TRICARE Tidbits
Putting the Care in TRICARE
Facility Factoids
Provider Particulars
Military Minutia
100
A medical facility (hospital, clinic, etc.) owned and operated by the uniformed services-usually located on or near a military base.
What is a MTF (Military Treatment Facility)?
100
If a former spouse of an ADSM does not do this, they are still a beneficiary of TRICARE services.
What is remarry?
100
These are facilities, both freestanding an medical/surgical, currently contracted with UBH and which provided care to TRICARE beneficiaries through Humana's network.
What are Overlap Facilities?
100
Providers on this are automatically excluded from TRICARE.
What is active duty?
100
A legendary football rivalry dating back to 1890 exists between the Navy and this branch of the service.
What is the Army?
200
Jared mentioned that kelley has issued a "money back guarantee" that these will change.
What are the dates of the timeline?
200
This TRICARE Plan option is similar to a PPO with voluntary use of network providers; however, access is not guaranteed. There is no enrollment fee but there are deductibles and co-pays.
What is TRICARE Extra?
200
Facilities have 30 days to do this or they will automatically become TRICARE Facilities.
What is opt out?
200
A MBC Approval of 0% indicates that this does not support that particular code.
What is licensure level?
200
Jarhead is a slang name for a member of this branch of the service, derived from the haircut they are given during initial training.
What is the Marine Corps?
300
This effective, or "go live" date is in no way affected by the delay due to the appeal of the protest.
What is October 1, 2010?
300
Ruth gave this nickname to the care management system to be used for TRICARE.
What is "Care Not" (instead of Care One)? Will also accept: What is "Care None"
300
All facility records wil be loaded into RDB at this stage.
What is 20?
300
This is what Kelley nicknamed Priority 5, which includes 3A/CMHC providers.
What is a "big pile of mess?"
300
In the film "The Guardian", Ashton Kutcher's character Jake Fisher, is training to become a member of this branch of the service.
What is the Coast Guard?
400
The OHBS source of truth.
What is FACETS?
400
Wait times for the initial urgent behavioral health care appointment with a behavioral health care provider shall generally not exceed this amount of time.
What is 24 hours?
400
We expect to achieve 98-100% of TRICARE allowable for these services
What are partial hospitalization services?
400
Provider fee schedule tiers are based on these.
What is are zip codes?
400
The characters "Maverick" and "Goose" in the 1986 film "Top Gun" were members of this branch of the Armed Forces.
What is the Navy?
500
Though it is complicated, Michael feels confident the systems will work be they have brought in this.
What is the right people.
500
This type of therapy requires no prior authorization and has no frequency limitations, but is only covered when medically necessary.
What is Electroconvulsive Therapy (ECT)?
500
As TRICARE Management Activities (TMA) National Quality Monitoring Contractor (NQMC), this works in partnership with other TMA contractors and vendors to promote and provide the highest quality of care to TRICARE beneficiaries.
What is MAXIMUS?
500
For Priority 1, Stage 42 in the RDB signifies that we have received the credentialing form back, have sent it to Cred to load, and there are no issues with this.
What is the Amendment?
500
Officers of this uniformed services are led by the Surgeon General, are classified as non-combatants, and wear the same uniforms as the United States Navy with special corps insignia and hold ranks equivalent to those of naval officers.
What is the Commissioned Corps of the Public Health Service?
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