Skip to main content
Military Health System
MHS Home
Utility Navigation Links
TRICARE.MIL
Main Navigation
Home
Manuals
Change History
Manuals by Date
Search
Help
Home
Manuals
TRICARE Program Manuals - 2021 Edition (T-5)
TRICARE Operations Manual 6010.62-M, April 2021
TRICARE Policy Manual 6010.63-M, April 2021
TRICARE Reimbursement Manual 6010.64-M, April 2021
TRICARE Systems Manual 7950.4-M, April 2021
TRICARE Program Manuals - 2015 Edition (T-2017)
TRICARE Operations Manual 6010.59-M, April 2015
TRICARE Policy Manual 6010.60-M, April 2015
TRICARE Reimbursement Manual 6010.61-M, April 2015
TRICARE Systems Manual 7950.3-M, April 2015
Other Manuals
32 CFR 199 (DHA Version), December 2016
DoD Women, Infants, and Children (WIC) Overseas Program Policy Manual, July 2017
Duplicate Claims System (DCS) User Guide, June 2017
10 USC 55 (DHA Version), January 2007
Change History
Manuals by Date
Search
Help
Need larger text?
MHS Home
>
Change History
>
TRICARE Policy Manual 6010.63-M, April 2021
Manual Change History
TRICARE Policy Manual 6010.63-M, April 2021
Foreword
Baseline (December 5, 2022)
Chap 1 -- Administration
Baseline (December 5, 2022)
Sect 1.1 -- General Policy And Responsibilities
Baseline (December 5, 2022)
Sect 1.2 -- Exclusions
Change 15 (September 6, 2024)
Change 4 (June 13, 2024)
Baseline (December 5, 2022)
Sect 1.3 -- Court-Ordered Care
Baseline (December 5, 2022)
Sect 2.1 -- Unproven Drugs, Devices, Medical Treatments, And Procedures
Baseline (December 5, 2022)
Sect 3.1 -- Rare Diseases
Change 12 (August 26, 2024)
Baseline (December 5, 2022)
Sect 4.1 -- Waiver Of Liability
Baseline (December 5, 2022)
Sect 5.1 -- Requirements For Documentation Of Treatment In Medical Records
Baseline (December 5, 2022)
Sect 5.2 -- Medical Photography
Baseline (December 5, 2022)
Sect 6.1 -- Special Authorization Requirements
Change 7 (July 17, 2024)
Baseline (December 5, 2022)
Sect 7.1 -- Primary Care Managers (PCMs)
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 8.1 -- Department Of Veterans Affairs/Veterans Health Administration (DVA/VHA) And Department Of Defense/Defense Health Agency (DoD/DHA) Health Care Resources Sharing
Baseline (December 5, 2022)
Sect 9.1 -- Individual Case Management Program For Persons With Extraordinary Conditions (ICMP-PEC)
Baseline (December 5, 2022)
Sect 10.1 -- Category II Codes - Performance Measurement
Baseline (December 5, 2022)
Sect 11.1 -- Category III Codes - Temporary Codes For Emerging Technology, Services And Procedures
Baseline (December 5, 2022)
Sect 12.1 -- Healthcare Common Procedure Coding System (HCPCS) “C” And “S” Codes
Baseline (December 5, 2022)
Sect 13.1 -- Relationship Between TRICARE And Employer-Sponsored Group Health Plans (GHPs)
Baseline (December 5, 2022)
Sect 14.1 -- Transitional Care Management Services
Change 4 (June 13, 2024)
Baseline (December 5, 2022)
Sect 14.2 -- Chronic Care Management (CCM) Services
Baseline (December 5, 2022)
Sect 14.3 -- Advance Care Planning (ACP) Services
Baseline (December 5, 2022)
Sect 15.1 -- TRICARE Coverage and Payment for Certain Services in Response to the Coronavirus 2019 (COVID-19) Pandemic
Change 9 (July 24, 2024)
Change 4 (June 13, 2024)
Baseline (December 5, 2022)
Chap 2 -- Evaluation And Management
Baseline (December 5, 2022)
Sect 1.1 -- Office Visits
Change 4 (June 13, 2024)
Baseline (December 5, 2022)
Sect 1.2 -- Office Visits With Surgery
Baseline (December 5, 2022)
Sect 2.1 -- Hospital Care
Baseline (December 5, 2022)
Sect 2.2 -- Inpatient Concurrent Care
Baseline (December 5, 2022)
Sect 2.3 -- Outpatient Observation Stays
Baseline (December 5, 2022)
Sect 3.1 -- Emergency Department (ED) Services
Baseline (December 5, 2022)
Sect 3.2 -- Neonatal And Pediatric Critical Care Services
Baseline (December 5, 2022)
Sect 4.1 -- Consultations
Change 4 (June 13, 2024)
Baseline (December 5, 2022)
Sect 4.2 -- Anticoagulant Management
Baseline (December 5, 2022)
Sect 5.1 -- Patient Transport
Baseline (December 5, 2022)
Sect 6.1 -- Physician Standby Charges
Baseline (December 5, 2022)
Sect 7.1 -- Remote Physiologic Monitoring (RPM)
Change 15 (September 6, 2024)
Baseline (December 5, 2022)
Chap 3 -- Anesthesia
Baseline (December 5, 2022)
Sect 1.1 -- Anesthesia
Baseline (December 5, 2022)
Sect 1.2 -- Moderate (Conscious) Sedation
Baseline (December 5, 2022)
Chap 4 -- Surgery
Baseline (December 5, 2022)
Sect 1.1 -- Complications (Unfortunate Sequelae) Resulting From Noncovered Surgery Or Treatment
Baseline (December 5, 2022)
Sect 1.2 -- Treatment Of Unfortunate Sequelae And/Or Medically Necessary Follow-On Care Subsequent To Authorized Noncovered Initial Surgery Or Treatment In A Market/Military Medical Treatment Facility (MTF)
Baseline (December 5, 2022)
Sect 2.1 -- Cosmetic, Reconstructive, And Plastic Surgery - General Guidelines
Change 7 (July 17, 2024)
Baseline (December 5, 2022)
Sect 2.2 -- General Surgery
Baseline (December 5, 2022)
Sect 3.1 -- Laser Surgery
Change 10 (August 14, 2024)
Baseline (December 5, 2022)
Sect 3.2 -- Robotic Surgery
Baseline (December 5, 2022)
Sect 4.1 -- Assistant Surgeons
Baseline (December 5, 2022)
Sect 5.1 -- Integumentary System
Baseline (December 5, 2022)
Sect 5.2 -- Post-Mastectomy Reconstructive Breast Surgery and Breast Prostheses
Change 8 (July 19, 2024)
Baseline (December 5, 2022)
Sect 5.3 -- Prophylactic Mastectomy, Prophylactic Oophorectomy, And Prophylactic Hysterectomy
Baseline (December 5, 2022)
Sect 5.4 -- Reduction Mammaplasty For Macromastia
Baseline (December 5, 2022)
Sect 5.5 -- Silicone Or Saline Breast Implant Removal
Baseline (December 5, 2022)
Sect 5.6 -- Breast Reconstruction As A Result Of A Congenital Anomaly
Baseline (December 5, 2022)
Sect 5.7 -- Gynecomastia
Baseline (December 5, 2022)
Sect 5.8 -- Negative Pressure Wound Therapy (NPWT)
Baseline (December 5, 2022)
Sect 6.1 -- Musculoskeletal System
Change 7 (July 17, 2024)
Baseline (December 5, 2022)
Sect 6.2 -- Bone Growth Stimulation
Baseline (December 5, 2022)
Sect 7.1 -- Oral Surgery
Baseline (December 5, 2022)
Sect 8.1 -- Respiratory System)
Baseline (December 5, 2022)
Sect 8.2 -- Lung Volume Reduction Surgery (LVRS)
Baseline (December 5, 2022)
Sect 9.1 -- Cardiovascular System
Change 7 (July 17, 2024)
Baseline (December 5, 2022)
Sect 9.2 -- Photopheresis
Baseline (December 5, 2022)
Sect 9.3 -- Intracoronary Stents
Baseline (December 5, 2022)
Sect 9.4 -- Therapeutic Apheresis
Baseline (December 5, 2022)
Sect 10.1 -- Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Baseline (December 5, 2022)
Sect 11.1 -- Hemic And Lymphatic Systems
Baseline (December 5, 2022)
Sect 12.1 -- Mediastinum And Diaphragm
Baseline (December 5, 2022)
Sect 13.1 -- Digestive System
Change 12 (August 26, 2024)
Baseline (December 5, 2022)
Sect 13.2 -- Surgery For Morbid Obesity
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 14.1 -- Urinary System
Baseline (December 5, 2022)
Sect 15.1 -- Male Genital System
Baseline (December 5, 2022)
Sect 16.1 -- Intersex Surgery
Baseline (December 5, 2022)
Sect 17.1 -- Female Genital System
Baseline (December 5, 2022)
Sect 18.1 -- Maternity Care
Baseline (December 5, 2022)
Sect 18.2 -- Antepartum Services
Baseline (December 5, 2022)
Sect 18.3 -- Abortions
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 18.4 -- Cesarean Sections
Baseline (December 5, 2022)
Sect 18.5 -- Fetal Surgery
Baseline (December 5, 2022)
Sect 19.1 -- Endocrine System
Baseline (December 5, 2022)
Sect 20.1 -- Nervous System
Change 12 (August 26, 2024)
Baseline (December 5, 2022)
Sect 20.2 -- Stereotactic Radiofrequency Pallidotomy With Microelectrode Mapping For Treatment Of Parkinson’s Disease
Baseline (December 5, 2022)
Sect 20.3 -- Stereotactic Radiofrequency Thalamotomy)
Baseline (December 5, 2022)
Sect 21.1 -- Eye And Ocular Adnexa
Baseline (December 5, 2022)
Sect 22.1 -- Auditory System
Baseline (December 5, 2022)
Sect 22.2 -- Cochlear Implantation
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 23.1 -- High Dose Chemotherapy (HDC) And Stem Cell Transplantation
Baseline (December 5, 2022)
Sect 24.1 -- Heart-Lung And Lung Transplantation
Baseline (December 5, 2022)
Sect 24.2 -- Heart Transplantation
Baseline (December 5, 2022)
Sect 24.3 -- Combined Heart-Kidney Transplantation (CHKT)
Baseline (December 5, 2022)
Sect 24.4 -- Small Intestine (SI), Combined Small Intestine-Liver (SI/L), And Multivisceral (MV) Transplantation
Baseline (December 5, 2022)
Sect 24.5 -- Liver Transplantation
Baseline (December 5, 2022)
Sect 24.6 -- Combined Liver-Kidney Transplantation (CLKT)
Baseline (December 5, 2022)
Sect 24.7 -- Simultaneous Pancreas-Kidney (SPK), Pancreas-After-Kidney (PAK), And Pancreas-Transplant-Alone (PTA), And Pancreatic Islet Cell Transplantation
Baseline (December 5, 2022)
Sect 24.8 -- Kidney Transplantation
Baseline (December 5, 2022)
Sect 24.9 -- Donor Costs
Baseline (December 5, 2022)
Chap 5 -- Radiology
Baseline (December 5, 2022)
Sect 1.1 -- Diagnostic Radiology (Diagnostic Imaging)
Baseline (December 5, 2022)
Sect 2.1 -- Diagnostic Ultrasound
Baseline (December 5, 2022)
Sect 2.2 -- Radiologic Guidance
Baseline (December 5, 2022)
Sect 3.1 -- Radiation Oncology
Baseline (December 5, 2022)
Sect 3.2 -- Brachytherapy/Radiation Therapy
Baseline (December 5, 2022)
Sect 3.3 -- Hyperthermia
Baseline (December 5, 2022)
Sect 4.1 -- Nuclear Medicine
Baseline (December 5, 2022)
Sect 5.1 -- Thermography
Baseline (December 5, 2022)
Chap 6 -- Pathology And Laboratory
Baseline (December 5, 2022)
Sect 1.1 -- General
Baseline (December 5, 2022)
Sect 2.1 -- Transfusion Services For Whole Blood, Blood Components, And Blood Derivatives
Baseline (December 5, 2022)
Sect 3.1 -- Genetic Testing And Counseling
Baseline (December 5, 2022)
Sect 4.1 -- Drug Testing
Baseline (December 5, 2022)
Chap 7 -- Medicine
Baseline (December 5, 2022)
Sect 1.1 -- Sexual Dysfunctions And Paraphilic Disorders
Baseline (December 5, 2022)
Sect 1.2 -- Gender Dysphoria
Baseline (December 5, 2022)
Sect 2.1 -- Clinical Preventive Services - TRICARE Basic Program Benefits
Change 2 (April 30, 2024)
Baseline (December 5, 2022)
Sect 2.2 -- Clinical Preventive Services - TRICARE Prime And TRICARE Select
Change 9 (July 24, 2024)
Change 2 (April 30, 2024)
Baseline (December 5, 2022)
Sect 2.3 -- Family Planning
Baseline (December 5, 2022)
Sect 2.4 -- Cervical Cancer Screening
Baseline (December 5, 2022)
Sect 2.5 -- Well-Child Care
Baseline (December 5, 2022)
Sect 2.6 -- Chelation Therapy
Baseline (December 5, 2022)
Sect 2.7 -- Hydration, Therapeutic, Prophylactic, And Diagnostic Injections And Infusions
Baseline (December 5, 2022)
Sect 3.1 -- Acute Hospital Psychiatric Care
Baseline (December 5, 2022)
Sect 3.2 -- Psychiatric Residential Treatment Center (RTC) Care
Baseline (December 5, 2022)
Sect 3.3 -- Inpatient/Residential Substance Use Disorder (SUD) Detoxification And Rehabilitation
Baseline (December 5, 2022)
Sect 3.4 -- Psychiatric And Substance Use Disorder (SUD) Partial Hospitalization Programs (PHPs)
Baseline (December 5, 2022)
Sect 3.5 -- Substance Use Disorders (SUDs) - General
Baseline (December 5, 2022)
Sect 3.6 -- Specific Learning Disorders
Baseline (December 5, 2022)
Sect 3.7 -- Treatment Of Mental Disorders - General
Change 12 (August 26, 2024)
Baseline (December 5, 2022)
Sect 3.8 -- Ancillary Inpatient Mental Health Services
Baseline (December 5, 2022)
Sect 3.9 -- Psychological Testing
Baseline (December 5, 2022)
Sect 3.10 -- Psychotherapy
Baseline (December 5, 2022)
Sect 3.11 -- Family Therapy
Baseline (December 5, 2022)
Sect 3.12 -- Psychotropic Pharmacologic Management
Baseline (December 5, 2022)
Sect 3.13 -- Collateral Visits
Baseline (December 5, 2022)
Sect 3.14 -- Eating Disorder Treatment
Baseline (December 5, 2022)
Sect 3.15 -- Intensive Outpatient Program (IOP)
Baseline (December 5, 2022)
Sect 3.16 -- Opioid Treatment Program (OTP)
Baseline (December 5, 2022)
Sect 3.17 -- Medication Assisted Treatment (MAT)
Baseline (December 5, 2022)
Sect 4.1 -- Biofeedback
Baseline (December 5, 2022)
Sect 4.2 -- Dialysis
Change 5 (June 20, 2024)
Baseline (December 5, 2022)
Sect 5.1 -- Gastroenterology
Baseline (December 5, 2022)
Sect 6.1 -- Ophthalmological Services
Change 2 (April 30, 2024)
Baseline (December 5, 2022)
Sect 6.2 -- Lenses (Intraocular Or Contact) And Eye Glasses
Baseline (December 5, 2022)
Sect 6.3 -- Cardiovascular Therapeutic Services
Baseline (December 5, 2022)
Sect 7.1 -- Speech Services
Baseline (December 5, 2022)
Sect 8.1 -- Special Otorhinolaryngologic Services
Baseline (December 5, 2022)
Sect 8.2 -- Hearing Aids And Hearing Aid Services
Change 13 (August 30, 2024)
Baseline (December 5, 2022)
Sect 8.3 -- Prosthetic Hearing Devices
Change 13 (August 30, 2024)
Baseline (December 5, 2022)
Sect 9.1 -- Electronystagmography (ENG)
Baseline (December 5, 2022)
Sect 10.1 -- Echocardiogram For Dental And Invasive Procedures
Baseline (December 5, 2022)
Sect 11.1 -- Cardiac Rehabilitation
Baseline (December 5, 2022)
Sect 12.1 -- Non-Invasive Vascular Diagnostic Studies
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 13.1 -- Pulmonary Services
Baseline (December 5, 2022)
Sect 14.1 -- Allergy Testing And Treatment
Baseline (December 5, 2022)
Sect 15.1 -- Neurology And Neuromuscular Services
Change 12 (August 26, 2024)
Change 10 (August 14, 2024)
Baseline (December 5, 2022)
Sect 15.2 -- Sensory Evoked Potentials (SEP)
Baseline (December 5, 2022)
Sect 16.1 -- Central Nervous System (CNS) Assessments/Tests
Baseline (December 5, 2022)
Sect 16.2 -- Health And Behavior Assessment/Intervention
Baseline (December 5, 2022)
Sect 16.3 -- Chemotherapy Administration
Baseline (December 5, 2022)
Sect 16.4 -- Education And Training For Patient Self Management
Baseline (December 5, 2022)
Sect 17.1 -- Dermatological Procedures - General
Change 10 (August 14, 2024)
Baseline (December 5, 2022)
Sect 18.1 -- Rehabilitation - General
Baseline (December 5, 2022)
Sect 18.2 -- Physical Medicine/Therapy
Baseline (December 5, 2022)
Sect 18.3 -- Occupational Therapy
Baseline (December 5, 2022)
Sect 18.4 -- Osteopathic Manipulative Therapy
Baseline (December 5, 2022)
Sect 18.5 -- Chiropractic Manipulative Treatment (CMT)
Baseline (December 5, 2022)
Sect 19.1 -- Diagnostic Sleep Studies
Baseline (December 5, 2022)
Sect 20.1 -- Hyperbaric Oxygen (HBO) Therapy
Baseline (December 5, 2022)
Sect 21.1 -- Chronic Fatigue Syndrome (CFS)
Baseline (December 5, 2022)
Sect 22.1 -- Telemedicine/Telehealth
Change 4 (June 13, 2024)
Change 3 (May 3, 2024)
Baseline (December 5, 2022)
Sect 23.1 -- Augmentative Communication Devices (ACDs)
Baseline (December 5, 2022)
Sect 24.1 -- Phase I, Phase II, And Phase III Cancer Clinical Trials
Baseline (December 5, 2022)
Sect 24.2 -- Coronavirus Disease 2019 (COVID-19) Clinical Trials
Baseline (December 5, 2022)
Sect 25.1 -- Dermoscopy
Baseline (December 5, 2022)
Sect 26.1 -- Forensic Examinations Following Sexual Assault or Domestic Violence
Baseline (December 5, 2022)
Sect 27.1 -- Botulinum Toxin Injections
Change 7 (July 17, 2024)
Baseline (December 5, 2022)
Chap 8 -- Other Services
Baseline (December 5, 2022)
Sect 1.1 -- Ambulance Service
Baseline (December 5, 2022)
Sect 2.1 -- Durable Equipment (DE): Basic Program
Change 15 (September 6, 2024)
Baseline (December 5, 2022)
Sect 2.2 -- Infantile Apnea Cardiorespiratory Monitor
Baseline (December 5, 2022)
Sect 2.3 -- External And Implantable Infusion Pumps
Baseline (December 5, 2022)
Sect 2.4 -- Cold Therapy Devices For Home Use
Baseline (December 5, 2022)
Sect 2.5 -- Home Prothrombin Time (PT) International Normalized Ratio (INR) Monitor
Baseline (December 5, 2022)
Sect 2.6 -- Breast Pumps, Breast Pump Supplies, And Breastfeeding Counseling
Change 6 (June 27, 2024)
Baseline (December 5, 2022)
Sect 2.7 -- Pulsed Irrigation Evacuation (PIE)
Baseline (December 5, 2022)
Sect 2.8 -- Blood Pressure Monitors
Change 14 (September 3, 2024)
Baseline (December 5, 2022)
Sect 3.1 -- Orthoses (Braces And Splints)
Baseline (December 5, 2022)
Sect 4.1 -- Prosthetic Devices And Supplies
Change 10 (August 14, 2024)
Baseline (December 5, 2022)
Sect 5.1 -- Medical Devices
Baseline (December 5, 2022)
Sect 5.2 -- Neuromuscular Electrical Stimulation (NMES) Devices
Baseline (December 5, 2022)
Sect 5.3 -- Continuous Glucose Monitoring System (CGMS) Devices
Baseline (December 5, 2022)
Sect 5.4 -- Automated External Defibrillators (AEDs)
Baseline (December 5, 2022)
Sect 6.1 -- Medical Supplies And Dressings (Consumables)
Baseline (December 5, 2022)
Sect 7.1 -- Medically Necessary Food - For Dates Of Service On Or After December 23, 2017
Baseline (December 5, 2022)
Sect 7.2 -- Liquid Protein Diets
Baseline (December 5, 2022)
Sect 8.1 -- Diabetes Self-Management Training (DSMT) Services
Baseline (December 5, 2022)
Sect 8.2 -- Therapeutic Shoes For Diabetics
Baseline (December 5, 2022)
Sect 9.1 -- Pharmacy Benefits Program
Baseline (December 5, 2022)
Sect 10.1 -- Oxygen And Oxygen Supplies
Baseline (December 5, 2022)
Sect 11.1 -- Podiatry
Baseline (December 5, 2022)
Sect 12.1 -- Wigs Or Hairpiece
Change 1 (April 23, 2024)
Baseline (December 5, 2022)
Sect 13.1 -- Adjunctive Dental Care
Baseline (December 5, 2022)
Sect 13.2 -- Dental Anesthesia And Institutional Benefit
Baseline (December 5, 2022)
Sect 14.1 -- Physician-Assisted Suicide
Baseline (December 5, 2022)
Sect 15.1 -- Custodial Care Transitional Policy (CCTP)
Baseline (December 5, 2022)
Sect 16.1 -- Mucus Clearance Devices
Baseline (December 5, 2022)
Sect 17.1 -- Lymphedema
Baseline (December 5, 2022)
Sect 18.1 -- Continuous Passive Motion (CPM) Devices
Baseline (December 5, 2022)
Sect 19.1 -- Smoking Cessation Counseling
Baseline (December 5, 2022)
Sect 20.1 -- Infusion Drug Therapy Delivered In The Home
Baseline (December 5, 2022)
Chap 9 -- Extended Care Health Option (ECHO)
Baseline (December 5, 2022)
Sect 1.1 -- General
Baseline (December 5, 2022)
Sect 2.1 -- Eligibility - General
Baseline (December 5, 2022)
Sect 2.2 -- Eligibility - Qualifying Condition: Intellectual Disability
Baseline (December 5, 2022)
Sect 2.3 -- Eligibility - Qualifying Condition: Serious Physical Disability
Baseline (December 5, 2022)
Sect 2.4 -- Eligibility - Qualifying Condition: Other
Baseline (December 5, 2022)
Sect 3.1 -- Registration
Baseline (December 5, 2022)
Sect 4.1 -- Benefit Authorization
Baseline (December 5, 2022)
Sect 5.1 -- Public Facility Use Certification
Baseline (December 5, 2022)
Sect 6.1 -- Diagnostic Services
Baseline (December 5, 2022)
Sect 7.1 -- Treatment
Baseline (December 5, 2022)
Sect 8.1 -- Training
Baseline (December 5, 2022)
Sect 9.1 -- Special Education And Other Services
Baseline (December 5, 2022)
Sect 10.1 -- Institutional Care
Baseline (December 5, 2022)
Sect 11.1 -- Transportation
Baseline (December 5, 2022)
Sect 12.1 -- Extended Care Health Option (ECHO) Respite Care
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 13.1 -- Other Extended Care Health Option (ECHO) Benefits
Baseline (December 5, 2022)
Sect 13.2 -- Other Extended Care Health Option (ECHO) Benefits - Hippotherapy
Baseline (December 5, 2022)
Sect 14.1 -- Durable Equipment (DE) Prior To January 30, 2015
Baseline (December 5, 2022)
Sect 14.2 -- Durable Equipment (DE) And Assistive Technology (AT) Devices On Or After January 30, 2015: Extended Care Health Care Option (ECHO) Program
Baseline (December 5, 2022)
Sect 15.1 -- ECHO Home Health Care (EHHC)
Baseline (December 5, 2022)
Sect 16.1 -- Cost-Share Liability
Baseline (December 5, 2022)
Sect 17.1 -- Providers
Baseline (December 5, 2022)
Sect 18.1 -- Claims
Baseline (December 5, 2022)
Chap 10 -- Eligibility And Enrollment
Baseline (December 5, 2022)
Sect 1.1 -- Eligibility Requirements For TRICARE Beneficiaries
Change 10 (August 14, 2024)
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 2.1 -- TRICARE Prime And TRICARE Select Enrollment
Baseline (December 5, 2022)
Sect 3.1 -- TRICARE Prime/Select And Status Changes
Change 9 (July 24, 2024)
Baseline (December 5, 2022)
Sect 4.1 -- Continued Health Care Benefit Program (CHCBP)
Baseline (December 5, 2022)
Sect 5.1 -- Transitional Assistance Management Program (TAMP)
Baseline (December 5, 2022)
Sect 6.1 -- TRICARE For Life (TFL) And Other Medicare-Eligible Beneficiaries
Baseline (December 5, 2022)
Sect 7.1 -- Transitional Survivor Status And Survivor Status
Baseline (December 5, 2022)
Sect 8.1 -- Guard And Reserve Family Member Benefits
Baseline (December 5, 2022)
Sect 9.1 -- Early Eligibility Benefits For The Reserve Components (RCs)
Baseline (December 5, 2022)
Sect 10.1 -- TRICARE Coverage For Certain Members Of The National Guard (NG)
Baseline (December 5, 2022)
Chap 11 -- Providers
Baseline (December 5, 2022)
Sect 1.1 -- Providers - General
Change 5 (June 20, 2024)
Baseline (December 5, 2022)
Sect 1.2 -- Institutional Provider, Individual Provider, And Other Non-Institutional Provider Participation
Baseline (December 5, 2022)
Sect 2.1 -- Department of Veterans Affairs/Veterans Health Administration (DVA/VHA) Health Care Facilities
Baseline (December 5, 2022)
Sect 2.2 -- Employer-Operated Medical Facilities
Baseline (December 5, 2022)
Sect 2.3 -- Birthing Centers
Baseline (December 5, 2022)
Sect 2.4 -- Eating Disorder Programs
Baseline (December 5, 2022)
Sect 2.5 -- Psychiatric And Substance Use Disorder (SUD) Partial Hospitalization Program (PHP) Standards
Baseline (December 5, 2022)
Sect 2.6 -- Psychiatric Hospitals Accreditation
Baseline (December 5, 2022)
Sect 2.7 -- Intensive Outpatient Program (IOP) Standards
Baseline (December 5, 2022)
Sect 2.8 -- Opioid Treatment Program (OTP) Standards
Baseline (December 5, 2022)
Sect 2.9 -- Residential Treatment Center (RTC) Standards
Baseline (December 5, 2022)
Sect 2.10 -- Freestanding End Stage Renal Disease (ESRD) Facilities
Change 5 (June 20, 2024)
Baseline (December 5, 2022)
Sect 3.1 -- Physician Referral And Supervision
Baseline (December 5, 2022)
Sect 3.2 -- State Licensure And Certification
Baseline (December 5, 2022)
Sect 3.3 -- Accreditation
Baseline (December 5, 2022)
Sect 3.4 -- Nurse Anesthetist
Baseline (December 5, 2022)
Sect 3.5 -- Anesthesiologist Assistant (AA)
Baseline (December 5, 2022)
Sect 3.6 -- Certified Clinical Social Worker (CSW)
Baseline (December 5, 2022)
Sect 3.7 -- Certified Psychiatric Nurse Specialist (CPNS)
Baseline (December 5, 2022)
Sect 3.8 -- Clinical Psychologist
Baseline (December 5, 2022)
Sect 3.9 -- Certified Marriage And Family Therapist
Baseline (December 5, 2022)
Sect 3.10 -- Pastoral Counselor
Baseline (December 5, 2022)
Sect 3.11 -- Mental Health Counselor
Baseline (December 5, 2022)
Sect 3.12 -- Certified Nurse Midwife (CNM)
Baseline (December 5, 2022)
Sect 3.13 -- Certified Physician Assistant (PA)
Baseline (December 5, 2022)
Sect 3.14 -- Registered Dietitian (RD)
Baseline (December 5, 2022)
Sect 3.15 -- Nutritionist
Baseline (December 5, 2022)
Sect 3.16 -- Physical Therapist Assistants (PTAs)
Baseline (December 5, 2022)
Sect 3.17 -- Occupational Therapy Assistants (OTAs)
Baseline (December 5, 2022)
Sect 4.1 -- Unauthorized Institution: Related Professional Services
Baseline (December 5, 2022)
Sect 4.2 -- Unauthorized Provider: Emergency Services
Baseline (December 5, 2022)
Sect 5.1 -- Provider Standards For Potentially Human Immunodeficiency Virus (HIV) Infectious Blood And Blood Products
Baseline (December 5, 2022)
Sect 6.1 -- Ambulatory Surgery
Baseline (December 5, 2022)
Sect 6.2 -- Freestanding Ambulatory Surgery Center (ASC)
Baseline (December 5, 2022)
Sect 7.1 -- Certification Of Organ Transplant Centers
Baseline (December 5, 2022)
Sect 8.1 -- Inpatient/Residential Substance Use Disorder Rehabilitation Facilities (SUDRFs) Standards
Baseline (December 5, 2022)
Sect 9.1 -- Other Provider Certification
Baseline (December 5, 2022)
Sect 9.2 -- State Vaccine Programs (SVPs) As TRICARE-Authorized Providers
Baseline (December 5, 2022)
Sect 10.1 -- Services Rendered By Employees Of Authorized Independent Professional Providers
Baseline (December 5, 2022)
Sect 11.1 -- Birthing Center Accreditation
Baseline (December 5, 2022)
Sect 11.2 -- Birthing Center Certification Process
Baseline (December 5, 2022)
Sect 11.3 -- Certified Marriage And Family Therapist Certification Process
Baseline (December 5, 2022)
Sect 12.1 -- Corporate Services Provider (CSP) Class
Baseline (December 5, 2022)
Sect 12.2 -- Qualified Accreditation Organization
Baseline (December 5, 2022)
Sect 12.3 -- Participation Agreement Requirements
Baseline (December 5, 2022)
Addendum A -- Participation Agreement For Certified Marriage And Family Therapist
Baseline (December 5, 2022)
Addendum B -- Participation Agreement For Freestanding Or Institution-Affiliated Birthing Center (BC) Maternity Care Services
Baseline (December 5, 2022)
Addendum C -- Application Form For Corporate Services Providers
Baseline (December 5, 2022)
Addendum D -- Participation Agreement For Inpatient/Residential Substance Use Disorder Rehabilitation Facility (SUDRF) Services For TRICARE Beneficiaries
Change 11 (August 21, 2024)
Baseline (December 5, 2022)
Addendum E -- Participation Agreement For Residential Treatment Center (RTC)
Change 11 (August 21, 2024)
Baseline (December 5, 2022)
Addendum F -- Participation Agreement For Freestanding And Substance Use Disorder (SUD) Psychiatric Partial Hospitalization Program (PHP) Services
Baseline (December 5, 2022)
Addendum G -- Participation Agreement For Intensive Outpatient Program (IOP) Services
Baseline (December 5, 2022)
Addendum H -- Participation Agreement For Opioid Treatment Program (OTP) Services
Baseline (December 5, 2022)
Addendum I -- Participation Agreement For Intensive Outpatient Program (IOP) Services as Part of the IOP Pilot for Psychological Health Sequelae of Sexual Trauma
Baseline (December 5, 2022)
Chap 12 -- TRICARE Overseas Program (TOP)
Baseline (December 5, 2022)
Sect 1.1 -- TRICARE Overseas Program (TOP)
Baseline (December 5, 2022)
Sect 1.2 -- TRICARE Overseas Program (TOP) Medical Benefit Variations
Change 10 (August 14, 2024)
Baseline (December 5, 2022)
Sect 1.3 -- Outside The 50 United States (US) And The District Of Columbia Locality-Based Reimbursement Rate Waiver
Baseline (December 5, 2022)
Chap 13 -- Provisional Coverage For Emerging Services And Supplies
Baseline (December 5, 2022)
Sect 1.1 -- Provisional Coverage For Emerging Services And Supplies
Baseline (December 5, 2022)
Obsolete Files
You are leaving Health.mil
The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil
View the external links disclaimer
.
OK
Cancel
Follow us on Instagram
Follow us on LinkedIn
Follow us on Facebook
Follow us on Twitter
Follow us on YouTube
Sign up on GovDelivery
Health.mil logo
Health.mil logo