Do you see TRICARE patients? Check out CMA's new toolkit to assist physicians with the transition On January 1, 2018, Health Net Federal Services (HNFS) will begin providing managed care services to 2.9 million TRICARE beneficiaries in the 21 western states, including California. HNFS took over the contract previously held by UnitedHealthcare Military and Veterans’ Services. In preparation for the transition, the California Medical Association (CMA) has prepared a TRICARE Transition Guide to help physicians understand the impact the transition will have on their practices. The guide is available free to members in the CMA resource library. December 28, 2017 Managed Care Health Net, TRICARE 0 0 Comment Read More »
Health Net Federal Services begins TRICARE contracting initiative As previously reported, the Department of Defense awarded the $17.7 billion TRICARE West Region contract to Health Net Federal Services (HNFS). As the recipient of the contract, HNFS will provide managed care services to 2.9 million TRICARE beneficiaries in 19 western states, including California, beginning October 1, 2017. In preparation for the transition, Health Net has sent recruitment notices to physicians soliciting interest in participation in the new Health Net Federal Services (HNFS) West Region network. Included in the recruitment packet is a “Join our Network” form. Physicians interested in ... April 18, 2017 Managed Care Health Net Federal Services, HNFS, Managed Care, TRICARE 0 0 Comment Read More »
Health Net Federal Services awarded Tricare contract beginning late 2017 Health Net Federal Services (HNFS) has been awarded the contract for managed care support (MCS) for the Tricare West Region, replacing the current MCS contractor, United Military and Veteran Services. Under the $17.7 billion contract, HNFS will provide direct medical care and administrative support services to Tricare beneficiaries throughout the 19 state western region, which includes California. According to HNFS, a nine-month transition period is expected, with an anticipated start of health care delivery sometime in mid-2017. HNFS has been the managed care contractor for the Tricare North Region since ... August 9, 2016 Managed Care Tricare, Health Net 0 0 Comment Read More »
Ask the expert: How long does TRICARE have to request a refund? Recently, physicians may have started to receive TRICARE requests for refunds related to overpayment from the governmental health carrier. As a result, the California Medical Association’s Center for Economic Services has compiled a list of the most frequently asked questions and answers related to these TRICARE refund requests. How long does TRICARE have to request a refund? Pursuant to federal law, TRICARE is authorized to seek refunds of overpayment for dates of service as far back as 10 years, per Title 32: Subtitle A, Chapter: 1, Subchapter M, Part 199.11 - ... September 4, 2014 General Refund Requests, Tricare, Practice Resources 0 0 Comment Read More »
Government shutdown to have minimal impact on Medicare and TRICARE programs With the October 1 shutdown of the federal government, the California Medical Association (CMA) has received calls from physicians with questions about how federally funded programs like Medicare and TRICARE will be affected. TRICARE On October 1, 2013, the Defense Health Agency issued a statement regarding TRICARE programs, indicating that there will be minimal impact to TRICARE beneficiaries utilizing private sector physicians. CMA has also confirmed with United Healthcare Military & Veterans Services, the managed care support contractor for the TRICARE West Region, that there should be no interruption in operations ... October 4, 2013 General Medicare, TRICARE, Insurance/Reimbursement 0 0 Comment Read More »
TRICARE Transition Guide On April 1, 2013, United Health Military & Veterans Services (UMVS) began providing managed care services to 2.9 million TRICARE beneficiaries in the 21 western states, including California. On that date, UMVS took over the contract previously held by TriWest. To help physicians understand the impact the transition will have on their practices, CMA has prepared a TRICARE Transition Guide. (members only; login required) April 2, 2013 General, Managed Care Managed Care Services, UMVS, TRICARE, United Health Military and Veterans Services 0 0 Comment Read More »
