Intensive Outpatient Program for Mental Health and/or Substance Use Disorder
An intensive outpatient program (IOP) for mental health or substance use disorder is a covered benefit for care that is medically and psychologically necessary and appropriate. An IOP typically consists of six to nine or more hours per week of services that include an assessment, treatment and rehabilitation for individuals requiring a lower level of care than a partial hospitalization program (PHP), inpatient/residential substance use disorder rehabilitation facility (SUDRF) care, residential treatment center (RTC) care, or acute inpatient psychiatric or substance use disorder hospitalization.
In response to the COVID-19 pandemic, retroactive to March 13, 2020, the Defense Health Agency is temporarily allowing for intensive outpatient care (IOP) services to be rendered via telemedicine. These services are subject to daily limits per TRICARE policy.
An approval from Health Net Federal Services, LLC (HNFS) is required for all beneficiaries. A request should be submitted to HNFS by the beneficiary’s primary care manager/provider or the mental health care specialty provider.