Line of Duty Authorizations: Who to Contact
Wednesday, September 16, 2020
National Guard and Reserve service members who become ill or injured while on active duty may be eligible for line of duty (LOD) care, if approved by their branch of service. Health Net Federal Services, LLC (HNFS) works with the Defense Health Agency Military Medical Support Office (DHA-MMSO) to coordinate any care needed by West Region civilian providers. If you have questions about a service member’s authorized LOD care, please contact HNFS directly and not DHA-MMSO. We can research on your behalf and follow up as appropriate.
Please review the following about LOD authorizations:
- DHA-MMSO will submit a request to HNFS when care must be coordinated outside a military clinic or facility.
- HNFS will review the request and approve care as appropriate.
- Referrals from DHA-MMSO are typically valid for 365 days.
- Prior authorization from HNFS or DHA-MMSO is not required for emergency or urgent care related to the LOD incident.
Beneficiaries eligible for LOD care may show ineligible in the Defense Enrollment Eligibility Reporting System (DEERS) since they are only approved for care related to the specific injury or illness incurred while on duty. It is the responsibility of the beneficiary and his/her unit medical representative to ensure the LOD eligibility documents are submitted to DHA-MMSO prior to being seen by a civilian provider.
Treating providers should not reach out to DHA-MMSO for additional information. Instead, contact HNFS and we will assist as needed. Additionally, when submitting your requests to HNFS, please be sure to indicate line of duty on your request.
Review our Line of Duty (LOD) Care web page for more information.