Already-approved referrals and authorizations have been extended 180 days from the expiration date

May 18, 2020

With provider offices across the country rescheduling patient appointments due to the COVID-19 outbreak, we recognize some already-approved authorizations for TRICARE beneficiaries may expire before pandemic restrictions are lifted. In an effort to reduce administrative burden for providers, we have automatically extended certain outpatient referrals and authorizations an additional 180 days. Humana Military has automatically updated the referral/authorization end dates and the updates are reflected in provider self-service.

Key points

  • We have extended already-approved outpatient referrals and authorizations that expire(d) between March 1, 2020 and June 30, 2020. Please note exceptions below.
  • Extensions are for a duration of 180 days from the original expiration date. The number of approved visits did not change.
  • Extensions apply to active duty and non-active duty beneficiaries.

Note: TRICARE eligibility guidelines still apply. As some beneficiaries’ enrollment status may change during the pandemic shutdown, it is important to verify eligibility and benefit coverage prior to rendering services. Any authorization extensions issued do not supersede TRICARE‘s eligibility policies.

Extension exclusions

The following outpatient care types are excluded from the 180-day extension:

  • Active duty Supplemental HealthCare Program (SHCP) waivers
  • Audiology / Hearing aids
  • Autism Care Demonstration (ACD)
  • Behavioral healthcare
  • Department of Veterans Affairs (DVA)/Department of Defense (DoD) Memorandum of Agreement (MOA)
  • Durable Medical Equipment (DME)
  • Hemodialysis
  • Home healthcare
  • Infusions
  • Line of Duty (LOD)
  • Maternity-related services
  • Orthotics/Prosthetics
  • Stem cell transplant