This section will assist you with specific behavioral health care aspects of the TRICARE program. ValueOptions, Inc. (ValueOptions) the behavioral health care partner of Humana Military Healthcare Services, Inc. (Humana Military), has provider relations representatives available to answer non-clinical questions, address concerns, or assist with requests for additional information. To reach a provider relations representative, call 1-800-700-8646, Monday–Friday (except federal holidays), 8 a.m.–6 p.m. in all time zones within the South Region.
The behavioral health care outpatient network consists of licensed providers, such as psychiatrists and other physicians, psychologists, social workers, marriage and family therapists, certified psychiatric nurse specialists, licensed or certified mental health counselors, and pastoral counselors.
If the provider is a licensed or certified mental health counselor or a pastoral counselor, a physician referral is required prior to the initial evaluation, which must be submitted with the initial claim. Additionally, oversight must continue throughout the course of therapy in order to be reimbursed by TRICARE. When filing claims electronically, evidence of oversight can be faxed to 1-803-462-3990. This is a statutory and regulatory TRICARE program requirement that cannot be altered or waived.
This section outlines:
