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TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING

TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING. November 20, 2008. 1. OVERVIEW. Welcome Due Outs From Last Meeting TRICARE Programs Overview TRICARE Education Behavioral Health Programs Open Discussion Closing Comments. 2. DUE OUTS. TRICARE Reserve Select Data to Command

erich-hester
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TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING

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  1. TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING November 20, 2008 1

  2. OVERVIEW • Welcome • Due Outs From Last Meeting • TRICARE Programs Overview • TRICARE Education • Behavioral Health Programs • Open Discussion • Closing Comments 2

  3. DUE OUTS • TRICARE Reserve Select Data to Command - Updating TRS POC Listings - Sending Monthly - some glitches have been reported • Notification of receipt of TRICARE Reserve Select Enrollment Form - HMHS will support if phone numbers are on enrollment form - RA unable to populate phone numbers in Guard/Reserve Portal 3

  4. TRICARE Programs Overview 4

  5. TRICARE PROGRAMS OVERVIEW TRICARE Reserve Select (TRS) - Numbers Problem Areas - Disenrollments For Non-payment - DEERS/Access to Portal - Early TRICARE Eligibility 5

  6. TRICARE RESERVE SELECT POPULATION MHS-Wide TRS Population by Military Service Region South TRS Population by Military Service Region South TRS Population by State Note: Minor changes in total numbers between State and South Region tables are due to some beneficiaries having incomplete or invalid state codes in DEERS. 6

  7. Region South TRICARE Reserve Select (Active Plans as Sep 08) by State * * TRS Data is not yet available by region defined states. Some very small geographic areas of some states within the South region are actually within the West or North Region

  8. TRICARE Reserve Select Individual & Family Plans Reasons for Disenrollment or Termination (Sep 2008)

  9. TRICARE PROGRAMS OVERVIEW • DEERS/Access to Guard/Reserve Portal • - Number one eligibility/enrollment problem is • inaccurate DEERS information. • - If members are not able to access the • Guard/Reserve portal • - They are ineligible (no longer selected reserve) • - DEERS is incorrect • - Covered under another TRICARE program 9

  10. TRICARE PROGRAMS OVERVIEWEarly TRICARE Eligibility • This early eligibility program is totally dependent on the service member's personnel units updating the Defense Enrollment Eligibility Reporting System (DEERS) with this delayed effective date order information. • Some RC members/families are unaware of this program and are not being identified by their components in DEERS. Recommend education at all levels of the personnel community. 10

  11. National Guard* & Reserve* Purchased Care Data Medical Services** During FY 2008*** Medical Services 2008 Trend *Includes Active Duty (AD) and AD Family Members. **See breakout of Medical Services types next slide *** Oct 2007 thru Aug 2008; Sep not complete. 11

  12. National Guard Purchased Care Medical Services 12

  13. Reserve Purchased Care Medical Services 13

  14. Purchased Care Medical Services FY 2008* *Oct 2007 thru Aug 2008; Sep not complete

  15. Purchased Care Places of Service for Reserve and National Guard Members (Oct 2007 thru Aug 2008) 15

  16. Top 25 Diagnoses for National Guard Purchased Care Visits FY 2008* Active Duty Active Duty Family Member *Oct 2007 thru Aug 2008; Sep not complete. 16 .

  17. Top 25 Diagnoses for Reserves Purchased Care Visits FY 2008* Active Duty Active Duty Family Member *Oct 2007 thru Aug 2008; Sep not complete. 17

  18. TRICARE EDUCATION INITIATIVES 18

  19. TRICARE EDUCATION INITIATIVES Education Initiatives Yellow Ribbon Campaign HMHS Informational CD and Web Site

  20. CY 08 RESERVE/GUARD UNIT EDUCATION BRIEFINGS

  21. TRICARE Outreach Initiatives Education 52 Family Day Events = 27,356 30 Conferences = 19,749 368 Unit Briefings = 51,804 Total = 98,909 Web Site Redesign 8 Module Video 4,893 hits on NGR web page in 6 months

  22. Customer Service 25,146 calls received on HMHS dedicated Guard/Reserve 800 line Outreach 76 Visits to Senior Guard and Reserve Staff State Adjutant Generals Reserve Command Commanders Family Program Directors Transition Assistance Advisors TRICARE CUSTOMER SERVICE/OUTREACH INITIATIVES

  23. TRICARE OUTREACH INITIATIVES Yellow Ribbon Program Reintegration – Post Deployment Health Reassessment Level of Participation HMHS Informational CD and Web Site Informational CD Best Method of Distribution Target Date NLT end of Dec 08 Educational Information on the HMHS Web Site www.humana-military.com National Guard and Reserve Page

  24. NATIONAL GUARD AND RESERVE WEB PAGE http://www.humana-military.com/south/bene/TRICAREPrograms/ngr.asp

  25. RESERVE/GUARD CUSTOMER SERVICE LINE USAGE 1-877-298-3408

  26. RESERVE/GUARD WEB PAGE HITS

  27. BEHAVIORAL HEALTH PROGRAM OVERVIEW 27

  28. BEHAVIORAL HEALTH • Accessing Services • Behavioral Health Benefits • Provider Locator and Appointment Assistance Service • Resources and Tools

  29. ACCESSING SERVICES Beneficiaries can contact the TRICARE South Behavioral Health Unit for information regarding: Benefits and Eligibility Provider Locating Services Authorization Request 1-800-700-8646 1-800-444-5445 (select mental health prompt)

  30. BEHAVIORAL HEALTH BENEFITS Routine Outpatient Care (up to twice per week) Inpatient Care (up to 45 days per fiscal year) Substance use rehabilitation based on 365 day year (one per year, 3 per lifetime) Residential Treatment Center (RTC) (up to 150 days per fiscal year) Partial Hospitalization Program (PHP) (up to 60 days per fiscal year) Substance Abuse (up to 21 days per treatment) All these limits are based on medical necessity and are subject to waiver in special circumstances

  31. BEHAVIORAL HEALTH AND PROVIDER LOCATOR ASSISTANCE Dedicated Toll-Free Number 1-877-298-3514 Implemented December 2007 Over 5,900 calls Activated Guard/Reserve Members and enrolled Family Members (to include Prime Remote and Overseas)

  32. BEHAVIORAL HEALTH RESOURCES www.humana-military.com Behavioral Health Portal with web resources, articles and tip sheets related to a variety of behavioral health issues, such as - PTSD - TBI - Bipolar Disorder - ADHD Achieve Solutions - Online Employee Assistance Program (EAP) Work/Life educational resources 6,000 articles on 200 different topics Available in both English and Spanish Implemented in September 2007 Over 111,000 pages viewed

  33. ACHIEVE SOLUTIONS https://www.achievesolutions.net/achievesolutions/en//Home.do

  34. BEHAVIORAL HEALTH RESOURCES New Enhancements Teen Life Program designed specifically for teens and parents of teens Broad spectrum of resources from eating disorders and substance use to finding the right college and financial aid Life Manager Web based program that allows a user to assess their mood, take assessment quizzes and receive a Plan of Action Suicide Awareness Special section highlighting articles, web resources, tip sheets and education related to Suicide Awareness 2 videos related to Suicide Awareness and access to a 24/7 behavioral health clinician for users who maybe feeling suicidal

  35. ACHIEVE SOLUTIONS http://volm.harrisrothenberg.net/Default.aspx

  36. Non-TRICARE Behavioral Health Resources • Afterdeployment.org - A mental wellness resource for Service Members, Veterans and Military Families designed to assist in managing after deployment concerns • MilitaryOnesource.com or 1-800-342-9647 - both an online and telephonic resource, with representatives available 24/7/365, to assist military members and their families with a variety of issues

  37. OPEN DISCUSSION CLOSING COMMENTS 37

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