To provide telehealth services through TRICARE, a provider must be licensed to practice in the state where the patient is located, ensure the video conferencing platform meets HIPAA security standards, and comply with privacy regulations regarding patient data, with active duty service members usually requiring a referral for telehealth visits; additionally, providers must follow specific guidelines for data security and encryption when conducting telehealth sessions.
Key points about TRICARE telehealth requirements:
- State Licensure: Providers must be licensed in the state where the patient resides to deliver telehealth services.
- HIPAA Compliance: Video conferencing platforms used for telehealth must meet HIPAA standards for confidentiality and security.
- Referral Requirements: Active duty service members typically need a referral to access telehealth services.
- Data Security: Providers: must ensure secure transmission and storage of patient data, including proper encryption methods.
- Overseas Considerations: When providing telehealth services overseas, the provider must comply with the privacy and security laws of the host nation.
TRICARE currently doesn't mandate telehealth accreditation for telemedicine organizations, but the upcoming T-5 contract RFP will include telehealth services. This contract, lasting ten years, involves Humana Government Business and TriWest Healthcare Alliance as regional contractors.
Key points to remember:
T-5 Contract Focus: This contract aims to improve access to quality healthcare, including telehealth options, for service members, retirees, and their families.
RFP Details: The T-5 RFP likely outlines specific requirements for telehealth service providers, including technology standards, provider network access, and quality metrics.
Improved Access: By integrating telehealth into the T-5 contract, TRICARE aims to provide greater accessibility to healthcare services, particularly for beneficiaries in remote locations.
Accreditation is likely to be required to bid for this contract. The VA will require proof of accreditation to be provided via SHCD with 12 months of being rewarded the contract. URAC's Telehealth accreditation program could provide a strategic advantage by aligning your organization with TRICARE's needs, even if the accreditation requirement changes.
Contact us today to learn more about our Telehealth accreditation program.

Telehealth Accreditation
Performs and/or delegates health care services via telecommunications technology
Telehealth Support Services Certification
Supports telehealth providers but does not directly provide care
Remote Patient Monitoring Accreditation
Uses digital technologies to collect health data and transmit to health care providers