Military/TRICARE

TRICARE West Region

(TRICARE West)

TRICARE West Region, managed by TriWest Healthcare Alliance as of January 1, 2025, serves military members, retirees, and families across the western United States. The program emphasizes accessible, quality healthcare for those who serve our nation.

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States Served

Nationwide presence

4.9+

Members

Covered lives

N/A

Market Share

National presence

Over

Network Size

Healthcare providers

Behavioral Health Coverage

TRICARE West provides comprehensive mental health and substance abuse benefits for all levels of care including residential, PHP, IOP, and outpatient services. Facilities must be TRICARE-certified and meet specific accreditation requirements.

Managed by: Integrated within TriWest (no carve-out)

Covered Levels of Care

Inpatient Psychiatric

Residential Treatment Center (RTC) - up to age 20 for dependents

Partial Hospitalization Program (PHP)

Intensive Outpatient Program (IOP)

Outpatient Mental Health

Substance Use Disorder Treatment (all levels)

Detoxification Services

Opioid Treatment Programs (OTP)

Program Strengths

Direct access to mental health care without referral for most beneficiaries

Specialized PTSD treatment programs

Comprehensive substance use disorder care at all levels

Family therapy and counseling

Autism spectrum disorder services

Crisis intervention services

Telehealth mental health services with full parity

Virtual PHP and IOP programs covered

Facility Certification Requirements

Current state license as treatment facility
TJC, CARF, or COA accreditation required for facilities
NPI number (facility and rendering providers)
Professional liability insurance
CAQH registration recommended for providers
Background screening
Medicare participation status documentation
Peer Review Organization (PRO) Agreement required for facilities

Medical Necessity Criteria: InterQual Level of Care Criteria

Network Adequacy & Opportunities

Current network needs and priority areas for facility contracting

Current Needs: Seeking facilities in rural/frontier areas and near military installations

Priority Areas for Network Expansion:

Rural and frontier areas

Specialized PTSD programs

Adolescent residential treatment

Native American/Alaska Native culturally competent care

Facilities near military installations

Virtual PHP/IOP providers

Trauma-informed care specialists

Military culture competent providers

Incentives: Enhanced network opportunities for facilities near military bases

Geographic Coverage

TRICARE West Region provides coverage in 26 states across the United States

Alaska

Arizona

Arkansas

California

Colorado

Hawaii

Idaho

Illinois

Iowa

Kansas

Louisiana

Minnesota

Missouri

Montana

Nebraska

Nevada

New Mexico

North Dakota

Oklahoma

Oregon

South Dakota

Texas

Utah

Washington

Wisconsin

Wyoming

Headquarters:Phoenix, Arizona (TriWest Healthcare Alliance)

Ready to Contract with TRICARE West Region?

Our team specializes in helping behavioral health facilities navigate the TRICARE West Region contracting process. We'll help you secure competitive rates and streamline your credentialing.

Credentialing Support

Complete CAQH and enrollment assistance

Rate Negotiation

Strategic approach to maximize reimbursement

Application Management

End-to-end application preparation

Follow-up Tracking

Persistent follow-up until contracted

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