![]() ![]() What is the Referral Process for TRICARE Extra/Standard, TRICARE Reserve Select, TRICARE Plus & TRICARE For Life (TFL) Please remember that the access-to-care (ATC) standard for scheduling an initial appointment for routine specialty care is 28 days.Īlcohol and Substance Abuse Program (ASAP) or urgent specialty referral requests are coordinated doctor-to-doctor. The patient may then contact the civilian specialist’s office to schedule an appointment. You may call HMHS at 1-80 for assistance before actually receiving the letter. Within 7-10 business days, HMHS will send you (the patient) an authorization letter with instructions on scheduling an appointment with a civilian specialist. If the specialty care is not available at BACH, Humana Military Health System will inform you when you make the call that the care is being deferred to the civilian network, and the referral will be processed by HMHS. Please wait at least seven (7) business days before contacting HMHS at 1-80 for the disposition of the referral. ![]() If the specialty care is available at BACH, you can schedule an appointment by calling the specialty clinic you are referred to. BACH has Right of First Refusal (ROFR) for all referrals. The appropriate specialty clinic reviews the referral entry. HMHS enters the referral into their system and then forwards it to the BACH Referral Management Center, which enters it into the military system. The form is available on the HMHS website at. What is the Referral Process for TRICARE Prime in the Network and TRICARE Prime Remote?Ĭivilian Primary Care Managers send a Humana Military Health System (HMHS) TRICARE Service Request/Notification electronically to Humana Military. Urgent specialty referral requests are coordinated doctor-to-doctor. The access-to-care (ATC) standard for scheduling an initial appointment for routine specialty care is 28 days. The patient may call Humana Military at 1-80 for assistance before actually receiving the letter. Within seven to 10 business days, you should receive an authorization letter with instructions on scheduling an appointment with a civilian specialist. If the specialty service is not available, your referral will go to the referral management office for processing to the network. If the specialty is available, the clinic will contact you to schedule an appointment. Your PCM or specialty provider enters a referral into the military health system at your MTF. ![]() What is the Referral Process for TRICARE Prime at the MTF or Direct Care System? Exceptions include emergency care, certain preventive and diagnostic services, and the first eight (8) behavioral health visits. This includes urgent care that is not provided by the Primary Care Manager (PCM). Referrals are requests for specialty services or procedures that are not considered primary care. The referral team will help facilitate the referral process for all Active Duty Service members and TRICARE Prime beneficiaries enrolled to a Military Treatment Facility (MTF) on Fort Campbell or the Screaming Eagle Medical Home located in Clarksville, Tennessee. The referral management office is responsible for facilitating the referral process for all Active Duty Service members and TRICARE Prime beneficiaries enrolled to a Military Treatment Facility (MTF) on Fort Campbell, Kentucky. Referrals What is the Referral Management Office? All MHS GENESIS messages provide an audit trail enabling provider and patient to view the entire message history. They employ clinical guidelines and algorithms to support the interaction between the provider and patient. MHS GENESIS Patient Portal messages are secure messages and confidentially transmitted. ![]()
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