![]() Note: Providers can refer to our PHP Claims Tips page for claims submission guidelines to ensure accurate and timely reimbursement. A request should be submitted to HNFS by the beneficiary’s primary care manager/provider or the mental health care specialty provider by using our Inpatient TRICARE Service Request Notification form. These services are subject to daily limits per TRICARE policy.Īn approval from Health Net Federal Services, LLC (HNFS) is required for all beneficiaries. Individual provider services such as psychotherapy and medication management that are not provided in conjunction with an PHP may be considered for telemedicine coverage. A partial hospitalization program (PHP) for mental health is a structured and intensive outpatient treatment program. Services provided in a PHP setting may not be rendered via telemedicine however, half-day PHP services are reimbursable as an IOP when authorized and billed as such. Partial hospitalization is an appropriate setting for crisis stabilization, treatment of partially stabilized mental disorders, to include substance disorders, and a transition from an inpatient program when medically necessary. Office-based PHP is not a covered benefit. Partial hospitalization is a time-limited, ambulatory, active treatment program that offers therapeutically intensive, coordinated, and structured clinical services within a stable therapeutic environment. ![]() Services may include day, evening, night and weekend treatment programs which employ an integrated, comprehensive and complementary schedule of recognized treatment approaches. PHP Counseling for Mental Health Disorders and Addiction. A partial hospitalization program (PHP) offers a hybridized approach to addiction treatment by combining elements of inpatient and outpatient programs. Partial hospitalization programs (PHPs) for mental health and substance use disorder are a limited benefit. As for duration, partial hospitalization programs usually last a month more or less.
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