Appointments & Referrals

GLWACH Appointment Line:

Call 866-299-4234 to book an appointment with your PCM, book an appointment in one of our specialty clinics, or leave a Genesis message for your provider team.

MHS GENESIS Patient Portal

The MHS GENESIS Patient Portal replaced TRICARE Online Secure Patient Portal. The MHS GENESIS Patient Portal is a secure website available 24/7 that gives you access to your health information. Through the MHS GENESIS Patient Portal, you can:

• View health information

• Schedule appointments

• Communicate securely with providers

• Request prescription refills

With assistance with the portal, call 1-800-600-9332.
To contact the Referral Department at GLWACH please send us a message through the Genesis Portal at USA Leonard Wood Referral Management or call our automated Referral line at 573-596-4916 and leave a message.

Referrals

1. When a provider writes a referral it is first reviewed by the Referral Management department to see if it is a service that GLWACH can provide.
2. If it is a service that GLWACH can provide your referral will be assigned to the MTF.  If you do not receive a phone call from the Call Center within 3 business days please call 866-299-4234 to schedule your appointment.
3. If it is a service that GLWACH cannot provide your referral will be electronically sent to Health Net Federal Services.  You may contact HNFS at 844-866-9378 after three business days for your referral authorization information.
4. You will not receive your authorization in the mail.  You must go to www.tricare-west.com and register to view all information regarding your referrals, claims, and to print any documents.
5. After you schedule your appointment with the network provider please contact our automated Referral line at 573-596-4916 and leave your appointment information so that your referral may be updated.

Types of Care

Routine Care

Routine care includes general office visits for the treatment of symptoms, chronic or acute illnesses and diseases, and follow-up care for an ongoing medical condition. You will receive most of your routine or primary care from your PCM. You do not need a referral to visit your PCM. Routine/follow up care access to care standard is an appointment within 7 days.
 Preventive Care

Preventive care is a periodic health screening or assessment and is not directly related to a specific illness, injury or set of symptoms. You will receive most of your preventive care from your PCM. You do not need a referral to visit your PCM or to obtain preventive care from a network provider.  Preventive/Wellness access to care standard is an appointment within 28 days.
Learn more about preventive care on TRICARE's Preventive Care page.

Specialty Care

There are times when you will need to see a specialist for a diagnosis or treatment your PCM cannot provide. Your PCM will provide referrals to access services from specialty providers and will coordinate the referral request with HNFS, if necessary. If you do not have an assigned network PCM, you or your primary care provider must coordinate specialty care referrals with HNFS.  Specialty access to care standard is an appointment within 28 days.

Urgent or Emergent Care

Visit our Prior Authorization, Referral and Benefit Tool to determine if an approval from HNFS is required. Urgent/Acute medical need access to care standard is within 1 business day.

 

 Where to Get Care

Here are resources for locating authorized providers:

Military Hospitals and Clinics 

As a TRICARE beneficiary, you have access to some of the best medical care in the country. You can get care at military hospitals and clinics on a space available basis. If you live near a military hospital or clinic, it should be your first source for treatment, especially for specialty care when available. There is no cost for outpatient services and inpatient services only have a small copayment per day. Find a military hospital or clinic by using TRICARE’s Military Hospital and Clinic Locator. 

TRICARE Network Providers 

When seeking civilian care, TRICARE Prime beneficiaries are required to use TRICARE network providers when available.

• Search our Network Provider Directory. 

• If a network provider is not available within access standards, you will be referred to a non-network provider.

TRICARE Non-Network Providers 

• Participating Providers: These providers submit claims to TRICARE and agree to accept the TRICARE-allowed amount as payment in full minus deductibles, copayments and cost-shares. 

• Nonparticipating Providers: These providers do not bill TRICARE. You may be required to pay upfront for services in full and submit a claim to TRICARE for reimbursement. Nonparticipating providers may bill you up to an additional 15 percent above the TRICARE-allowed amount. However, if you have an approval from HNFS, TRICARE will cover the 15 percent.

• See our Non-Network Provider Directory.

If you receive care from a network or non-network provider without a referral from your PCM and HNFS approval when required, you are electing the Point of Service (POS) option, which has higher out-of-pocket costs. The POS option does not apply to active-duty service members, who may be responsible for the entire cost of their care.