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Join the Network - Facility

To become a ValueOptions TRICARE facility/program provider, one must first meet TRICARE’s facility/program accreditation requirements:

JCAHO accreditation - Required for Inpatient Psychiatric and Substance Abuse Detoxification and Rehabilitation facility/programs
JCAHO or CARF accreditation - Required for Freestanding Substance Use Disorder Rehabilitation Facilities (SUDRF)

TRICARE certification through the National Quality Monitoring Contractor (NQMC) - MAXIMUS (602) 308-7160, for:
                    Psychiatric Partial Hospitalization Programs (PHPs)
                    Residential Treatment Centers (RTCs
                    Freestanding Substance Use Disorder Rehabilitation Facilities (SUDRFs)

 

Insurance coverage requirements
  • Current medical malpractice, comprehensive professional, general and /or liability insurance certificates that identify the limits of liability (minimum $1 million per claim; $3 million aggregate) or appropriately funded, actuarially sound self-insurance program.
To apply for Network participation, the following items are required, depending on the services/programs offered at your facility.  Please contact the Provider Relations Department at (800-700-8646, ext. 2095) , following the directions corresponding to if you are a provider to obtain a TRICARE South Facility / Program Application form, or should you have questions concerning the submission of these  the following documents:
  • Facility/Program Addendum form for each service provided, together with copies of all applicable state licenses and
  • Evidence of current liability coverage, with policy period specified
  • Medicare certification
  • JCAHO or CARF certification
Other important information:
  • Please allow 20-30 days, from the time the application is received, for the review process
  • Please feel free to contact the Facility Contract Coordinator at (800) 700-8646 ext. 2095 for the status of your facility/program application, once submitted
  • You will be notified in writing upon acceptance into the TRICARE network
  • TRICARE requires us to maintain current and accurate demographic information for each facility/program in our network.  Each facility/program will be notified when copies of updated documents, such as state licenses, insurance, etc. are required.
  • Please notify us of changes related to your facility/program, e.g. a new tax identification number, changes in services offered or change of ownership
Last Update: April 24, 2008