REMINDER: Submitting referrals to non-participating providers - A referral may not be submitted prior to 10/1/2023. Please visit the US Family Health Plan Referral page for frequently asked questions on the referral process.
Provider Portal User Guide (PDF) | Latest as of October 2023
As a TRICARE Prime® plan, US Family Health Plan members are required by TRICARE® to receive a referral from their PCP before seeing any other provider or specialist (exceptions include, but not limited to, allowance for self-referral for preventive and emergency care).
Effective October 1, 2023 and pursuant to new TRICARE reporting requirements, the Martin’s Point US Family Health Plan will require that referrals to other providers or specialists be submitted to the health plan. Specialists who are referring to another specialist will be required to submit a referral.
For more information, see the US Family Health Plan referral process FAQs.