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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.