Behavioral Health Care

Behavioral health care is an important TRICARE benefit, and we want to make sure you have all the information and resources you need. The information below summarizes behavioral health care benefits available through the TRICARE programs and other resources.

Prior Authorization and Referral Requirements

Approval from Health Net Federal Services, LLC (Health Net) may be required for behavioral health care depending on your TRICARE plan option. If you are seeing more than one provider, it is important to keep all providers informed so they are aware of any medications and treatment you may be receiving.

To determine if a service requires an approval from Health Net, use the Prior Authorization, Referral and Benefit Tool or talk with your provider.

Locate a Behavioral Health Provider

If you need assistance locating a behavioral health provider in your area, please visit our Network Provider Directory or call us at 1-877-TRICARE (1-877-874-2273) for assistance.

Written Referral and Oversight of Care

TRICARE Prime, TRICARE Prime Remote and TRICARE Young Adult Prime beneficiaries have a primary care manager (PCM) who is responsible for coordinating all care. The PCM can help you determine what type of behavioral health provider is right for you.

If you want to seek treatment from a pastoral counselor, a supervised mental health counselor or a licensed professional counselor (LPC), a physician, MD or DO who may or may not be your PCM, must provide you with a written physician referral prior to the initial consultation with the provider. The referring physician must make an initial assessment and determine if the condition can be appropriately treated by a pastoral counselor, supervised mental health counselor or LPC. In addition, the referring physician must agree to provide oversight for your treatment. Your PCM may provide this assessment and written physician referral or your PCM may request you meet with a psychiatric physician first. The psychiatric physician can then determine if one of these counselors is right for you and provide the written physician referral.

Outpatient behavioral health providers may include: psychiatrists, clinical psychologists, certified psychiatric nurse specialists, clinical social workers, and certified marriage and family therapists.

Common Behavioral Health Diagnoses

Learn about common behavioral health diagnoses, symptoms and treatment.

Additional Resources

Health Net also offers the Online Behavioral Health Resource Center, provided by Health Net’s behavioral health subsidiary, MHN, which is designed to help beneficiaries balance work, family and life.

 

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