These manuals serve for contracts awarded on or after 06/27/2008 for the North, South, and West Regions along with TQMC, CARS, TOP, and TPharm. The manuals will apply to the TDEFIC contract upon direction of the Contracting Officer
The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual. For the ADP Manual, select the TSM Manual.
TRICARE Operations Manual, Change 236, January 3, 2019
TRICARE Policy Manual, Change 216, January 14, 2019
Page Count: 1,066
Summary of Changes: This change updates the rates for Wigs and Hairpieces for CY19. This change is published in conjunction with
Feb 2008 TRM Change 168.
TRICARE Reimbursement Manual, Change 168, January 14, 2019
Page Count: 1,104
Summary of Changes: This change updates the rates for Skilled Nursing Facilities for FY19 and updates the Foreign Per Diem Rates and a coding error for FY19. This change is published in conjunction with
Feb 2008 TPM Change 216.
TRICARE Systems Manual, Change 111, November 15, 2018
Page Count: 974
Summary of Changes: This change updates the Telecommunications section in support of the Business-to-Business (B2B) Gateway integration into Medical Community of Interest (MedCOI) and transitions away from the Defense Information System Agency (DISA) legacy B2B gateway.