TRICARE

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Across
  1. 1. services, ,uniformed services U.S. military branches that include the Army, Navy, Air Force, Marines, and Coast Guard; the Public Health Service; and the North Atlantic Treaty Organization (NATO).
  2. 6. Health Services System, ,Entire health care system of the United States uniformed service. Includes military treatment facilities (MTFs) and various programs in the civilian health care market, such as TRICARE.
  3. 7. treatment facility, ,Health care facility operated by the military.
  4. 9. Enrollment Eligibility Reporting System, ,Computer system that contains up-to-date Defense Department Workforce personnel information.
  5. 12. statement, ,Certificate issued by a military treatment facility that cannot provide needed care to TRICARE Standard beneficiaries.
  6. 16. Affairs, ,The Office of the Assistant Secretary of Defense for Health Affairs, which is responsible for both military readiness and peacetime health care.
  7. 19. sponsors, ,Uniformed services personnel who are active, retired, or deceased.
  8. 20. care, ,Care required by the sudden and unexpected onset of a medical or mental health condition that threatens life, limb, or sight.
  9. 22. Prime, ,Managed care option similar to a civilian health maintenance organization (HMO).
Down
  1. 2. year, ,For the federal government, October 1 of one year to September 30 of the next.
  2. 3. project, ,System that tests and establishes the feasibility of implementing a new program during a trial period, after which the program is evaluated, modified, or abandoned.
  3. 4. Integrity Office, ,Organization responsible for surveillance of worldwide fraud and abuse activities involving care purchased for beneficiaries in the Military Health Services System (MHSS)
  4. 5. guidelines, ,Decision-making tools providers use to determine appropriate health care for specific clinical circumstances.
  5. 8. Standard, ,New name for traditional CHAMPUS.
  6. 9. collection assistance officer, ,Located at military treatment facilities (MTFs) to assist beneficiaries in resolving health care collection-related issues.
  7. 10. area, ,Region surrounding a military treatment facility in which a TRICARE beneficiary is expected to travel for care.
  8. 11. cap benefit, ,Benefit that protects TRICARE beneficiaries from devastating financial loss due to serious illness or long-term treatment by establishing limits over which payment is not required.
  9. 13. services representative, ,Professional employed at a TRICARE service center to provide information about using TRICARE and to help with other matters affecting health care access (e.g., appointment scheduling).
  10. 14. advisor, ,Professional available 24 hours a day, 7 days a week, to provide advice and assistance with treatment alternatives and to discuss whether a TRICARE sponsor should see a provider based on a discussion of symptoms.
  11. 15. ,Health care program for active-duty members of the military and their qualified family members, CHAMPUS-eligible retirees and their qualified family members, and eligible survivors of members of the uniformed services.
  12. 17. agent, ,Entity that serves as a federal health care team. Created to work with regional military treatment facility commanders, uniformed services headquarters' staffs, and Health Affairs (HA) to support the mission of the Military Health Services System (MHSS).
  13. 18. care manager, ,Provider (e.g., physician) who is assigned to a sponsor and is part of the TRICARE provider network.
  14. 21. pathway, ,Sequence of activities that can normally be expected to result in the most cost-effective clinical course of treatment.