TRICARE Policy Manual 6010.60-M, April 2015Chap 7MedicineRevision: C-104, Nov 4, 2022Section/Addendum Subject/Addendum Title1.1Sexual Dysfunctions And Paraphilic Disorders 1.2Gender Dysphoria2.1Clinical Preventive Services - TRICARE Basic Program Benefits2.2Clinical Preventive Services - TRICARE Prime And TRICARE Select2.3Family Planning2.4Cervical Cancer Screening2.5Well-Child Care2.6Chelation Therapy2.7Hydration, Therapeutic, Prophylactic, And Diagnostic Injections And Infusions 3.1Acute Hospital Psychiatric Care3.2Psychiatric Residential Treatment Center (RTC) Care3.3Inpatient/Residential Substance Use Disorder (SUD) Detoxification And Rehabilitation3.4Psychiatric And Substance Use Disorder (SUD) Partial Hospitalization Programs (PHPs) 3.5Substance Use Disorders (SUDs) - General 3.6Specific Learning Disorders3.7Attention-Deficit/Hyperactivity Disorder 3.8Treatment Of Mental Disorders - General3.9Ancillary Inpatient Mental Health Services 3.10Psychological Testing3.11Psychotherapy3.12Family Therapy3.13Psychotropic Pharmacologic Management3.14Collateral Visits3.15Eating Disorder Treatment3.16Intensive Outpatient Program (IOP)3.17Opioid Treatment Program (OTP)3.18Medication Assisted Treatment (MAT)4.1Biofeedback 4.2Dialysis 5.1Gastroenterology6.1Ophthalmological Services6.2Lenses (Intraocular Or Contact) And Eye Glasses6.3Cardiovascular Therapeutic Services7.1Speech Services8.1Special Otorhinolarygologic Services8.2Hearing Aids And Hearing Aid Services8.3Auditory Osseointegrated Implant (AOI) Devices9.1Electronystagmography (ENG) 10.1Echocardiogram For Dental And Invasive Procedures11.1Cardiac Rehabilitation12.1Non-Invasive Vascular Diagnostic Studies13.1Pulmonary Services14.1Allergy Testing And Treatment15.1Neurology And Neuromuscular Services15.2Sensory Evoked Potentials (SEP)16.1Central Nervous System (CNS) Assessments/Tests16.2Health And Behavior Assessment/Intervention 16.3Chemotherapy Administration16.4Education And Training For Patient Self Management17.1Dermatological Procedures - General18.1Rehabilitation - General18.2Physical Medicine/Therapy18.3Occupational Therapy18.4Osteopathic Manipulative Therapy18.5Chiropractic Manipulative Treatment (CMT) 19.1Diagnostic Sleep Studies20.1Hyperbaric Oxygen (HBO) Therapy21.1Chronic Fatigue Syndrome (CFS)22.1Telemedicine/Telehealth23.1Augmentative Communication Devices (ACDs)24.1Phase I, Phase II, And Phase III Cancer Clinical Trials24.2Coronavirus Disease 2019 (COVID-19) Clinical Trials25.1Dermoscopy 26.1Forensic Examinations Following Sexual Assault or Domestic Violence27.1Botulinum Toxin Injections