TRICARE East facility certification applications

Clinical resources
Handbook (opens in new window)
Policy updates
Provider directory (opens in new window)

About
Contact
Create account (opens in new window)

Beneficiary
- Access
  Policy updates
  
  Review the latest policy updates and changes that impact your TRICARE beneficiaries.
  
  View now
- Education and resources
  Provider handbook
  
  The TRICARE provider handbook will assist you in delivering TRICARE benefits and services.
  
  Learn more
- Wellness programs
  Join the TRICARE East network
  
  Behavioral healthcare providers can apply to join the TRICARE East network.
  
  Apply now
Quick links
About
Contact
Create account (opens in new window)
Main menu

Home
Back to Provider
Back to Access
Back to Become a TRICARE provider
Facility certification applications

Facility/Ancillary certification applications

Ambulance provider certification application
Ambulatory Surgery Center provider certification application
Authorized signer form
Birthing center certification application
Corporate services provider class certification application
Durable Medical Equipment (DME) and Supplier provider certification application
Freestanding Psychiatric hospital and psych unit provider certification application
Home health agency certification application
Hospital provider certification application
Independent laboratory provider application
Hospice provider certification application
Psychiatric and Substance Use Disorder (SUD) Partial Hospitalization Program (PHP) provider certification application
TRICARE donor milk bank certification application
Inpatient/Residential Substance Use Disorder Rehabilitation Facility (SUDRF) provider certification application
Residential Treatment Center (RTC) provider certification application
Opioid Treatment Program (OTP) provider certification application
Intensive Outpatient Program (IOP) provider certification application
Skilled Nursing Facility certification application
Specialty pharmacy certification application
W9 form

Get certified
Join our network

Launch Humana Military Co-Browse

Facebook (opens in new window)

About
Contact
Fraud and abuse
Internet privacy
Privacy
Sponsorships
Terms of use
URAC accreditations

© Humana Military 2022, administrator of the Department of Defense TRICARE East program. TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.