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<h2><strong>Recent PRIMARY CARE MANAGER (PCM) REFERRAL WAIVERs</strong></h2>
<h4>Puerto Rico and Dominican Republic: Hurricane Fiona</h4>
<h4>** Expired Oct. 31, 2022 **</h4>
<p>The Primary Care Manager (PCM) Referral Waiver that was in place due to Hurricane Fiona <strong>expired on Monday, October 31, 2022</strong>.</p>
<p>For care received <strong>after October 31, 2022</strong>, TRICARE Prime Overseas and TRICARE Prime Remote Overseas beneficiaries enrolled to a Military Treatment Facility (MTF) or seeking/receiving care in Puerto Rico or the Dominican Republic should <strong>coordinate their health care needs with their Primary Care Manager (PCM) and seek prior Authorization from International SOS before receiving care from a TOP Network Provider</strong>.</p>
<p>International SOS is available to assist 24/7/365. Please <a href="http://www.tricare-overseas.com/contact-us" target="_blank"><strong>contact</strong></a> the TOP Regional Call Center and listen carefully to the prompts for the option that best serves you.</p>