United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2016_register executive 2018-02-09 article Part VI Rules and Regulations D09002ee1c7f436e0 D09002ee1c7f43869 United States Department of Defense originator org United States Government Agency or Subagency United States Office of the Secretary originator org United States Government Agency or Subagency This final rule modifies the TRICARE regulation to reduce administrative barriers to access to mental health benefit coverage and to improve access to substance use disorder (SUD) treatment for TRICARE beneficiaries, consistent with earlier Department of Defense and Institute of Medicine recommendations, current standards of practice in mental health and addiction medicine, and governing laws. This rule seeks to eliminate unnecessary quantitative and non-quantitative treatment limitations on SUD and mental health benefit coverage and align beneficiary cost-sharing for mental health and SUD benefits with those applicable to medical/surgical benefits, expand covered mental health and SUD treatment under TRICARE to include coverage of intensive outpatient programs and treatment of opioid use disorder and to streamline the requirements for mental health and SUD institutional providers to become TRICARE authorized providers, and to develop TRICARE reimbursement methodologies for newly recognized mental health and SUD intensive outpatient programs and opioid treatment programs. 81 FR 61068 https://www.govinfo.gov/app/details/FR-2016-09-02/2016-21125 2016-21125 fr02se16-16 RIN 0720-AB65 5001-06-P DOD-2015-HA-0109 https://www.govinfo.gov/app/details/FR-2016-09-02/2016-21125 https://www.govinfo.gov/content/pkg/FR-2016-09-02/html/2016-21125.htm https://www.govinfo.gov/content/pkg/FR-2016-09-02/pdf/2016-21125.pdf Claims Dental Health Health Care Health Insurance Individuals with Disabilities Mental Health Mental Health Parity Military Personnel Substance Use Disorder Treatment 31 p. 61068 61098 81 FR 61068 Title 32 Part 199 32 CFR Part 199 RIN 0720-AB65 TRICARE; Mental Health and Substance Use Disorder Treatment; Federal Register Vol. 81, Issue RULE 2016-21125 VI DEPARTMENT OF DEFENSE Office of the Secretary 2016-10-03 DOD-2015-HA-0109 5001-06-P 2016-21125 Final rule.

This final rule modifies the TRICARE regulation to reduce administrative barriers to access to mental health benefit coverage and to improve access to substance use disorder (SUD) treatment for TRICARE beneficiaries, consistent with earlier Department of Defense and Institute of Medicine recommendations, current standards of practice in mental health and addiction medicine, and governing laws. This rule seeks to eliminate unnecessary quantitative and non-quantitative treatment limitations on SUD and mental health benefit coverage and align beneficiary cost-sharing for mental health and SUD benefits with those applicable to medical/surgical benefits, expand covered mental health and SUD treatment under TRICARE to include coverage of intensive outpatient programs and treatment of opioid use disorder and to streamline the requirements for mental health and SUD institutional providers to become TRICARE authorized providers, and to develop TRICARE reimbursement methodologies for newly recognized mental health and SUD intensive outpatient programs and opioid treatment programs.

This rule is effective October 3, 2016. Dr. John Davison, Defense Health Agency, Clinical Support Division, Condition-Based Specialty Care Section, 703-681-8746. Claims Dental Health Health Care Health Insurance Individuals with Disabilities Mental Health Mental Health Parity Military Personnel Substance Use Disorder Treatment TRICARE: Mental Health and Substance Use Disorder Treatment , http://manuals.tricare.osd.mil http://manuals.tricare.osd.mil/ www.health.mil Vol. 81, no. 171 Office of the Federal Register, National Archives and Records Administration 2016-09-02 continuing daily deposited born digital 524 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2016-09-02 P0b002ee1985ecf51 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr02se16 https://www.govinfo.gov/app/details/FR-2016-09-02 https://www.govinfo.gov/content/pkg/FR-2016-09-02/pdf/FR-2016-09-02.pdf https://www.govinfo.gov/content/pkg/FR-2016-09-02/xml/FR-2016-09-02.xml fdlp 60581 61098 DGPO 2018-02-09 2024-06-01 FR-2016-09-02 machine generated eng FR FR-2016-09-02 81 171