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TRICARE Program Manuals - 2021 Edition (T-5)

These manuals are applicable to the T-5 East and West Regional Managed Care Support Contracts (MCSCs) (HT940223C0001 and HT940223C0002). Upon direction of the respective Contracting Officer (CO), all or portions of these manuals may also apply to other TRICARE contracts.

TRICARE Operations Manual, Change 18, October 11, 2024

Summary of Changes: This change brings the T5 Manuals current with the T17 Manuals, by incorporating T17 changes published from December 25, 2022 through July 1, 2023. This change is published in conjunction with TRICARE Policy Manual 6010.64-M, April 2021 Change 21; TRICARE Reimbursement Manual 6010.65-M, April 2021 Change 11; and TRICARE Systems Manual 7950.3-M, April 2021 Change 13.
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TRICARE Policy Manual, Change 22, October 15, 2024

Summary of Changes: This change clarifies language to establish that tests used for on-label indications as companion diagnostics are covered benefits.
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TRICARE Reimbursement Manual, Change 12, October 17, 2024

Summary of Changes: See summary details below.
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TRICARE Systems Manual, Change 13, October 11, 2024

Summary of Changes: This change brings the T5 Manuals current with the T17 Manuals, by incorporating T17 changes published from December 25, 2022 through July 1, 2023. This change is published in conjunction with TRICARE Operations Manual 6010.63-M, April 2021 Change 18; TRICARE Policy Manual 6010.64-M, April 2021 Change 21; and TRICARE Reimbursement Manual 6010.65-M, April 2021 Change 11.
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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.

The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 140, August 2, 2024

Summary of Changes: This change updates requirements to direct the Private Sector Care Contractor to manage Other Health Insurance (OHI) information without use of DMDC's OHI Repository. This change is published in conjunction with TRICARE Policy Manual 6010.60-M, April 2015 Change 130; TRICARE Reimbursement Manual 6010.61-M, April 2015 Change 81; and TRICARE Systems Manual 7950.3-M, April 2015 Change 82.
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TRICARE Policy Manual, Change 135, September 26, 2024

Summary of Changes: This change clarifies language to establish that tests used for on-label indications as companion diagnostics are covered benefits.
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TRICARE Reimbursement Manual (TRM), Change 84, October 16, 2024

Summary of Changes: See summary details below.
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TRICARE Systems Manual, Change 83, October 21, 2024

Summary of Changes: This change updates Batch/Voucher ASAP Account Number Format.
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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 (2016), Change 19, May 24, 2024

Summary of Changes: Final Rule - TRICARE; Removal of Certain Temporary Regulation Changes Made in Response to COVID-19
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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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Not available for this change

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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