Fwd: Attention Primary Care Managers (PCMs) – Change to Beneficiary Enrollment

Linda Mason Cp

Description

Title:

Fwd: Attention Primary Care Managers (PCMs) – Change to Beneficiary Enrollment

Creator:

Linda Mason Cp

Date:

9/10/2009

Text:

-----Original Message-----
From: TriWest Provider Services < <Email Address Redacted> >
To: <Email Address Redacted>
Sent: Thu, Sep 10, 2009 1:25 pm
Subject: Attention Primary Care Managers (PCMs) – Change to Beneficiary Enrollment









To view this email as a web page, go here.
























September 19, 2009












Attention Primary Care Managers (PCMs) - Change to Beneficiary Enrollment
A recent directive from the Department of Defense (DoD) will affect TRICARE Prime beneficiaries who are currently assigned to military treatment facilities (MTFs) and reside beyond 30 minutes driving time, but less than 100 miles from the MTF. These beneficiaries have recently received a letter from TriWest informing them that they need to sign a drive-time waiver to remain enrolled in TRICARE Prime at the MTF. Beneficiaries have until October 1, 2009 to sign and submit their waiver.
The MTF Commander (or local designee) may approve waivers for those who reside less than 100 miles to the MTF. Only the TRICARE Regional Office-West (TRO-W) may approve waiver requests from beneficiaries who desire to enroll to the MTF and reside more than 100 miles from an MTF, but only if the MTF Commander agrees to accept the enrollment request based on the MTF's capacity and capability.

Those beneficiaries who do not sign the drive-time waiver may elect to enroll to a civilian primary care manager (PCM) or change to TRICARE Standard for coverage. 

As a result of
this change, you may see an increase in TRICARE Prime beneficiaries requesting you as their PCM. TriWest estimates that about 6,000 beneficiaries in the West Region will be reassigned from the MTF to the civilian PCM network as a result of this change. Existing beneficiaries assigned to civilian PCMs will not be affected.

For Alaska beneficiaries, the beneficiary either needs to sign the drive time waiver and receive approval to be seen by the MTF or needs to disenroll from Prime and change to TRICARE Standard for coverage.















Register for an account »




 









Find a Form

Claims/Reimbursement

Referrals/Authorizations

Patient Eligibility

Program Benefits

Provider Handbook

Prior Authorization List














 









Provider Seminars

Online Referral/Auth Submission Tool

























TriWest Home   |   Provider Home   |   Log In   |   Register Online














Confidential and Proprietary

Please add <Email Address Redacted> to your address book or safe sender list to ensure that you continue to receive future issues of TRICARE eNews with important TRICARE and TriWest updates.

Providing access to quality health care for 2.7 million members of America's military family in the 21-State TRICARE West Region. 1-888-TRIWEST (874-9378) or www.triwest.com.

To join our TriWest team, view current job opportunities at www.tri
west.com/jobs.






This email was sent to: <Email Address Redacted>





This email was sent by: TriWest Healthcare Alliance
16010 N. 28th Ave Phoenix, AZ 85053 USA





We respect your right to privacy - view our policy






Manage Subscriptions | Update Profile | One-Click Unsubscribe





                          

Citation

Linda Mason Cp, “Fwd: Attention Primary Care Managers (PCMs) – Change to Beneficiary Enrollment,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/230733.