UNCLASSIFIED// ROUTINE R 241805Z NOV 21 MID600051218572U FM CNO WASHINGTON DC TO NAVADMIN INFO SECNAV WASHINGTON DC CNO WASHINGTON DC BT UNCLAS NAVADMIN 268/21 MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/NOV// SUBJ/REQUIRED COVID-19 TESTING FOR UNVACCINATED SERVICE MEMBERS// REF/A/MEMO/USD/DOC/29OCT21// REF/B/NAVADMIN/31AUG21 REF/C/MEMO/SD/24AUG21 REF/D/DOD/FMR VOL 10 CH 11 REF/E/NAVADMIN/02JUN21 REF/F/NAVADMIN/23AUG21 REF/G/DOC/19NOV21 REF/H/DOC/19NOV21 REF/I/SECNAVINST/20MAY2019 NARR/REF A IS USD P&R MEMO FORCE HEALTH PROTECTION (FHP) SUPPLEMENT 23 REVISION 2 DOD GUIDANCE FOR CORONAVIRUS DISEASE 2019 VACCINATION ATTESTATION, SCREENING, TESTING, AND VACCINATION VERIFICATION. REF B IS NAVADMIN 190/21, 2021-2022 NAVY MANDATORY COVID-19 VACCINATION AND REPORTING POLICY. REF C IS SECDEF MEMO MANDATING CORONAVIRUS DISEASE 2019 VACCINATION FOR DOD SERVICE MEMBERS. REF D IS DEPARTMENT OF DEFENSE FINANCIAL MANAGEMENT REGULATION, VOLUME 10, CHAPTER 11, PAYMENT AS REIMBURSEMENT FOR PERSONAL EXPENDITURES. REF E IS NAVADMIN 110/21, U.S. NAVY COVID-19 STANDING GUIDANCE UPDATE 1. REF F IS NAVADMIN 180/21, UPDATE 3 TO NAVY COVID-19 REPORTING REQUIREMENTS. REF G IS DLA COVID-19 HOME TEST KITS ORDERING PROCEDURES. REF H IS PPE MATERIAL STORED AT A DLA DEPOT ORDERING PROCEDURES. REF I IS SECNAV INSTRUCTION 5211.5F, DEPARTMENT OF THE NAVY PRIVACY PROGRAM. POC/OPNAV/CAPT STEVEN TARR III, (703) 614-9250//EMAIL: STEVEN.TARR1.MIL(AT)US.NAVY.MIL RMKS/ 1. Purpose. This NAVADMIN implements the reference (a) requirement to conduct screening testing of service members who have not been vaccinated against the Coronavirus Disease 2019 (COVID-19). 2. Applicability 2.a. This guidance applies to Active and Reserve Component service members who have not been fully vaccinated against COVID-19 in accordance with references (a), (b), and (c), including those who have an exemption request under review or who are exempted from COVID-19 vaccination and are entering a Department of Defense (DoD) facility. 2.b. Guidance for testing unvaccinated government civilians and contractors will be released separately. Until this guidance is issued, current guidance per reference (a) applies and Commanding Officers and Officers in Charge continue to be authorized broad discretion in applying additional measures as they deem necessary, including applicable elements of this NAVADMIN. 3. Policy Guidance 3.a. Weekly testing. Reference (a) mandates that unvaccinated service members will be subject to screening testing for COVID-19 at least weekly when entering a DoD facility that includes the service members normal place of work. This testing will commence for Navy service members when the following two conditions have been met: (1) no earlier than the active-duty vaccination deadline of 28 November 2021 or the reserve deadline of 28 December 2021, as applicable to the individuals component; and, (2) the command has the required supplies to administer testing per this NAVADMIN. For purposes of this NAVADMIN, facility is a Navy-administered building, vessel, or other enclosed indoor area where official business is conducted. For vessels, this guidance applies whether the vessel is underway or in port. Additionally, the term work space includes all areas where official business takes place, to exclude entry areas such as the Quarterdeck where testing/screening may be conducted if necessary to avoid inclement weather, security concerns, or other reasons that such screening cannot be performed outdoors. 3.b. Exception for service members working remotely. Unvaccinated service members who work remotely full time, or who perform duties in facilities or work spaces periodically (less-than-weekly basis), are not subject to weekly testing. However, prior to entering a Navy facility or work space, these service members must provide a negative result from a test performed within the preceding 72 hours per paragraph 4. 3.c. The testing requirements in paragraphs 3.a. and 3.b. apply to each facility or work space entered. Meeting the requirements to enter one facility or work space does not guarantee entry into any other facility or work space without specific coordination and approval. See paragraph 4.e. below. For example, if an unvaccinated service member assigned to command 1, who meets command 1 weekly testing requirements, must attend a meeting at command 2, that service member must also meet command 2 testing/entry requirements on the day of entry, unless prior approval has been obtained from command 2. 4. COVID-19 testing requirements and reporting for unvaccinated service members. 4.a. Commanding Officers and Officers in Charge will execute the screening testing requirement with COVID-19 self-collection kits or self-tests per paragraph 3 above for all unvaccinated service members within their chain of command, and any unvaccinated visiting service members entering their work spaces. 4.b. Screening self-collection kits or self-tests do not require medical support to complete or to document test results. Organizations and service members must follow Food and Drug Administration (FDA) and manufacturer guidelines for these tests. 4.c. When required, the screening test shall be administered and results received before the service member proceeds to the facility work area. 4.d. Organizations should provide for on-site testing to the maximum extent possible. See paragraph 6 for test ordering and budget guidance. However, if on-site testing is not feasible, service members may perform self-testing or provide the results from a public, community, or commercial testing center. If the service member incurs costs, commands shall refer to reference (d) for procedures to reimburse the service member. Tests conducted in conjunction with diagnostic, travel, or other requirements meet the intent of this NAVADMIN. All testing must meet the following requirements: 4.d.(1) The test kit must be authorized or approved by the FDA. This includes test kits listed as authorized by the FDA under an Emergency Use Authorization (EUA). 4.d.(2) If not covered by the requirements of weekly testing in paragraph 3.a., the test must have been performed within the preceding 72 hours. 4.d.(3) The service member must retain documentation of the results of the test and present it upon request of supervisors and facility entry control personnel. Required information includes the service members name, the date and time the test was conducted, the commercial trade name (brand name) of the test, and the result (i.e., positive or negative). This documentation may be electronic, printed, or a facsimile. Examples of acceptable electronic documentation include text message, email, digital photo, online health record, or a screenshot of any of the above. Reasonable verification is all that is required, e.g. a screenshot of a self-test on a members phone constitutes identification of the member and the date of the test. 4.e. Visits between organizations by unvaccinated service members should be minimized. If these visits are necessary per their normal duties, testing per this NAVADMIN may be coordinated across organizations and documented by the service members parent command. 4.f. Exemption for previous COVID-19 infection. Per reference (e) and Centers for Disease Control and Prevention (CDC) guidance, unvaccinated service members who have recovered from a recent COVID-19 infection and who remain asymptomatic are exempted from regular screening testing for 90 days following their documented date of recovery from COVID-19 infection. Service members must provide documentation from a medical provider that includes the date they may return to work (no longer transmissible) and the date after which screening testing should resume post COVID-19 infection (90 days post COVID-19 infection). 4.g. Positive screening tests. Service members with a positive result following COVID-19 screening tests shall immediately report to medical for a confirmatory laboratory-based molecular polymerase chain reaction (PCR) test from the nearest servicing Military Treatment Facility (MTF). 4.g.(1) If obtaining a confirmatory PCR test at an MTF is not feasible, such diagnostic confirmatory PCR tests may be obtained from a civilian community testing location at no cost to the service member (per paragraph 4.d above). 4.g.(2) Service members must provide results of confirmatory PCR testing to their chain of command. 4.h. Positive Confirmatory PCR Test. Service members receiving a positive confirmatory PCR test will be treated as a positive COVID-19 case and handled in accordance with references (e) and (f). Service members awaiting test results shall not be granted access to the facility work spaces until either a negative result has been received or the service member has satisfied return to work criteria in accordance with reference (e). Positive confirmatory PCR test results will be reported and managed in accordance with reference (f) and any other applicable national, state, local, or agency reporting requirements. 4.i. Negative Screening or Confirmatory PCR Tests. Service members with no COVID-19 symptoms who receive a negative screening or confirmatory test may enter the facility work spaces. At the discretion of the Commanding Officer, that service member may be credited with meeting the weekly testing requirement. 5. Responsibilities. Commanders, Commanding Officers, and Officers in Charge will: 5.a. Identify assigned service members (both Active and Reserve Component) who are not fully vaccinated against COVID-19 using the Medical Readiness Reporting System (MRRS), or as determined by the members medical provider if not yet included in MRRS, as detailed in reference (b). 5.b. Ensure all service members entering the work spaces of their facility meet one of these three requirements: (1) are fully vaccinated against COVID- 19 in accordance with reference (b), or (2) have received, and can provide documentation of, a negative COVID-19 test (rapid test or PCR) administered weekly or within the preceding 72 hours per paragraph 3 above, or (3) receive a negative COVID-19 test provided on-site. 5.c. Deny entry to any service member who does not meet the requirements of paragraph 5.b. above. 6. COVID-19 Test Ordering 6.a. Budget Submitting Offices (BSO) are responsible for funding test kits using existing command funding; BSOs may utilize any appropriation available for this purpose. BSOs and commands shall purchase and maintain on-site testing resources sufficient to meet requirements of this NAVADMIN, including normal traffic of known unvaccinated service members and any foreseeable surge testing requirements (such as command-sponsored events or meetings held on-site). 6.b. Commands should follow Defense Logistics Agency (DLA) ordering procedures contained in references (g) and (h), or their current versions. 6.c. If advantageous to the government and with BSO approval, commands may procure tests from non-DLA sources or contract testing services to complete these requirements. 6.d. If sufficient facility or command testing resources are not available to meet these requirements, service members may be reimbursed for procuring test kits that meet paragraph 4.d. restrictions above. BSOs and commands will follow guidance in accordance with reference (d). BSOs shall promulgate information to commands under their purview regarding specific reimbursement processes. 7. COVID-19 Test Recording 7.a. All medical and other information collected from service members will be maintained in a manner meeting the privacy requirements in attachment (9) of reference (a). Commands are encouraged to review this guidance, which includes information regarding who can collect this information; how to safeguard, transmit, and maintain this information; and which information must be protected per reference (i). 7.b. Commands shall log all tests conducted on-site, and all instances of service members providing valid proof of negative tests, in a visitor log maintained at the facility or work spaces point of entry (i.e., quarterdeck). Note whether the test was conducted on-site. Do not log test results (positive/negative) in this logbook. 7.c. Only tests conducted at an MTF should be recorded in the service members Electronic Health Record. 8. Released by VADM W. R. Merz, Deputy Chief of Naval Operations for Operations, Plans, and Strategy, OPNAV N3/N5.// BT #0001 NNNN UNCLASSIFIED//