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TRICARE Program Manuals - 2015 Edition (T-2017)

These manuals are applicable to the East and West Regional Managed Care Support Contracts (MCSCs) awarded on or after 07/21/2016. Upon direction of the Contracting Officer (CO), all or portions of these manuals may also apply to the TQMC, TCARS, TOP, TPharm, TDP, and TDEFIC.

TRICARE Operations Manual, Change 90, May 21, 2021

Page Count: 1,264
Summary of Changes: This change temporarily waives the 36 month coverage limit during the COVID-19 pandemic.
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TRICARE Policy Manual, Change 83, June 2, 2021

Page Count: 1,046
Summary of Changes: This change will allow podiatrists to prescribe Physical and Occupational Therapy, acting within the scope of their license.
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TRICARE Reimbursement Manual (TRM), Change 59, May 26, 2021

Page Count: 964
Summary of Changes: This change adds a medical review assessment requirement and new CDRLs.
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TRICARE Systems Manual, Change 48, April 9, 2021

Page Count: 706
Summary of Changes: This change provides a new pricing code. This change is published in conjunction with Apr 2015 TPM Change 80 and Apr 2015 TRM Change 57.
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TRICARE Program Manuals - 2008 Edition (T-3)

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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 276, May 20, 2021

Page Count: 1,678
Summary of Changes: This change temporarily waives the 36 month coverage limit during the COVID-19 pandemic.
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TRICARE Policy Manual, Change 256, June 1, 2021

Page Count: 1,096
Summary of Changes: This change will allow podiatrists to prescribe Physical and Occupational Therapy, acting within the scope of their license.
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TRICARE Reimbursement Manual, Change 195, April 19, 2021

Page Count: 1,016
Summary of Changes: See the Change Transmittal.
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TRICARE Systems Manual, Change 135, April 8, 2021

Page Count: 976
Summary of Changes: This change provides a new pricing code. This change is published in conjunction with Feb 2008 TPM Change 253 and Feb 2008 TRM Change 194.
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For RFP Use Only: TRICARE Program Manuals - 2021 Edition (T-5)

These manuals are intended to be used for the draft T5 Request for Proposal. The T5 Manual set is non-operational and should not be used to adjudicate claims.

TRICARE Operations Manual, RFP Baseline, April 6, 2021

Summary of Changes: RFP Baseline. This change is published in conjunction with TRICARE Policy Manual 6010.63-M, April 2021 Change 5000; TRICARE Reimbursement Manual 6010.64-M, April 2021 Change 5000; and TRICARE Systems Manual 7950.4-M, April 2021 Change 5000.
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TRICARE Policy Manual, RFP Baseline, April 6, 2021

Summary of Changes: RFP Baseline. This change is published in conjunction with TRICARE Operations Manual 6010.62-M, April 2021 Change 5000; TRICARE Reimbursement Manual 6010.64-M, April 2021 Change 5000; and TRICARE Systems Manual 7950.4-M, April 2021 Change 5000.
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TRICARE Reimbursement Manual, RFP Baseline, April 6, 2021

Summary of Changes: RFP Baseline. This change is published in conjunction with TRICARE Operations Manual 6010.62-M, April 2021 Change 5000; TRICARE Policy Manual 6010.63-M, April 2021 Change 5000; and TRICARE Systems Manual 7950.4-M, April 2021 Change 5000.
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TRICARE Systems Manual, RFP Baseline, April 6, 2021

Summary of Changes: RFP Baseline. This change is published in conjunction with TRICARE Operations Manual 6010.62-M, April 2021 Change 5000; TRICARE Policy Manual 6010.63-M, April 2021 Change 5000; and TRICARE Reimbursement Manual 6010.64-M, April 2021 Change 5000.
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Other Manuals

Authority for the TRICARE Program is the 32 CFR 199. DHA is providing a version of Title 32 to the Code of Federal Regulations, Part 199 (32 CFR 199) and 10 United States Code Chapter 55 as a convenience for the DHA community.

32 CFR 199 (2005), Change 86, November 17, 2020

Page Count: 538
Summary of Changes: Final Rule - CY2021 TRICARE Reserve Select/TRICARE Retired Reserve/TRICARE Young Adult Premium Update
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32 CFR 199 (2016), Change 12, November 17, 2020

Page Count: 506
Summary of Changes: Final Rule - TRICARE: Referring of Physical Therapy and Occupational Therapy by Doctors of Podiatric Medicine Acting Within the Scope of their License
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10 USC 55, Change 9, June 27, 2018

Page Count: 518
Summary of Changes: USC Classification Table, 115th, First Session (Public Laws 115-1 through 115-117)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 12, 2018).
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DCS User Guide, Baseline, June 1, 2017

Page Count: 202
Summary of Changes: This is the June 2017 Duplicate Claims System (DCS) User Guide.
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DoD WIC Overseas Program Policy Manual, Baseline, July 1, 2017

Page Count: 27
Summary of Changes: This is the July 2017 WIC Overseas Program Policy Manual
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