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How to Get Credentialed with TRICARE East Region (Humana Military) in Florida

Network: Open
30-60 Days CAQH Required

TRICARE East in Florida: when the network door narrows, the certification door still works

Florida sits in the TRICARE East Region, administered by Humana Military, and it is one of the most military-dense states in the country. As of 2025, Humana Military was reported to have closed parts of its medical-surgical network intake while keeping behavioral health, psychiatry, SUD and autism care open, which makes the structure worth understanding precisely: network intake can narrow, but certification, the federal authorization tier, is how most providers reach most military families anyway.

~90 days
Typical wait for certification with the regional contractor
2 tiers
Certified (authorized, non-network) vs network (contracted and credentialed)
$0
Florida's telehealth registration for out-of-state providers. It never expires.
2025-01-01
The T5 contract cycle. East stayed Humana Military, six states left for the West.

Hard rule

Certification is the tier you control. Network is the tier they control.

TRICARE participation is two distinct steps. Certification by the regional contractor makes you TRICARE-authorized, able to treat TRICARE Select, Reserve Select and TRICARE for Life beneficiaries as a non-network provider, and it is a federal authorization step required in each state where you practice. The network contract, which adds credentialing and Prime patients and a directory listing, is a business decision the contractor can also decline to extend when intake is closed. When network intake narrows, certification remains available, and for many Florida practices it is most of the value.

Source: Humana Military, Provider Certification FAQ

Common mistake

Reported in 2025: medical-surgical intake narrowed, behavioral health stayed open

Industry reporting through 2025 had Humana Military closing portions of medical-surgical network intake in the East Region while keeping autism care, psychiatry, mental health and SUD network applications open. Treat that as a snapshot to verify rather than a rule to rely on: network intake status changes without much announcement, and it varies by specialty and locality. The practical takeaway survives any specific change: verify current intake for your specialty with Humana Military before building a timeline around a network contract, and remember the certification tier does not close.

Source: Humana Military, Provider Certification FAQ

How a Florida provider gets in

Same two-tier machinery as everywhere, with Florida's licensing options changing who can realistically apply.

  1. 1 Submit a certification application to Humana Military with your Florida licence or registration, DEA if applicable, and attachments.
  2. 2 Expect roughly 90 days to authorized status, which covers Select, Reserve Select and TRICARE for Life beneficiaries.
  3. 3 Check current network intake for your specialty before pursuing the contract tier. BH and autism intake was reportedly open when medical-surgical was not.
  4. 4 ABA practices scope the Autism Care Corporate Service Provider application from the start. All ABA clinics are ACSPs, and the participation agreement is its own artifact.
  5. 5 Certification is per state of service. Florida certification covers Florida care, and a multi-state telehealth practice certifies in each state it serves.

Source: Humana Military, Provider Certification FAQ

Worth knowing

Florida's free telehealth registration fits the military-family reality unusually well

Military families move on orders, often keeping clinicians behind. Florida's out-of-state telehealth registration, free, never expiring, requiring an unencumbered home-state licence, a Florida registered agent and telehealth-covering malpractice, lets an out-of-state clinician keep treating a family that lands in Pensacola or Jacksonville without a Florida licence, remote-only, with in-person service strictly prohibited. Registration is practice authority, not payer enrollment: TRICARE certification for Florida service is still its own application. But the combination, registration plus certification, is a genuinely low-cost way for an established practice to follow its military families here.

Source: Florida DOH, telehealth provider registration (s. 456.47)

Read the map before you promise a start date

Two structural facts set every Florida TRICARE timeline. First, the certification wait, roughly 90 days, starts only when a complete application reaches Humana Military, so the licence or telehealth registration comes first and the application the same week. Second, claims for both regions run through PGBA, not the contractor, which is worth knowing the first time a claim question gets bounced between organizations. And if your practice sits near the Georgia or Alabama line, remember the region boundary is about the beneficiary care location: Florida service runs East through Humana Military, and the 2025 contract cycle moved six other states, not Florida, to the West. The stable parts of this system are the tiers and the paperwork discipline. The contractor names and intake postures are the parts that change.

Source: MyArmyBenefits, TRICARE West Region Contractor Transition · Humana Military, Provider Certification FAQ

Researched and written by the PayerReady credentialing team for TRICARE East Region (Humana Military) in Florida. Verified July 2026. Payer policies and state rules change, so confirm before you file.

TRICARE East Region (Humana Military) in Florida: by the numbers

Verified figures for this state, not national averages.

TRICARE region
This state is in the TRICARE East Region. The East Region contractor is Humana Military (800-444-5445), a provider here seeking military-beneficiary patients contracts with Humana Military, not TriWest, which holds the West Region. Region assignments reflect the 2025 realignment.

Source: TRICARE.mil regions FAQ (10/23/2025) · Verified July 2026

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Florida-Specific Requirements

TRICARE's East Region is administered by Humana Military. Becoming a network provider is a two-step model: a provider must first be TRICARE-certified/authorized and verified in the East Region to file claims and receive payment, then separately apply to join the contracted network. IMPORTANT (time-sensitive): Humana Military is currently NOT accepting requests to join the medical, surgical, or ancillary networks; it IS accepting requests for autism, psychiatry, mental health, substance abuse, doula, and lactation networks. A TRICARE-authorized provider can still treat beneficiaries as non-network (participating or non-participating). Confirm current network-acceptance status before applying. Provider services: 1-800-444-5445.

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Required Documents Checklist

Board Certification

Conditional

Required if board certified

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Enrollment Forms

Humana Military Provider Application

Online provider application for the TRICARE East region managed by Humana Military.

Required
Online Open →

Humana Military W-9 Submission

IRS W-9 tax identification form required for Humana Military provider enrollment.

Required

Key Credentialing Terms

CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Provider Enrollment
The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
Re-credentialing
The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...

Credentialing Checklist

Make sure you have everything ready before applying to TRICARE East Region (Humana Military).

View Physician Credentialing Checklist →

Contact Information

TRICARE East Credentialing

National

1-800-444-5445

TRICARE East Claims

National

1-800-444-5445

TRICARE East Appeals

National

1-800-444-5445

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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