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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 103, November 29, 2021

Page Count: 1,284
Summary of Changes: This change adds a five-year demonstration project that covers antepartum, postpartum, and continuous labor support services by certified labor doulas, and prenatal and postnatal group and individual breastfeeding counseling services by certified lactation consultants and certified lactation counselors. This change is published in conjunction with Apr 2015 TSM Change 56.
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TRICARE Policy Manual, Change 93, December 21, 2021

Page Count: 1,056
Summary of Changes: This is a correction to a recent published change on Prevention and Vision Care Updates. The correction revises the frequency for Flexible Sigmoidoscopy to once every five years.
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TRICARE Reimbursement Manual (TRM), Change 62, September 3, 2021

Page Count: 966
Summary of Changes: This manual change adds new language referencing temporary waivers and administrative corrections. This change is published in conjunction with Apr 2015 TPM Change 90.
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TRICARE Systems Manual, Change 56, November 29, 2021

Page Count: 710
Summary of Changes: This change adds a five-year demonstration project that covers antepartum, postpartum, and continuous labor support services by certified labor doulas, and prenatal and postnatal group and individual breastfeeding counseling services by certified lactation consultants and certified lactation counselors. This change is published in conjunction with Apr 2015 TOM Change 103.
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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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page.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 288, December 22, 2021

Page Count: 1,684
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TRM Change 199 and Feb 2008 TSM Change 143.
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TRICARE Policy Manual, Change 265, November 22, 2021

Page Count: 1,102
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TOM Change 287.
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TRICARE Reimbursement Manual, Change 199, December 22, 2021

Page Count: 1,014
Summary of Changes: CORRECTION: This change removes cross-reference "CY2021" that was inadvertently included in a published change (ConReq 21481 Published April 19 & 20, 2021). This change is published in conjunction with Feb 2008 TOM Change 288 and Feb 2008 TSM Change 143.
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TRICARE Systems Manual, Change 143, December 22, 2021

Page Count: 976
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TOM Change 288 and Feb 2008 TRM Change 199.
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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, Change 5003, December 16, 2021

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2021 TRM Change 5001.
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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 6010.63-M, April 2021 Change 5000; TRICARE Reimbursement Manual 6010.65-M, April 2021 Change 5000; and TRICARE Systems Manual 7950.3-M, April 2021 Change 5000.
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TRICARE Reimbursement Manual, Change 5001, December 16, 2021

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2021 TOM Change 5003.
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TRICARE Systems Manual, Change 5002, July 29, 2021

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2021 TOM Change 5002.
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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 88, November 30, 2021

Page Count: 538
Summary of Changes: Final Rule - TRICARE Program: TRICARE Reserve Select Coverage for Members of the Selected Reserve
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32 CFR 199 (2016), Change 14, November 30, 2021

Page Count: 506
Summary of Changes: Final Rule - TRICARE Program: TRICARE Reserve Select Coverage for Members of the Selected Reserve
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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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