Military Healthplan Mastery

Working with military healthplans often feels a lot like the old saying “fill it out in triplicate, hurry up and wait!”

Many clinicians don’t realize that there are so many military plans. And they’re all different! Different rules, procedures, benefits, and ways to get paid. The complexities are dizzying!

• TRICARE
• VA Community Care
• Tricare for Life
• US Family Health Plan
• ChampVA
• Military OneSource

You’ll learn:

• What are these plans? Who do they serve, how do they differ from each other, and how do you engage successfully with them?
• Credentialing/contracting for military plans. And when is it NOT required?  (HINT: more than you might think…)
• What the heck do all those acronyms stand for? Are they important?
• The private entities who manage military healthplans. Who do you contact when you need help?  (Answer: Depends on what you need!)
• Military plan benefits
• Military healthplan rates – tips when contracting to ensure you get a fair reimbursement rate!
• Are prior authorizations required?
• Is supervisory billing covered?
• When military healthplans are secondary: coordination of benefits issues.
• Frequent challenges billing military plans – how to get paid successfully and with less stress.
• Why you should be wary of the new incarnation of Military One Source

This webinar product includes not only the live recording and slides, but also extensive resources covering all military plans:

TRICARE:

• Outcomes documentation requirements
• Certification forms, both regions
• Join the network resources, both regions
• Coordination of Benefits rules
• Client fact sheet
• Acronyms & Abbreviations
• Prior authorization/referral resources
• Claims issues – what to do in specific situations
• Counselors: certification requirements and supervisory billing
• Special rules for LMFT’s

TRICARE for Life:

• Benefits
• Client information

US Family Healthplan:

• Provider manuals for all 6 USFHP administrators
• Quick reference guides and contact lists

VA Community Care:

• Both regions: how to obtain prior authorization
• Both regions: how to obtain authorization renewal
• Optum: claims tips
• Optum: provider manual
• TriWest: claims submission tips
• TriWest: contact info
• TriWest: resources/links to important provider manual sections

ChampVA:

• Guide to working with ChampVA
• Policy benefits, excluded services, prior authorization information
• Covered provider types

Military OneSource:

• Administrative rules (and they are numerous!)
• Guide to billing the new MOS

Recorded August 14, 2026