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Appendix G: Access Standards for TRICARE Prime Enrollees
Pages 369-370

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From page 369...
... INITIAL ASSESSMENT TRICARE Prime policy states that the initial visit to evaluate a new or recurring behavioral health problem is considered primary care, and the beneficiary should be evaluated by a provider who is professionally capable or specifically privileged to perform behavioral health assessments. Family members and retirees may choose whether to receive the initial assessment from their primary care provider, an integrated mental health provider within their primary care clinic, or a behavioral health care provider.
From page 370...
... Military treatment facilities have first priority for providing referred specialty care or inpatient care for behavioral health conditions for all TRICARE Prime beneficiaries. PRIOR APPROVAL Referral by a primary care provider is not required for family members and retirees for the first eight outpatient behavioral health visits.


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