Your certification application has been successfully submitted. You can check the status of your certification application here;The above-named provider has applied to become a TRICARE-authorized provider. The signee certifies that the information in this application and attachments is true and accurately represents and depicts the above named provider. Electronic signature (Do not include middle initial): * Attested date: *. Back Submit.Overseas (International SOS) Downloading TRICARE Forms. To download an enrollment form, right-click and select to "save-as" or download direct from the WHS Forms Page. For enrollment, use your region-specific DD-3043 form. Last Updated 4/25/2024. Links to important forms to download.For more information on certification requirements, refer to the TRICARE Policy Manual (TPM), Ch. 11, Sec 12.1 and 32 CFR 199.6. Facility requirements: Completed Home Health Agency Provider Application Signed and dated Participation Agreement Must provide copy of state license If Medicare certified, must provide copy of CMS leter If not ...Identify the person available to answer questions about this TRICARE certification application and the address where you would like to receive correspondence related to your application. Point of contact name : * Point of contact email address: * Point of contact phone (no dashes): * Point of contact street address: * Point of contact apt/suite ...Copayments & Cost-Shares. Costs are for calendar year (CY) 2024 unless noted separately. For TRICARE Prime Remote costs, choose "TRICARE Prime" from the pull-down menu. Visit the Cost Terms page for definitions to help you better understand TRICARE costs. If you're an unremarried former spouse, for the Continued Health Care Benefit Program ...What is the process for correcting discrepancies found on provider self-service? Contact a local TCL by calling (800) 444-5445. What happens if providers are locked out of provider self-service? Click "forgot password" on the provider self-service login page and follow the steps to reset your password.Supplemental Insurance Many military associations and private companies offer supplemental insurance policies. Unlike other health insurance Health insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don't qualify as "other health insurance.", which pays first, supplemental insurance pays after TRICARE pays its portion of ...If the tax ID entered above is correct, then we do not have an Autism Corporate Service Provider (ACSP) certification on file for your tax ID. You must complete the Autism Corporate Services Provider (ACSP) certification application prior to completing this application. Please complete the first and then re-submit this practitioner application.TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2; 199.6 (c) states physicians-in-training, interns, residents, and fellows participating in approved postgraduate training programs and physicians who are not in approved programs but who are authorized to practice only in a hospital or other institutional provider setting, (e.g., individuals with temporary or restricted licenses, or ...There are two types of TRICARE-authorized providers: Network and Non-Network. DS or a network provider. Print the Invite a Provider to Join TRICARE! and share with your provider. If you aren't sure what region you're in, visit the FAQ How do I know what region I'm in? Contact Information West Region Contractor (Health Net Federal Services, LLC)TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2; 199.6 (c) states physicians-in-training, interns, residents, and fellows participating in approved postgraduate training programs and physicians who are not in approved programs but who are authorized to practice only in a hospital or other institutional provider setting, (e.g., individuals with temporary or restricted licenses, or ...Learn how to become a TRICARE-certified provider and join the network in the East Region. Find out the requirements, application types and FAQs for different provider types and services.Learn how to create a self-service account to check the status of general eligibility, basic claims and referral authorization for TRICARE East. Find out more about the provider handbook and policies for TRICARE East programs.The Continued Health Care Benefit Program (CHCBP) is a premium-based. This plan: Gives you temporary health coverage for 18 to 36 months when you lose eligibility for TRICARE. Acts as a bridge between military health benefits and your new civilian health plan. Provides the same coverage as TRICARE Select, including prescriptions. Gives you ...TRICARE authorizations and certification 11 TRICARE credentialing 11 ... Claims by TRICARE program 58 TRICARE network providers 60 ... TRICARE East and TRICARE West In these US regions, TRICARE is managed by the Defense Health Agency (DHA) The DHA has contracted with civilian ...To apply for certification as a TRICARE – authorized provider, read and complete all sections of this application and return it with all attachments by fax or mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Practitioner EIN/SSN #: _____The Defense Health Agency (DHA) J-7 (education and training) Continuing Education Program Office (CEPO) offers unlimited Continuing Education (CE) credits and Certificates of Attendance (CA) to healthcare professionals who actively treat service members, Veterans and their family members. With unlimited CEs and CAs, CEPO supports the full range ...First, review provider self-service at HumanaMilitary.com. to see if the provider appears as practicing at the location submitted on the application. If the provider does not appear, contact the TRICARE Community Liaison (TCL) for your area by sending a secure message from provider self-service or contacting us at (800) 444-5445.Identify the person available to answer questions about this TRICARE certification application and the address where you would like to receive correspondence related to your application. Point of contact name : * Point of contact email address: * Point of contact phone (no dashes): * Point of contact street address: * Point of contact apt/suite ...To apply for certification as a TRICARE-authorized provider, read and complete all sections of this application and return it with all attachments. Please return application by fax/mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Practitioner EIN/SSN #: _____Yes. You have 90 days from the date of marriage to make changes to your TRICARE health plan. Spouses of service members are eligible for TRICARE. This includes: Active duty spouses. Retired spouses. Guard/Reserve spouses. Same-sex spouses. In the following situations, getting married causes TRICARE benefits to end:As a part of its 5-year Childbirth and Breastfeeding Support Demonstration, TRICARE began covering labor doulas, lactation consultants, and lactation counselors on January 1, 2022, as long as certain conditions are met. The care must be from labor doulas, lactation consultants, and lactation counselors who meet TRICARE certification ...Learn More TRICARE fact sheets, handbooks and other educational materials. TRICARE is the uniformed services health care program for active duty service members (ADSMs), active duty family members (ADFMs), National Guard and Reserve members and their family members, retirees and retiree family members, survivors, and certain former spouses ...1-866-984-2337. TRICARE Dental Program. United Concordia. TDD/TTY: 711. CONUS50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands: 844-653-4061. OCONUSAreas outside of the 50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana ...A certificate in business can lead to new and exciting career opportunities. Here, we outline what you need to know about certificate programs. Updated April 18, 2023 thebestschool...If the tax ID entered above is correct, then we do not have an Autism Corporate Service Provider (ACSP) certification on file for your tax ID. You must complete the Autism Corporate Services Provider (ACSP) certification application prior to completing this application. Please complete the first and then re-submit this practitioner application.Identify the person available to answer questions about this TRICARE certification application and the address where you would like to receive correspondence related to your application. Certification Point of Contact (POC) name: * Certification Point of Contact (POC) street address: * Certification Point of Contact (POC) apt/suite/other ...Fax: (608)221-7535. Mail: TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870. Corporate Services Provider (CSP) certification application. The public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data ...Children Becoming Adults. Yes. You have 90 days after your child turns 21 to make changes to your TRICARE health plan (Additional conditions below). Biological and adopted children can get TRICARE until their 21st birthday in most cases. There are some exceptions to the age limit. At age 21, your child may qualify for TRICARE Young Adult if they:Learn More TRICARE fact sheets, handbooks and other educational materials. TRICARE is the uniformed services health care program for active duty service members (ADSMs), active duty family members (ADFMs), National Guard and Reserve members and their family members, retirees and retiree family members, survivors, and certain former spouses ...The Humana Military app makes it easier than ever to access claims, referrals and authorizations, payment options, in-network care and more. See what else there is to discover or download now to start exploring! Humana Military offers military healthcare for the TRICARE East Region.For TRICARE providers Federal Law (5 U.S.C. 5536) prohibits medical personnel, who are Active Duty Service Members (ADSM) or civilian employees of the government, compensation above their normal pay and allowances for medical care rendered. ... Missing or invalid information will delay the processing of the certification application, or result ...provider certification application For information on certification requirements, refer to the TRICARE Policy Manual, Chapter 11, Section 2.9 ... Mail: TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870. R Article 1 Recitals 1.1 IDENTIFICATION OF PARTIESTo apply for certification as a TRICARE-authorized provider, read and complete all sections of this application. Please return application by fax/mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Facility tax ID #: _____ Facility NPI #: _____ XPLR0321-C Home Health ...TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded. Last Updated 11/16/2023. Provides a search engine to see if TRICARE covers certain services.certification. The ACD covers certain ABA services given by an authorized ABA supervisor, such as ... TRICARE East Region Humana Military 1-800-444-5445 www.tricare-east.com ... Net Federal Services, LLC 1-844-866-WEST (1-844-866-9378) www.tricare-west.com. FS418G01092WW An Important Note About TRICARE Program Information At the time o ...Feb 6, 2024 · If you qualify, you have four ways to purchase TRICARE Young Adult: Online. Go to the milConnect website and click on the “Benefits” tab, and then click on “Beneficiary Web Enrollment (BWE)”. By Phone. Call your regional contractor to enroll and set up your payment: East: 1-800-444-5445. West: 1-844-866-9378.TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded. Last Updated 3/20/2022. TRICARE coverage of ambulance services.Skilled nursing facilities provide a high level of medical care that includes nursing, rehabilitation, and other care, including medications. Skilled nursing facilities are not nursing homes or intermediate facilities . you enter the skilled nursing facility within 30 days of the hospital discharge. No day limit as long as the care is medically ...If you're on active duty for more than 30 days, your dependent parents and parents-in-law can: Get care in a military hospitals and clinics. Enroll in TRICARE Plus. Check with DEERS to see what documentation is needed to register your parent or parent-in-law as a dependent. Dependent parents and parents-in-laws who don't have other coverage (i ...If the tax ID entered above is correct, then we do not have an Autism Corporate Service Provider (ACSP) certification on file for your tax ID. You must complete the Autism Corporate Services Provider (ACSP) certification application prior to completing this application. Please complete the first and then re-submit this practitioner application.Individual Social Worker Application. TRICARE NON-NETWORK CERTIFIED NURSE MIDWIFE (CNM) PROVIDER APPLICATION. We expect providers to submit claims electronically. If it is necessary to submit a paper claim, the only acceptable forms are the approved red and white NUCC 1500 (02-12) form and the NUBC UB-04 (CMS -1450) forms.Fax: (608)221-7535. Mail: TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870. Corporate Services Provider (CSP) certification application. The public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data ...The Defense Health Agency (DHA) J-7 (education and training) Continuing Education Program Office (CEPO) offers unlimited Continuing Education (CE) credits and Certificates of Attendance (CA) to healthcare professionals who actively treat service members, Veterans and their family members. With unlimited CEs and CAs, CEPO supports the full range ...You can use your Delta companion certificates to fly domestic Delta One, getting at least $350 in value, but it must be a refundable fare. You can again use the annual companion ce...Identify the person available to answer questions about this TRICARE certification application and the address where you would like to receive correspondence related to your application. Certification Point of Contact (POC) name: * Certification Point of Contact (POC) street address: * Certification Point of Contact (POC) apt/suite/other ...Your Contacts. TRICARE East Region -Humana Military. 1-800-444-5445. TRICARE East Region Website. TRICARE West Region -Health Net Federal Services. 1-844-866-9378. TRICARE West Region Website. TRICARE Overseas Region-International SOS Government Services, Inc. Country-specific toll-free numbers.To apply for certification as a TRICARE-authorized provider, read and complete all sections of this application and return it with all attachments by fax or mail to: Fax: (608) 221-7535 Mail: TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Facility tax ID #:_____A referral is when your Primary Care Manager (PCM) or provider sends you to another provider for care that they don't provide. A pre-authorization is when your care is approved by your regional contractor before you go to your appointment. If you are being referred, your provider will get you a referral and pre-authorization at the same time.Contact Information. If you need help with ECHO benefits or want to see if you qualify, please contact your contractor: East. Humana Military Healthcare Services. www.tricare-east.com. 1-800-444-5445. West. Health Net. www.tricare-west.com.The above-named provider has applied to become a TRICARE-authorized provider. The signee certifies that the information in this application and attachments is true and accurately represents and depicts the above named provider. Electronic signature (Do not include middle initial): * Attested date: *. Back Submit.Learn about how to use Delta Regional Upgrade Certificates and Global Upgrade Certificates, including which flights and partners are eligible. Among the various benefits of holding...ID Cards Once you're registered in the Defense Enrollment Eligibility Reporting System (DEERS) A database of information on uniformed services members (sponsors), U.S.-sponsored foreign military, DoD and uniformed services civilians, other personnel as directed by the DoD, and their family members. You need to register in DEERS to get TRICARE., you'll be issued a uniformed services ...The Evaluation of the TRICARE Program: Access, Cost, and Quality, Fiscal Year Report to Congress is provided by the Defense Health Agency (DHA), Defense Health Cost Assessment and Program Evaluation (DHCAPE), in the Office of the Assistant Secretary of Defense (Health Affairs)(OASD[HA]). Once the Report has been sent to congress, an interactive digital version with enhanced functionality and ...Find the right place to log in for secure services like enrolling, making appointments or checking referrals. Find the right address for medical, pharmacy or dental claims. Find instant answers to the most frequently asked questions. Send us your questions via email. We'll reply within 30 business days.If you're already a TRICARE-authorized provider or if you want to become a TRICARE-authorized provider, call your MCSC or visit the website, listed below. Region. MCSC. East. Humana Military. www.tricare-east.com. Opens in Humana website. 1-800-444-5445. Claims Information.EHHC benefit coverage caps out on an annual basis. TRICARE coverage caps out at the maximum amount TRICARE would pay if you resided in a skilled nursing facility. Your geographic location determines the amount. Note: Are you covered by Custodial CareNon-skilled, personal care for basic day-to-day tasks. This includes help with eating, dressing ...TRICARE is a healthcare program. It isn't an agency and it doesn't determine eligibility. The sponsor’s Uniformed Service decides who is eligible for TRICARE and reports it in DEERS. Types of Beneficiaries. Sponsors—active duty, retired and Guard/Reserve members. Family members—spouses and children who are registered in DEERS.Skilled nursing facilities provide a high level of medical care that includes nursing, rehabilitation, and other care, including medications. Skilled nursing facilities are not nursing homes or intermediate facilities . you enter the skilled nursing facility within 30 days of the hospital discharge. No day limit as long as the care is medically ...Your Contacts. TRICARE East Region -Humana Military. 1-800-444-5445. TRICARE East Region Website. TRICARE West Region -Health Net Federal Services. 1-844-866-9378. TRICARE West Region Website. TRICARE Overseas Region-International SOS Government Services, Inc. Country-specific toll-free numbers.TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2; 199.6 (c) states physicians-in-training, interns, residents, and fellows participating in approved postgraduate training programs and physicians who are not in approved programs but who are authorized to practice only in a hospital or other institutional provider setting, (e.g., individuals with temporary or restricted licenses, or ...Call the MHS Nurse Advice Line at 1-800-TRICARE (874-2273), option 1. Contact your primary care manager or your regional contractor. You can use secure messaging, if available. Call your military hospital or clinic hotline for advice. Call your military hospital or clinic appointment line and ask to speak with your team nurse.The TRICARE Childbirth and Breastfeeding Support Demonstration (CBSD) covers the following support services: The CBSD is only for TRICARE Prime or TRICARE Select enrollees. The CBSD doesn’t cover TRICARE For Life, US Family Health Plan, or the Continued Health Care Benefit Program. The CBSD will run from Jan. 1, 2022, to Dec. …The above-named provider has applied to become a TRICARE-authorized provider. The signee certifies that the information in this application and attachments is true and accurately represents and depicts the above named provider. Electronic signature (Do not include middle initial): * Attested date: *. Back Submit.1-866-984-2337. www.addp-ucci.com. TRICARE Dental Program Contractor. United Concordia. CONUS50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands Toll Free: 844-653-4061.Get Proof of TRICARE Coverage The "Proof of Insurance" feature on milConnect lets you generate, save, and print an Eligibility Letter that provides proof of current health care coverage under TRICARE. Sponsors can access Eligibility Letters for themselves and for their eligible family membersApplied Behavior Analysis. TRICARE covers Applied Behavior Analysis (ABA) for all TRICARE beneficiaries with an Autism Spectrum Disorder through the TRICARE Comprehensive Autism Care Demonstration (Autism Care Demo). Last Updated 3/20/2022. Find a TRICARE Plan. Find a Doctor. Find a Phone Number. Explains TRICARE's coverage of Applied Behavior ...The 15-credit health science certificate online prepares students to enroll in a registered dietician program. Updated June 2, 2023 thebestschools.org is an advertising-supported s...Prescription Drugs TRICARE provides prescription drug coverage with most TRICARE health plans. If you use the US Family Health Plan, you have a separate pharmacy coverage.. TRICARE Formulary. The TRICARE Formulary is a list of generic and brand-name prescription drugs that we cover. TRICARE covers most prescription drugs approved by the Food and Drug Administration (FDA).A referral is when your Primary Care Manager (PCM) or provider sends you to another provider for care that they don't provide. A pre-authorization is when your care is approved by your regional contractor before you go to your appointment. If you are being referred, your provider will get you a referral and pre-authorization at the same time.Call the MHS Nurse Advice Line at 1-800-TRICARE (874-2273), option 1. Contact your primary care manager or your regional contractor. You can use secure messaging, if available. Call your military hospital or clinic hotline for advice. Call your military hospital or clinic appointment line and ask to speak with your team nurse.TRICARE Prime Remote. TRICARE Prime Remote is available in designated remote locations in the United States: Called or ordered to active duty service for more than 30 days in a row. Family members of activated Guard/Reserve members living in remote locations and have an activated sponsor may enroll. If your sponsor dies, TRICARE Prime Remote is ...In order to receive payment under 32 Code of Federal Regulations (CFR) Part 199, DBA as the Provider of skilled nursing services agrees to conform the provisions of 32 CFR 199 and applicable provisions in TRICARE Manuals and applicable Medicare provisions in 42 CFR. This Agreement, upon submission by the Provider of skilled nursing services of acceptable assurance of compliance with Title VI ...Important information. TRICARE will not be adopting 340B adjustments and will not pursue retroactive claims payments based on the 9/28/22 US Supreme Court decision about Medicare Organizations regarding outpatient prescription drugs.1-866-984-2337. www.addp-ucci.com. TRICARE Dental Program Contractor. United Concordia. CONUS50 United States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands Toll Free: 844-653-4061.Get Proof of TRICARE Coverage The "Proof of Insurance" feature on milConnect lets you generate, save, and print an Eligibility Letter that provides proof of current health care coverage under TRICARE. Sponsors can access Eligibility Letters for themselves and for their eligible family membersregional contractors in the East and West Regions to assist TRICARE regional directors and military hospital commanders in operating an integrated healthcare delivery system TRICARE regions East Region Humana Military (800) 444-5445 HumanaMilitary com West Region Health Net Federal Services, LLC (844) 866-WEST TRICARE-West comTo apply for certification as a TRICARE-authorized provider, read and complete all sections of this application and return it with all attachments by fax or mail to: ... Please return application by fax/mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870. PR Allied Health professionalTo apply for certification as a TRICARE-authorized provider, read and complete all sections of this application and return it with all attachments. Please return application by fax/mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Practitioner EIN/SSN #: _____TRICARE Active Duty Dental Program. TRICARE Choices for the National Guard and Reserve. TRICARE Choices in the United States. TRICARE Dental Program. TRICARE For Life. TRICARE Overseas Program. TRICARE Pharmacy Program. Last Updated 1/10/2024. list of TRICARE handbooks.Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine The Annual Certification process through which faculty are required to certify or ...TRICARE East network • ACSP/Sole providers must • Submit evidence of professional liability insurance • Enter into a participation agreement, Addendum B, approved ... submit a new certification application as an assistant behavior analyst) ©2021 Humana Military | 20. Humana Military contracting • ACSP/Sole provider certification ...The Interservice Physician Assistant Program (IPAP) is dedicated to the education of students who strive to become competent and caring providers of primary health care services under the supervision of a licensed physician. The IPAP curricula is developed and implemented in accordance Army educational and credentialing requirements.To apply for certification as a TRICARE – authorized provider, read and complete all sections of this application and return it with all attachments by fax or mail to: Fax (608) 221-7535 Mail TRICARE East Provider Certification PO Box 7870 Madison, WI 53707-7870 Required: Practitioner EIN/SSN #: _____Breastfeeding supplies. As of 05/01/2023, TRICARE will reimburse for 100 breast-milk storage bags every 30 days. If you require more than 100 in a 30-day period, you will need a prescription or Certificate of Medical Necessity (CMN) from your doctor.TRICARE Overseas Program P.O. Box 8976 Madison, WI 53708-8976 www.tricare-overseas.com: Latin America & Canada (All Others) TRICARE Overseas Program ... Continued Health Care Benefit Program: All Locations: TRICARE East region Claims, CHCBP Claims, PO Box 7981, Madison, WI 53707-7981. Claims for NOAA Members: All Locations:Note: All applications must be signed by the Chief Executive Officer and dated. The above-named provider has applied to become a TRICARE-authorized provider. The signee certifies that the information in this application and attachments is true and accurately represents and depicts the above named provider.Please check that you have entered your tax ID correctly. If the tax ID entered above is correct, then we do not have an Autism Corporate Service Provider (ACSP) certification on file for your tax ID. You must complete the Autism Corporate Services Provider (ACSP) certification application prior to completing this application.TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2; 199.6 (c) states physicians-in-training, interns, residents, and fellows participating in approved postgraduate training programs and physicians who are not in approved programs but who are authorized to practice only in a hospital or other institutional provider setting, (e.g., individuals with temporary or restricted licenses, or ...Hospital provider certification application Required: Facility tax ID #:_____ Facility NPI #:_____ Please re, Before any provider can see a beneficiary, they must become "certified" by submitting the , Learn how to become a TRICARE provider in the East region, where Humana Military is the managed care supp, Tricare east certification application. Get the up-to-date tricare east provider application form 2024 now Get Form. , TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2; 1, The TRICARE Childbirth and Breastfeeding Support Demonstration (CBSD) covers the following support services: Th, Read the latest tech news in Middle East on TechCrunch, Downloading TRICARE Forms. To download an enrollme, The TRICARE Childbirth and Breastfeeding Support Dem, Identify the person available to answer questions about this T, Accept the TRICARE Maximum Allowable Charge (TMAC) minu, Transitional Assistance Management Program The Tra, May 21, 2024 Virtual Group Therapy is Convenient, Ef, The TRICARE rate is the per diem rate that TRICARE will authorize for, TRICARE Reimbursement Manual (TRM) Ch 13 Sec 1; 32 CFR 199.2, Hospice Care. Hospice is a program of care and support for if, Downloading TRICARE Forms. To download an enrollment form, right-, TRICARE Select® TRICARE Select is a self-managed, prefer.