TRICARE covers services delivered by qualified, TRICARE-authorized behavioral healthcare providers practicing within the scopes of their licenses, to diagnose and/or treat covered behavioral health disorders. All services and supplies provided by unauthorized providers are excluded. For information about the requirements for being an TRICARE-authorized provider, refer to the TRICARE Policy Manual, Chapter 11
TRICARE beneficiaries are encouraged to receive behavioral healthcare from a military hospital or clinic. However, access may be limited due to space-availability issues or the facility's ability to render the care needed. When a service is not available at a military hospital or clinic, beneficiaries may seek behavioral healthcare from a TRICARE-authorized provider and, preferably, a network provider. Learn more about becoming a network provider
To be considered a covered condition, behavioral conditions must meet the following criteria:
Services and supplies that are not considered medically or psychologically necessary are generally excluded. To determine if a specific service is a covered benefit or if coverage is limited, use the code look up feature via provider self-service.