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.