Final answer:
Under TRICARE Prime, a primary care manager provides referrals to specialty care providers and coordinates with the regional contractor to facilitate the service.
Step-by-step explanation:
The primary care manager (PCM) provides referrals under TRICARE Prime for services from specialty care providers. This process is essential when a beneficiary needs healthcare services that go beyond the scope of what the PCM can provide. The PCM also coordinates the referral request with the regional contractor when necessary. This coordination is critical as it ensures the beneficiary receives the required specialist care without any administrative hurdles.
In the context of TRICARE Prime, the PCM acts as a gatekeeper to specialized services, thereby maintaining a streamlined and cost-effective health care system for U.S. military personnel, retirees, and their dependents. Understanding the referral process and respecting the role of the PCM is important for beneficiaries to effectively navigate their healthcare coverage.