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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 84, February 16, 2021

Page Count: 1,250
Summary of Changes: This change adds new requirements identified by the IPT including claims splitting and a new processing code. This change is published in conjunction with Apr 2015 TSM Change 46.
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TRICARE Policy Manual, Change 77, December 24, 2020

Page Count: 1,044
Summary of Changes: This change adds language to implement the Families First Coronavirus Response Act, Public Law 116-127, Division F, Section 6006(a). This change is published in conjunction with Apr 2015 TRM Change 52 and Apr 2015 TSM Change 44.
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TRICARE Reimbursement Manual (TRM), Change 54, February 3, 2021

Page Count: 960
Summary of Changes: This change adds a new section that aligns Medicare's Hospital Value Based Purchasing (HVBP) program for hospitals that are subject to TRICARE's diagnosis related group (DRG)-based payment system. This change is published in conjunction with Apr 2015 TSM Change 45.
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TRICARE Systems Manual, Change 46, February 16, 2021

Page Count: 706
Summary of Changes: This change adds new requirements identified by the IPT including claims splitting and a new processing code. This change is published in conjunction with Apr 2015 TOM Change 84.
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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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 270, January 4, 2021

Page Count: 1,666
Summary of Changes: This change rescinds the manual change allowing Uniformed Service sponsors to pay monthly TRICARE Young Adult (TYA) premiums via allotment from active duty or retiree pay for their TYA-eligible young adult age dependents.
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TRICARE Policy Manual, Change 250, December 23, 2020

Page Count: 1,094
Summary of Changes: This change adds language to implement the Families First Coronavirus Response Act, Public Law 116-127, Division F, Section 6006(a). This change is published in conjunction with Feb 2008 TRM Change 189 and Feb 2008 TSM Change 132.
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TRICARE Reimbursement Manual, Change 191, February 2, 2021

Page Count: 1,012
Summary of Changes: This change adds a new section that aligns Medicare's Hospital Value Based Purchasing (HVBP) program for hospitals that are subject to TRICARE's diagnosis related group (DRG)-based payment system. This change is published in conjunction with Feb 2008 TSM Change 133.
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TRICARE Systems Manual, Change 133, February 2, 2021

Page Count: 976
Summary of Changes: This change adds new codes. This change is published in conjunction with Feb 2008 TRM Change 191.
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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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