All TRICARE requirements in
Chapter
13 regarding program integrity shall apply to TMEP 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specifically changed, waiver, or superseded by this section (as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 provisions
of
Chapter 13, Section 2 apply to TMEP. The TMEP
shall conduct beneficiary and provider education regarding fraudulent
or abusive practices as appropriate.
4.0 Provider
Exclusions, Terminations, and Suspension of Claims Processing
The provisions of
Chapter 13, Section 5 apply to TMEP with the
following exceptions:
4.3 The provisions of Chapter
13, Section 5, paragraphs 9.3.4 and 9.3.4.1,
contractor requirements for termination, are not applicable to TMEP.