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
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