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TRICARE Operations Manual 6010.59-M, April 1, 2015
Demonstrations And Pilot Projects (Except Value-Based Initiatives)
Chapter 18
Section 1
General
Revision:  C-21, March 1, 2018
1.0  Purpose Of And Authority For Demonstrations
Section 1092, Chapter 55, Title 10 of the United States Code (USC) allows the Secretary of Defense to conduct studies and demonstration projects. This section also specifies that the Secretary may enter into contracts with public or private organizations to conduct these studies and demonstrations.
2.0  Organization
In the spring of 1985, the Director, TRICARE Management Activity (TMA) was charged with the responsibility for administering all medical care demonstrations for the Department of Defense (DoD). This chapter provides specific instructions regarding processing claims which are affected by demonstrations.
3.0  Restrictions On Scope Of Benefits Furnished Under Demonstration Projects
3.1  Proposed new benefits provided under demonstration authority must receive Defense Health Agency (DHA) agency coordination in the same manner as any other proposed TRICARE benefit; and
3.2  Unless specific statutory demonstration authority provides otherwise, benefits may not be provided under a demonstration project that would otherwise be considered unproven under TRICARE Standard through December 31, 2017 or TRICARE Select starting January 1, 2018.
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