TRICARE Manuals - Change History

Manual Change History

TRICARE Operations Manual 6010.59-M, April 2015
- Foreword
  - Change 59 (September 27, 2019)
  - Change 26 (May 30, 2018)
  - Baseline (April 1, 2015)
- Chap 1 -- Administration
  - Baseline (April 1, 2015)
  - Sect 1 -- Organization Of The Defense Health Agency (DHA)
    - Change 2 (May 17, 2017)
    - Baseline (April 1, 2015)
  - Sect 2 -- Contract Administration And Instructions
  - Sect 3 -- TRICARE Processing Standards
  - Sect 4 -- Management
    - Baseline (April 1, 2015)
  - Sect 5 -- Compliance With Federal Statutes
  - Sect 6 -- Legal Matters
    - Baseline (April 1, 2015)
- Chap 2 -- Transitions
  - Baseline (April 1, 2015)
  - Sect 1 -- Management and Administration
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 2 -- Systems Development
  - Sect 3 -- Critical Processes (CPs) - Provider Networks
  - Sect 4 -- Critical Processes (CPs) - Enrollment
  - Sect 5 -- Critical Processes (CPs) - Customer Service
  - Sect 6 -- Critical Processes (CPs) - Management - Markets/Military Medical Treatment Facilities (MTFs)
  - Sect 7 -- Critical Processes (CPs) - Referral Management
    - Baseline (April 1, 2015)
  - Sect 8 -- Critical Processes (CPs) - Claims Processing
    - Baseline (April 1, 2015)
  - Sect 9 -- Critical Processes (CPs) - Medical Management
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 10 -- Other Requirements
- Chap 3 -- Financial Administration
  - Change 104 (December 23, 2021)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Baseline (April 1, 2015)
  - Sect 2 -- Payments To Beneficiaries/Providers
    - Change 47 (May 7, 2019)
    - Baseline (April 1, 2015)
  - Sect 3 -- Claim Refund And Collection Procedures
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Stale Dated, Voided, Or Returned Checks
- Chap 4 -- Provider Certification And Credentialing
  - Change 58 (September 20, 2019)
  - Change 24 (May 18, 2018)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Addendum A -- Figures
- Chap 5 -- Provider Networks
  - Baseline (April 1, 2015)
  - Sect 1 -- Network Development
- Chap 6 -- Enrollment
  - Change 6 (October 20, 2017)
  - Baseline (April 1, 2015)
  - 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 -- Medical Management (MM), Utilization Management (UM), And Quality Management (QM)
  - Change 26 (May 30, 2018)
  - Baseline (April 1, 2015)
  - Sect 1 -- Medical Management/Utilization Management (MM/UM)
  - Sect 2 -- Preauthorizations
  - Sect 3 -- Contractor Relationships 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 (April 1, 2015)
  - Addendum B -- Hospital Issued Notices Of Noncoverage
    - Baseline (April 1, 2015)
  - Addendum C -- Hospital Adjustments
    - Baseline (April 1, 2015)
- Chap 8 -- Claims Processing Procedures
  - Change 28 (June 15, 2018)
  - Baseline (April 1, 2015)
  - 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)
    - Change 98 (September 16, 2021)
    - Baseline (April 1, 2015)
  - Sect 9 -- Duplicate Payment Prevention
    - Baseline (April 1, 2015)
  - Addendum A -- Figures
    - Baseline (April 1, 2015)
- Chap 9 -- Records Management (RM)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Sect 2 -- Record Series Subject And Description Of Government Records
    - Baseline (April 1, 2015)
  - Sect 3 -- Digital Imaging (Scanned) And Electronic (Born-Digital) Records Process And Formats
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 4 -- Electronic Records Disposition, Storage, And Transfer
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 5 -- Transferring Records
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Addendum A -- Paper Record Transfer Procedures
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Addendum B -- Electronic Record Transfer Procedures
- Chap 10 -- Claims Adjustments And Recoupments
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Baseline (April 1, 2015)
  - Sect 2 -- Underpayments
    - Baseline (April 1, 2015)
  - Sect 3 -- Overpayments Recovery - Financially Underwritten Funds
  - Sect 4 -- Overpayments Recovery - Non-Financially Underwritten Funds
  - Sect 5 -- Third Party Recovery Claims
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Addendum A -- Figures
    - Change 110 (June 3, 2022)
    - Baseline (April 1, 2015)
  - Addendum B -- Listing Of Government Claims Offices
- Chap 11 -- Communications and Customer Service (C and CS)
  - Change 24 (May 18, 2018)
  - Baseline (April 1, 2015)
  - Sect 1 -- Education Requirements
  - Sect 2 -- Government Staff And Beneficiary Education
  - Sect 3 -- Beneficiary, Congressional, Media, Beneficiary Counselling and Assistance Coordinator (BCAC), And Debt Collection Assistance Officer (DCAO) Relations
    - Change 24 (May 18, 2018)
    - Baseline (April 1, 2015)
  - Sect 4 -- Inquiry Services Department - General
  - Sect 5 -- Correspondence Control, Processing, And Appraisal
    - Change 24 (May 18, 2018)
    - Baseline (April 1, 2015)
  - Sect 6 -- Telephone Inquiries
  - Sect 7 -- Allowable Charge Reviews
    - Change 24 (May 18, 2018)
    - Baseline (April 1, 2015)
  - Sect 8 -- Grievances And Grievance Processing
    - Change 24 (May 18, 2018)
    - Baseline (April 1, 2015)
  - Sect 9 -- Collection Actions Against Beneficiaries
  - Addendum A -- TRICARE Logo
    - Change 24 (May 18, 2018)
    - Baseline (April 1, 2015)
- Chap 12 -- Appeals And Hearings
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Change 120 (June 12, 2023)
    - Baseline (April 1, 2015)
  - Sect 2 -- Governing Principles
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 3 -- Reconsideration Procedures
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Appeals Of Medical Necessity Determinations
    - Baseline (April 1, 2015)
  - Sect 5 -- Appeal Of Factual (Non-Medical Necessity) Determinations
    - Baseline (April 1, 2015)
  - Sect 6 -- Defense Health Agency (DHA) Appeals
    - Baseline (April 1, 2015)
  - Addendum A -- Figures
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
- Chap 13 -- Program Integrity
  - Change 98 (September 16, 2021)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Change 120 (June 12, 2023)
    - Baseline (April 1, 2015)
  - Sect 2 -- Controls, Education, and Conflicts of Interest
    - Change 58 (September 20, 2019)
    - Baseline (April 1, 2015)
  - Sect 3 -- Case Development And Action
  - Sect 4 -- Reports
    - Baseline (April 1, 2015)
  - Sect 5 -- Provider Exclusions, Terminations, And Temporary Suspension of Claim(s) Payments
  - Sect 6 -- Provider Reinstatements
    - Baseline (April 1, 2015)
  - Addendum A -- Figures
    - Change 98 (September 16, 2021)
    - Baseline (April 1, 2015)
- Chap 14 -- Reports
  - Baseline (April 1, 2015)
  - Sect 1 -- Contract Data Requirements Lists (CDRLs), Plans And Access
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 2 -- Special Reports
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
- Chap 15 -- TRICARE Regional Offices (TROs)/Market/Military Medical Treatment Facility (MTF) and Contractor Interfaces
  - Baseline (April 1, 2015)
  - Sect 1 -- Director, TRICARE Regional Offices (TROs), Market/Military Medical Treatment Facility (MTF) Director, and Contractor Interface
  - Sect 2 -- Resource Sharing
  - Sect 3 -- Clinical Support Agreement (CSA) Program
  - Addendum A -- Memorandum Of Understanding (MOU) - Example
    - Change 127 (August 21, 2023)
    - Baseline (April 1, 2015)
- Chap 16 -- TRICARE Prime Remote (TPR) Program
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Sect 2 -- Health Care Providers And Review Requirements
  - Sect 3 -- Enrollment, Beneficiary Education, And Support Services
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Contractor Responsibilities And Reimbursement
  - Sect 5 -- Reports
    - Baseline (April 1, 2015)
  - 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)
  - Baseline (April 1, 2015)
  - 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
    - Baseline (April 1, 2015)
  - Addendum D -- MOA Between DVA And DoD For Medical Treatment Provided To Service Members With SCI, TBI, Blindness, Or Polytraumatic Injuries
    - Baseline (April 1, 2015)
- Chap 18 -- Demonstrations And Pilot Projects (Except Value-Based Initiatives)
  - Change 103 (November 29, 2021)
  - Change 85 (March 23, 2021)
  - Change 81 (December 29, 2020)
  - Change 79 (October 27, 2020)
  - Change 70 (September 4, 2020)
  - Change 69 (August 28, 2020)
  - Change 28 (June 15, 2018)
  - Change 21 (March 1, 2018)
  - Change 11 (December 5, 2017)
  - Change 2 (May 17, 2017)
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Change 21 (March 1, 2018)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 2 -- DoD Enhanced Access to PCMH: Demonstration Project for Participation in the Maryland Multi-Payer Patient-Centered Medical Home Program (MMPCMHP)
    - Change 21 (March 1, 2018)
    - Change 2 (May 17, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 3 -- Defense Health Agency (DHA) Evaluation Of United States (U.S.) Food and Drug Administration (FDA) Non-Approved Laboratory Developed Tests (LDTs) Demonstration Project
    - Change 133 (January 12, 2024)
    - Change 125 (July 28, 2023)
    - Change 123 (July 6, 2023)
    - Change 120 (June 12, 2023)
    - Change 102 (November 23, 2021)
    - Change 87 (April 14, 2021)
    - Change 43 (February 26, 2019)
    - Change 31 (August 15, 2018)
    - Change 21 (March 1, 2018)
    - Change 8 (November 7, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Department Of Defense (DoD) Comprehensive Autism Care Demonstration (ACD)
    - Change 132 (December 22, 2023)
    - Change 121 (June 16, 2023)
    - Change 85 (March 23, 2021)
    - Change 45 (March 15, 2019)
    - Change 42 (January 4, 2019)
    - Change 36 (September 14, 2018)
    - Change 33 (September 5, 2018)
    - Change 26 (May 30, 2018)
    - Change 21 (March 1, 2018)
    - Change 16 (December 29, 2017)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 5 -- EXPIRED As Of January 1, 2018 - Pilot Program On Urgent Care For TRICARE Prime/TRICARE Prime Remote (TPR) Beneficiaries
    - Change 28 (June 15, 2018)
    - Change 21 (March 1, 2018)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 6 -- EXPIRED - Department Of Defense (DoD) TRICARE Demonstration Project for the Philippines
    - Change 109 (May 24, 2022)
    - Change 21 (March 1, 2018)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 7 -- 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)/Enhanced Multi-Service Markets (eMSMs)
    - Change 70 (September 4, 2020)
    - Change 21 (March 1, 2018)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 8 -- Intensive Outpatient Program (IOP) Pilot To Address Behavioral Health Sequelae of Sexual Trauma
    - Change 69 (August 28, 2020)
    - Change 11 (December 5, 2017)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 9 -- Low Back Pain (LBP) and Physical Therapy (PT) Demonstration
    - Change 79 (October 27, 2020)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 10 -- Referral And Appointing Center (RAC) Pilot
    - Change 81 (December 29, 2020)
    - Baseline (April 1, 2015)
  - Sect 11 -- Childbirth And Breastfeeding Support Demonstration
    - Change 139 (June 10, 2024)
    - Change 130 (December 1, 2023)
    - Change 124 (July 24, 2023)
    - Change 111 (August 3, 2022)
    - Change 103 (November 29, 2021)
    - Baseline (April 1, 2015)
  - Sect 12 -- Childbirth And Breastfeeding Support Demonstration - Special Policies for Overseas Implementation
    - Change 130 (December 1, 2023)
    - Baseline (April 1, 2015)
  - Addendum A -- Participation Agreement For Comprehensive Autism Care Demonstration Corporate Services Provider (ACSP)/Sole Provider Practices
    - Change 85 (March 23, 2021)
    - Change 21 (March 1, 2018)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Addendum B -- Participation Agreement For Intensive Outpatient Program (IOP) Pilot To Address Health Sequelae of Sexual Trauma
    - Change 69 (August 28, 2020)
    - Baseline (April 1, 2015)
- Chap 19 -- Health Insurance Portability and Accountability Act (HIPAA) of 1996
  - Baseline (April 1, 2015)
  - Sect 1 -- General
    - Baseline (April 1, 2015)
  - Sect 2 -- Health Insurance Portability And Accountability Act (HIPAA) Standards For Electronic Transactions
  - Sect 3 -- Privacy And Security Of Protected Health Information (PHI)
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 4 -- Health Insurance Portability And Accountability Act (HIPAA) Standard Unique Health Identifier For Health Care Providers Final Rule
    - Baseline (April 1, 2015)
- Chap 20 -- TRICARE Medicare Eligible Program (TMEP)
  - Baseline (April 1, 2015)
  - Sect 1 -- Administration
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 2 -- TRICARE Medicare Eligible Program (TMEP) Transition
    - Change 116 (February 22, 2023)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 3 -- Financial Administration
    - Change 108 (May 18, 2022)
    - Change 58 (September 20, 2019)
    - Change 24 (May 18, 2018)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Provider Certifications And Credentialing
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 5 -- Provider Networks
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 6 -- Enrollment
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 7 -- Medical Management (MM), Utilization Management (UM), And Quality Management (QM)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 8 -- Claims Processing Procedures
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 9 -- Records Management
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 10 -- Claims Adjustments And Recoupments
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 11 -- Communications And Customer Service (C and CS)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 12 -- Appeals And Hearings
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 13 -- Program Integrity
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 14 -- Reports
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 15 -- Markets/Military Treatment Facilities And Contractor Interfaces
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 16 -- TRICARE Prime Remote (TPR) Program
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 17 -- Supplemental Health Care Program (SHCP)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 18 -- Demonstrations And Pilot Projects (Except Value-Based Initiatives)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 19 -- Health Insurance Portability and Accountability Act (HIPAA)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 20 -- Other TMEP Requirements
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 21 -- TRICARE Alaska
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 22 -- Reserve Component Health Coverage Plans
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 23 -- TRICARE Pharmacy
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 24 -- TRICARE Overseas Program (TOP)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 25 -- TRICARE Young Adult (TYA) Program
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 26 -- Continued Health Care Benefits Program (CHCBP)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 27 -- Prime Service Area Reduction Policies And Effective Dates
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 28 -- Prescription Monitoring Program (PMP)
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
  - Sect 29 -- Value-Based Programs, Pilots And Demonstrations
    - Change 108 (May 18, 2022)
    - Baseline (April 1, 2015)
- Chap 21 -- TRICARE Alaska
  - Baseline (April 1, 2015)
  - Sect 1 -- TRICARE Alaska
  - Sect 2 -- Alaska Internal Partnership Program
    - Change 107 (April 18, 2022)
    - Baseline (April 1, 2015)
  - Addendum A -- TRICARE Internal Alaska Partnership Program
    - Change 107 (April 18, 2022)
    - Baseline (April 1, 2015)
- Chap 22 -- Reserve Component Health Coverage Plans
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- TRICARE Reserve Select (TRS)
  - Sect 2 -- TRICARE Retired Reserve (TRR)
  - Addendum A -- Figures
- Chap 23 -- TRICARE Pharmacy (TPharm)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Sect 2 -- Out-Of-Jurisdiction Claims
    - Change 76 (October 5, 2020)
    - Baseline (April 1, 2015)
  - Sect 3 -- Pharmacy Claims Processing
  - Sect 4 -- Other Contract Requirements
    - Change 76 (October 5, 2020)
    - Baseline (April 1, 2015)
  - Sect 5 -- Transition
- Chap 24 -- TRICARE Overseas Program (TOP)
  - Change 72 (September 10, 2020)
  - Change 24 (May 18, 2018)
  - Change 12 (December 8, 2017)
  - Change 6 (October 20, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- Administration
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 2 -- Records Management
    - Baseline (April 1, 2015)
  - Sect 3 -- Financial Administration
    - Change 127 (August 21, 2023)
    - Change 72 (September 10, 2020)
    - Change 60 (December 13, 2019)
    - Change 26 (May 30, 2018)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 4 -- Purchased Care Sector Providers
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 83 (January 20, 2021)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Change 9 (November 15, 2017)
    - Baseline (April 1, 2015)
  - Sect 5 -- TRICARE Overseas Program (TOP) Eligibility And Enrollment
    - Change 127 (August 21, 2023)
    - Change 112 (August 16, 2022)
    - Change 75 (September 18, 2020)
    - Change 72 (September 10, 2020)
    - Change 28 (June 15, 2018)
    - Change 26 (May 30, 2018)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 6 -- Medical Management (MM)
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 91 (June 25, 2021)
    - Change 83 (January 20, 2021)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Change 9 (November 15, 2017)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 7 -- Ambulance/Aeromedical Evacuation Services
    - Change 72 (September 10, 2020)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 8 -- Clinical Preventive Services
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 9 -- Claims Processing Procedures
    - Change 138 (May 21, 2024)
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 91 (June 25, 2021)
    - Change 72 (September 10, 2020)
    - Change 9 (November 15, 2017)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 10 -- Communications and Customer Service (C and CS)
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Baseline (April 1, 2015)
  - Sect 11 -- TRICARE Overseas Program (TOP) Point Of Contact (POC) Program
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 83 (January 20, 2021)
    - Change 72 (September 10, 2020)
    - Change 58 (September 20, 2019)
    - Change 24 (May 18, 2018)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 12 -- Appeals And Hearings
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Baseline (April 1, 2015)
  - Sect 13 -- Program Integrity
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Baseline (April 1, 2015)
  - Sect 14 -- Audits, Inspections, Reports, And Plans
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Change 23 (March 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 15 -- TRICARE Area Office (TAO) Executive Director/Military Medical Treatment Facility (MTF) And Contractor Interfaces
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 16 -- TRICARE Overseas Program (TOP) Prime Program
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Baseline (April 1, 2015)
  - Sect 17 -- TRICARE Overseas Program (TOP) Prime Remote Program
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 9 (November 15, 2017)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 18 -- TRICARE Overseas Program (TOP) Select
    - Change 109 (May 24, 2022)
    - Change 91 (June 25, 2021)
    - Change 72 (September 10, 2020)
    - Change 26 (May 30, 2018)
    - Change 9 (November 15, 2017)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 19 -- TRICARE Overseas Program (TOP) TRICARE For Life (TFL)
    - Change 120 (June 12, 2023)
    - Change 109 (May 24, 2022)
    - Change 86 (March 26, 2021)
    - Change 72 (September 10, 2020)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 20 -- TRICARE Reserve Select (TRS) And TRICARE Retired Reserve (TRR)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 21 -- TRICARE Plus
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 22 -- Extended Care Health Option (ECHO)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 23 -- Transitional Assistance Management Program (TAMP)
    - Change 109 (May 24, 2022)
    - Baseline (April 1, 2015)
  - Sect 24 -- Continued Health Care Benefit Program (CHCBP)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 55 (September 11, 2019)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 25 -- TRICARE Overseas Program (TOP) Supplemental Health Care Program (SHCP)
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Change 6 (October 20, 2017)
    - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - Sect 26 -- Value-Based Programs (VBPs), Pilots, And Demonstrations
    - Change 109 (May 24, 2022)
    - Change 91 (June 25, 2021)
    - Change 72 (September 10, 2020)
    - Change 24 (May 18, 2018)
    - Change 6 (October 20, 2017)
    - Baseline (April 1, 2015)
  - Sect 27 -- Health Insurance Portability and Accountability Act (HIPAA) of 1996
    - Change 109 (May 24, 2022)
    - Change 72 (September 10, 2020)
    - Baseline (April 1, 2015)
  - Sect 28 -- Department Of Defense (DoD) TRICARE Preferred Provider Network (PPN) for the Philippines
    - Change 127 (August 21, 2023)
    - Change 109 (May 24, 2022)
    - Baseline (April 1, 2015)
- Chap 25 -- TRICARE Young Adult (TYA)
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- TRICARE Young Adult (TYA)
  - Addendum A -- TRICARE Young Adult (TYA) Premiums
- Chap 26 -- Continued Health Care Benefit Program (CHCBP)
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- Eligibility And Coverage
  - Addendum A -- Continued Health Care Benefit Program (CHCBP) Premiums
- Chap 27 -- Prime Service Area (PSA) Reduction Policies And Effective Dates
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
  - Sect 1 -- Prime Service Area (PSA) Reduction Policies And Effective Dates
- Chap 28 -- Prescription Monitoring Program (PMP)
  - Change 66 (July 2, 2020)
  - Change 19 (January 24, 2018)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Sect 2 -- Beneficiary Prescription Monitoring Program (PMP)
  - Sect 3 -- Provider Prescription Monitoring Program (PMP)
- Chap 29 -- Value-Based Programs (VBPs), Pilots, And Demonstrations
  - Change 71 (September 8, 2020)
  - Change 62 (January 28, 2020)
  - Change 35 (September 12, 2018)
  - Change 21 (March 1, 2018)
  - Baseline (April 1, 2015)
  - Sect 1 -- General
  - Sect 2 -- National Defense Authorization Act (NDAA) for Fiscal Year 2016 (NDAA FY 2016): Bundled Payments For Lower Extremity Joint Replacement And Reattachment (LEJR) Surgery And Post-Operative Care Demonstration Program
  - Sect 3 -- National Defense Authorization Act (NDAA) for Fiscal Year 2017 (NDAA FY 2017): Medication Adherence Pilot Program
    - Change 21 (March 1, 2018)
    - Baseline (April 1, 2015)
  - Sect 4 -- Pilot Program on Performance-Based Maternity Payments (P-BMP)
  - Sect 5 -- Accountable Care Organization (ACO) Demonstration
    - Change 62 (January 28, 2020)
    - Baseline (April 1, 2015)
  - Sect 6 -- Home Health Value Based Purchasing (HHVBP) Demonstration
  - Addendum A -- Performance-Based Maternity Payments (P-BMP) Data Elements
    - Change 35 (September 12, 2018)
    - Baseline (April 1, 2015)
  - Addendum B -- The Performance-Based Maternity Payments (P-BMP) Incentive Calculations Methodology
    - Change 35 (September 12, 2018)
    - Baseline (April 1, 2015)
  - Addendum C -- Medicare Severity-Diagnosis Related Groups (MS-DRGs) Available in Fiscal Year (FY) 2018
    - Change 35 (September 12, 2018)
    - Baseline (April 1, 2015)
  - Addendum D -- Accountable Care Organization (ACO) Demonstration - TRICARE Manuals Exclusion List
- Chap A -- Definitions
  - Change 131 (December 14, 2023)
  - Change 127 (August 21, 2023)
  - Change 114 (December 23, 2022)
  - Change 111 (August 3, 2022)
  - Change 106 (February 16, 2022)
  - Change 104 (December 23, 2021)
  - Change 98 (September 16, 2021)
  - Change 93 (July 20, 2021)
  - Change 92 (July 14, 2021)
  - Change 76 (October 5, 2020)
  - Change 64 (April 22, 2020)
  - Change 58 (September 20, 2019)
  - Change 41 (November 30, 2018)
  - Change 36 (September 14, 2018)
  - Change 34 (September 7, 2018)
  - Change 28 (June 15, 2018)
  - Change 26 (May 30, 2018)
  - Change 25 (May 24, 2018)
  - Change 24 (May 18, 2018)
  - Change 10 (November 30, 2017)
  - Change 9 (November 15, 2017)
  - Change 6 (October 20, 2017)
  - Change 3 (July 27, 2017)
  - Change 2 (May 17, 2017)
  - Change 1 (March 10, 2017)
  - Baseline (April 1, 2015)
- Obsolete Files
  - - Change 1 (March 10, 2017)
    - Baseline (April 1, 2015)
  - - Change 12 (December 8, 2017)
    - Baseline (April 1, 2015)
  - - Change 72 (September 10, 2020)
    - Baseline (April 1, 2015)

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