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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 62, January 28, 2020

Page Count: 1,208
Summary of Changes: This change adds a new demonstration. The demonstration is for family members and retirees in the Atlanta-area only. Kaiser-Permanente is the provider under Humana Military’s contract. This change is published in conjunction with Apr 2015 TSM Change 34.
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TRICARE Policy Manual, Change 60, March 13, 2020

Page Count: 1,010
Summary of Changes: This change provides the CY20 updated rates. This change is published in conjunction with Apr 2015 TRM Change 45.
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TRICARE Reimbursement Manual (TRM), Change 46, March 26, 2020

Page Count: 946
Summary of Changes: This change provides clarifying language, adds a new section and updates HHA PPS rates for CY 2020. This change is published in conjunction with Apr 2015 TSM Change 35.
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TRICARE Systems Manual, Change 35, March 26, 2020

Page Count: 704
Summary of Changes: This change adds modifier codes GC, GE and MA-MH. This change is published in conjunction with Apr 2015 TRM Change 46.
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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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 256, January 27, 2020

Page Count: 1,658
Summary of Changes: This change adds a new demonstration. The demonstration is for family members and retirees in the Atlanta-area only. Kaiser-Permanente is the provider under Humana Military’s contract. This change is published in conjunction with Feb 2008 TSM Change 124.
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TRICARE Policy Manual, Change 236, March 12, 2020

Page Count: 1,074
Summary of Changes: This change provides the CY20 updated rates. This change is published in conjunction with Feb 2008 TRM Change 182.
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TRICARE Reimbursement Manual, Change 183, March 25, 2020

Page Count: 1,000
Summary of Changes: This change provides clarifying language, adds a new section and updates HHA PPS rates for CY 2020. This change is published in conjunction with Feb 2008 TSM Change 125.
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TRICARE Systems Manual, Change 125, March 25, 2020

Page Count: 974
Summary of Changes: This change adds modifier codes GC, GE and MA-MH. This change is published in conjunction with Feb 2008 TRM Change 183.
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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 79, March 17, 2020

Page Count: 536
Summary of Changes: Final Rule - TRICARE; Addition of Physical Therapist Assistants and Occupational Therapy Assistants as TRICARE-Authorized Providers
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32 CFR 199 (2016), Change 5, March 17, 2020

Page Count: 504
Summary of Changes: Final Rule - TRICARE; Addition of Physical Therapist Assistants and Occupational Therapy Assistants as TRICARE-Authorized Providers
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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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Not available for this change

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TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

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If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help Resources page.

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