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.
The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.
TRICARE Operations Manual, Change 159, May 6, 2026
TRICARE Policy Manual, Change 160, April 27, 2026
Summary of Changes: Miscellaneous coding updates to remove deleted codes and update current codes.
TRICARE Reimbursement Manual (TRM), Change 90, May 14, 2026
Summary of Changes: This change fixes the ESRD reimbursement rates for CY2025 and adds a note stating that at the beginning in CY 2026, annual updates will no longer be published in the TRICARE manuals; they will continue to be published to the TRICARE website.
TRICARE Systems Manual, Change 97, May 11, 2026