CBR YouthConnect is pleased to announce that we are now a TRICARE approved provider and contracted with TriWest as an “In-Network” Provider.
What is TRICARE? TRICARE was created in the early 1990s and is the U.S. Department of Defense (DoD) health care entitlement for active duty, Guard and Reserve and retired members of the military, and their eligible family members and survivors. TRICARE is not an insurance plan, but rather a health care entitlement earned by our nation’s military members for their service to this country.
What is TriWest? TriWest Healthcare Alliance is a privately held corporation that contracts with the Department of Defense (DoD) to administer TRICARE in a 21-state “West Region.” There are also two other TRICARE regions in the United States, North Region and South Region. TriWest is not an insurance company either, but rather a contractor to the DoD that administers the TRICARE program.
Residential Treatment for youth is covered under the TRICARE system. Therefore, this is a great opportunity for any family with eligible youth and in need of residential psychiatric treatment services! These services may cover the client for up to 150 days per calendar year.
There are certain guidelines that must be met and a procedure to make a referral to CBR YouthConnect via Tricare and TriWest. You can access the TriWest website and download the required 3 page form at:
www.triwest.com (it may take a few minutes to download the form) or please request one from the CBR YouthConnect admissions office. The client must be evaluated by a medical doctor or psychiatrist and this form completed by the doctor. In addition, the following must accompany this from (part of the form):
1. Current Psychiatic Evaluation by a Psychiatrist (within 30 days of this request).
2. Detailed Psychosocial Assessment.
3. Discharge Summaries (from any Behavioral Health Hsopitalizations within
the last 12 months).
4. Psychological Testing Results (IQ & Projective Tests), if applicable.
5. School Testing, School Social History, and an Individualized Education Plan (IEP),
if applicable.
6. If hospitalized, include the family therapy, individual therapy, and MD/DO
progress notes for the current stay and a letter indicating the outpatient
provider(s) support of RTC.
7. If outpatient, include a letter form each outpatient provider summarizing
the intensity of treatment over the past 6 months and why treatment is
failing or a copy of the treatment records for the past 8 visits.
8. Any other applicable or specialized assessment (i.e., Pediatric, Neurologist, Other).
Completed Forms can be faxed to: 1-866-269-5892
If you have any questions about referrals or admissions, please contact Debbie Schandelmeier, CBR YouthConnect Admissions Specialist, at (800) 790-4993.
