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Military/TRICARE · Falls Church, Virginia (Humana Military)
Humana Military Facility Credentialing & Network Participation
TRICARE East Region, managed by Humana Military, provides comprehensive health coverage to military service members, retirees, and their families across the eastern United States. The program serves over 5 million beneficiaries with a focus on maintaining military readiness. Humana Military continues as the contractor through the new T-5 contract beginning January 1, 2025.
TRICARE East Region payer facts
Market context
TRICARE is the healthcare program for uniformed service members and families, covering approximately 9.6 million beneficiaries nationwide.
Payer guide
TRICARE provides comprehensive mental health and substance use disorder benefits with no referral required for outpatient mental health visits, recognizing the unique stressors faced by military families. Humana Military manages behavioral health services directly without a carve-out vendor.
Behavioral Health Manager
Humana Military (integrated model)
All treatment settings accepted by TRICARE East
What sets TRICARE East apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
TRICARE Policy Manual guidelines
Payment and billing information
Coverage area
27 states nationwide
Corporate Headquarters
Falls Church, Virginia (Humana Military)
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in TRICARE East Region contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process