You are receiving this letter because your health insurance is through TRICARE. At the end of October, your therapist received a letter terminating his/her status as a TRICARE authorized provider effective November 1st, 2012.
Earlier this year, TRICARE Management Activity (TMA) implemented revised eligibility requirements for all TRICARE Certified Mental Health Counselors and Supervised Mental Health Counselors. Even though your therapist will continue to see other clients at [the clinic] as a state licensed Qualified Mental Health Professional, your therapist was determined by TMA to no longer meet TRICARE’s eligibility requirements.
This is a very important matter to us. Because of our proximity to [a military installation], we provide services to many veterans and military dependents. We have been working behind the scenes with TRICARE to seek an exception that would allow you to continue to see your therapist. After weeks of unsuccessful efforts, we have accepted the fact that there is nothing we can do at this time t preserve your relationship with your therapist.
[The clinic] will not be paid by TRICARE for any of the services provided to you by your therapist between November 1 and December 31, 2012, and we are not allowed to bill you for these services. I’m sure you understand why we cannot continue this arrangement....Because this action by TRICARE has eliminated 18% of our TRICARE therapists, it is possible that we will not be able to facilitate an in-house referral in as timely a manner as you need.
[The clinic] will be communicating with general public and with numerous public and military officials regarding this matter and the impact these new eligibility requirements have on access to service for our veterans and military dependents…”
Because that’s what the mental health facility in the military installation area needs - LESS eligible therapists, and ending patient-therapist relationships that have been established. This isn’t just for mental health - my mother’s oncologist, even though the office accepts Tricare Prime, is no longer an authorized oncologist.
WTF is happening to our health care?