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Reimbursement Rate Increase Gives TRICARE Mental Health Benefit Users Peace of Mind

TRICARE News Release
2008-11-30

TRICARE has increased mental health reimbursement rates by 5 percent for 24 mental health services. The psychiatric therapeutic procedures impacted by this change range from Current Procedural Terminology (CPT) codes 90804-90829 which include:
  • Individual psychotherapy, insight oriented, behavior modifying and/or supportive, using verbal techniques provided in an office or other outpatient facility, an inpatient hospital, partial hospital or residential care facility.
  • Individual psychotherapy, interactive using non-verbal techniques in an office or other outpatient facility, an inpatient hospital, partial hospital or residential care facility.

“TRICARE providers should be encouraged about this positive change,” said Maj. Gen. Elder Granger, deputy director, TRICARE Management Activity. “The mental health reimbursement increase will enhance service in an area of increased focus and benefit wounded warriors and their families.”

With the exception of mental health services as listed above, other TRICARE payment rates for providers will continue to stay the same until February 2009. Rates are reviewed semi-annually.

Rates for all procedures by locality can be found at http://www.tricare.mil/cmac/.

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