TRICARE provider

Behavioral health

We are proud to be of service to America’s heroes and are grateful for your desire and dedication to serve TRICARE members in your practice and programs.

Overview

The highly stressful conditions of military life (including the traumatic conditions of war) come with many challenges that can be harmful to mental and physical well-being. Service members face stressors such as deployment, combat, separation from family and friends, death of fellow service members, as well as dealing with behavioral and physical conditions. Additionally, the non-military spouse/significant other and family members face stressors such as adjusting to the service member’s deployment, frequent re-assignments, irregular schedules/routines, and living far away from family and friends.

Prevention

The following materials are made available for the purpose of reducing the occurrence of behavioral health symptoms and disorders experienced among TRICARE beneficiaries:


Patient education


Support services

Identification

These tools are made available to aid the identification and diagnosis of behavioral health conditions among TRICARE beneficiaries.

Screening tools

The following screening tools are recommendations provided by the Agency for Healthcare Research and Quality (AHRQ) and the U.S. Department of Veteran Affairs to support the detection of behavioral health conditions in primary care settings:


Depression


Substance use


Trauma and PTSD



Suicide

Treatment

The following TRICARE guides and resources will support you in providing care, managing your practice and working with us:

For additional information about the TRICARE benefit and policies, please review the latest editions of the TRICARE manuals.

Clinical Practice Guidelines (CPGs)

The Veteran’s Health Administration (VHA) and Department of Defense (DoD) strive to use evidence-based treatments for behavioral health conditions through the use of clinical practice guidelines (CPGs) and clinical support tools. This section contains the CPGs for the common behavioral health conditions and the corresponding clinical support tools.

Standardized measures

As outlined in the TRICARE Policy Manual, Chapter 7, Section 3.11 – the following standardized measures are required at treatment baseline, at 60-120 day intervals, and at discharge across all behavioral health settings (outpatient, inpatient, partial hospitalization, Residential Treatment Centers (RTCs), and Substance Use Disorder Rehabilitation Facilities (SUDRFs), for the corresponding diagnoses:

PTSD Checklist (PCL) - the following items were created by staff at VA's National Center for PTSD:

STRONG STAR

The South Texas Research Organizational Network Guiding Studies on Trauma and Resilience (STRONG STAR) is a multidisciplinary and multi-institutional research partnership funded by the Department of Defense (DoD) and the VA. STRONG STAR works to develop and evaluate the most effective early interventions possible for the detection, prevention, diagnosis and treatment of combat-related PTSD and related conditions in active-duty military personnel and recently discharged Veterans.

Learn more

About us

Our behavioral health team is committed to supporting the mental and physical health and well-being of TRICARE beneficiaries. We recognize the unique needs of this population, and we are ready to do our part to ensure providers have the information and resources necessary to deliver the appropriate level of care at the right time.

Together, we can improve the quality, cost, and outcomes of behavioral healthcare for beneficiaries. Explore this section of the site for information about the following:



strong-person

Prevention

Explore brochures, fact sheets, handouts, and other educational materials for beneficiaries.



Search

Identification

Learn about screening tools, tips and advice to support early identification and diagnosis.



Find a provider

Treatment

Find clinical practice guidelines, best practices, benefit information, and much more.

Exceptional Family Member Program (EFMP)

Enrollment in EFMP ensures that family members' documented medical and educational needs receive consideration during the assignment coordination process. Through the EFMP Family Support office, families can receive assistance with navigating military and community systems of support.

To enroll in the EFMP, active duty service members must obtain paperwork from the EFMP medical point of contact at their local military treatment facility. Find your service branch’s EFMP representative by visiting the installation program directory

The forms for enrollment are:

  • DD Form 2792, Family Member Medical Summary
    The service member or adult family member completes the first page to document medical needs. The family member's physician or other qualified medical professional completes the rest.
  • DD Form 2792-1, Special Education/Early Intervention Summary
    The sponsor or legal guardian completes items one through seven of the first page to document educational needs. School or early intervention program personnel complete the remainder of the form. A copy of the individualized education program or individual family service plan pairs with the form.

After the appropriate medical or educational provider completes the forms, they go back to the EFMP medical point of contact.

For more information, please see the EFMP quick reference guide



Extended Care Health Option (ECHO)

ECHO provides supplemental services to Active Duty Family Members (ADFMs) with qualifying mental or physical disabilities. ECHO offers integrated services and supplies beyond those offered by your TRICARE program option (such as TRICARE Prime and TRICARE Select).

To enroll in the EFMP, ADSMs must obtain paperwork from the EFMP medical point of contact at their local military treatment facility. Find your service branch’s EFMP representative by visiting the installation program directory

Each beneficiary obtaining ECHO and associated program benefits is assigned to a case manager who will assist in coordinating care with the PCM.

To receive TRICARE ECHO benefit authorization, all eligible beneficiaries must:

  • Enroll in the EFMP
  • Register for ECHO with their regional contractor to be eligible for ECHO benefits

If you need help with ECHO benefits or want to see if you qualify, please contact your regional contractor or visit tricare.mil/echo



Autism Care Demonstration (ACD)

TRICARE's ACD program covers Applied Behavior Analysis (ABA) for all TRICARE beneficiaries diagnosed with Autism Spectrum Disorder (ASD).

To receive care through ACD, all eligible beneficiaries must:

  • Enroll in their service’s EFMP and be registered with ECHO
  • Receive ASD diagnosis from an approved diagnosing provider
  • Get a referral and authorization to the ACD program

Learn more about the ACD program


ABA/ACD checklists and forms

Visit the providers resource page to find a form

Autism Center of Excellence

The Humana Military Autism Center of Excellence (ACoE) was developed to:

  • Define, develop and govern industry standards and best practices
  • Provide education and training
  • Offer guidance and mentorship

We are a multi-disciplinary team of medical and behavioral health professionals including ASD subject matter experts, medical director(s), strategic consultants, and clinical managers who are dedicated to identifying gaps in care, prioritizing beneficiary and provider support needs, and then translating these observations into clinical practice.

Our team provides proactive outreach to stakeholders, engages in population health research, and delivers an interactive web-based Autism Information Center (AIC) with resources and information about treatment, research, and the TRICARE benefit.

Visit the Autism Center of Excellence

Resources and tools

Find key information and materials to support your practice.

Continuing education

The following educational opportunities are designed to offer information and facilitate discussion on a variety of behavioral health topics relevant to the military community.

PTSD Consultation Program (services offered by the VA)
866.948.7880 | PTSDconsult@va.gov

Forms

When using the self-service portal to submit requests for one of the following services, please use the appropriate checklist to ensure that all necessary clinical information is included with your request. See a full list of provider forms



resilience

Special programs and services

Learn about special programs available to eligible TRICARE beneficiaries.



Help

Autism Center of Excellence

For accurate and timely information about ASD.



Health

Resources and tools

Continuing education and other tools to support your practice.

Provider self-service

The secure self-service for providers offers many features that will save you time,
ensure patient privacy and help manage your office more efficiently.

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