As the California Medical Association (CMA) previously reported, the Department of Defense awarded the $20.5 billion TRICARE contract to United Healthcare Military & Veterans Services (UMVS). As the recipient of the contract, UMVS will provide managed care services to 2.9 million TRICARE beneficiaries in 21 Western states, including California, beginning April 1, 2013.
In preparation for the transition, United Healthcare sent two different notices to physicians in September soliciting participation in the new United Health Military & Veterans Services (UMVS) contract.
One notice went to physicians whose United Healthcare contracts do not permit unilateral amendments, inviting them to participate in the TRICARE product. Physicians who wish to participate in the UMVS TRICARE product are asked to review, sign and return the amendment to United.
Physicians whose United Healthcare contracts do allow unilateral amendments received notices that they are being automatically opted into the UMVS TRICARE product. Physicians with unilateral amendment clauses who wish to opt out must notify United in writing either by fax or mail within 30 days of receipt of the letter. If faxing an opt out request, CMA recommends retaining a copy of the fax confirmation or if sending by mail, doing so via certified mail, with return receipt. Contact information for opting out can be found in the notice.
CMA is working with United to obtain clarification regarding certain contract provisions and how they may impact a physician practice and will publish an update as soon as more information is available. Physicians with questions regarding the TRICARE amendment may contact UMVS at (800)718-7572.
Contact: CMA’s reimbursement helpline, (888) 401-5911 or email@example.com.