To become a ValueOptions TRICARE facility/program provider, one must first meet TRICARE’s facility/program accreditation requirements:
JCAHO accreditation - Required for Inpatient Psychiatric and Substance Abuse Detoxification and Rehabilitation facility/programs
JCAHO or CARF accreditation - Required for Freestanding Substance Use Disorder Rehabilitation Facilities (SUDRF)
TRICARE certification through the National Quality Monitoring Contractor (NQMC) - MAXIMUS (602) 308-7160, for:
Psychiatric Partial Hospitalization Programs (PHPs)
Residential Treatment Centers (RTCs
Freestanding Substance Use Disorder Rehabilitation Facilities (SUDRFs)
Insurance coverage requirements
Current medical malpractice, comprehensive professional, general and /or liability insurance certificates that identify the limits of liability (minimum $1 million per claim; $3 million aggregate) or appropriately funded, actuarially sound self-insurance program.
To apply for Network participation, the following items are required, depending on the services/programs offered at your facility. Please contact the Provider Relations Department at (800-700-8646, ext. 2095) , following the directions corresponding to if you are a provider to obtain a TRICARE South Facility / Program Application form, or should you have questions concerning the submission of these the following documents:
Facility/Program Addendum form for each service provided, together with copies of all applicable state licenses and
Evidence of current liability coverage, with policy period specified
Medicare certification
JCAHO or CARF certification
Other important information:
Please allow 20-30 days, from the time the application is received, for the review process
Please feel free to contact the Facility Contract Coordinator at (800) 700-8646 ext. 2095 for the status of your facility/program application, once submitted
You will be notified in writing upon acceptance into the TRICARE network
TRICARE requires us to maintain current and accurate demographic information for each facility/program in our network. Each facility/program will be notified when copies of updated documents, such as state licenses, insurance, etc. are required.
Please notify us of changes related to your facility/program, e.g. a new tax identification number, changes in services offered or change of ownership
