EFMP Frequently Asked Questions

01. What are the three support elements of EFMP?

Navy EFMP consists of three interlocking support elements: Identification and Enrollment, Assignments and Family Support Services. Identification and Enrollment is performed by Navy Medicine. A potential enrollee can be self-identified by the family or may be identified by educational personnel at schools, medical personnel at medical treatment facilities or by civilian network providers. EFMP coordinators assist families with enrollment, status updates and disenrollment. Enrollment is updated every three years and 12 months before an anticipated PCS. To enroll, the service member submits the completed EFMP enrollment package to the EFMP coordinator at the nearest military treatment facility.  The enrollment package is reviewed by a multidisciplinary panel of medical providers and that panel recommends EFMP designation in one of six categories, based on the type, severity and frequency of medical/educational intervention required by the exceptional family member. Navy Personnel Command (NPC) then assigns the final category and annotates it the service member’s detailing record.

The next element, Assignment, involves the career management of service members provided at NPC. The NPC EFMP assignment support staff work to ensure that service members are assigned to geo­graphic areas suitable for their exceptional family members. Every effort is made to match the sponsor’s career path with the needs of the family.  All EFMP sponsors may be considered for accompanied overseas assignment based on the availability of required medical/educational services at the gaining location and successful completion of the overseas/suitability screening process by the sponsor and all family members. Sailors must maintain worldwide assignment eligibility, which means they may need to serve on unaccompanied tours to meet the mission requirements while their family is supported in another location.

Finally, Commander, Navy Installation Command (CNIC) offers FFSC EFMP case liaisons at installation Fleet and Family Support Centers to provide non-medical case management and access to re­sources both on-base and in the local community. EFMP case liaisons work with families to develop Individual Service Plans, coordinate non-medical care, work with local schools, provide information and referrals to local community support resources and provide access to the EFM Respite Care Program (RCP). Navy’s EFMP RCP provides the parents and caregivers of children with special needs up to 40 hours of qualified childcare per month -- at no cost to the family – so parents and caregivers can leave the house, go to an appointment or just rest, while knowing that their child is well cared for.

02. Where can I get documentation of my category?

Sponsors may view their EFMP status by accessing their family member information tab in the Navy Family Accountability and Assessment System (NFAAS).

If you need assistance retrieving your EFMP category, please contact your local Medical Treatment Facility EFMP Coordinator or your assigned Case Liaison at the Fleet and Family Support Center (FFSC).

03. Do I have to stand watch/duty?

Yes, per MILPERSMAN 1300-700 EFMP does not preclude sponsors from:

  • Sea Duty.
  • Normal sea/ shore rotation.
  • Unaccompanied assignments.
  • Global support assignments.
  • Standing watches.
  • Performing normally assigned duties.
  • Advancing to the next pay grade or rank.

04. Am I exempt from Sea Duty?

No, per the OPNAVINST 1754.2F - Enrolled Service members must remain worldwide assignable and deployable. Enrolled service members may elect or be required to serve on unaccompanied overseas assignments, as necessary, to fulfill sea or shore obligations of rank or rate and the needs of the Navy, provided those assignments are approved at NPC, Career Management Department (PERS-4) flag level. The transferring commanding officer (CO) must review the decision with the service member to ensure that the separation will not create an undue hardship on the family and result in a request for an early return or humanitarian reassignment of the service member. NAVPERS 1070/613 administrative remarks must be completed and filed in the service member’s electronic service record.

05. Is the EFM criteria the same for Officers and Enlisted?

The Exceptional Family Member Program governs all Active Duty Navy Service members, regardless of rank.

06. Who should enroll in the program?

Dependents with medical, mental health and/or educational needs should enroll in the Exceptional Family Member Program. This includes spouses, children and dependent adults documented on your RED/DA (PG2) who:

  • Require special medical services for a chronic condition. 
  • Receive ongoing services from a medical specialist.
  • Have significant behavioral health concerns.
  • Receive early intervention or special education services through an Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP).

07. How often am I required to update my EFM status?

  • When a family member's condition changes or upon completion of diagnostic evaluations.
  • Every 3 years.
  • Conditions that warrant temporary categorization as determined by the Central Screening Committee require updated enrollments to be submitted to NPC (PERS-454) by the EFMP coordinator after 6 to 12 months of enrollment.

08. Can a Sponsor enroll in EFMP if they are on Geographical Bachelor (geo-bach) or unaccompanied orders?

  • If an unmarried sponsor is stationed in CONUS or OCONUS and has dependent child/children, but does not have primary custody then they are not considered to be on geo-bach or unaccompanied orders. Therefore, the sponsor would not qualify for EFMP enrollment.
  • If the single sponsor is the primary custodian of the dependent child/children, and the sponsor receives geo-bach or unaccompanied in CONUS or OCONUS orders and the dependent(s) resides with someone else while they are gone, they would qualify for EFMP enrollment.
  • If the sponsor is married and executes a geo-bach or unaccompanied tour because the sponsor chooses to leave their family members behind while on a set of PCS orders, they would qualify for EFMP enrollment.
  • If the sponsor continues to take geo-bach or unaccompanied orders, they can be disenrolled because their EFM dependent(s) are not traveling (PCS) with the sponsor.
  • Ultimately, EFMP is a detailing tool to support the EFM dependent to enable them to transfer with the sponsor and get care.

09. When do I disenroll my EFM?

If an EFM no longer requires ongoing healthcare, specialty care, early intervention, or special education. The service member will provide necessary medical and/or educational documentation to the EFMP Coordinator. The coordinator will then forward to the Central Screening Committee(CSC) for disposition. PERS-454 will receive the disposition and make the appropriate documentation.

An EFM is no longer a service member's dependent. A change in status may result from divorce, child custody arrangements, marriage, death, etc. The service member will forward an official letter to the local MTF EFM Coordinator or NPC (PERS-454) documenting the reason for disenrollment.

10. My dependent is now an adult and no longer residing with me. Can I disenroll?

Yes, if your dependent is 21 (23 if enrolled in full time school) and will not PCS with the sponsor, they can be disenrolled from the program. Per MILPERSMAN 1070/270.

If your dependent is incapacitated they must be enrolled in the incapacitated program prior to age 21 to continue in the EFM program.

To disenroll a dependent who is an adult and is no longer residing with you, you can submit a naval letter on command letterhead to show change in dependency status as reflected on your RED/DA (PG2).

11. What is the process for being disenrolled?

Medical/Mental Health/Educational disenrollment requires the sponsor to submit a new DD 2792/ DD 2792-1 reflecting the updated status be reviewed by the Central Screening Committee (CSC). If the CSC deems that the dependent is eligible for disenrollment, then their recommendation will route to PERS 454 for record update.

Administrative disenrollment (change in dependency status) can be submitted through your Command EFMP coordinator by submitting a memo on command letterhead directly to PERS 454 for review.

12. How does the EFM program affect my orders?

If a condition is identified in the Overseas Screening process, orders can be affected. For example, orders can be delayed awaiting EFM enrollment once a condition is known. If it is a new EFM, orders may have to be rescreened for availability of services for the EFM.

If the EFM is already enrolled, and the service member has not updated in the timeframes required, orders will be delayed at NPC until the update is completed.

13. Can EFMP be stationed overseas?

Yes, with an approved Overseas Screening and review by the gaining MTF and DODEA for verification of available services will be required.

14. Why are my orders being held in abeyance by PERS 454 (EFMP)?

Your EFMP status may be out of date and PERS 454 is unable to verify current EFM support needs.

Medical availability is being confirmed for your EFM(s) current support needs.

PERS 454 needs to talk to either the detailer or the service member for additional considerations.

16. Do you need an Overseas Screening to be stationed in Hawaii or Alaska?

Yes, EFMP dependents must complete overseas screening for both Hawaii and Alaska.