1. 1 TRICARE’S Web-Based Mental Health Initiatives August 3, 2009

2. Background DoD Appropriations Act for FY 2009 Joint Explanatory Statement encouraged Web-based mental health care TMA legal and medical rulings issued Friday, May 29, 2009 What we can do TRICARE Assistance Program Video Chat between beneficiary and counselor Telemedicine Network Development MCSCs asked to develop networks TRICARE: Web-Based Mental Health Initiatives

3. TRICARE Assistance Program (TRIAP) Eligibles include ADSMs, ADFMs, TAMP-eligibles, and those enrolled in TRICARE Reserve Select in United States Counselors provide short-term, problem solving counseling Clinical aspect to counseling but no diagnosis made Services provided using demonstration project authority Reports include beneficiary visits and mental health v-codes TRICARE: Web-Based Mental Health Initiatives

4. Telemedicine Network Development Currently a TRICARE-authorized benefit Originating Site and distant provider development for mental health care Originating Sites are TRICARE-authorized facilities where beneficiaries go to receive care Distant providers are TRICARE-authorized providers who treat the beneficiary from their office Originating sites and distant providers will file claims and receive reimbursement TRICARE: Web-Based Mental Health Initiatives

5. Implementation June 1 Change Order provided initial requirement to contractor July 2 Change Order further clarified requirements July 24 Demonstration Notice published in the Federal Register August 1 TRIAP operational in all regions 251 telemedicine originating sites have been identified, additional network development is ongoing