{"abstract":"This rulemaking proposes comprehensive revisions to the TRICARE regulation to reduce administrative barriers to access to mental health benefit coverage and to improve access to substance use disorder (SUD) treatment for TRICARE beneficiaries, consistent with earlier Department of Defense and Institute of Medicine recommendations, current standards of practice in mental health and addiction medicine, and governing laws. This proposed rule has four main objectives: (1) To eliminate quantitative and qualitative treatment limitations on SUD and mental health benefit coverage and align beneficiary cost-sharing for mental health and SUD benefits with those applicable to medical/surgical benefits; (2) to expand covered mental health and SUD treatment under TRICARE, to include coverage of intensive outpatient programs and treatment of opioid use disorder; (3) to streamline the requirements for mental health and SUD institutional providers to become TRICARE authorized providers; and (4) to develop TRICARE reimbursement methodologies for newly recognized mental health and SUD intensive outpatient programs and opioid treatment programs.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF DEFENSE","name":"Defense Department","id":103,"url":"https://www.federalregister.gov/agencies/defense-department","json_url":"https://www.federalregister.gov/api/v1/agencies/103","parent_id":null,"slug":"defense-department"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/02/01/2016-01703.html","cfr_references":[{"chapter":null,"citation_url":null,"part":199,"title":32}],"citation":"81 FR 5061","comment_url":null,"comments_close_on":"2016-04-01","correction_of":null,"corrections":[],"dates":"Written comments received at the addresses indicated below will be considered for possible revisions to this rule in development of the final rule. Comments must be received on or before April 1, 2016.","disposition_notes":null,"docket_ids":["DOD-2015-HA-0109"],"dockets":[],"document_number":"2016-01703","effective_on":null,"end_page":5085,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/02/01/2016-01703.xml","html_url":"https://www.federalregister.gov/documents/2016/02/01/2016-01703/tricare-mental-health-and-substance-use-disorder-treatment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-01703?publication_date=2016-02-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-02-01/2016-01703/mods.xml","not_received_for_publication":null,"page_length":25,"page_views":{"count":6667,"last_updated":"2026-04-22 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-02-01/pdf/2016-01703.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-01703.pdf?1454075116","publication_date":"2016-02-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/02/01/2016-01703.txt","regulation_id_number_info":{"0720-AB65":{"issue":"201610","html_url":"https://www.federalregister.gov/regulations/0720-AB65/tricare-mental-health-and-substance-use-disorder-treatment-","title":"TRICARE: Mental Health and Substance Use Disorder Treatment ","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201610&RIN=0720-AB65&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0720-AB65"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"Regulatory Impact Analysis 0720-AB65 PR","document_id":"DOD-2015-HA-0109-0002"}],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0720-AB65/tricare-mental-health-and-substance-use-disorder-treatment-","title":"TRICARE: Mental Health and Substance Use Disorder Treatment "},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=DOD-2015-HA-0109","supporting_documents_count":1,"docket_id":"DOD-2015-HA-0109","regulation_id_number":"0720-AB65","title":"TRICARE; Mental Health and Substance Use Disorder Treatment","checked_regulationsdotgov_at":"2016-04-02T05:00:45Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":5061,"subtype":null,"title":"TRICARE; Mental Health and Substance Use Disorder Treatment","toc_doc":"Mental Health and Substance Use Disorder Treatment","toc_subject":"TRICARE:","topics":["Claims","Dental health","Health care","Health insurance","Individuals with disabilities","Military personnel"],"type":"Proposed Rule","volume":81}