TRICARE Operations Manual 6010.62-M, April 2021Chap 20TRICARE Medicare Eligible Program (TMEP)Revision: C-8, Jun 13, 2024Section/Addendum Subject/Addendum Title1Administration2TRICARE Medicare Eligible Program (TMEP) Transition3Financial Administration4Provider Certifications And Credentialing5Provider Networks6Enrollment7Medical Management (MM), Utilization Management (UM), and Quality Management (QM)8Claims Processing Procedures9Records Management10Claims Adjustments and Recoupments 11Communications and Customer Service (C and CS) 12Appeals And Hearings 13Program Integrity14Reports15Markets/Military Medical Treatment Facilities (MTF) and Contractor Interfaces16TRICARE Prime Remote (TPR) Program17Supplemental Health Care Program (SHCP) 18Demonstrations and Pilot Projects (Except Value-Based Initiatives)19Health Insurance Portability and Accountability Act (HIPAA)20Other TMEP Requirements21TRICARE Alaska22Reserve Component (RC) Health Coverage Plans23TRICARE Pharmacy (TPharm)24TRICARE Overseas Program (TOP)25TRICARE Young Adult (TYA) Program26Continued Health Care Benefits Program (CHCBP) 27Prime Service Area (PSA) Reduction Policies And Effective Dates28Prescription Monitoring Program (PMP)29Value-Based Programs, Pilots, And Demonstrations