13 Apr Tricare Skilled Nursing Agreement
All TRICARE recipients must obtain approval from Health Net Federal Services, LLC for qualified accreditations of health care facilities. A qualified care facility (NWS) is admitted if the following two conditions are met: there is no daily limit as long as the medical necessity persists. Coverage includes: a semi-private room, regular care services, meals including special diets, physiotherapy, occupational therapy and speech, medications set up by the institution, as well as medical care and necessary equipment. Recipients eligible for TRICARE and Medicare must obtain authorization on the 101st day TRICARE becomes the primary payer. Applications must be submitted to Wisconsin Physicians Services (WPS) – Military and Veterans Health for verification and approval. Visit the WPS website for information to submit. Valid for the NFS admission dates of September 3, 2020 or after September 3, 2020, the requirement for a qualified hospitalization of three consecutive days or more for the duration of the President`s national emergency for COVID is removed. Please choose the option that better describes your user profile or wait to be redirected to our best new approximate location for your request. If you reached this page with a bookmark, this would be a good time to remove it from your browser.
If you are employed by a doctor or medical facility, you can: suppliers must include all applicable clinical information in their application for marketing authorization.