Gender Affirming Treatment - Tricare (Department of Defense)

Sarika Ram filed this request with the Defense Health Agency of the United States of America.
Tracking #

2018-287

Status
Rejected

Communications

From: Sarika Ram

To Whom It May Concern:

Pursuant to the Freedom of Information Act, I hereby request the following records:

To Whom It May Concern:

Pursuant to the Freedom of Information Act, I hereby request the following records:

All TRICARE complaints, including Factual Appeals, Medical Necessity Appeals, Pharmacy Appeals, Medicare-TRICARE Appeals, and Grievances that include any of the following words or phrases:
- 'trans'
- 'transgender'
- 'gender dysphoria'
- 'gender affirming care'
- 'gender affirming treatment'
- 'hormone therapy'
- 'hormone treatment'
- 'cross-sex hormones'
- 'sex reassignment surgery'
- 'gender reassignment surgery'
- 'gender transition'

Please provide materials on a rolling basis, as they become available.

The requested documents will be made available to the general public, and this request is not being made for commercial purposes.

In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.

If you have any questions, please feel free to clarify via phone at 617-299-1832.

Thank you in advance for your anticipated cooperation in this matter.

I look forward to receiving your response to this request within 20 business days, as the statute requires.

Sincerely,

Sarika Ram

From:

Dear Sarika Ram,

Thank you for your patience in this matter. We have recieved your request and it is currnetly being processed. We ask that you please be patient in that we have a voluminous amount of requests to process. You should be recieveing an Acknowledgment Letter soon. Again, thank you for your patience.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From:

Dear Ms. Sarika Ram,

This correspondence serves as the official acknowledgement for your Freedom of Information Act (FOIA) request. Please refer to the attached memo for your assigned Control Identification Number and additional guidance.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA/Privacy-Act-Requests

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From:

Good Morning,

Presently, we have not received records, and your case is still processing. Our estimated date of completion is November 28, 2018.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From:

Dear Sarika Ram,

Your DHA FOIA request with assigned control number 2018-287 is still being processed at one of our prgram offices. Requests are addressed in the order received, and we are presently experiencing extended processing times.

Your request is important to us and we are diligently working to process all requests as quickly as possible. nThank you for the patience you have exhibited regarding this matter.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From: Sarika Ram

Hello,
In a previous email, I was told that the estimated date of completion was November 28, 2018. Do you have a revised estimated date of completion you'd be able to offer?

Thanks,
Sarika

From:

Dear Sarika Ram,

Your DHA FOIA request with assigned control number 2018-287 is still being processed. Presently, our estimated date of completion is February 28, 2019. Thank you for the patience you have exhibited regarding this matter.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From:

Dear Sarika Ram,

Your DHA FOIA request with assigned control number 2018-287 is still being processed. Requests are addressed in the order received, and we are presently experiencing extended processing times.

Your request is important to us and we are diligently working to process all requests as quickly as possible. Presently, our estimated date of completion is February 28, 2019. Thank you for the patience you have exhibited regarding this matter.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From:

CLASSIFICATION: UNCLASSIFIED

Your DHA FOIA request with assigned control number 2018-287 is still being processed. Requests are addressed in the order received, and we are presently experiencing extended processing times.

Your request is important to us and we are diligently working to process all requests as quickly as possible. Presently, our estimated date of completion is May 3, 2019. Thank you for the patience you have exhibited regarding this matter.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From: Defense Health Agency

CLASSIFICATION: UNCLASSIFIED

Dear Requester,

The attached letter serves as an interim response to your FOIA request with control number #2018-287. Please refer to the response letter for additional guidance and/or instructions.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703.275.6363
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From: Defense Health Agency

Good morning,

The information that you requested from our offices:

"All TRICARE complaints, including Factual Appeals, Medical Necessity Appeals, Pharmacy Appeals, Medicare-
TRICARE Appeals, and Grievances that include any of the following words or phrases:
- 'trans'
- 'transgender'
- 'gender dysphoria'
- 'gender affirming care'
- 'gender affirming treatment'
- 'hormone therapy'
- 'hormone treatment'
- 'cross-sex hormones'
- 'sex reassignment surgery'
- 'gender reassignment surgery'
- 'gender transition' "

went through the normal course of searching. However, since the request was for complaints and appeals, we had to send this request to the Office of General Counsel for collection of data.
We are not sure how long this may actually take, but the request is currently in process. As soon as all the data is sent back to us, we will then forward it to your offices.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703-275-6017
Email: DHA.FOIA@mail.mil

From: Defense Health Agency

Dear Ms. Sarika Ram,

Your DHA FOIA request with assigned control number 2018-287 is still being processed. Requests are addressed in the order received, and we are presently experiencing extended processing times.

Your request is important to us and we are diligently working to process all requests as quickly as possible. Please refer to the attached letter for additional guidance and/or instructions. Thank you for the patience you have exhibited regarding this matter.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703-275-6017
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

From: Defense Health Agency

Dear Sarika Ram:

The attached letter and records serve as the final response to your FOIA request with control number 2018-287. Please refer to the response letter for additional guidance and/or instructions.

Respectfully,
DHA FOIA Service Center
Defense Health Agency
7700 Arlington Boulevard, Suite 5101
Falls Church, VA 22042-5101
PH: 703-275-6017
Email: DHA.FOIA@mail.mil

For more info, log on to: https://health.mil/Military-Health-Topics/Privacy-and-Civil-Liberties/FOIA

"This electronic message transmission may be proprietary, confidential and/or privileged information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act of 1996 (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this information is prohibited. If you have received this electronic transmission in error, please notify the sender immediately by replying to the address listed in the "From:" field and destroy any copies you have made along with the original."

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