(13) Participation agreements. Another participation agreement required by this Part contains in part all of the following provisions that require the provider: (8) The hospice must enter into a contract with CHAMPUS to be qualified to participate and be entitled to payment under the program. In this agreement, the hospice and CHAMPUS agree that the hospice: (iv) will have 750 hours of clinical experience in the practice of psychotherapy under authorized supervision, with at least 30 cases; more than 250 hours of clinical practice in matrimonial and family counselling, under approved supervision, covering at least 20 cases; and a network provider is a civilian provider that has entered into the notification process and signed a contractual agreement to be part of the network of suppliers participating in the TRICARE program. A network operator shall accept the negotiated tariff as full payment for the services provided. A non-network provider is a civilian supplier that has the right to supply TRICARE beneficiaries but has not signed a network agreement. Non-connected suppliers meet TRICARE licensing and certification requirements and are tricare certified to supply TRICARE beneficiaries. There are two types of non-networks – participants and non-participants. (B) Terms of the Participation Agreement. In addition to the other requirements set out in this paragraph (b) (4) (vii), the BTI must have entered into a participation agreement with OCHAMPUS to allow for the approval of the services of a BTI. The duration of a participation agreement is set out in the agreement and generally does not exceed five years.
In addition to verifying an organization`s application and supporting documents, an on-site inspection by authorized OCHAMPUS personnel may be required prior to signing a participation agreement. There is no retroactive authorization. In addition, the participation agreement provides that the RTC has at least: (ii) 1,000 hours of clinical experience in the practice of marriage and family guidance under authorized supervision, including at least 50 different cases; or (B) To cover the services of a psychiatric hospital, the hospital must comply with the provisions referred to in paragraph (b) 4 (i) of this section. . . .