Beginning January 1, 2021, the Defense Health Agency (DHA) has approved a demonstration to waive the cost-share for up to three PT sessions for beneficiaries with LBP. The purpose of the demonstration is to evaluate if waiving cost-shares for up to three PT sessions will increase beneficiary PT participation, decrease low-value care and/or decrease the overall cost of care for treating beneficiaries with LBP.
This demonstration will run from January 1, 2021 through December 31, 2023 and will operate in the following states: Arizona, California, Colorado, Florida, Georgia, Kentucky, North Carolina, Ohio, Tennessee and Virginia.
See the TRICARE Operations Manual, Chapter 18, Section 9 for more information.
