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Outpatient Group Therapy


Outpatient therapy for substance use disorders must be provided by an approved substance use disorder facility in a group setting.

TRICARE covers:

  • 60 group therapy sessions per benefit period.

Limitations/Exclusions:

  • Individual outpatient therapy is not covered for substance use disorders.

Requirements:

  • Prior authorization from your regional contractor is required.
  • Benefit period begins with the first day of covered treatment and ends 365 days later, regardless of the total services used during that time.
  • These 60 sessions are in addition to the 15 sessions of family therapy that TRICARE covers.

Last Modified:January 25, 2010