4.8 Defense Health Agency DHA

Question 1

DISCUSS the responsibilities of the Defense Health Agency (DHA):

The Defense Health Agency (DHA) is a field activity of what?

Answer 1

The Undersecretary of Defense for Personnel and Readiness.

Question 2

DISCUSS the responsibilities of the Defense Health Agency (DHA):

DHA manages what program?

Answer 2

The TRICARE program.

Question 3

DISCUSS the responsibilities of the Defense Health Agency (DHA):

DHA was formally established when?

Answer 3

It was formally established on October 1, 2013.

Question 4

DISCUSS the responsibilities of the Defense Health Agency (DHA):

DHA was previously known as what?

Answer 4

TRICARE Management Activity (DHA).

Question 5

DISCUSS the responsibilities of the Defense Health Agency (DHA):

TRICARE is available where?

Answer 5

Worldwide and managed in three separate regions.

Question 6

DISCUSS the responsibilities of the Defense Health Agency (DHA):

What are the three separate regions?

Answer 6

U.S. East,

U.S. West,

Overseas.

Question 7

DISCUSS the responsibilities of the Defense Health Agency (DHA):

The Overseas Region is dispersed among what?

Answer 7

Eurasia-Africa Area,

Latin America and Canada Area,

Pacific Area.

Question 8

DISCUSS the responsibilities of the Defense Health Agency (DHA):

Each region/area:

Provides oversight of what?

Answer 8

Regional operations and health plan administration at the regional level.

Question 9

DISCUSS the responsibilities of the Defense Health Agency (DHA):

Each region/area:

Manages the contracts with who?

Answer 9

Regional contractors.

Question 10

DISCUSS the responsibilities of the Defense Health Agency (DHA):

Each region/area:

Supports what?

Answer 10

Military treatment facility (MTF) Commanders.

Question 11

DISCUSS the responsibilities of the Defense Health Agency (DHA):

Each region/area:

Develops business plans for what?

Answer 11

Non-MTF areas,

e.g. remote areas.

Question 12

DISCUSS the responsibilities of the Defense Health Agency (DHA):

Each region/area:

Funds regional initiatives to optimize and improve what?

Answer 12

Delivery of health care.

Question 13

NAME the official who has responsibility for management of the non-federal Medical/Dental Treatment Program of active duty Navy and Marine Corps personnel:

What is MMSO?

Answer 13

Military Medical Support Office.

Question 14

NAME the official who has responsibility for management of the non-federal Medical/Dental Treatment Program of active duty Navy and Marine Corps personnel:

Military Medical Support Office was formerly the what?

Answer 14

Office of Medical/Dental Affairs (OMDA).

Question 15

NAME the official who has responsibility for management of the non-federal Medical/Dental Treatment Program of active duty Navy and Marine Corps personnel:

The MMSO directly supports the provision of medical care to what?

Answer 15

Remotely located Active Duty and Reserve Component service members,

Within the 50 United States and District of Columbia.

Question 16

NAME the official who has responsibility for management of the non-federal Medical/Dental Treatment Program of active duty Navy and Marine Corps personnel:

MMSO directly supports the provision of medical care to remotely located Active Duty and Reserve Component service members within the 50 United States and District of Columbia through what?

Answer 16

TRICARE Prime Remote and the Supplemental Health Care Program.

Question 17

Military Medical Support Office (MMSO):

The MMSO provides:

Pre-authorization for what?

Answer 17

Civilian medical care.

Question 18

Military Medical Support Office (MMSO):

The MMSO provides:

Authorizations for payment of what?

Answer 18

Civilian medical claims.

Question 19

Military Medical Support Office (MMSO):

The MMSO provides:

Coordinates civilian health care services for who?

Answer 19

Remotely located service members.

Question 20

Military Medical Support Office (MMSO):

The MMSO provides:

Collaborates with unit representatives regarding who?

Answer 20

Line-of duty (LOD) care for remotely located service members.

Question 21

Military Medical Support Office (MMSO):

MMSO serves the following population:

Active Duty Service Members enrolled in what?

Answer 21

TRICARE Prime Remote (TPR).

Question 22

Military Medical Support Office (MMSO):

MMSO serves the following population:

Non-enrolled ADSMs not managed by a what?

Answer 22

Military Treatment Facility (MTF).

Question 23

Military Medical Support Office (MMSO):

MMSO serves the following population:

Reserve Component service members where?

Answer 23

In remote areas with Service approved Line of Duty (LOD) injuries, illnesses or diseases.

Question 24

Active Duty Dental Program (ADDP):

The TRICARE Remote Dental Program previously administered by MMSO has been transitioned to what?

Answer 24

The new ADDP administered by United Concordia.

Question 25

LIST the individuals that may be designated as the Certifying Official for the non-federal Medical Health Care Claim Form:

Who are the Designated Certifying Officials?

Answer 25

Medical Department Representative,

Health Benefits Advisor,

Senior Officer.

Question 26

LIST the process for individuals to obtain medical and dental care, at government expense, at non-federal Medical Treatment Facilities:

Who is eligible for medical care?

Answer 26

Active duty and retired members,

Spouses,

Children:

Up to age 21,

Up to age 23 if enrolled in college,

Indefinitely if because of mental or physical incapacity.

Question 27

LIST the process for individuals to obtain medical and dental care, at government expense, at non-federal Medical Treatment Facilities:

Who is eligible for medical care?

Deceased active duty or retired members?

Answer 27

Unremarried spouses,

Children:

Up to age 21,

Up to age 23 if in college,

Indefinitely if because of mental or physical capacity.

Question 28

LIST the process for individuals to obtain medical and dental care, at government expense, at non-federal Medical Treatment Facilities:

Who is eligible for medical care?

Divorcees?

Answer 28

Must not have other health coverage,

Unremarried,

Former spouse was on active duty for at least 20 years during the marriage.

Question 29

STATE the adjudicating authority for payment processing for treatment from non-federal sources for active duty Navy and Marine Corps personnel:

Adjudicating authority for payment:

CONUS?

Answer 29

Managed Care Support Center for region in which member is enrolled.

Question 30

STATE the adjudicating authority for payment processing for treatment from non-federal sources for active duty Navy and Marine Corps personnel:

Adjudicating authority for payment:

OCONUS?

Answer 30

Tricare Prime: (WPS),

Tricare Standard: Managed Care Support Center in region where care is obtained.

Question 31

DESCRIBE the procedures required for reimbursement of health care related expenses while on official business:

What form is filled out to get a reimbursement?

Answer 31

DD Form 2642,

Tricare DoD/Champus Medical Claim, Patient’s Request for Medical Payment.

Question 32

DESCRIBE the procedures required for reimbursement of health care related expenses while on official business:

If payment was made directly to the health care provider by the patient or representative, the patient must submit what?

Answer 32

DD 2642, Nov 2018.

Question 33

DESCRIBE the procedures required for reimbursement of health care related expenses while on official business:

What needs to be included in the DD 2642?

Answer 33

Include the itemized bill and proof of payment.

Question 34

DESCRIBE the procedures required for reimbursement of health care related expenses while on official business:

Documents to be provided with the claim form are what?

Answer 34

Original and two copies of claim form,

Itemized bills.

Question 35

Across the front of the bill should be a statement signed by the patient that the services and supplies indicated were what?

Answer 35

Received and were satisfactory,

i.e. “Medical services rendered were satisfactory.”