TRICARE Manuals - Change History

Manual Change History

TRICARE Operations Manual 6010.56-M, February 2008
- Master TOC
  - Change 218 (January 23, 2018)
  - Change 179 (April 12, 2016)
  - Change 178 (April 1, 2016)
  - Change 98 (April 26, 2013)
  - Change 81 (August 14, 2012)
  - Change 71 (March 1, 2012)
  - Change 38 (March 15, 2011)
  - Change 22 (August 20, 2010)
  - Baseline (February 1, 2008)
- Foreword
  - Baseline (February 1, 2008)
- Chap 1 -- Administration
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- Organization Of The TRICARE Management Activity (TMA)
    - Baseline (February 1, 2008)
  - Sect 2 -- Contract Administration And Instructions To Managed Care Support Contractors (MCSCs)
  - Sect 3 -- TRICARE Processing Standards
  - Sect 4 -- Management
  - Sect 5 -- Compliance With Federal Statutes
  - Sect 6 -- Legal Matters
    - Change 3 (June 10, 2008)
    - Baseline (February 1, 2008)
  - Sect 7 -- Transitions
  - Addendum A -- Figures
    - Baseline (February 1, 2008)
- Chap 2 -- Records Management
  - Change 152 (September 25, 2015)
  - Change 94 (February 13, 2013)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Record Series Subject And Description Of Government Records
  - Sect 3 -- Digital Imaging (Scanned) And Electronic (Born-Digital) Records Process And Formats
  - Sect 4 -- Electronic Records Disposition, Storage, And Transfer
  - Sect 5 -- Transferring Records (Federal Records Centers (FRCs) And Transitions)
    - Change 94 (February 13, 2013)
    - Baseline (February 1, 2008)
  - Sect 6 -- Destruction Of Records
  - Addendum A -- Paper Record Transfer Procedures
  - Addendum B -- Electronic Record Transfer Procedures Addendum B
- Chap 3 -- Financial Administration
  - Change 288 (December 22, 2021)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
    - Baseline (February 1, 2008)
  - Sect 2 -- Payments To Beneficiaries/Providers
  - Sect 3 -- Claim Refund And Collection Procedures
  - Sect 4 -- Lost, Stolen, Stale-Dated, Damaged, Misdirected, Or Returned Payments
- Chap 4 -- Provider Certification And Credentialing
  - Change 252 (September 19, 2019)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Addendum A -- Figures
    - Change 252 (September 19, 2019)
    - Baseline (February 1, 2008)
- Chap 5 -- Provider Networks
  - Baseline (February 1, 2008)
  - Sect 1 -- Network Development
- Chap 6 -- Enrollment
  - Change 207 (October 19, 2017)
  - Baseline (February 1, 2008)
  - Sect 1 -- TRICARE Prime And TRICARE Select Enrollment Processing
  - Sect 2 -- TRICARE Prime And TRICARE Select Enrollment Portability
  - Sect 3 -- Split Enrollment
  - Sect 4 -- TRICARE Plus
- Chap 7 -- Utilization And Quality Management
  - Change 185 (May 27, 2016)
  - Change 175 (March 11, 2016)
  - Change 16 (December 23, 2009)
  - Change 2 (May 15, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- Management
  - Sect 2 -- Preauthorizations
  - Sect 3 -- Contractor Relationship With The Military Health System (MHS) TRICARE Quality Monitoring Contract (TQMC) Contractor
  - Sect 4 -- Clinical Quality Management Program (CQMP)
  - Addendum A -- An Important Message From TRICARE
    - Baseline (February 1, 2008)
  - Addendum B -- Hospital Issued Notices Of Noncoverage
    - Baseline (February 1, 2008)
  - Addendum C -- Hospital Adjustments
    - Baseline (February 1, 2008)
- Chap 8 -- Claims Processing Procedures
  - Change 223 (June 14, 2018)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Jurisdiction
  - Sect 3 -- Claims Filing Deadline
  - Sect 4 -- Signature Requirements
  - Sect 5 -- TRICARE Prime And TRICARE Select Referrals/Preauthorizations/Authorizations
  - Sect 6 -- Claim Development
  - Sect 7 -- Application Of Deductible And Cost-Sharing
  - Sect 8 -- Explanation Of Benefits (EOB)
  - Sect 9 -- Duplicate Payment Prevention
    - Baseline (February 1, 2008)
  - Addendum A -- Figures
- Chap 9 -- TRICARE Duplicate Claims System - TRICARE Encounter Data (TED) Version
  - Change 200 (December 2, 2016)
  - Change 3 (June 10, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- Overview
  - Sect 2 -- Quick Start Instructions
  - Sect 3 -- Duplicate Claims Data
  - Sect 4 -- Claim Sets And The Claim Set Life Cycle
    - Change 4 (November 7, 2008)
    - Baseline (February 1, 2008)
  - Sect 5 -- User’s Guide
  - Sect 6 -- Multi-Contractor Claim Sets
  - Sect 7 -- Mass Change Function For Contract Transitions
  - Sect 8 -- Reports
  - Sect 9 -- System Implementation And Operational Requirements
  - Addendum A -- Duplicate Claims System (DCS) Displayed Data Fields
    - Baseline (February 1, 2008)
  - Addendum B -- Reason Codes
    - Change 25 (September 14, 2010)
    - Baseline (February 1, 2008)
  - Addendum C -- Contractor To Contractor Transition Guide
  - Addendum D -- Report Descriptions And Examples
  - Addendum E -- Download Files
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
- Chap 10 -- Claims Adjustments And Recoupments
  - Change 213 (December 11, 2017)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
    - Change 3 (June 10, 2008)
    - Baseline (February 1, 2008)
  - Sect 2 -- Underpayments
    - Change 213 (December 11, 2017)
    - Baseline (February 1, 2008)
  - Sect 3 -- Overpayments Recovery - Financially Underwritten Funds
  - Sect 4 -- Overpayments Recovery - Non-Financially Underwritten Funds
  - Sect 5 -- Third Party Recovery Claims
  - Addendum A -- Figures
  - Addendum B -- Listing Of Government Claims Offices
- Chap 11 -- Beneficiary Education And Support Division (BE&SD)
  - Change 110 (November 20, 2013)
  - Change 81 (August 14, 2012)
  - Change 35 (February 23, 2011)
  - Baseline (February 1, 2008)
  - Sect 1 -- Education Requirements
  - Sect 2 -- Government Staff And Beneficiary Education
  - Sect 3 -- Beneficiary, Congressional, Media, Beneficiary Counselling and Assistance Coordinator (BCAC), Debt Collection Assistance Officer (DCAO), And Health Benefit Advisor (HBA) Relations
  - Sect 4 -- Inquiry Services Department - General
  - Sect 5 -- Correspondence Control, Processing, And Appraisal
  - Sect 6 -- Telephone Inquiries
  - Sect 7 -- Allowable Charge Reviews
  - Sect 8 -- Grievances And Grievance Processing
  - Sect 9 -- Collection Actions Against Beneficiaries
  - Addendum A -- TRICARE Logo
    - Change 81 (August 14, 2012)
    - Baseline (February 1, 2008)
- Chap 12 -- Appeals And Hearings
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Governing Principles
  - Sect 3 -- Reconsideration Procedures
  - Sect 4 -- Appeals Of Medical Necessity Determinations
    - Baseline (February 1, 2008)
  - Sect 5 -- Appeal Of Factual (Non-Medical Necessity) Determinations
    - Change 183 (May 17, 2016)
    - Baseline (February 1, 2008)
  - Sect 6 -- TRICARE Management Activity (TMA) Appeals
    - Baseline (February 1, 2008)
  - Addendum A -- Figures
    - Baseline (February 1, 2008)
- Chap 13 -- Program Integrity
  - Change 283 (September 15, 2021)
  - Change 183 (May 17, 2016)
  - Change 96 (March 22, 2013)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Controls, Education, And Conflict Of Interest
  - Sect 3 -- Case Development And Action
  - Sect 4 -- Reports
  - Sect 5 -- Provider Exclusions, Terminations, And Temporary Suspension Of Claim(s) Payments
  - Sect 6 -- Provider Reinstatements
  - Addendum A -- Figures
- Chap 14 -- Audits, Inspections, And Reports
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- Audits And Inspections
    - Baseline (February 1, 2008)
  - Sect 2 -- Reports And Plans
  - Sect 3 -- Special Reports
- Chap 15 -- Regional Director (RD)/Military Treatment Facility (MTF) and Contractor Interfaces
  - Change 135 (November 12, 2014)
  - Baseline (February 1, 2008)
  - Sect 1 -- Director of TRICARE Regional Offices (TROs)/Military Treatment Facility (MTF) Commanders and Enhanced Multi-Service Market (eMSM) Interface
  - Sect 2 -- Resource Sharing
    - Baseline (February 1, 2008)
  - Sect 3 -- Clinical Support Agreement (CSA) Program
  - Addendum A -- Model Memorandum Of Understanding (MOU)
- Chap 16 -- TRICARE Prime Remote (TPR) Program
  - Change 132 (October 17, 2014)
  - Change 3 (June 10, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Health Care Providers And Review Requirements
  - Sect 3 -- Chap 16 Sect 3 --Enrollment, Beneficiary Education, And Support Services
  - Sect 4 -- Contractor Responsibilities And Reimbursement
  - Sect 5 -- Reports And Contractor Reimbursement
  - Sect 6 -- TRICARE Prime Remote For Active Duty Family Member (TPRADFM) Program
  - Addendum A -- Points Of Contact (POCs)
  - Addendum B -- Specified Authorization Staff (SAS) Review: Protocols And Procedures
- Chap 17 -- Supplemental Health Care Program (SHCP)
  - Change 132 (October 17, 2014)
  - Change 76 (May 2, 2012)
  - Change 45 (March 31, 2011)
  - Change 3 (June 10, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Providers Of Care
  - Sect 3 -- Contractor Responsibilities
  - Addendum A -- Points Of Contact (POC)
  - Addendum B -- Specified Authorization Staff (SAS) Review For Authorization: Protocols And Procedures
  - Addendum C -- MOA Between DVA And DoD For Processing Payment For DCPE In The IDES
    - Change 45 (March 31, 2011)
    - Baseline (February 1, 2008)
  - Addendum D -- MOA Between DVA And DoD For Medical Treatment Provided To ADSMs With SCI, TBI, Blindness, Or Polytraumatic Injuries
    - Change 76 (May 2, 2012)
    - Baseline (February 1, 2008)
- Chap 18 -- Demonstrations And Pilot Projects
  - Change 271 (March 22, 2021)
  - Change 268 (October 26, 2020)
  - Change 263 (September 3, 2020)
  - Change 256 (January 27, 2020)
  - Change 225 (July 25, 2018)
  - Change 223 (June 14, 2018)
  - Change 211 (December 4, 2017)
  - Change 208 (October 30, 2017)
  - Change 201 (December 29, 2016)
  - Change 188 (June 23, 2016)
  - Change 181 (April 22, 2016)
  - Change 179 (April 12, 2016)
  - Change 159 (December 9, 2015)
  - Change 153 (October 21, 2015)
  - Change 149 (August 26, 2015)
  - Change 128 (September 19, 2014)
  - Change 127 (August 4, 2014)
  - Change 125 (June 24, 2014)
  - Change 116 (February 7, 2014)
  - Change 105 (September 11, 2013)
  - Change 101 (June 25, 2013)
  - Change 99 (May 3, 2013)
  - Change 83 (September 11, 2012)
  - Change 74 (March 21, 2012)
  - Change 68 (January 11, 2012)
  - Change 56 (September 15, 2011)
  - Change 39 (March 17, 2011)
  - Change 4 (November 7, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
    - Change 207 (October 19, 2017)
    - Change 179 (April 12, 2016)
    - Baseline (February 1, 2008)
  - Sect 2 -- EXPIRED - Department Of Defense (DoD) Cancer Prevention And Treatment Clinical Trials Demonstration
    - Change 179 (April 12, 2016)
    - Change 110 (November 20, 2013)
    - Change 105 (September 11, 2013)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 3 -- EXPIRED - Department Of Defense (DoD) In-Utero Fetal Surgical Repair Of Myelomeningocele Clinical Trial Demonstration
    - Change 201 (December 29, 2016)
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 81 (August 14, 2012)
    - Change 4 (November 7, 2008)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 4 -- EXPIRED - Department Of Defense (DoD) Weight Management Demonstration
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 5 -- EXPIRED - Department Of Defense (DoD) Tobacco Cessation Demonstration
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Baseline (February 1, 2008)
  - Sect 6 -- EXPIRED - Department Of Defense (DoD) Alcohol Abuse Prevention And Education Demonstration
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Baseline (February 1, 2008)
  - Sect 7 -- EXPIRED - TRICARE Demonstration Project For The State Of Alaska - Critical Access Hospital (CAH) Payment Rates
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Baseline (February 1, 2008)
  - Sect 8 -- Department Of Defense (DoD) Enhanced Access To Autism Services Demonstration
    - Change 201 (December 29, 2016)
    - Change 179 (April 12, 2016)
    - Change 134 (October 28, 2014)
    - Change 129 (September 22, 2014)
    - Change 123 (March 31, 2014)
    - Change 117 (February 11, 2014)
    - Change 115 (February 3, 2014)
    - Change 101 (June 25, 2013)
    - Change 93 (February 7, 2013)
    - Change 70 (February 28, 2012)
    - Change 68 (January 11, 2012)
    - Change 12 (September 18, 2009)
    - Change 4 (November 7, 2008)
    - Baseline (February 1, 2008)
  - Sect 9 -- Chap 18 Sect 9 --EXPIRED - Operation Noble Eagle/Operation Enduring Freedom Reservist And National Guard (NG) Benefits Demonstration
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Change 40 (March 18, 2011)
    - Change 7 (June 2, 2009)
    - Change 4 (November 7, 2008)
    - Change 2 (May 15, 2008)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 10 -- EXPIRED - Web-Based TRICARE Assistance Program (TRIAP) Demonstration
    - Change 252 (September 19, 2019)
    - Change 179 (April 12, 2016)
    - Change 105 (September 11, 2013)
    - Change 68 (January 11, 2012)
    - Change 4 (November 7, 2008)
    - Baseline (February 1, 2008)
  - Sect 11 -- Expired As Of May 4, 2015 - TRICARE South Region United States Coast Guard (USCG) Access To Care (ATC) Demonstration For TRICARE Prime/TRICARE Prime Remote (TPR) Beneficiaries
    - Change 179 (April 12, 2016)
    - Change 159 (December 9, 2015)
    - Change 112 (December 20, 2013)
    - Change 68 (January 11, 2012)
    - Change 39 (March 17, 2011)
    - Baseline (February 1, 2008)
  - Sect 12 -- EXPIRED - Department Of Defense (DoD) TRICARE Demonstration Project for the Philippines
    - Change 211 (December 4, 2017)
    - Change 207 (October 19, 2017)
    - Change 184 (May 24, 2016)
    - Change 183 (May 17, 2016)
    - Change 179 (April 12, 2016)
    - Change 92 (January 14, 2013)
    - Change 74 (March 21, 2012)
    - Change 56 (September 15, 2011)
    - Baseline (February 1, 2008)
  - Sect 13 -- TRICARE Evaluation Of Centers For Medicare And Medicaid Services (CMS) Approved Laboratory Developed Tests (LDTs) Demonstration Project
    - Change 201 (December 29, 2016)
    - Change 179 (April 12, 2016)
    - Change 127 (August 4, 2014)
    - Change 114 (January 10, 2014)
    - Change 83 (September 11, 2012)
    - Baseline (February 1, 2008)
  - Sect 14 -- EXPIRED - Department Of Defense (DoD) Enhanced Access to Patient-Centered Medical Home (PCMH): Demonstration Project for Participation in the Maryland Multi-Payer Patient-Centered Medical Home Program (MMPCMHP)
    - Change 207 (October 19, 2017)
    - Change 201 (December 29, 2016)
    - Change 179 (April 12, 2016)
    - Change 125 (June 24, 2014)
    - Change 99 (May 3, 2013)
    - Baseline (February 1, 2008)
  - Sect 15 -- EXPIRED - Department of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs)
    - Change 225 (July 25, 2018)
    - Change 179 (April 12, 2016)
    - Change 168 (February 8, 2016)
    - Change 126 (July 3, 2014)
    - Change 123 (March 31, 2014)
    - Change 115 (February 3, 2014)
    - Change 101 (June 25, 2013)
    - Baseline (February 1, 2008)
  - Sect 16 -- EXPIRED As Of September 30, 2015 - Pilot Program for Refills of Maintenance Medications for TRICARE For Life (TFL) Beneficiaries through the TRICARE Mail Order Program (TMOP)
    - Change 179 (April 12, 2016)
    - Change 158 (December 3, 2015)
    - Change 149 (August 26, 2015)
    - Change 116 (February 7, 2014)
    - Baseline (February 1, 2008)
  - Sect 17 -- Defense Health Agency (DHA) Evaluation of Non-United States Food and Drug Administration (FDA) Approved Laboratory Developed Tests (LDTs) Demonstration Project
    - Change 287 (November 22, 2021)
    - Change 273 (April 13, 2021)
    - Change 237 (February 25, 2019)
    - Change 209 (November 6, 2017)
    - Change 195 (October 13, 2016)
    - Change 194 (September 21, 2016)
    - Change 179 (April 12, 2016)
    - Change 153 (October 21, 2015)
    - Change 137 (December 10, 2014)
    - Change 127 (August 4, 2014)
    - Baseline (February 1, 2008)
  - Sect 18 -- Department Of Defense (DoD) Comprehensive Autism Care Demonstration (ACD)
    - Change 271 (March 22, 2021)
    - Change 239 (March 14, 2019)
    - Change 236 (January 3, 2019)
    - Change 231 (September 13, 2018)
    - Change 229 (September 4, 2018)
    - Change 215 (December 28, 2017)
    - Change 207 (October 19, 2017)
    - Change 199 (November 29, 2016)
    - Change 179 (April 12, 2016)
    - Change 174 (March 7, 2016)
    - Change 168 (February 8, 2016)
    - Change 154 (November 18, 2015)
    - Change 148 (August 20, 2015)
    - Change 140 (January 22, 2015)
    - Change 128 (September 19, 2014)
    - Baseline (February 1, 2008)
  - Sect 19 -- EXPIRED As Of January 1, 2018 - Pilot Program On Urgent Care For TRICARE Prime/TRICARE Prime Remote (TPR) Beneficiaries
    - Change 223 (June 14, 2018)
    - Change 179 (April 12, 2016)
    - Baseline (February 1, 2008)
  - Sect 20 -- Demonstration Projects On Value-Based Purchasing (VBP) Initiatives
    - Change 181 (April 22, 2016)
    - Baseline (February 1, 2008)
  - Sect 21 -- Bundled Payments For Lower Extremity Joint Replacement And Reattachment (LEJR) Surgery And Post-Operative Care Demonstration Program
    - Change 181 (April 22, 2016)
    - Baseline (February 1, 2008)
  - Sect 22 -- National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017 Value-Based Purchasing (VBP) Initiative Medication Adherence Pilot
    - Change 208 (October 30, 2017)
    - Change 188 (June 23, 2016)
    - Baseline (February 1, 2008)
  - Sect 23 -- Department of Defense (DoD) TRICARE Pilot Project To Redirect Uniformed Services Beneficiaries Identified For Inpatient Admission At Civilian Emergency Departments (EDs) For Admission To Designated Military Treatment Facilities (MTFs)
    - Change 263 (September 3, 2020)
    - Change 208 (October 30, 2017)
    - Baseline (February 1, 2008)
  - Sect 24 -- Accountable Care Organization (ACO) Demonstration
    - Change 256 (January 27, 2020)
    - Baseline (February 1, 2008)
  - Sect 25 -- Low Back Pain (LBP) and Physical Therapy (PT) Demonstration
    - Change 268 (October 26, 2020)
    - Baseline (February 1, 2008)
  - Addendum A -- EXPIRED - Participation Agreement For Corporate Services Provider (CSP)
    - Change 225 (July 25, 2018)
    - Change 179 (April 12, 2016)
    - Change 123 (March 31, 2014)
    - Change 68 (January 11, 2012)
    - Change 4 (November 7, 2008)
    - Change 2 (May 15, 2008)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Addendum B -- Participation Agreement For Comprehensive Autism Care Demonstration Corporate Services Provider (ACSP)/Sole Provider Practices
    - Change 271 (March 22, 2021)
    - Change 179 (April 12, 2016)
    - Change 128 (September 19, 2014)
    - Baseline (February 1, 2008)
  - Addendum C -- Accountable Care Organization (ACO) Demonstration - TRICARE Manuals Exclusion List
    - Change 256 (January 27, 2020)
    - Baseline (February 1, 2008)
- Chap 19 -- Health Insurance Portability and Accountability Act (HIPAA) of 1996
  - Change 131 (October 14, 2014)
  - Change 69 (February 22, 2012)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 2 -- Standards For Electronic Transactions
  - Sect 3 -- Privacy And Security Of Protected Health Information (PHI)
  - Sect 4 -- Health Insurance Portability And Accountability Act (HIPAA) Standard Unique Health Identifier For Health Care Providers Final Rule
    - Change 123 (March 31, 2014)
    - Baseline (February 1, 2008)
  - Addendum A -- Additional Supporting Information Pertaining To The Transaction And Code Sets Final Rule
    - Baseline (February 1, 2008)
- Chap 20 -- TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC)
  - Change 151 (September 10, 2015)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Jurisdiction
    - Change 151 (September 10, 2015)
    - Baseline (February 1, 2008)
  - Sect 3 -- Claims Processing For Dual Eligibles
  - Sect 4 -- Other Contract Requirements
  - Sect 5 -- Transition
- Chap 21 -- TRICARE Alaska
  - Baseline (February 1, 2008)
  - Sect 1 -- TRICARE Alaska
- Chap 22 -- Reserve Component Health Coverage Plans
  - Change 91 (January 10, 2013)
  - Change 22 (August 20, 2010)
  - Baseline (February 1, 2008)
  - Sect 1 -- TRICARE Reserve Select (TRS)
  - Sect 2 -- TRICARE Retired Reserve (TRR)
  - Addendum A -- Figures
- Chap 23 -- TRICARE Pharmacy (TPharm)
  - Change 109 (September 20, 2013)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Out-Of-Jurisdiction Claims
    - Baseline (February 1, 2008)
  - Sect 3 -- Pharmacy Claims Processing
  - Sect 4 -- Other Contract Requirements
    - Change 87 (October 31, 2012)
    - Baseline (February 1, 2008)
  - Sect 5 -- Transition
- Chap 24 -- TRICARE Overseas Program (TOP)
  - Change 212 (December 7, 2017)
  - Change 207 (October 19, 2017)
  - Change 186 (June 17, 2016)
  - Change 81 (August 14, 2012)
  - Baseline (February 1, 2008)
  - Sect 1 -- Administration
    - Change 186 (June 17, 2016)
    - Change 121 (March 6, 2014)
    - Change 115 (February 3, 2014)
    - Change 110 (November 20, 2013)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 2 -- Records Management
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 3 -- Financial Administration
    - Change 254 (December 12, 2019)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Change 27 (December 3, 2010)
    - Change 19 (May 14, 2010)
    - Change 2 (May 15, 2008)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 4 -- Purchased Care Sector Providers
    - Change 203 (June 13, 2017)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Change 4 (November 7, 2008)
    - Baseline (February 1, 2008)
  - Sect 5 -- TRICARE Overseas Program (TOP) Eligibility And Enrollment
    - Change 290 (August 15, 2022)
    - Change 265 (September 17, 2020)
    - Change 223 (June 14, 2018)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 118 (February 25, 2014)
    - Change 111 (December 11, 2013)
    - Change 102 (July 17, 2013)
    - Change 90 (December 17, 2012)
    - Change 79 (June 8, 2012)
    - Change 73 (March 19, 2012)
    - Change 72 (March 6, 2012)
    - Change 62 (November 22, 2011)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 6 -- Medical Management
    - Change 277 (June 24, 2021)
    - Change 207 (October 19, 2017)
    - Change 203 (June 13, 2017)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 7 -- Ambulance/Aeromedical Evacuation Services
    - Change 186 (June 17, 2016)
    - Change 175 (March 11, 2016)
    - Change 167 (January 19, 2016)
    - Change 106 (September 14, 2013)
    - Change 73 (March 19, 2012)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 8 -- Clinical Preventive Services
    - Change 207 (October 19, 2017)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 9 -- Claims Processing Procedures
    - Change 277 (June 24, 2021)
    - Change 207 (October 19, 2017)
    - Change 203 (June 13, 2017)
    - Change 186 (June 17, 2016)
    - Change 155 (November 20, 2015)
    - Change 134 (October 28, 2014)
    - Change 129 (September 22, 2014)
    - Change 103 (August 22, 2013)
    - Change 102 (July 17, 2013)
    - Change 90 (December 17, 2012)
    - Change 82 (August 24, 2012)
    - Change 81 (August 14, 2012)
    - Change 79 (June 8, 2012)
    - Change 73 (March 19, 2012)
    - Change 59 (September 26, 2011)
    - Change 53 (June 27, 2011)
    - Change 49 (May 19, 2011)
    - Change 19 (May 14, 2010)
    - Change 3 (June 10, 2008)
    - Change 2 (May 15, 2008)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 10 -- Active Duty Dental Care In Remote Overseas Locations
    - Change 186 (June 17, 2016)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 11 -- Beneficiary Education And Support (BE&S)
    - Change 252 (September 19, 2019)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 110 (November 20, 2013)
    - Change 108 (September 19, 2013)
    - Change 81 (August 14, 2012)
    - Change 73 (March 19, 2012)
    - Change 37 (March 3, 2011)
    - Baseline (February 1, 2008)
  - Sect 12 -- TRICARE Overseas Program (TOP) Point Of Contact (POC) Program
    - Change 186 (June 17, 2016)
    - Change 54 (September 9, 2011)
    - Baseline (February 1, 2008)
  - Sect 13 -- Appeals And Hearings
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 14 -- Program Integrity
    - Change 221 (March 29, 2018)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Change 49 (May 19, 2011)
    - Change 1 (March 13, 2008)
    - Baseline (February 1, 2008)
  - Sect 15 -- Audits, Inspections, Reports, And Plans
    - Change 186 (June 17, 2016)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 16 -- TRICARE Area Office (TAO) Director/Military Treatment Facility (MTF) And Contractor Interfaces
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 17 -- TRICARE Overseas Program (TOP) Prime Program
    - Change 207 (October 19, 2017)
    - Change 203 (June 13, 2017)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 18 -- TRICARE Overseas Program (TOP) Prime Remote Program
    - Change 277 (June 24, 2021)
    - Change 207 (October 19, 2017)
    - Change 203 (June 13, 2017)
    - Change 186 (June 17, 2016)
    - Change 102 (July 17, 2013)
    - Baseline (February 1, 2008)
  - Sect 19 -- TRICARE Overseas Program (TOP) Standard/Select
    - Change 272 (March 25, 2021)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 20 -- TRICARE Overseas Program (TOP) TRICARE For Life (TFL)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 53 (June 27, 2011)
    - Baseline (February 1, 2008)
  - Sect 21 -- TRICARE Reserve Select (TRS) And TRICARE Retired Reserve (TRR)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 22 -- TRICARE Plus
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 23 -- Extended Care Health Option (ECHO)
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 24 -- Transitional Assistance Management Program (TAMP)
    - Change 249 (September 10, 2019)
    - Change 207 (October 19, 2017)
    - Change 73 (March 19, 2012)
    - Change 68 (January 11, 2012)
    - Baseline (February 1, 2008)
  - Sect 25 -- Continued Health Care Benefit Program (CHCBP)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Baseline (February 1, 2008)
  - Sect 26 -- TRICARE Overseas Program (TOP) Supplemental Health Care Program (SHCP)
    - Change 277 (June 24, 2021)
    - Change 207 (October 19, 2017)
    - Change 186 (June 17, 2016)
    - Change 111 (December 11, 2013)
    - Change 102 (July 17, 2013)
    - Change 89 (December 13, 2012)
    - Change 66 (December 28, 2011)
    - Change 19 (May 14, 2010)
    - Change 4 (November 7, 2008)
    - Baseline (February 1, 2008)
  - Sect 27 -- Demonstrations
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 28 -- Health Insurance Portability and Accountability Act (HIPAA) of 1996
    - Change 73 (March 19, 2012)
    - Baseline (February 1, 2008)
  - Sect 29 -- TRICARE Overseas Program (TOP) Partnership Program
    - Change 201 (December 29, 2016)
    - Change 123 (March 31, 2014)
    - Change 89 (December 13, 2012)
    - Change 73 (March 19, 2012)
    - Change 2 (May 15, 2008)
    - Baseline (February 1, 2008)
  - Sect 30 -- Figures
    - Change 191 (August 15, 2016)
    - Change 186 (June 17, 2016)
    - Change 59 (September 26, 2011)
    - Baseline (February 1, 2008)
  - Sect 31 -- Department Of Defense (DoD) TRICARE Preferred Provider Network (PPN) for the Philippines
    - Change 212 (December 7, 2017)
    - Baseline (February 1, 2008)
- Chap 25 -- TRICARE Young Adult (TYA)
  - Change 166 (January 14, 2016)
  - Change 38 (March 15, 2011)
  - Baseline (February 1, 2008)
  - Sect 1 -- TRICARE Young Adult (TYA)
  - Addendum A -- TRICARE Young Adult (TYA) Premiums
- Chap 26 -- Continued Health Care Benefit Program (CHCBP)
  - Change 161 (December 14, 2015)
  - Change 71 (March 1, 2012)
  - Baseline (February 1, 2008)
  - Sect 1 -- Continued Health Care Benefit Program (CHCBP), Eligibility And Coverage
  - Addendum A -- Continued Health Care Benefit Program (CHCBP) Premiums
- Chap 27 -- Prime Service Area (PSA) Reduction in Fiscal Year (FY) 2014 Policies And Effective Dates
  - Change 178 (April 1, 2016)
  - Change 98 (April 26, 2013)
  - Baseline (February 1, 2008)
  - Sect 1 -- Prime Service Area (PSA) Reduction Policies And Effective Dates
- Chap 28 -- Prescription Monitoring Program (PMP)
  - Change 260 (July 1, 2020)
  - Change 218 (January 23, 2018)
  - Baseline (February 1, 2008)
  - Sect 1 -- General
  - Sect 2 -- Beneficiary Prescription Monitoring Program (PMP)
    - Change 260 (July 1, 2020)
    - Baseline (February 1, 2008)
  - Sect 3 -- Provider Prescription Monitoring Program (PMP)
    - Change 260 (July 1, 2020)
    - Baseline (February 1, 2008)
- Acronyms And Abbreviations
  - Change 256 (January 27, 2020)
  - Change 254 (December 12, 2019)
  - Change 253 (September 26, 2019)
  - Change 252 (September 19, 2019)
  - Change 247 (September 3, 2019)
  - Change 236 (January 3, 2019)
  - Change 222 (May 23, 2018)
  - Change 218 (January 23, 2018)
  - Change 203 (June 13, 2017)
  - Change 202 (January 10, 2017)
  - Change 201 (December 29, 2016)
  - Change 199 (November 29, 2016)
  - Change 186 (June 17, 2016)
  - Change 181 (April 22, 2016)
  - Change 175 (March 11, 2016)
  - Change 168 (February 8, 2016)
  - Change 155 (November 20, 2015)
  - Change 152 (September 25, 2015)
  - Change 148 (August 20, 2015)
  - Change 146 (July 9, 2015)
  - Change 145 (July 1, 2015)
  - Change 140 (January 22, 2015)
  - Change 137 (December 10, 2014)
  - Change 136 (December 3, 2014)
  - Change 135 (November 12, 2014)
  - Change 133 (October 23, 2014)
  - Change 132 (October 17, 2014)
  - Change 131 (October 14, 2014)
  - Change 127 (August 4, 2014)
  - Change 125 (June 24, 2014)
  - Change 122 (March 26, 2014)
  - Change 115 (February 3, 2014)
  - Change 114 (January 10, 2014)
  - Change 112 (December 20, 2013)
  - Change 110 (November 20, 2013)
  - Change 107 (September 17, 2013)
  - Change 106 (September 14, 2013)
  - Change 102 (July 17, 2013)
  - Change 101 (June 25, 2013)
  - Change 99 (May 3, 2013)
  - Change 98 (April 26, 2013)
  - Change 97 (April 17, 2013)
  - Change 96 (March 22, 2013)
  - Change 94 (February 13, 2013)
  - Change 90 (December 17, 2012)
  - Change 89 (December 13, 2012)
  - Change 87 (October 31, 2012)
  - Change 84 (September 19, 2012)
  - Change 83 (September 11, 2012)
  - Change 82 (August 24, 2012)
  - Change 81 (August 14, 2012)
  - Change 79 (June 8, 2012)
  - Change 77 (May 7, 2012)
  - Change 76 (May 2, 2012)
  - Change 74 (March 21, 2012)
  - Change 73 (March 19, 2012)
  - Change 71 (March 1, 2012)
  - Change 69 (February 22, 2012)
  - Change 68 (January 11, 2012)
  - Change 65 (December 23, 2011)
  - Change 61 (November 17, 2011)
  - Change 60 (November 15, 2011)
  - Change 58 (September 22, 2011)
  - Change 57 (September 19, 2011)
  - Change 56 (September 15, 2011)
  - Change 52 (June 8, 2011)
  - Change 51 (June 1, 2011)
  - Change 46 (May 6, 2011)
  - Change 45 (March 31, 2011)
  - Change 44 (March 30, 2011)
  - Change 43 (March 28, 2011)
  - Change 40 (March 18, 2011)
  - Change 39 (March 17, 2011)
  - Change 38 (March 15, 2011)
  - Change 36 (February 25, 2011)
  - Change 35 (February 23, 2011)
  - Change 29 (December 29, 2010)
  - Change 28 (December 16, 2010)
  - Change 27 (December 3, 2010)
  - Change 24 (September 8, 2010)
  - Change 22 (August 20, 2010)
  - Change 21 (August 10, 2010)
  - Change 17 (March 5, 2010)
  - Change 15 (December 18, 2009)
  - Change 14 (October 29, 2009)
  - Change 13 (October 22, 2009)
  - Change 12 (September 18, 2009)
  - Change 11 (September 14, 2009)
  - Change 9 (September 3, 2009)
  - Change 5 (May 22, 2009)
  - Change 4 (November 7, 2008)
  - Change 3 (June 10, 2008)
  - Change 2 (May 15, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
- Definitions
  - Change 289 (August 2, 2022)
  - Change 283 (September 15, 2021)
  - Change 279 (July 19, 2021)
  - Change 278 (July 13, 2021)
  - Change 258 (April 21, 2020)
  - Change 252 (September 19, 2019)
  - Change 231 (September 13, 2018)
  - Change 230 (September 6, 2018)
  - Change 223 (June 14, 2018)
  - Change 222 (May 23, 2018)
  - Change 210 (November 29, 2017)
  - Change 207 (October 19, 2017)
  - Change 203 (June 13, 2017)
  - Change 202 (January 10, 2017)
  - Change 201 (December 29, 2016)
  - Change 180 (April 14, 2016)
  - Change 146 (July 9, 2015)
  - Change 145 (July 1, 2015)
  - Change 129 (September 22, 2014)
  - Change 124 (April 7, 2014)
  - Change 110 (November 20, 2013)
  - Change 108 (September 19, 2013)
  - Change 103 (August 22, 2013)
  - Change 100 (June 19, 2013)
  - Change 82 (August 24, 2012)
  - Change 77 (May 7, 2012)
  - Change 60 (November 15, 2011)
  - Change 42 (March 24, 2011)
  - Change 4 (November 7, 2008)
  - Change 2 (May 15, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
- Index
  - Change 288 (December 22, 2021)
  - Change 283 (September 15, 2021)
  - Change 271 (March 22, 2021)
  - Change 268 (October 26, 2020)
  - Change 263 (September 3, 2020)
  - Change 260 (July 1, 2020)
  - Change 256 (January 27, 2020)
  - Change 225 (July 25, 2018)
  - Change 223 (June 14, 2018)
  - Change 218 (January 23, 2018)
  - Change 212 (December 7, 2017)
  - Change 211 (December 4, 2017)
  - Change 208 (October 30, 2017)
  - Change 207 (October 19, 2017)
  - Change 201 (December 29, 2016)
  - Change 188 (June 23, 2016)
  - Change 186 (June 17, 2016)
  - Change 185 (May 27, 2016)
  - Change 183 (May 17, 2016)
  - Change 181 (April 22, 2016)
  - Change 179 (April 12, 2016)
  - Change 178 (April 1, 2016)
  - Change 175 (March 11, 2016)
  - Change 166 (January 14, 2016)
  - Change 161 (December 14, 2015)
  - Change 159 (December 9, 2015)
  - Change 153 (October 21, 2015)
  - Change 151 (September 10, 2015)
  - Change 149 (August 26, 2015)
  - Change 135 (November 12, 2014)
  - Change 132 (October 17, 2014)
  - Change 131 (October 14, 2014)
  - Change 128 (September 19, 2014)
  - Change 127 (August 4, 2014)
  - Change 116 (February 7, 2014)
  - Change 110 (November 20, 2013)
  - Change 109 (September 20, 2013)
  - Change 105 (September 11, 2013)
  - Change 101 (June 25, 2013)
  - Change 99 (May 3, 2013)
  - Change 98 (April 26, 2013)
  - Change 94 (February 13, 2013)
  - Change 83 (September 11, 2012)
  - Change 81 (August 14, 2012)
  - Change 76 (May 2, 2012)
  - Change 74 (March 21, 2012)
  - Change 71 (March 1, 2012)
  - Change 69 (February 22, 2012)
  - Change 68 (January 11, 2012)
  - Change 56 (September 15, 2011)
  - Change 45 (March 31, 2011)
  - Change 39 (March 17, 2011)
  - Change 38 (March 15, 2011)
  - Change 35 (February 23, 2011)
  - Change 22 (August 20, 2010)
  - Change 4 (November 7, 2008)
  - Change 3 (June 10, 2008)
  - Change 1 (March 13, 2008)
  - Baseline (February 1, 2008)
- Obsolete Files
  - - Change 81 (August 14, 2012)
    - Baseline (February 1, 2008)

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