TMEP contractor shall comply
with all TRICARE requirements in
Chapter
13 regarding program integrity unless specifically changed,
waiver, or superseded by this section (as indicated below), the
TRICARE Policy Manual (TPM), TRICARE Reimbursement Manual (TRM),
TRICARE Systems Manual (TSM), or TMEP contract.
2.0 Controls,
Education, And Conflicts Of Interest
The TMEP contractor shall comply
with the requirements in
Chapter 13, Section 2 with
the exception of
paragraph 2.2 regarding a public education
program. The TMEP contractor shall conduct beneficiary and provider
education regarding fraudulent or abusive practices as appropriate.
5.0 Provider
Exclusions, Terminations, And Suspension Of Claims Processing
The TMEP contractor shall comply
with the requirements in
Chapter 13, Section 5 with
the following exceptions:
5.3 The requirements
in
Chapter 13, Section 5, paragraph 2.6.2.5 to
process all TED Record updates as required under Section H.10 ANNUAL
UNDERWRITTEN UNALLOWABLE HEALTHCARE COST COMPLIANCE REVIEW Cost
of Care audit requirement do not apply.