Each TMA Manual distributed on the web currently 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.
Each TRICARE Manual on the web incorporates all changes by the date of publication. Although changes are published, they may not be implemented by the contractor until directed to do so by the Contracting Officer.
The TRICARE Operations Manual (TOM) is incorporated by reference into the Managed Care Support Contracts (MCSCs) and is the primary vehicle for operational guidelines and instructions to the contractor. The TOM provides a mechanism for clarifying and modifying existing contractual requirements, adding new specifications/requirements and deleting obsolete information. All or portions of the TOM may also be incorporated by reference into other TRICARE contracts.
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April 1, 2015 Edition
Last Updated: March 15, 2019
Most Recent Change Number: Change 45
These manuals are applicable to the East and West Regional Managed Care Support Contracts awarded on or after 07/21/2016. Upon direction of the Contracting Officer, all or portions of these manuals may also apply to the TRICARE Quality Monitoring Contract (TQMC), TRICARE Claims Audit Review Services (TCARS), TRICARE Overseas Program (TOP), TRICARE Pharmacy (TPharm), TRICARE Dental Program (TDP), and TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC).
The April 1, 2015 edition of the TRICARE Operations Manual (TOM), 6010.59-M, is available online.
All future changes will be published to this edition.
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This change adds new Category I CPT codes for applied behavior analysis (ABA) under the Autism Care Demonstration (ACD). This change is published in conjunction with
Apr 2015 TSM Change 23.