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Hospitalization for Mental Health

Hospitalization for mental health is covered, regardless of length of stay, as long as care is considered medically or psychologically necessary and appropriate. All non-emergency admissions require prior authorization for all beneficiaries (except those with other health insurance). An approval from Health Net Federal Services, LLC is not required for emergency admissions. However, notification of admission and discharge dates must be submitted by the next business day following the admission and discharge. Providers can submit this information online or by using an Inpatient TRICARE Service Request/Notification Form. HNFS conducts continued stay reviews for all mental health care. Clinical records will be requested as necessary. 
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