What is a referral in the context of TRICARE Prime?

In the context of TRICARE Prime, a referral refers to the authorization from a Primary Care Manager (PCM) allowing a patient to see a specialist for medical care. This process is essential within the TRICARE Prime system to ensure that beneficiaries receive the appropriate care in a coordinated manner. The PCM acts as the first point of contact for patients, and if specialized care is necessary, they will issue a referral, helping to manage the patient's treatment effectively. This process helps maintain continuity of care and ensures that services are utilized appropriately.

The other options do not align with the definition of a referral in TRICARE Prime. A request for medication approval pertains to the prior authorization process for medications, a statement of services needed may not necessarily involve the authorization process specific to referrals, and a type of emergency care access does not fit the standard referral scenario, as emergency care often bypasses the referral requirement for immediate treatment.