Irwin Army Community Hospital Fort Riley, Kansas The "Big Red One" Hospital

Travel documents

 

Required Documents Before Travel

 

  • TRICARE Authorization for Specialty Care appointment
  • Appointment confirmation from treating facility
  • If non medical attendant is required, a signed letter from referring physician (initial appointment only)  stating  the medical necessity for an NMA. For all follow up appointments, a validation  letter stating a continued medical necessity requesting an NMA is required from the treating  physician.

 

Patient Travel Office Issues Authorizations

 

  • Memorandum for travel to and from treating facility
  • Non medical attendant, if determined a medical necessity by referring physician
  • Rental vehicle, if necessary
  • Counseling Checklist – Will receive from patient travel clerk when receiving authorization memos. (Document will be uploaded in Defense Travel System when submitting voucher).

 

Required Documents After Travel

 

  • Confirmation of Specialty Care Form or an appointment validation letter from the treating facility signed by a provider/facility representative indicating the appointment was kept (must include office letterhead with address, phone number, and signature block)
  • Paid itemized meals receipts
  • Paid toll receipts
  • Paid itemized lodging receipts, if applicable. Lodging receipts must be in patient’s name  to be reimbursed. Should a NMA travel with patient, paid itemized lodging receipts must be in NMA’s name. All shared expenses can only be claimed by one traveler, including shared lodging.
  • If pre-authorized, paid itemized rental vehicle receipt -- only compact-sized vehicle is reimbursable.

 

Forms

Completed forms must be sent to the Travel network email address: usarmy.riley.medcom-iach.list.networkpatient_travel@mail.mil or presented to Patient Travel Office for processing.

 

 

Informational Links

 

Location:

Third floor, Room 3G002, in the four- elevator lobby area.

650 Huebner Road, Fort Riley

 

Phone: (785) 239-7176

 

Hours:

Monday - Friday: 7:30 am - 4 pm

Closed on federal holidays and select training holidays.

 

 

Irwin Army Community Hospital Fort Riley, Kansas The "Big Red One" Hospital
Irwin Army Community Hospital

Travel documents

 

Location: 3rd floor, Room 3G002, in the four- elevator lobby area. 650 Huebner Road, Fort Riley

 

Phone: (785) 239-7176

Closed on federal holidays and select training holidays.

 

 

Required Documents Before Travel

  • TRICARE Authorization for Specialty Care appointment
  • Appointment confirmation from treating facility
  • If non medical attendant is required, a signed letter from referring physician (initial appointment only)  stating  the medical necessity for an NMA. For all follow up appointments, a validation  letter stating a continued medical necessity requesting an NMA is required from the treating  physician.

 

Patient Travel Office Issues Authorizations

  • Memorandum for travel to and from treating facility
  • Non medical attendant, if determined a medical necessity by referring physician
  • Rental vehicle, if necessary
  • Counseling Checklist – Will receive from patient travel clerk when receiving authorization memos. (Document will be uploaded in Defense Travel System when submitting voucher).

 

Required Documents After Travel

  • Confirmation of Specialty Care Form or an appointment validation letter from the treating facility signed by a provider/facility representative indicating the appointment was kept (must include office letterhead with address, phone number, and signature block)
  • Paid itemized meals receipts
  • Paid toll receipts
  • Paid itemized lodging receipts, if applicable. Lodging receipts must be in patient’s name  to be reimbursed. Should a NMA travel with patient, paid itemized lodging receipts must be in NMA’s name. All shared expenses can only be claimed by one traveler, including shared lodging.
  • If pre-authorized, paid itemized rental vehicle receipt -- only compact-sized vehicle is reimbursable.

 

Forms

Completed forms must be sent to the Travel network email address: usarmy.riley.medcom-iach.list.networkpatient_travel@mail.mil or presented to Patient Travel Office for processing.

 

 

Informational Links