TRICARE Policy Manual 6010.60-M, April 1, 2015 Chapter 4 Section 1.2 Treatment Of Unfortunate Sequelae And/Or Medically Necessary Follow-On Care Subsequent To Authorized Noncovered Initial Surgery Or Treatment In A Military Treatment Facility (MTF)/Enhanced Multi-Service Market (eMSM) Issue Date: February 28, 2012 Authority: 32 CFR 199.4(e)(9)(ii) Revision: 1.0 POLICY1.1 Benefits are available for otherwise covered drugs, services and supplies required in the treatment of unfortunate sequelae and/or medically necessary follow-on care subsequent to an authorized noncovered initial surgery or treatment provided in an MTF/eMSM, when the noncovered initial surgery or treatment is authorized by the MTF Commander/eMSM Manager and the MTF/eMSM is unable to provide the treatment of unfortunate sequelae and/or medically necessary follow-on care. 1.2 Documentation must be submitted by the provider or the beneficiary with the claim to provide evidence that:1.2.1 The noncovered initial surgery or treatment was provided in an MTF/eMSM and authorized by the MTF Commander/eMSM Manager; and 1.2.2 MTF/eMSM was unable to provide the subsequent treatment of unfortunate sequelae and or medically necessary follow-on care related to the non-covered initial surgery or treatment. 1.3 Treatment of unfortunate sequelae and medically necessary follow-on care includes otherwise covered services such as drugs, supplies, Physical Therapy (PT) and office visits.Note: Coverage for treatment of unfortunate sequelae includes expected and unexpected complications. 2.0 Effective DateFor treatment of unfortunate sequelae and/or necessary follow-on care subsequent to an authorized noncovered initial surgery or treatment occurring on or after October 17, 2011. - END -