RHRP-3 Frequently Asked Questions

The Defense Health Agency’s (DHA’s) Reserve Health Readiness Program (RHRP) provides health readiness services to military Service Components (SCs) of the Active Components, Department of Defense (DoD) Service Civilians, and Reserve Components (RCs):

• Army Reserve and Army National Guard
• Air Force Reserve and Air National Guard
• Navy Reserve
• Marine Forces Reserve
• Coast Guard Reserve

RHRP-3 is the third generation of the RHRP contracts. The desired outcome and sole focus of the RHRP-3 contract is to support the DHA as a Combat Support Agency by responding quickly and effectively to SCs’ requirements for medical and dental readiness support, whether that be in a peacetime or wartime operations tempo.

See Health.mil, the official website of the Military Health System: https://www.health.mil/Military-Health-Topics/Health-Readiness/Reserve-Health-Readiness-Program

DHA awarded the contract for RHRP-3 to QTC Medical Group, Inc., a Leidos Company

QTC is the prime contract holder for the RHRP-3 Program.

Quality Timeliness Customer Service is a company that provides a wide range of medical examinations services to the public sectors: federal, state, and local government agencies, as well as the individuals they serve. The have developed and implemented optimal service plans for the government that ensure the highest of security standards to deliver quality, timely and unbiased examination services, and reports.

Healthcare delivery for RHRP-3 is scheduled for March 2023.

Any personnel that have access to Protected Health Information (PHI) and Personally Identifiable Information (PII) shall be required to complete initial and on-going Defense Health Agency-administered HIPAA compliance training. The link to access training can be found at https://jko.jten.mil/courses/DHA-US001/launch.html.

WellPoint Military Care is an Elevance Health company formed in 2015 to address the health care needs for the Defense Health Agency and Department of Veterans Affairs. WMC is a subcontractor to QTC on the RHRP-3 program providing in-clinic dental and vision services.

WMC will be responsible for supplying providers to render in-clinic dental and vision examinations to military reservists.

The RHRP-3 program requires pre-authorization for all services rendered. However, unlike a traditional plan you will not have “Reservist/service members” calling or walking-in to make appointments. This is a referral-based program for in-office visits. Below is a high-level overview of how the program works:

• Our partner, QTC, will receive requests from the US Department of Defense Service Component to find providers to treat service members.
• QTC will locate a dental and/or vision provider using WellPoint Military Care Provider Directory.
• QTC will call the provider to schedule the appointment.
• Prior to the visit, QTC will sent an electronic approval for services to be rendered via the QTC RHRP3 Provider Portal to the provider.
• The provider will confirm services have been rendered via the QTC RHRP3 Provider Portal in lieu of submitting a claim.
• Wellpoint Military Care will pay the provider via EFT or paper check, based on the provider’s selection, through PNC Bank.

All treatments require pre-authorization. Referral recommendations and pre-authorization shall be entered into the QTC RHRP3 Provider Portal for service component approval prior to treatment and scheduling with a provider for services.

*No dental or vision services should be performed that have not been approved, coordinated, and scheduled through Prime Contractor, QTC Medical Group, Inc. as reflected in the RHRP3 Provider Portal. Any services provided without pre-authorization will not be covered.

No

Reserve Health Readiness Program (RHRP) services include immunizations, physical examinations, Periodic Health Assessments (PHA), Pre-Deployment Health Assessment, Post-Deployment Health Reassessments (PDHRA), Separation History and Physical Examinations (SHPE), Mental Health Assessments (MHA), dental examinations and x-rays, limited dental treatment, laboratory services, occupational health services, and other services as required to satisfy SC health readiness needs.

Service coverage is provided in every state, within the United States and its territories, and the District of Columbia.

Military personnel you treat will hold DoD issued ID Cards.

QTC Medical Group, Inc:
phone: 1-833-QTC-RHRP (1-833-782-7477)
web: https://www.qtcm.com/government/military-readiness/

Providers are required to submit validation of completed services via the QTC RHRP3 Provider Portal once services have been rendered. This submission of services in the QTC RHRP3 Provider Portal triggers payment of services at contract rates. If you have questions on these submissions, please contact QTC.

https://www.qtcm.com/government/military-readiness/
https://provider.qtcm.com/my.policy

*Claim form submissions are not accepted for the RHRP-3 Program

QTC Medical Group, Inc. - 1-833-QTC-RHRP (1-833-782-7477)
https://www.qtcm.com/government/military-readiness/

Directly Contracted Dental Providers with WMC
email: militarycare@elevancehealth.com
web: www.wellpointmilitarycare.com

Careington Providers
phone: (fee schedule): 1-800-441-0380
phone: (network status): 1-844-478-4786
email: reservists@careington.com
web: https://provider.careington.com

EyeMed Providers
phone: TBD
email: TBD
web: https://eyemed.com/en-us/provider

PNC BANK
phone: 1-800-946-6968
web: www.providerpayments.com

Providers are required to enter SM interactions in real time into the prime contractor, QTC’s, RHRP3 Provider Portal.

PNC BANK
phone: 1-800-946-6968
web: www.providerpayments.com

WellPoint Military Care is not actively recruiting at this time. We continue to monitor for opportunities for our Provider community. Please check our website for the most up to date information.