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.
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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