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Referrals and Pre-Authorizations - TRICARE A referral is when your primary care manager or provider sends you to another provider for care that they don’t provide A pre-authorization is when your regional contractor approves your care before you go to your appointment
Referrals and Pre-authorizations - TRICARE A referral is when your PCM sends you to another provider, often a specialist, for specialized care A pre-authorization is when Humana Military ensures planned services or procedures are covered by TRICARE before it is provided
TRICARE Referrals and Authorizations To provide care effectively and efficiently, MTFs retain the right to accept referrals for TRICARE beneficiaries when they have the capabilities and capacity to provide the required services These referrals are known as Knowledge, Skills, and Abilities (KSA) referrals
Physical Therapy - TRICARE TRICARE doesn’t cover the physical therapy services below This list isn’t all inclusive Contact your regional contractor for specific limitations to the physical therapy benefit This list of covered services is not all inclusive
TRICARE Massage Coverage: Eligibility, Referrals Guide 2025 TRICARE Massage Therapy: Eligibility, Referrals, and What’s Covered – The Military Family Therapist’s Complete Guide TRICARE covers manual therapy techniques like soft tissue mobilization when delivered by licensed physical therapists as part of medically necessary physical therapy for musculoskeletal conditions
Do I need a referral for care? | TRICARE Do I need a referral for care? It depends on the TRICARE plan you have and the type of appointment you need See the table below Note: Preauthorization isn’t the same as a referral You need preauthorization for specialty care To learn more, visit the Referrals and Authorizations page
TRICARE Manuals - Display Chap 7 Sect 18. 2 (Change 18, Sep 25, 2024) 3 1 Benefits are payable for inpatient or outpatient physical therapy services that are determined to be medically necessary for the treatment of a covered condition, and that are directly and specifically related to an active written regimen
TRICARE West Region Referrals and Authorizations User Guide Providers can use the Referral and Authorization Decision Support (RADS) Tool to help determine when to submit online referrals and authorizations and when to provide clinical documents
Does Tricare Select Require A Referral For Physical Therapy When utilizing TRICARE Select, referrals generally aren’t necessary for routine or specialty care, yet there can be exceptions that necessitate prior authorization For physical therapy, referrals should be directed to a network TRICARE-authorized provider unless enrolled in TRICARE For Life