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Regional Health Command Europe
Frequently Asked Questions

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RHCE Warrior Transition Office

What do WTCP, WTU, WCT, and WTO mean?

The Warrior Care and Transition Program (WCTP), evaluates and treats wounded, ill and injured Soldiers through a comprehensive, Soldier-centric process of medical care, rehabilitation, professional development and achievement of personal goals.

Warrior Transition Office (WTO)oversees WTUs in the four different Regional Health Command Regions- Europe, Atlantic, Central, and Pacific. There are no WTUs in Europe now; however, the RHCE WTO’s mission is to educate Commanders, Providers and Soldiers about the WCTP and assist in processing nominated Soldiers’ for potential acceptance into a WTU. The RHCE WTO processes all nomination packets for Soldiers assigned to Europe, Africa, and Southwest Asia.
Warrior Transition Units (WTUs)provide mission command, medical management assistance and transition assistance to Soldiers as they navigate the Army’s medical treatment system to successfully reintegrate back into the force or transition from the Army. There are 14 enduring CONUS WTUs.

What is Complex Care?
Complex care is any care that overwhelms the Soldier and/or Unit.  A Soldier that must travel once a week, with an escort, for 4 to 5 hours one way for a 45 minute appointment is complex care.  Traditionally, medical condition(s) requiring continuous care and usually services from different providers in multiple settings is labelled as “complex care”.  Complex care is seen in Soldiers with multiple chronic conditions, frequent hospitalizations, and limitations to their ability to perform their duties due to physical, mental and/or psychosocial challenges.

What are the entry criteria for Active Duty and Active Guard Reserve (COMPO 1), National Guard (COMPO 2), and Army Reserve (COMPO 3)?

(1) Active component (COMPO 1) and Active Guard Reserve (AGR) Soldiers must meet one of the following:

a. Soldier has or is anticipated to receive a profile of more than 6 months duration, with duty limitations that preclude the Soldier from training or contributing to unit mission accomplishment, and the complexity of the Soldier's condition requires clinical case management.

b. Soldier's psychological condition is evaluated by a qualified Medical or Behavioral Health Provider as posing a substantial danger to self or others if the Soldier remains in the unit.

(2) ARNG and RC Soldiers (COMPO 2 and 3 not in AGR status) must meet all of the following:

a. The Soldier’s medical condition(s) incurred or aggravated in the LOD during an active duty status (contingency or non-contingency) or inactive duty status (inactive duty training, funeral honors duty) may qualify for evaluation, treatment, and/or disability evaluation processing while in an active duty status; and,

b. The Soldier's condition(s) require(s) definitive care. Definitive care is defined as a specific treatment or a sequence of treatments lasting 30 days or more, as determined and appropriately documented (or validated) by military medical authority. Treatment is expected either to return the Soldier to duty or reach MRDP and begin the IDES process; and,

c. The Soldier's condition(s) must prevent the Soldier from performing his or her Primary Military Occupational Skill (PMOS)/Area of Concentration (AOC) or at least one of the functional activities listed on DA form 3349, which all Soldiers must perform regardless of PMOS or AOC.

Soldiers who do not meet the specific eligibility criteria stated will remain in their units and utilize the standard health care system and access-to-care standards. RC Soldiers on AD orders specifying a period of more than 30 days will, with their consent, be kept on AD for disability evaluation until final disposition by the Physical Disability Evaluation System (PDES) process. Soldiers in the PDES process will not be automatically assigned or attached to the WTU; they must meet the entry criteria stated for assignment or attachment into the WTU.

Are there any disqualifying conditions for entry into a WTU?
Yes. The following types of Soldiers, regardless of component, are ineligible for entry into a Warrior Transition Unit (WTU):

  • Pregnant Soldiers. Pregnancy alone is not a criterion for attachment/assignment to a WTU. Pregnant Soldiers may enter the WTU if treatment for qualifying conditions can be conducted without interfering with the pregnancy.
  • Pending Military Occupational Specialty Administrative Retention Review (MAR2).
  • On the Temporary Disability Retirement List (TDRL) status.
  • Approved for Continuation on Active Duty (COAD) or Active Reserve status (COAR).
  • Mobilized COMPO 2/3 Soldiers whose condition(s) existed prior to mobilization, was/were not aggravated by mobilization, or was discovered prior to day 25 of the current mobilization.
  • Soldiers in initial entry training, advanced individual training, or one station unit training (exceptions may be approved on a case by case basis).
  • Soldiers in pending or undergoing any Uniform Code of Military Justice (UCMJ), legal actions (prohibiting a PCS move), investigations, and/or Line of Duty determinations- i.e., a Soldier that is flagged (non-transferrable). HOWEVER, a Soldier, who is, flagged (transferable) for failing Army Body Composition Program, failing an Army Physical Fitness Test (APFT), or is in the punishment phase of UCMJ can apply for potential entry in to the Warrior Care and Transition Program.

How is a Soldier Nominated for the WTU?
The Soldier’s Command Team are responsible for submitting the nominate packet to the Regional Health Command Europe (RHCE) Warrior Transition Office (WTO).  Any Medical Provider, with profile writing authority, can submit medical documentation to the RHCE WTO for processing of a nomination packet through the Soldier’s Command Team.

Do medical conditions have to be combat related?
No.  Soldiers needing complex medical care management for wounds, illness or non-combat related injuries are eligible for the WCTP.

What is the Nomination Packet Timeline?
As soon as we receive any part of the WTU Nomination Packet and the Soldier’s Command Team is notified of the nomination (in the case of a Provider nominating a Soldier without the Unit’s knowledge), the packet must be completed within 21 days. The Soldier’s Command Team will be notified of the Triad of Leadership’s decision about the nomination within two weeks after the RHCE WTO receives a completed nomination packet.  The Soldier usually receives orders (depending on local MPDs) in 5 to 7 days after the Nomination is approved and the Soldier will report to the CONUS WTU within 30 to 45 days after that.

Can a Soldier be assigned to the WTU if they already have a permanent 3 or 4 profile?
Yes, in some special cases Soldiers with a permanent 3 or 4 profile can be assigned to a WTU if their care becomes complex. The Soldier must satisfy the WTU Entry Criteria.

Can a Soldier be assigned to a WTU if they are in the National Guard or Reserves?
Yes. COMPO 2 and 3 Soldiers will still need to meet the Entry Criteria for COMPO 2(National Guard) or COMPO 3 (Reserves) Soldiers (see above).

Is going into a WTU Voluntary?
Entrance into the WTU is NOT voluntary for COMPO 1(Active Duty and AGR) Soldiers. If a WTU Nomination Packet has been submitted and the Soldier is found needing to go to a WTU, orders will be issued.

Entrance into the WTU for COMPO 2 (National Guard) and 3 (Reserve) Soldiers is voluntary. COMPO II and III Soldiers who elect not to go to a WTU must sign a waiver declaring their choice not to participate in the WCTP.

How is the WTU Nomination decision made?
The WTU Nomination Packet is designed to provide Command and Medical input.  The Soldier’s medical need for a WTU is based on what is recorded in the Soldier’s medical records; if it is not noted in the medical record or on an officially signed memorandum from a healthcare provider, it is not considered.  The Unit Commander writes a memorandum and completes a form evaluating the Soldier’s performance and what impact it has on the Unit. The WTO conducts a thorough medical review and sometimes will interview the Soldier.  After the Nomination Packet is completed and a medical review is written, all of this is presented to the European Triad of Leadership for decision. 

If a Soldier’s Nomination is disapproved, is an appeal possible?
There is no appeal process available to the Command Team and Soldier if the WTU Nomination is disapproved. The only recourse is to submit a new packet with new supporting evidence. If the Command Team has new evidence within 30 days of the disapproval, a new packet must be submitted but the existing forms can be used again.  Any forms or memorandums that the Command Team do not want to be considered can be withdrawn.

Will the Soldier go to a WTU in Europe?
No, the WTU in Europe was inactivated on 5 May 2016. Soldiers will have to go to a Stateside WTU.

Do medical conditions have to be combat related?
No.  Soldiers needing complex medical care management for wounds, illness or non-combat related injuries are eligible for the WCTP.

How is the Stateside WTU location picked for the Soldier?

The Stateside WTU is based on the Soldier’s medical needs, the availability of required services at the CMONUS MTFs, the capacity at the CONUS WTU, and consideration of the family and social support for the Soldier. Soldiers assigned to Europe will provide two location preferences based off of the family and social support that Soldier can receive and Home of Record.

Is PCS leave prior to reporting to the Stateside WTU allowed?
Leave prior to reporting or enroute is not authorized.  Soldiers are only authorized travel time (1-2 days) between locations.

Is PCS leave after arriving at the Stateside WTU allowed?
No.  Leave is at the discretion of the gaining CONUS WTU for the first 30 days after arriving, but be advised that the first 30 days is for in-processing into the WTU and allows the WTU Cadre and Medical Staff to learn about the Soldier.