Referrals/authorizations in self-service

For Active Duty Service Members (ADSM) and all other beneficiaries enrolled in a TRICARE Prime plan, PCMs must provide a referral for most services they can't provide. For TRICARE Select beneficiaries, referrals are not required, but some services may require prior authorization from Humana Military.

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Care management services

We offer several programs designed to help improve and sustain the health of our beneficiaries through our case and disease management services. If you have a patient with intricate health needs and/or a chronic condition who may benefit from one of these programs, you can refer the beneficiary through provider self-service.

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