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32 CFR 199 (DHA Version), December 2016
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32 CFR 199 (DHA Version) (2005)
32 CFR 199 (DHA Version) (2005)
Each TRICARE Manual posted on the website incorporates all published changes. Although changes are published, they are not implemented by the contractors until they receive direction to do so by the Contracting Officer. Authority for the TRICARE Program is Title 32 to the Code of Federal Regulations Part 199 (32 CFR 199).
Please note that CHAMPUS Regulation DoD 6010.8R has been ELIMINATED.
The Code of Federal Regulations (CFR) is a codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the Federal Government, including policies and procedures published by the Defense Health Agency (DHA) on the delivery of health care.
The DHA copy of the 32 CFR 199 is NOT the official copy of the Regulation.
This version of the CFR is provided here only as a convenience for the DHA community. The official CFR is located online at the
GPO website
and is a joint project authorized by the publisher, the National Archives and Records Administration's Office of the Federal Register, and the Government Printing Office (GPO).
December 1, 2016 Edition
Last Updated:
April 4, 2023
Most Recent Change Number:
Change 18
This edition supersedes the April 12, 2005 edition. All changes to the April 12, 2005 edition (through Change 74 dated November 2, 2016) have been incorporated.
All future changes will be published to this edition.
Navigation
Version
Change 18 (April 4, 2023)
Change 17 (January 12, 2023)
Change 16 (August 1, 2022)
Change 15 (June 1, 2022)
Change 14 (November 30, 2021)
Change 13 (July 9, 2021)
Change 12 (November 17, 2020)
Change 11 (October 30, 2020)
Change 10 (September 28, 2020)
Change 9 (September 3, 2020)
Change 8 (June 3, 2020)
Change 7 (May 12, 2020)
Change 6 (May 4, 2020)
Change 5 (March 17, 2020)
Change 4 (February 15, 2019)
Change 3 (December 11, 2018)
Change 2 (December 29, 2017)
Change 1 (September 29, 2017)
Baseline (December 1, 2016)
Final Rule
- TRICARE; Reimbursement of Ambulatory Surgery Centers and Outpatient Services Provided in Cancer and Children's Hospitals
View
Table of Contents at Change 18
Change History
Published Change
Acronyms
(263 KB)
Color Legend
(86 KB)
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Search Change 18
Entire Manual
Chapter 199.1 -- General Provisions
Chapter 199.2 -- Definitions
Chapter 199.3 -- Eligibility
Chapter 199.4 -- Basic Program Benefits
Chapter 199.5 -- TRICARE Extended Care Health Option (ECHO)
Chapter 199.6 -- TRICARE-Authorized Providers
Chapter 199.7 -- Claims Submission, Review, And Payment
Chapter 199.8 -- Double Coverage
Chapter 199.9 -- Administrative Remedies For Fraud, Abuse, And Conflict Of Interest
Chapter 199.10 -- Appeal And Hearing Procedures
Chapter 199.11 -- Overpayments Recovery
Chapter 199.12 -- Third Party Recoveries
Chapter 199.13 -- TRICARE Dental Program
Chapter 199.14 -- Provider Reimbursement Methods
Chapter 199.15 -- Quality And Utilization Review Peer Review Organization Program
Chapter 199.16 -- Supplemental Health Care Program For Active Duty Members
Chapter 199.17 -- TRICARE Program
Chapter 199.18 -- Reserved
Chapter 199.19 -- Reserved
Chapter 199.20 -- Continued Health Care Benefit Program (CHCBP)
Chapter 199.21 -- Pharmacy Benefits Program
Chapter 199.22 -- TRICARE Retiree Dental Program (TRDP)
Chapter 199.23 -- Special Supplemental Food Program
Chapter 199.24 -- TRICARE Reserve Select
Chapter 199.25 -- TRICARE Retired Reserve
Chapter 199.26 -- TRICARE Young Adult
Chapter A -- Acronyms
April 12, 2005 Edition - Superseded
Last Updated:
August 1, 2022
Most Recent Change Number:
Change 90
This edition supersedes the July 1, 2001 edition. All changes to the July 1, 2001 edition (through Change 27 dated October 12, 2004) have been incorporated along with the Interim Final Rule published on March 16, 2005.
No future changes will be published to this edition.
Navigation
Version
Change 90 (August 1, 2022)
Change 89 (June 1, 2022)
Change 88 (November 30, 2021)
Change 87 (July 9, 2021)
Change 86 (November 17, 2020)
Change 85 (October 30, 2020)
Change 84 (September 28, 2020)
Change 83 (September 3, 2020)
Change 82 (June 3, 2020)
Change 81 (May 12, 2020)
Change 80 (May 4, 2020)
Change 79 (March 17, 2020)
Change 78 (February 15, 2019)
Change 77 (December 11, 2018)
Change 76 (December 29, 2017)
Change 75 (September 29, 2017)
Change 74 (November 2, 2016)
Change 73 (September 16, 2016)
Change 72 (September 2, 2016)
Change 71 (May 6, 2016)
Change 70 (March 7, 2016)
Change 69 (September 15, 2015)
Change 68 (August 6, 2015)
Change 67 (July 27, 2015)
Change 66 (December 31, 2014)
Change 65 (December 31, 2014)
Change 64 (December 31, 2014)
Change 63 (September 30, 2014)
Change 62 (July 17, 2014)
Change 61 (May 21, 2014)
Change 60 (December 11, 2013)
Change 59 (October 22, 2013)
Change 58 (August 8, 2013)
Change 57 (May 29, 2013)
Change 56 (February 27, 2013)
Change 55 (February 26, 2013)
Change 54 (February 26, 2013)
Change 53 (June 27, 2012)
Change 52 (June 27, 2012)
Change 51 (June 27, 2012)
Change 50 (January 31, 2012)
Change 49 (December 28, 2011)
Change 48 (December 28, 2011)
Change 47 (December 27, 2011)
Change 46 (September 16, 2011)
Change 45 (September 16, 2011)
Change 44 (September 16, 2011)
Change 43 (July 13, 2011)
Change 42 (April 27, 2011)
Change 41 (February 14, 2011)
Change 40 (January 13, 2011)
Change 39 (October 15, 2010)
Change 38 (August 18, 2010)
Change 37 (August 18, 2010)
Change 36 (August 18, 2010)
Change 35 (August 9, 2010)
Change 34 (August 9, 2010)
Change 33 (August 6, 2010)
Change 32 (August 6, 2010)
Change 31 (August 6, 2010)
Change 30 (August 6, 2010)
Change 29 (April 9, 2010)
Change 28 (December 10, 2009)
Change 27 (October 29, 2009)
Change 26 (October 29, 2009)
Change 25 (August 31, 2009)
Change 24 (July 17, 2009)
Change 23 (March 17, 2009)
Change 22 (December 10, 2008)
Change 21 (November 25, 2008)
Change 20 (October 9, 2008)
Change 19 (August 12, 2008)
Change 18 (May 28, 2008)
Change 17 (November 16, 2007)
Change 16 (November 14, 2007)
Change 15 (September 25, 2007)
Change 14 (September 24, 2007)
Change 13 (September 20, 2007)
Change 12 (August 20, 2007)
Change 11 (January 19, 2007)
Change 10 (November 17, 2006)
Change 9 (August 25, 2006)
Change 8 (August 16, 2006)
Change 7 (June 21, 2006)
Change 6 (June 20, 2006)
Change 5 (June 2, 2006)
Change 4 (January 11, 2006)
Change 3 (October 24, 2005)
Change 2 (September 21, 2005)
Change 1 (April 21, 2005)
Baseline (April 12, 2005)
Page Count:
540
Interim Final Rule -
Enrollment Fee and Cost Sharing under TRICARE Prime and Select for Retirees and Their Dependents
View
Table of Contents at Change 90
Change History
Affected Sections
Published Change Package
Acronyms
(263 KB)
Color Legend
(86 KB)
Download
Entire Manual at Change 90
(6 MB)
Sections Affected by Change 90
(714 KB)
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Search Change 90
Entire Manual
Chapter 199.1 -- Chap 199.1 TOC
Chapter 199..1 -- General Provisions
Chapter 199.2 -- Chap 199.2 TOC
Chapter 199.3 -- Chap 199.3 TOC
Chapter 199.4 -- Chap 199.4 TOC
Chapter 199.5 -- Chap 199.5 TOC
Chapter 199.6 -- Chap 199.6 TOC
Chapter 199.7 -- Chap 199.7 TOC
Chapter 199.8 -- Chap 199.8 TOC
Chapter 199.9 -- Chap 199.9 TOC
Chapter 199.10 -- Chap 199.10 TOC
Chapter 199.11 -- Chap 199.11 TOC
Chapter 199.12 -- Chap 199.12 TOC
Chapter 199.13 -- Chap 199.13 TOC
Chapter 199.14 -- Chap 199.14 TOC
Chapter 199.15 -- Chap 199.15 TOC
Chapter 199.16 -- Chap 199.16 TOC
Chapter 199.17 -- Chap 199.17 TOC
Chapter 199.18 -- Reserved
Chapter 199.19 -- Reserved
Chapter 199.20 -- Chap 199.20 TOC
Chapter 199.21 -- Chap 199.21 TOC
Chapter 199.22 -- Chap 199.22 TOC
Chapter 199.23 -- Chap 199.23 TOC
Chapter 199.24 -- Chap 199.24 TOC
Chapter 199.25 -- Chap 199.25 TOC
Chapter 199.26 -- Chap 199.26 TOC
July 1, 2001 Edition - Superseded
Last Updated:
October 12, 2004
Most Recent Change Number:
Change 27
The Table of Contents for each chapter within the TMA-Aurora version of the 32 CFR 199 can access a specific point in the manual. The link for accessing a specific paragraph in the CFR is within the first column of each reference of the Table of Contents. As you move your mouse over the page to the first column your mouse cursor will switch from it's current setting (usually) to a hand with it's index finger outstretched. This hand icon indicates an active link to the another document.
No future changes will be published to this edition.
Navigation
Version
Change 27 (October 12, 2004)
Change 26 (September 14, 2004)
Change 25 (August 20, 2004)
Change 24 (July 28, 2004)
Change 23 (May 21, 2004)
Change 22 (April 1, 2004)
Change 21 (March 26, 2004)
Change 20 (February 12, 2004)
Change 19 (November 19, 2003)
Change 18 (July 31, 2003)
Change 17 (July 22, 2003)
Change 16 (May 30, 2003)
Change 15 (April 30, 2003)
Change 14 (March 13, 2003)
Change 13 (February 10, 2003)
Change 12 (July 9, 2002)
Change 11 (June 25, 2002)
Change 10 (June 13, 2002)
Change 9 (April 17, 2002)
Change 8 (April 15, 2002)
Change 7 (April 3, 2002)
Change 6 (March 19, 2002)
Change 5 (February 12, 2002)
Change 4 (February 6, 2002)
Change 3 (January 30, 2002)
Change 2 (August 28, 2001)
Change 1 (August 3, 2001)
Baseline (July 1, 2001)
Page Count:
526
Final Rule
- Changes included in the National Defense Authorization Act for Fiscal Year 2002 (NDAA-02) and a technical correction included in the NDAA-03.
View
Table of Contents at Change 27
Change History
Affected Sections
Change Transmittal
Color Legend
(86 KB)
Download
Entire Manual at Change 27
(4 MB)
Sections Affected by Change 27
(2 MB)
Search
Search Change 27
Entire Manual
Chapter 199.1 -- General Provisions (Code of Federal Regulations)
Chapter 199.2 -- Definitions (Code of Federal Regulations)
Chapter 199.3 -- Eligibility (Code of Federal Regulations)
Chapter 199.4 -- Basic Program Benefits (Code of Federal Regulations)
Chapter 199.5 -- Program For Persons With Disabilities (PFPWD) (Code of Federal Regulations)
Chapter 199.6 -- Authorized Providers (Code of Federal Regulations)
Chapter 199.7 -- Claims Submission, Review, And Payment (Code of Federal Regulations)
Chapter 199.8 -- Double Coverage (Code of Federal Regulations)
Chapter 199.9 -- Administrative Remedies For Fraud, Abuse, And Conflict Of Interest (Code of Federal Regulations)
Chapter 199.10 -- Appeals And Hearings Procedures (Code of Federal Regulations)
Chapter 199.11 -- Overpayments Recovery (Code of Federal Regulations)
Chapter 199.12 -- Third Party Recoveries (Code of Federal Regulations)
Chapter 199.13 -- TRICARE Dental Program (Code of Federal Regulations)
Chapter 199.14 -- Provider Reimbursement Methods (Code of Federal Regulations)
Chapter 199.15 -- Quality And Utilization Review Peer Review Organization Program (Code of Federal Regulations)
Chapter 199.16 -- Supplemental Health Care Program For Active Duty Members (Code of Federal Regulations)
Chapter 199.17 -- TRICARE Program (Code of Federal Regulations)
Chapter 199.18 -- Uniform HMO Benefit (Code of Federal Regulations)
Chapter 199.19 -- Reserved (Code of Federal Regulations)
Chapter 199.20 -- Continued Health Care Benefit Program (CHCBP) (Code of Federal Regulations)
Chapter 199.21 -- Pharmacy Benefits Program (Code of Federal Regulations)
Chapter 199.22 -- TRICARE Retiree Dental Program (TRDP) (Code of Federal Regulations)
Chapter 199.23 -- Special Supplemental Food Program (Code of Federal Regulations)
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