TRICARE Prime® Demo by CareSource Military & Veterans™ covers both musculoskeletal and cardiac surgeries for our members. Orthopedic, Neuro-Spine and Cardiac providers can access the following tools to help them provide efficient and quality care.
Policies
Providers can view clinical guidelines we use at www.myturningpoint-healthcare.com. Providers will initially be asked to “Register for Access”. Upon registration, providers will be able to log into the provider portal and select the POLICIES section to view and/or download these clinical guidelines as PDF documents. Musculoskeletal and Cardiac procedures will require prior authorization for medical necessity and will be reviewed by TurningPoint Healthcare Solutions, LLC for adherence and consistency with these clinical guidelines, as well as industry standardized rules. The review will include evaluation of services for being experimental and/or investigative, as well as clinical appropriateness based upon patient demographic information.
Providers may also request copies of these clinical guidelines directly from TurningPoint by calling their Provider Relations team at the number listed below, or by emailing providersupport@turningpoint-healthcare.com.
| Local Phone | Toll Free Phone | Local Fax | Toll Free Fax | |
|---|---|---|---|---|
| CareSource Military & Veterans (CSMV) | (813) 279-2556 | (855) 406-6072 | (813) 337-1350 | (877) 409-2246 |
Musculoskeletal
Including all associated partial, total, and revision surgeries
Cardiac
Including all associated partial, total, and revision surgeries
Note: These lists are not all-inclusive and content is subject to change.
Updates & Announcements
Our goal is to keep you informed with timely information about our plan and services. As changes occur and as needs arise, we issue network notifications to providers via the Updates & Announcements webpage. Please check these pages often to learn about updates and changes that impact your practice.