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TRICARE Operations Manual 6010.62-M, April 2021
TRICARE Medicare Eligible Program (TMEP)
Chapter 20
Section 5
Provider Networks
All TRICARE requirements noted in Chapter 5 regarding network development shall not apply to the TMEP unless specifically changed, waived, or superseded by this section (as indicated below), the TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM), TRICARE Systems Manual (TSM), or TMEP contract.
1.0  Provider Networks
The provisions of Chapter 5, Section 1, paragraphs 3.4 and 3.5 apply to TMEP and may be applicable for services provided to a TRICARE/Medicare dual eligible beneficiary by a network provider when TRICARE is primary payer.
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