Live in the West Region? There is now a referral approval waiver in place through March 31, 2025. Learn More.
Also, you have until Feb. 28 to set up your payment info if you pay by EFT, credit card, or debit card. This is for TRICARE Prime, TRICARE Select, TYA, TRS, and TRR plans. If you miss this deadline, you will be disenrolled back to Jan. 1. Visit www.tricare.mil/west today.

Patient Resources

Policies

What is HIPAA?

It is the Health Insurance Portability and Accountability Act (HIPAA). It was signed into law in August 1996. HIPAA was originally intended to support the portability of health insurance and to improve fraud and abuse protections. HIPAA Administrative Simplification provisions were added to improve administrative efficiencies, reduce paperwork, and ensure confidentiality and privacy of electronic information.

HIPAA Privacy

The purpose of the HIPAA Privacy Rule is to prevent inappropriate use and disclosure of individual health information, most commonly referred to as protected health information (PHI). It is not a one-time implementation project. HIPAA entails ongoing responsibilities that must be incorporated into Military Treatment Facilities culture and business processes.

Who Must Comply with HIPAA?

All health plans, health care clearinghouses and health care providers who conduct certain financial and administrative transactions in any medium must comply with HIPAA. TRICARE, the Military Treatment Facilities, clinicians, the managed care support contractors and subcontractors as well as other business associate relationships fall within these categories.

What Information is Protected Under HIPAA?

Individually identifiable health information, including demographics, is protected under HIPAA. The protected health information (PHI) can be in electronic, paper or verbal form. Uses and disclosures are described in the organization's Notice of Privacy Practices.

Why Is HIPAA Important to the Patient?

HIPAA increases the patient's control over his/her health information.

Patients’ Right Under HIPAA

Among the fundamental principles of the HIPAA Privacy Rule are the rights of individuals regarding their personal health information. These rights include

  • The right to adequate notice of the uses and disclosures of PHI that a covered entity may have made

  • The right to request (but not necessarily be granted) restrictions on the use and disclosure of PHI

  • The right to access PHI

  • The right to amend PHI

  • The right to an accounting of certain disclosures of PHIA 

A more detailed accounting of your rights is delineated in the Notice of Privacy Practices.
Authorization for Disclosure of Medical or Dental Information

Military Health System Policies

DHA’s Commitment to Serving Every Person with Equal Dignity and Respect

The DHA is proud to serve our beneficiaries and is committed to ensuring that all patients receive excellent care. DHA has established, in writing, policies that maintain formal and informal processes for patients to undertake when they believe otherwise.

References 

DHA Administrative Instruction 101, Processing Procedures for Complaints Involving Discrimination in Military Health System (MHS) Health Programs and Activities 

DHA Procedural Instruction 6025.02, Nondiscrimination in Military Health System (MHS) Programs and Activities 

Don't forget to keep your family's information up to date in DEERS!