ADMINISTRATIVE MESSAGE ROUTINE R 091557Z FEB 04 ZYB MIN PSN 140236J16 FM CNO WASHINGTON DC//DNS// TO NAVADMIN UNCLAS //N05000// NAVADMIN 025/04 MSGID/GENADMIN/CNO WASHINGTON DC/DNS/-/FEB// SUBJ/NAVAL HOSPITAL ROOSEVELT ROADS (NHRR) PATIENT CARE TRANSITION /PLANS// RMKS/1. AS DIRECTED BY THE 2004 DEFENSE APPROPRIATIONS ACT, NAVAL STATION ROOSEVELT ROADS AND ITS TENANT COMMANDS WILL CLOSE NO LATER THAN MARCH 2004. NHRR SERVICES WILL PHASE DOWN OVER THAT TIMEFRAME TO ALTERNATIVE SOURCES OF CARE, INCLUDING OBSTETRICS. 2. THE BELOW INFORMATION IS PROVIDED TO ASSIST ACTIVE DUTY AND THEIR FAMILY MEMBERS WITH OBTAINING FUTURE OBSTETRIC CARE IN PUERTO RICO. EXPECTANT MOTHERS, BOTH ACTIVE DUTY AND FAMILY MEMBERS, WHO MAY BE PLANNING MOVES TO PUERTO RICO MAY NOT BE AWARE OF THE IMPENDING CLOSURE AND REVISED HEALTHCARE PROVISIONS. ALL COMMANDS ARE REQUESTED TO ENSURE THIS INFORMATION IS MADE AVAILABLE TO ALL SERVICE MEMBERS AND SPECIFICALLY INCORPORATED INTO TRANSFER PROCESSING FOR ALL MEMBERS AFFECTED BY THIS CHANGE. 3. BEGINNING IN FEBRUARY 2004, ALL MILITARY OBSTETRIC CARE IN PUERTO RICO WILL BE PROVIDED EXCLUSIVELY IN THE CIVILIAN COMMUNITY. UPON CLOSURE OF NHRR, ALL OTHER HEALTHCARE SERVICES FOR ELIGIBLE BENEFICIARIES WILL ALSO SHIFT TO THE TRICARE NETWORK. 4. ALL ACTIVE DUTY AND ACTIVE DUTY FAMILY MEMBERS WHO ARE IMPACTED BY THIS CHANGE SHOULD CONTACT THE LOCAL TRICARE SERVICE CENTERS FOR ASSISTANCE IN IDENTIFYING NETWORK PROVIDERS AND TO START THE REFERRAL PROCESS AS EARLY AS POSSIBLE. THE FOLLOWING TRICARE SERVICE CENTERS ARE AVAILABLE TO PROVIDE ASSISTANCE: TRICARE SERVICE CENTER NAVAL HOSPITAL ROOSEVELT ROADS - 787-865-5913 OR TOLL FREE 888-849-4371 TRICARE SERVICE CENTER FORT BUCHANAN - 787-707-2534 TRICARE SERVICE CENTER USCG AIR STATION BORINQUEN-787-890-8477 5. RELEASED BY VADM P. A. TRACEY, DIRECTOR, NAVY STAFF.// BT NNNN