TRICARE Policy Manual 6010.60-M, April 1, 2015 Chapter 11 Providers Revision: C-62, April 22, 2020 Section/Addendum Subject/Addendum Title 1.1 Providers - General 1.2 Institutional Provider, Individual Provider, And Other Non-Institutional Provider Participation 2.1 Department of Veterans Affairs/Veterans Health Administration (DVA/VHA) Health Care Facilities Figure 11.2.1-1 Memorandum Of Understanding Between The Department Of Veterans Affairs/Veterans Health Administration (DVA/VHA) And The Department Of Defense/Defense Health Agency (DoD/DHA) 2.2 Employer-Operated Medical Facilities 2.3 Birthing Centers 2.4 Eating Disorder Programs 2.5 Psychiatric And Substance Use Disorder (SUD) Partial Hospitalization Program (PHP) Standards 2.6 Psychiatric Hospitals Accreditation Figure 11.2.6-1 Program Information New Psychiatric Hospital Pending Accreditation, OCHAMPUS Form 759 2.7 Intensive Outpatient Program (IOP) Standards 2.8 Opioid Treatment Program (OTP) Standards 2.9 Residential Treatment Center (RTC) Standards 3.1 Physician Referral And Supervision 3.2 State Licensure And Certification 3.3 Accreditation 3.4 Nurse Anesthetist 3.5 Anesthesiologist Assistant (AA) 3.6 Certified Clinical Social Worker (CSW) 3.7 Certified Psychiatric Nurse Specialist (CPNS) 3.8 Clinical Psychologist 3.9 Certified Marriage And Family Therapist 3.10 Pastoral Counselor 3.11 Mental Health Counselor 3.12 Certified Nurse Midwife (CNM) 3.13 Certified Physician Assistant 3.14 Registered Dietitian (RD) 3.15 Nutritionist 3.16 Physical Therapist Assistants (PTAs) 3.17 Occupational Therapy Assistants (OTAs) 4.1 Unauthorized Institution: Related Professional Services 4.2 Unauthorized Provider: Emergency Services 5.1 Provider Standards For Potentially Human Immunodeficiency Virus (HIV) Infectious Blood And Blood Products 6.1 Ambulatory Surgery 6.2 Freestanding Ambulatory Surgery Center (ASC) 7.1 Certification Of Organ Transplant Centers 8.1 Inpatient/Residential Substance Use Disorder Rehabilitation Facilities (SUDRFs) Standards 9.1 Other Provider Certification 9.2 State Vaccine Programs (SVPs) As TRICARE-Authorized Providers 10.1 Services Rendered By Employees Of Authorized Independent Professional Providers 11.1 Birthing Center Accreditation 11.2 Birthing Center Certification Process 11.3 Certified Marriage And Family Therapist Certification Process 12.1 Corporate Services Provider Class 12.2 Qualified Accreditation Organization 12.3 Participation Agreement Requirements Figure 11.12.3-1 Participation Agreement A Participation Agreement For Certified Marriage And Family Therapist B Participation Agreement For Freestanding Or Institution-Affiliated Birthing Center (BC) Maternity Care Services C Application Form For Corporate Services Providers Figure 11.C-1 TRICARE Corporate Services Application D Participation Agreement For Inpatient/Residential Substance Use Disorder Rehabilitation Facility (SUDRF) Services For TRICARE Beneficiaries E Participation Agreement For Residential Treatment Center (RTC) F Participation Agreement For Freestanding And Substance Use Disorder (SUD) Psychiatric Partial Hospitalization Program (PHP) Services G Participation Agreement For Intensive Outpatient Program (IOP) Services H Participation Agreement For Opioid Treatment Program (OTP) Services