Welcome Logout

Updated Version of TRICARE Provider Handbook to Post July 1

Thursday, May 30, 2019

Health Net Federal Services, LLC (HNFS) is updating its TRICARE West Region Provider Handbook to incorporate recent changes to TRICARE and HNFS-specific processes used to administer the program. The updated handbook will post to www.tricare-west.com by July 1, 2019.

Be sure to review the full contents of the TRICARE West Region Provider Handbook, as it is a component of your TRICARE Provider Agreement. 

Updates include:

  • Revised credentialing details for mental health care provider types
  • Removed references to MHN, LLC.
  • Clarified why certain provider types are not listed in HNFS’ Network Provider Directory
  • Expanded the Directory Ratings section
  • Added new and/or revised benefit content:
    • Three-dimensional mammograms
    • Maternity care length of stay
    • Banked donor milk
    • Breast pumps and supplies
  • Added clinical documentation requirements for mental health care providers
  • Revised the vaccine billing guidelines
  • Added banked donor milk, breast pumps and breast pump supplies reimbursement guidelines
  • Revised the home health agency pricing guidelines
  • Updated the home infusion drug pricing section 

This list is not all-inclusive.

Changes to TRICARE are continually made as public law, federal regulation, and HNFS’ managed care support contract are amended. Continue to visit www.tricare-west.com for the most up-to-date information.