To participate in the care of TRICARE beneficiaries, facilities must establish a Peer Review Organization (PRO) agreement with Humana Military in accordance with 32 CFR 199.15(g).
- The PRO agreement is separate from a network contract and network and non-network facilities are required to sign one.
- The agreement is a signed acknowledgement that Humana Military is the PRO for the TRICARE East Region.
- If a corporation has multiple facilities, one signed agreement may cover all the facilities.
- The PRO agreement confirms that the facility will cooperate with Humana Military and its subcontractors.