Referral Management Office
The referral management office is responsible for facilitating the referral process for all Active Duty Service members and TRICARE Prime beneficiaries enrolled to a Military Treatment Facility (MTF) in the Lawton/Fort Sill area.
Referrals are requests for specialty services or procedures that are not considered primary care. This includes urgent care that is not provided by the Primary Care Manager (PCM).
What is the Referral Process for TRICARE Prime at the MTF or Direct Care System?
Your PCM or specialty provider enters a referral into the military health system at your MTF.
If the specialty service is not available, your referral will go to the referral management office for processing to the network. Within seven to 10 business days, you should receive an email with instructions on scheduling an appointment with a civilian specialist. The patient may call Humana Military at 800-444-5445 for assistance before actually receiving the email. Please note that as of 15 June, 2020 all referrals and authorizations will be delivered digitally and no longer mailed to a physical address. The patient may then contact the civilian specialist’s office to schedule an appointment. The access-to-care (ATC) standard for scheduling an initial appointment for routine specialty care is 28 days.
If you have questions about a network referral and your TRICARE benefits see a Health Benefits Advisor in the Referral Management Office at the clinic, or call 580-558-3161 or 580-558-2483. You can also contact call Humana Customer Service 800-444-5445.