Referral Waiver in Effect in Areas of California
Friday, September 17, 2021
Due to damage and disruptions caused by the Caldor fire in the state of California, TRICARE has put in place a primary care manager (PCM) referral waiver, effective Aug. 30 through Sept. 28, 2021, for TRICARE Prime beneficiaries in Alpine, Amador and El Dorado counties.
During this time frame, TRICARE Prime beneficiaries in this area will not be charged Point of Service if they seek care from a network or TRICARE-authorized provider for specialty care without a referral.*
This applies to beneficiaries living in the following ZIP codes:
95601
95613
95614
95619
95623
95629
95633
95634
95635
95636
|
95640
95642
95644
95644
95646
95646
95651
95654
95654
95656
|
95664
95665
95666
95667
95667
95669
95672
95675
95675
95682
|
95682
95682
95684
95684
95685
95689
95699
95699
95709
95720
|
95721
95721
95726
95726
95735
95762
95762
96120
96120
96142
|
96150
96151
96151
96152
96154
96155
96156
96157
96158
|
*At this time, the PCM waiver does not apply to inpatient care, applied behavior analysis (ABA) or Extended Care Health Option (ECHO) services.