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Access to Health Care

Here you'll find information about how the Military Health System provides health care to the uniformed services, retirees and their families.

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Patient Centered Practice Hours

Policy

This memorandum encourages Air Force military treatment facilities to establish more patient-centered clinic hours.

DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries

Policy

This directive reissues DoD Directive (DoDD) 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland Security, and Health and Human Services

First Call Resolution and Do Not Call Back Policy

Policy

This policy requires first call resolution for all patients requesting appointments at all Air Force medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment.

First Call Resolution and Expeditious Reply to Patient Policy

Policy

This policy requires first call resolution for all patients requesting appointments at all National Capital Region Medical Directorate medical treatment facilities. Under this policy, beneficiaries will not be asked to call back for an appointment.

First call Resolution and Do Not Call Back Policy

Policy

This Army OTSG/MEDCOM policy identifies responsibilities of MTF commanders, primary care, specialty care and other stakeholders identified in the appointing process to ensure patient satisfaction for our beneficiaries; outlines use of alternative portals such as Army Medicine Secure Messaging, Nurse Advice Line and TRICARE Online; specific procedures are also identified to correctly transfer calls in accordance with existing access to care standards, referral management protocols, and proper use of managing clinic schedules to ensure appointing success the first time one of our patients seeks access.

Non-Availability of Patient Appointments at Medical Treatment Facilities

Policy

This policy is to be implemented immediately to ensure patients are not told to call back the next day for an appointment.

Air Force Instruction 44-176: Access to Care Continuum

Policy

This publication implements AFPD 44-1, Medical Operations. It provides guidance and procedures for Access to Care (ATC) operations within the Air Force Medical Service (AFMS). It establishes the roles, responsibilities, definitions and requirements for implementing, sustaining and managing ATC for AFMS Medical Treatment Facilities (MTFs).

Military Health System Prescription Transfer Procedures

Policy

Effective immediately, all Department of Defense (DoD) military treatment facility (MTF) outpatient pharmacies will accept patient requests for prescription transfers from another MTF and from retail pharmacies. When another pharmacy requests prescription transfer information on behalf of a patient, DoD MTF outpatient pharmacies will respond to the inquirer in a timely manner.

Procedures on Responsibility of Dispensing Prescriptions at MTF Pharmacies 14-004

Policy

This memorandum clarifies procedures relating to Health Affairs Policy 04-032, "TRICARE Pharmacy Benefit Program Formulary Management," dated December 22, 2004, which remains in effect. Specifically, this memorandum is addressed to all military treatment facility (MTF) providers and pharmacies. It revalidates the requirement for MTFs to provide medications prescribed by MTF providers and restates procedures for obtaining 3rd tier (Nonformulary) and compounded medications for patients treated at MTFs.

DoDI 6000.14: DoD Patient Bill of Rights and Responsibilities in the Military Health System

Policy

This instruction reissues DoD Instruction (DoDI) 6000.14 (Reference (b)) to establish policy, assign responsibilities, and provide procedures for implementation of the Consumer Bill of Rights and Responsibilities (commonly referred to as the “Patient’s Bill of Rights”) (Reference (c)).

  • Identification #: DoD Instruction Number 6000.14
  • Date: 10/3/2013
  • Type: Instructions
  • Topics: Access to Health Care

Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas 602520p

Policy

Establishes policy, assigns responsibilities, and prescribes uniform guidelines, procedures, and standards for the implementation of clinical case management (CM) in the Military Health System (MHS), for TRICARE beneficiaries including care of the wounded, ill, and injured (WII). Defines terms for MM, implements polices, assigns responsibilities, and specifies content for activities within the military treatment facilities (MTF). Establishes an interdependent MM system between the direct care system and purchased care system to improve the delivery and the quality of healthcare.

Expansion of the Chiropractic Program 13-001

Policy

Chiropractic services may now be added at Military Treatment Facilities (MTFs) that do not offer the service, subject to Military Department approval procedures and available funding. This change recognizes several requests from MTFs to add chiropractic services and the incorporation of chiropractic care in various pain management programs. Each Military Department shall establish its own policy for their MTFs to request approval to add chiropractic services or to transfer chiropractic authorizations to other MTFs.

Guidelines for Suspension and Reinstatement of TRICARE Reserve Select Coverage 12-009

Policy

This memorandum clarifies the procedures under title 32 of the Code of Federal Regulations, section 199.24(d)(3) for suspending TRICARE Reserve Select (TRS) coverage for up to 12 months and, upon request from a TRS member/survivor request, lifting the suspension, which will reinstate coverage with no break.

TRICARE Policy for Access to Care

Policy

This memorandum rescinds and replaces several previously-issued Assistant Secretary of Defense (Health Affairs) (ASD[HA]) policy memoranda regarding TRICARE policy for access to care. To the extent practicable, this policy applies to overseas locations and to the TRICARE Overseas Program contractor with consideration that overseas/foreign locations often present unique circumstances.

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