Interventions targeted to the general population or area of responsibility.

Active and Reserve Component mental health professionals or other personnel including enlisted specialists and administrative support personnel who are trained in COSC principles, including combat and operational stress first aid and application of principles to enhance combat effectiveness. Senior experienced COSC personnel serve as advisors to line comm...

• Indicated prevention - Interventions targeted to Service members with COSR or indications of a potential mental health disorder, and to units that show signs that their mission effectiveness is being affected by combat or operational stressors.
• Selective prevention - Interventions targeted to a unit or Service member whose risk is hig...

Interventions targeted to treat and follow up Service members with mental health disorders to prevent their loss from duty.

 Interventions targeted to a unit or Service member whose risk is higher than average.

The physical, emotional, cognitive, or behavioral reactions, adverse consequences, or psychological injuries of Service members who have been exposed to stressful or traumatic events in combat or military operations. COSRs vary in severity as a function of operational conditions, such as intensity, duration, frequency of combat exposure, rules of engageme...

Programs developed and actions taken by military leadership to prevent, identify, and manage adverse COSRs in units; enhance mission performance; increase individual and unit resilience; conserve fighting strength; prevent or minimize adverse effects of combat stress on members’ physical, psychological, behavioral, and social health; and to return t...

The combination of military and civilian medical systems used to provide healthcare to DOD medical beneficiaries.

Includes an involuntary loss of eligibility for the MHS, an involuntary loss of other health insurance coincident with the initiation or continuation of MHS eligibility, or termination of the provider by the Managed Care Support Contractor (MCSC) for other than cause or a change in the applicable MCSC.

An administrative review of program determinations regarding medical necessity that is internal to the medical treatment facility/dental treatment facility MTF/DTF (for direct care) or to the Managed Care Support Contractor (MCSC) (for purchased care). Progression through the successive levels of appeal occurs when the reviewing authority upholds the init...

Licensed and credentialed healthcare providers privileged to provide primary and preventive care services and to facilitate appropriate referrals for other services, including specialty services, for all active duty members and TRICARE Prime enrollees. PCMs may include physicians specialized in Family Practice, Internal Medicine, Pediatrics, and Obstetric...

A broad-scale initiative enabling consumers to compare the quality and price of health care services, so they can make informed choices among providers and facilities.

A contract peer review organization that monitors the quality of MHS-delivered care and serves the Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)) as the external peer reviewer for medical necessity determination appeals.

Those inpatient and outpatient facilities owned, staffed, and managed by the Military Departments.

An appeal that has been elevated to the external chain of responsibility at the national quality monitoring contractor (NQMC) and  Defense Health Agency (DHA) levels, to provide an independent review. An external appeal may be exercised when the internal appeal process does not provide a resolution for the beneficiary.