Be prescribed or referred by a TRICARE-authorized provider to receive PT services.Reside and receive PT services in Arizona, California, Colorado, Florida, Georgia, Kentucky, North Carolina, Ohio, Tennessee, or Virginia.Have a primary diagnosis of LBP as identified by the applicable ICD-10 diagnosis codes listed in TRICARE Operations Manual Chapter 18 Section 9.To be eligible to receive waived cost-sharing for physical therapy visits, TRICARE Prime, TRICARE Select, and TRICARE For Life beneficiaries who have a cost-share for PT services must meet all the following requirements: 27 within the TRICARE Operations Manual, Chapter 18, Section 9, which includes a list of eligible ICD-10 diagnostic codes. Information is based on updated guidance issued by TRICARE on Oct. Here's our guide to the demonstration and how best to seize this unique opportunity to establish the value of your care to this important population. If the demonstration is successful, the Department of Defense may expand it to the entire TRICARE population. The concept behind the demonstration is simple: It's an effort to incentivize physical therapist services for patients with LBP in order to decrease the use of more costly, low-value, testing and interventions such as imaging, surgery, and opioids, reduce the overall cost of managing LBP, and improve patient outcomes. 31, 2023, in 10 states: Arizona, California, Colorado, Florida, Georgia, Kentucky, North Carolina, Ohio, Tennessee, and Virginia. military, is set to launch a demonstration project that waives cost-sharing for up to three physical therapy visits for patients with low back pain. TRICARE, the health insurance system used throughout the U.S.
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