Defense Health Agency Flashcards

1
Q

what instructions governs the DHA program

A

DoDD 5136.13

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2
Q

DHA is a field activity of whom

A

undersecretary of defense for personnel and readiness

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3
Q

what does DHA manage

A

TRICARE

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4
Q

who assist DHA in offering services and support to TRICARE beneficiaries

A

Health Net Federal Services, LLC

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5
Q

TRICARE was formally est. on what date

A

October 1 2013

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6
Q

TRICARE is broken down into what 3 regions

A

West region
East region
Overseas region

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7
Q

Overseas region is broken down into what sub regions

A

Eurasia-Africa

Latin America and Canada (TLAC) area

Pacific Area

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8
Q

what are the responsibilities of each region

A

Provide oversight at the regional level

Manage Contracts

Support MTF Commanders

Develop business plans for non-MTF areas

Fund optimization initiatives and improve delivery of health care

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9
Q

MMSO directly supports the provision of medical care through

A

TRICARE Prime Remote and the supplemental health Care program

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10
Q

MMSO provides

A

pre authorization for civilian medical care

authorizes for payment of civilian medical claims

Coordinates civilian healthcare services for remote SM

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11
Q

MMSO serves what population

A

AD service members enrolled in TRICARE PRIME REMOTE

Non enrolled ADSM not managed by MTFs

RC Service members in remote areas with service approved line of duty injuries illnesses or diseases

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12
Q

TRICARE remote dental program previously administered by MMSO has transitioned to what

A

Active Duty Dental Program

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13
Q

who administers the Active Duty Dental Program

A

United Concordia Companies, Inc

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14
Q

Who is designated as the certifying official for non federal medical health care claim

A

SMDR

Health Benefits Advisor

Senior Officer

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15
Q

who can obtain medical and dental care at the governments expense at non-federal MTFs

A

AD and retired members

Spouses

Children

unmarried spouses and children of diseased AD or retired members

Divorcees

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16
Q

what is the criteria for Children to obtain medical and dental care at the governments expense at non-federal MTFs

A

up to age 21

up to 23 if in college

Indefinitely if they have a mental or physical incapacity

17
Q

For spouses of deceased active duty or retired members what is the criteria to obtain medical and dental care at the governments expense at non-federal MTFs

A

unremarried

18
Q

For divorcees of deceased active duty or retired members what is the criteria to obtain medical and dental care at the governments expense at non-federal MTFs

A

Must not have have other health coverage

Unremarried

Former spouse was on active duty for at least 20 years during marriage

19
Q

who is the adjudicating authority for payment processing for treatment CONUS

A

Managed care support center for the region in which member is enrolled

20
Q

if a payment was made directly to the health care provider and wants to be reimbursed what steps must be taken

A

submit the original DD 2642 and 2 copies

Include itemized bill and proof of payment

21
Q

what should be written Across the front of the bill submitted for reimbursement

A

“Medical services rendered were satisfactory”

22
Q

what is the Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities instruction

A

NAVMEDCOMINST 6320.3