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Become a TRICARE Provider

Visit our Provider FAQs to learn more about the states we serve, becoming a TRICARE provider, adding providers to an existing practice, authorizations, and claims. 

West Region Network

Thank you for your interest in caring for military service members, retirees and their families. HNFS is currently accepting network applications for the following:

Specialty How to Join
Applied behavior analysis (ABA) providers include TRICARE-authorized Board Certified Behavior Analysts® (BCBAs), BCBA-doctoral (BCBA-Ds), licensed behavior analyst (LBA) or other qualified TRICARE-authorized independent providers with a scope of practice for independent practice of ABA.

Groups and sole providers: Complete and return via fax or U.S. mail the Network ABA Provider Participation Packet and TRICARE Provider Roster.

Individual providers joining a group already contracted with HNFS: Complete our TRICARE Provider Roster.

Do not submit individual Provider Information Forms. 

Other provider types Online applications currently not available.

 

Note: Providers still interested in supporting our military can become a non-network provider. TRICARE-authorized providers must meet specific licensing and certification requirements, and be certified by TRICARE to provide care under the TRICARE program.

 

Welcome Toolkit

New to our West Region network? Access our Welcome Toolkit for important resources.

 

Credentialing 

HNFS is required to conduct a credentials review on each network provider to determine if the provider meets the minimum requirements of the Defense Health Agency, HNFS and URAC. As part of the provider agreement process, medical, surgical and/or mental health care providers must complete this HNFS credentialing process.

All providers must verify their CAQH® profile allows for global access or specifies that HNFS can access their CAQH record.

 

Delegated credentialing

Provider groups who have their own credentialing department can allow HNFS to delegate the credentialing to the group. Visit our Network Provider Frequently Asked Questions to learn more. 
 

Credentialing status

Providers can check their credentialing status online. Enter the individual (Type 1) or facility/ancillary (Type 2) National Provider Identifier (NPI). 

  • Behavior technicians (BTs): While BTs are certified and not credentialed, providers can begin to see patients on their national or state certification date as long as the group has an executed network agreement by that date. We recommend providers wait 45 days after submission of a roster to submit claims. Individual BTs will not display in the TRICARE West Region Network Provider Directory and are not available to check their status online. 

Note: Credentialing status is different than network status. Please refer to your Provider Participation Agreement for network status and effective date. (If your group has a delegated credentialing agreement, contact your group’s credentialing department for your contract execution date.)