganization of the MDG with no additional manpower, we will not be able to empanel additional retirees, non-command sponsored family members or others (e.g., DoDDEA) at this time.

Q8. When and how will I be notified of the provider change?
A8. Expect to receive notification by TriCare online email and secure messaging notification. Please contact Tricare to register for the secure messaging service. Also some notifications will be sent out via mail.

Q9. As a Flyer's spouse, I'm assigned to Flight Medicine. Can I stay there?
A9. Unfortunately, no. You will be assigned a PCM in the HCOS clinic. However you are not cut off from your SME (Squadron Medical Element) doctor. They can continue to advocate for you and help you navigate the MDG. They just cannot be assigned as your PCM, or provide you direct care.

Q10. Will this transformation impact wait times or services available?
A10. No. We project beneficiary access-to-care will remain unchanged.

Q11. Will all pediatric patients be assigned to the pediatrician?
A11. The majority of children will remain in the Pediatric clinic. However, the family physician assigned to HCOS will also take on this population as they are doing currently.

Q12. Will this limit the number of families approved for command sponsorship?
A12. No. The 51 MDG reorganization will not impact the command sponsorship program

Q13. How do these changes affect those currently seen in Internal Medicine, Physical Therapy or Mental Health?
A13. The majority of active duty Internal Medicine patients will be moved to OMRS. All dependents and retirees assigned to Internal Medicine will remain unchanged. For those enrolled in the hospital, space available appointments in Physical Therapy and Mental Health (e.g., class sessions) will remain the same. In addition, Family Advocacy services will remain unchanged.

Q14. Will this change affect my access to dental care?
A14. No. Active Duty will see no changes. CSP and non-CSP overseas clearance examinations will continue to be available. CSP dependents and retiree beneficiaries are treated on a Space-Available basis. Urgent/pain-related concerns are also available during the Duty Day (Sick Call) and after-hours (Emergency Room).

If you have questions or concerns, please email us at: usaf.osan.51-mdg.mbx.mdg-transformation@mail.mil.