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Does TRICARE cover residential treatment programs?
Verified by TRICARE.com Editorial Team
Updated 2024-12-01
AI-assisted (gemini)
Quick Answer
TRICARE covers residential treatment for mental health, substance abuse, and eating disorders when medically necessary and authorized.
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Key Takeaways
- 24/7 structured care covered
- Authorization required
- Multiple conditions covered
- Regular reviews determine duration
Detailed Answer
Residential treatment provides 24/7 structured care in a live-in facility.
When Covered
- Mental health conditions
- Substance abuse disorders
- Eating disorders
- Other conditions requiring 24/7 care
- When less intensive care insufficient
Authorization Required
- Clinical evaluation first
- Provider submits request
- Medical necessity reviewed
- Prior authorization mandatory
Types of Programs
- Psychiatric residential treatment
- Substance abuse residential
- Eating disorder treatment centers
- Adolescent treatment programs
Coverage Limits
- Continued stay authorization needed
- Regular progress reviews
- Step-down to less intensive care
- Coverage until medical necessity ends
Finding Providers
- TRICARE provider directory
- Regional contractor referral
- MTF recommendation
- Network facilities preferred
Related TRICARE Terms
Related Questions
Does TRICARE cover substance abuse treatment?
TRICARE covers substance abuse treatment including detox, outpatient counseling, intensive outpatient, residential treatment, and medication-assisted treatment.
Does TRICARE cover eating disorder treatment?
TRICARE covers eating disorder treatment including outpatient therapy, nutritional counseling, medical management, and residential treatment when medically necessary.
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