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TRICARE Operations Manual 6010.59-M, April 1, 2015
Chapter 21
Addendum A
TRICARE Internal Alaska Partnership Program
Revision:  C-107, April 18, 2022
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 1 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 2 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 3 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 4 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 5 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 6 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 7 of 8
A picture of a Memorandum, Subject TRICARE Policy Execution Directive for Implementing the Military-Civilian Health Services Partnership Program - Page 8 of 8 Enclosure 1 - Service Surgeons General Support Offices
A picture of an Enclosure 2 - Sample - Tempate Internal Partnership Agreement for Individual Agreements - Page 1 of 5
A picture of an Enclosure 2 - Sample - Tempate Internal Partnership Agreement for Individual Agreements - Page 2 of 5
A picture of an Enclosure 2 - Sample - Tempate Internal Partnership Agreement for Individual Agreements - Page 3 of 5
A picture of an Enclosure 2 - Sample - Tempate Internal Partnership Agreement for Individual Agreements - Page 4 of 5
A picture of an Enclosure 2 - Sample - Tempate Internal Partnership Agreement for Individual Agreements - Page 5 of 5
A picture of an Enclosure 2, Appendix A - Sample - Health Care Provider/Associated Support Personnel Staffing Letter of Agreement
A picture of an Enclosure 2, Appendix B - Sample - Claims Submission Requirements
A picture of an Enclosure 2, Appendix C - Sample - Negotiated Rates - Page 1 of 2
A picture of an Enclosure 2, Appendix C - Sample - Negotiated Rates - Page 2 of 2
A picture of an Enclosure 2, Appendix D - Sample - Approval of the Partnership Agreement
A picture of an Enclosure 3 - Sample - Template Internal Partnership Agreement For Group Agreements - Page 1 of 5
A picture of an Enclosure 3 - Sample - Template Internal Partnership Agreement For Group Agreements - Page 2 of 5
A picture of an Enclosure 3 - Sample - Template Internal Partnership Agreement For Group Agreements - Page 3 of 5
A picture of an Enclosure 3 - Sample - Template Internal Partnership Agreement For Group Agreements - Page 4 of 5
A picture of an Enclosure 3 - Sample - Template Internal Partnership Agreement For Group Agreements - Page 5 of 5
A picture of an Enclosure 3, Appendix A - Sample - Health Care Provider/Associated Support Personnel Staffing Letter of Agreement
A picture of an Enclosure 3, Appendix B - Sample - Claims Submission Requirements
A picture of an Enclosure 3, Appendix C - Sample - Negotiated Rates - Page 1 of 2
A picture of an Enclosure 3, Appendix C - Sample - Negotiated Rates - Page 2 of 2
A picture of an Enclosure 3, Appendix D - Sample - Approval of the Partnership Agreement
A picture of an Enclosure 4 - Sample - Military-Civilian Health Services Partnership Program Annual Justification
A picture of an Enclosure 5 - Business Case Analysis - Table of Contents
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 2 - Overview
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 3 - Definitions
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 4 - Executive Summary - Page 1 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 4 - Executive Summary - Page 2 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 5 - Eligible Population
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 6 - Primary Care Support Analysis - Page 1 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 6 - Primary Care Support Analysis - Page 2 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 7 - Specialist/Allied Health/Nurse Care Support Analysis
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 8 - Patient Appointment Workload - Page 1 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 8 - Patient Appointment Workload - Page 2 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 9 - Financial Analysis - Page 1 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 9 - Financial Analysis - Page 2 of 2
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 10 - Multiple Rates Worksheet
A picture of an Enclosure 5 - Business Case Analysis - Worksheet 11 - Other Benefits
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