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Improve Your TRICARE Smarts Online at TRICARE U! (Article 2) |
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"Cris” is new to her job at TRICARE, and she’s just learning about the TRICARE Program and TRICARE Management Activity. “Ann” greets Cris at the Welcome Center and proce ds to share her comprehensive knowledge about TRICARE.
Cris and Ann are actually characters in the new public version of the TRICARE Fundamentals Course, now available online through TRICARE University. This new TRICARE employee and her mentor explain TRICARE in easy-to-understand language. While the lessons are geared toward TRICARE’s new employees, the course is free and open to the public because it contains valuable TRICARE information for both providers and beneficiaries.
“The public course is an excellent starting point for providers,” says TRICARE University’s Linda Foote, chief, Staff Development and Training Branch. “The public course provides a fast and easy method for office managers and others to learn TRICARE fundamentals.”
In 15 simple lessons, you can learn the essentials of TRICARE, from medical benefits information to claims filing and much more.
“Once they understand the basics, providers and their staff can more easily grasp in-depth information as they continue to learn more,” Foote says.
You can take the course in however many sessions you desire. It’s not monitored for completion, and there is no grade or certificate awarded. For more information or to take the public TRICARE Fundamentals Course, log on to www.tricareu.tricare.osd.mil. TRICARE University is best viewed using Microsoft® Internet Explorer.
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Behavioral Health Care Referrals (Article 3) |
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All beneficiaries need prior authorization for behavioral health care beyond the first eight outpatient visits per fiscal year (Oct. 1-Sept. 30). No prior authorization is needed for these first eight outpatient visits, but a network provider may call ValueOptions to obtain authorization for claims payment purposes. If the beneficiary exceeds eight outpatient visits without prior authorization, there would be no reimbursement to the provider, and the beneficiary would not be held responsible for any charges.
Providers can get prior authorizations by calling ValueOptions, which is Humana Military’s behavioral health care provider in the South Region, at 1-800-700-8646. Providers also can call 1-800-444-5445 or visit online. For referrals, providers may use the ValueOptions Outpatient Treatment Report Form. Any patient needing treatment for chemical dependency or inpatient mental health treatment also would need prior authorization. For all outpatient behavioral health care, beneficiaries can self-refer and do not need to go through a primary care manager. |
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