2.0 POLICY
2.1 An eating
disorder program provided within an institutional facility that
meets the requirements to be certified as a TRICARE-authorized institutional
provider is covered. For example, a Residential Treatment Center (RTC)
or Partial Hospitalization Program (PHP) may be covered as an authorized
institutional provider. (See
Section 2.5 for
PHP certification requirements and
Section 2.9 for
RTC certification requirements).
2.2 Medically
necessary outpatient eating disorder services may be covered when
rendered by a TRICARE-authorized individual professional provider
listed in
32 CFR 199.6(c) or
by a TRICARE-authorized institutional provider.
2.3 Eating disorder services rendered
in a freestanding eating disorder program that fails to meet the certification
requirements of one of the institutional provider categories listed
on
32 CFR 199.6(b) are excluded from coverage.