Medical Hold and Limited Duty (LIMDU)

Limited Duty (LIMDU)

Per MCRAMM Chapter 6 and MCO P6320.13MCO P6320.13, Limited Duty (LIMDU) is a status for members with temporary medical conditions limiting duty.

When LIMDU Applies

Members enter LIMDU when.

• Medical condition limits ability to perform full duties
• Condition is temporary or has potential for recovery
• Treatment continues with goal of return to full duty
• Specific medical evaluation supports LIMDU status

LIMDU Categories

LIMDU has different durations.

Initial LIMDU (8 months)

• Initial period for evaluation and treatment
• Member continues service with restrictions
• Treatment focused on full duty return

LIMDU Extension (8 additional months)

• If condition has not resolved
• Continued treatment
• Approaching disposition decision

LIMDU End

After 16 months total LIMDU, member's case must reach disposition.

• Full duty return
• Disability separation processing
• Specific other dispositions

Reserve Member LIMDU

Reserve members in LIMDU have specific provisions.

• Drilling restrictions per medical limitations
• Pay continues for drilling performed
• LIMDU might affect deployment eligibility
• Coordinate with medical staff for specific accommodations

Medical Hold

For members on active duty awaiting medical disposition.

When Medical Hold Applies

Members enter Medical Hold when.

• On active duty (mobilization, AT, etc.)
• Medical condition prevents return to drilling status
• Treatment continues
• Disposition pending

Medical Hold Status

• Member remains on active duty
• Active duty pay and benefits
• Treatment continues
• Disposition decision pending

Medical Hold Outcomes

After Medical Hold completes.

• Return to drilling status (full duty)
• Continue on active duty for further treatment
• Disability separation processing
• Specific other dispositions

Performance Steps for LIMDU/Medical Hold Processing

Step 1 - Identify Medical Need

When member's medical condition affects duty.

• Medical evaluation by provider
• Specific recommendations
• Coordinate with member

Step 2 - Process Status Action

For LIMDU.

• UD/MIPS LIMDU transaction
• Effective date of medical evaluation
• Specific category and duration

For Medical Hold.

• UD/MIPS Medical Hold transaction
• Active duty status continues
• Specific evaluation timeline

Step 3 - Coordinate Treatment

With medical staff.

• Treatment plan
• Periodic evaluations
• Goal of return to full duty

Step 4 - Track to Disposition

Through LIMDU or Medical Hold period.

• Periodic evaluations
• Coordinate disposition
• Action at end of LIMDU/Medical Hold period

Step 5 - Process Disposition Action

Based on outcome.

• Return to full duty (UD/MIPS transaction)
• Disability separation (DES processing)
• Other disposition per evaluation

Disability Evaluation System (DES) Coordination

If LIMDU does not result in full duty return, DES processing.

DES Initiation

Triggered by.

• LIMDU period ending without recovery
• Medical board recommendation
• Specific medical evaluation findings

DES Process

Detailed in its own page.

• Medical Evaluation Board (MEB)
• Physical Evaluation Board (PEB)
• Disposition recommendation

Common LIMDU/Medical Hold Issues

LIMDU Period Expiring

Member's LIMDU approaching 16 months total.

• Coordinate disposition
• DES referral if recovery uncertain
• Specific procedures per MCRAMM

Member Recovers Earlier Than Expected

LIMDU member recovers before LIMDU period ends.

• Update medical evaluation
• Process return to full duty
• UD/MIPS transaction

Member Worsens During LIMDU

Member's condition deteriorates.

• Coordinate with medical staff
• Might accelerate disposition
• Specific procedures

Reserve Member LIMDU Coordination

Reserve member in LIMDU during drilling status.

• Specific drilling accommodations
• Pay continues for drilling
• Coordinate with PAC for specific situations

Medical Pay Considerations

During LIMDU and Medical Hold.

LIMDU Pay

• Pay continues per regular schedule
• Drill pay for drilling performed
• Specific situations might affect pay

Medical Hold Pay

• Active duty pay continues
• BAH and BAS at active duty rates
• Coordinate with PAC

Incapacitation Pay

For specific Reserve members unable to perform civilian work.

• Per DODI 1241.01DODI 1241.01
• Coordinated with LOD finding
• Pay matches civilian income lost

Documentation Required

For LIMDU and Medical Hold.

• Medical evaluation supporting status
• Specific category designation
• Treatment plan
• Periodic re-evaluations
• Disposition documentation

Coordination Touchpoints

LIMDU and Medical Hold processing touches.

• Local installation MTF: For medical evaluation
• Medical Board: For specific evaluations
• PEB: For disability evaluation
• Member's civilian providers: For coordination of care
• PAC: For specific pay and status processing

Quality Control on LIMDU/Medical Hold

Common errors.

1. LIMDU period not tracked. Member in LIMDU past 16 months without disposition.
2. Disposition not coordinated. End of LIMDU without clear next step.
3. Reserve drilling not coordinated. Reserve LIMDU member drilling without proper accommodations.
4. Pay processing issues. LIMDU or Medical Hold affecting pay incorrectly.

Related Roles

LIMDU and Medical Hold affect members with medical conditions.

• Marines with medical conditions enter LIMDU and coordinate treatment.
• Leaders at units accommodate LIMDU members appropriately.
• Commanders at I&I coordinate LIMDU processing and medical care.