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军人医疗保健计划(TRICARE);2003财年国防授权法案(NDAA - 03)中的变更。最终规则。

TRICARE; changes included in the National Defense Authorization Act for Fiscal Year 2003(NDAA-03). Final rule.

出版信息

Fed Regist. 2004 Sep 14;69(177):55358-60.

PMID:15366183
Abstract

This final addresses eliminating the requirement for TRICARE preauthorization of inpatient mental health care for TRICARE/Medicare eligible beneficiaries where Medicare is primary payer and has already authorized the care; approving a physician or other health care practitioner who is eligible to receive reimbursement for services provided under Medicare as a TRICARE provider if the provider is also a TRICARE authorized provider; and, expanding the TRICARE Dental Program (TDP) eligibility for dependents of deceased members.

摘要

本终稿涉及消除对符合TRICARE/医疗保险资格的受益人进行住院心理健康护理TRICARE预先授权的要求,前提是医疗保险为主要支付方且已批准该护理;批准一名医师或其他医疗从业者作为TRICARE提供者,前提是该提供者也是TRICARE授权提供者,且有资格获得医疗保险项下所提供服务的报销;以及扩大TRICARE牙科计划(TDP)对已故成员家属的资格范围。

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