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Changes to TRICARE

The Military Health System (MHS) is modernizing to better serve you and respond to changes in law and policy. Over the coming months and years, you will see some significant changes to the TRICARE health plan.

Visit the TRICARE Website to Learn More

TRICARE is changing. Are you ready?

What has changed in the past year?

What should I do to keep my health care plan updated?

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Autism Care Demonstration Policy Changes: Question & Answers - Set 5

Publication
7/30/2021

Topics covered in Set 5 include: - CPT Codes - General - Concurrent Billing - CPT Code T1023 - Medical Team Conference (MTC) - CPT Code 97151 - CPT Code 97155 - CPT Code 97156 - CPT Code 97157/97158 - Clinical Necessity Reviews - ABA Discharge Summary

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Autism Care Demonstration Policy Changes: Question & Answers - Set 4

Publication
7/27/2021

Topics covered in Set 4 include: - Provider Education - Audits - Autism Services Navigator (ASN) - Comprehensive Care Plan (CCP) - Reimbursements - Outcome Measures – General Questions - Documentation - Place of Service (PoS)

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Autism Care Demonstration Policy Changes: Questions & Answers - Set 3

Publication
7/14/2021

Topics covered in Set 3 include: - Referrals and Authorizations - Parent Stress Measures - Sharing of Outcome Measures Reports - Access to Care - Outcome Measures – Referrals and Authorizations

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Delivering Readiness: The Evolution of TRICARE

Article
7/1/2021
A picture of a laptop

The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families.

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Autism Care Demonstration Policy Changes: Questions & Answers - Set 2

Publication
6/15/2021

Topics covered in Set 2 include: - Behavior Technician Certification - Provider Certification Requirements - Participation Agreements - Restraints - Exclusions

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Autism Care Demonstration Policy Changes: Questions & Answers - Set 1

Publication
5/24/2021

Topics covered in Set 1 include: - Diagnostic requirements - Behavior Technicians in the School Change - Certain Community Settings

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Pregnancy Care

Infographic
4/26/2021
Infographic explaining TRICARE coverage for pregnant women

Maternity care is vital to women’s health. Military health provides care during and after pregnancy, including new standard practices to care for postpartum hemorrhage, which accounts for more than 10% of maternal deaths in the U.S.

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Women's Health Month | Women's Health | TRICARE Health Program

TRICARE Well-Woman Exams

Infographic
4/26/2021
Infographic explaining TRICARE coverage of 3D mammography and other well-woman exams.

TRICARE covers a wide variety of well-woman services, including a benefit that began in 2020, 3-D Mammography,

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Other Important Changes

Presentation
4/21/2021

TRICARE ACD Manual Change Webinar Session 4: Other Important Changes

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ACD Manual Change Webinar Recording 4 2021

Presentation
4/21/2021

A recording of the fourth webinar, presented on April 21, 2021, which provided information about ACD Manual Change

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Applied Behavior Analysis Policy

Presentation
4/16/2021

Session Three (4/16/21): Applied Behavior Analysis Policy

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ACD Manual Change Webinar Recording 3 2021

Presentation
4/16/2021

A recording of the third webinar, presented on April 16, 2021, which provided information about ABA Policy

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Projects test new approaches to improve health care quality, outcomes

Article
4/15/2021
Military health personnel wearing a face mask practicing a spinal rotation technique

Pilots and demonstrations allow TRICARE to develop and test innovative approaches and services.

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ABA Maximum Allowed Rates Effective May 1 2021

Publication
4/13/2021

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ABA Maximum Allowed Rates Effective August 1, 2021

Publication
4/13/2021

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