Who determines if an injury is actually a medical affirmative claims case?

• A. MDG/CC
• B. Attending physician
• C. Health services managers
• D. Base legal office or MCRP

Answer: (D)

Determining whether an injury qualifies as a medical affirmative claims case is a legal determination, not a medical one. The attending physician can diagnose and document the injury and its medical implications, but deciding if it meets the criteria for the medical affirmative claims program depends on regulatory rules and program eligibility—something the base legal office or the MCRP is responsible for. They review medical records, service duties, and the program's criteria to authorize classification and processing. Health services managers handle logistics and documentation, while the medical team provides care and assessment, but the final determination rests with the legal office or MCRP.