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Code · STATUTE-COMPILATIONS · John S. McCain National Defense Authorization Act for Fiscal Year 2019 · Sec. 714

Sec. 714. STREAMLINING OF TRICARE PRIME BENEFICIARY REFERRAL PROCESS

324 words·~1 min read·/statute-compilations/comps-15483/sec-714

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## SEC. 714 STREAMLINING OF TRICARE PRIME BENEFICIARY REFERRAL PROCESS **[**[10 U.S.C. 1095f note](/us/usc/t10/s1095f)**]** ###
(a)In General The Secretary of Defense shall streamline the process under section 1095f of title 10, United States Code, by which beneficiaries enrolled in TRICARE Prime are referred to the civilian provider network for inpatient or outpatient care under the TRICARE program. ###
(b)Objectives In carrying out the requirement in subsection (a), the Secretary shall meet the following objectives: ####
(1)The referral process shall model best industry practices for referrals from primary care managers to specialty care providers. ####
(2)The process shall limit administrative requirements for enrolled beneficiaries. ####
(3)Beneficiary preferences for communications relating to appointment referrals using state-of-the-art information technology shall be used to expedite the process. ####
(4)There shall be effective and efficient processes to determine the availability of appointments at military medical treatment facilities and, when unavailable, to make prompt referrals to network providers under the TRICARE program. ###
(c)Deadline for Implementation The requirement in subsection
(a)shall be implemented for referrals under TRICARE Prime in calendar year 2019. ###
(d)Evaluation and Improvement After 2019, the Secretary shall— ####
(1)evaluate the referral process described in subsection
(a)not less often than annually; and ####
(2)make appropriate improvements to the process in light of such evaluations. ###
(e)Improvement of Specialty Care Referrals During Permanent Changes of Station In conducting evaluations and improvements under subsection
(d)to the referral process described in subsection (a), the Secretary shall ensure beneficiaries enrolled in TRICARE Prime who are undergoing a permanent change of station receive referrals from their primary care manager to such specialty care providers in the new location as the beneficiary may need before undergoing the permanent change of station. ###
(f)Definitions In this section, the terms “TRICARE program” and “TRICARE Prime” have the meaning given such terms in section 1072 of title 10, United States Code.
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Sec. 714
STREAMLINING OF TRICARE PRIME BENEFICIARY REFERRAL PROCESS
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