Medicine
Chapter 7
Section 3.15
Eating Disorder Treatment
Issue Date: July
19, 1983
Revision: C-72,
October 16, 2020
1.0 DESCRIPTION
The
following diagnoses are considered by the current edition of the Diagnostic
and Statistical Manual of Mental Disorders (DSM) to be eating
disorders:
• Binge Eating
Disorder
• Anorexia Nervosa
• Bulimia Nervosa
• Avoidant/Restrictive
Food Intake Disorder
• Pica
• Rumination Disorder
• Other Specified
Eating Disorder
• Unspecified
Eating Disorder
2.0 POLICY
2.1 A claim for
treatment of an eating disorder diagnosis is to be adjudicated as
a mental health claim.
2.2 Medically necessary and appropriate eating
disorder treatment may be provided on an inpatient or outpatient
basis. All eating disorder treatment, to include treatment provided
in an “eating disorder program,”
(Chapter 11, Section 2.4) must
be rendered by a TRICARE-authorized provider listed in
32 CFR 199.6. Inpatient eating disorder care
must be provided in a Residential Treatment Center (RTC)
or
other authorized institutional provider. Outpatient eating disorder
care must be rendered by a TRICARE-authorized individual professional
provider as listed in
32 CFR 199.6,
Partial Hospitalization Program (PHP) or other authorized institutional
provider.
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