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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, Baseline, December 5, 2022

Summary of Changes: This is the baseline version of the April 2021 TRICARE Operations Manual (TOM).
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TRICARE Policy Manual, Baseline, December 5, 2022

Summary of Changes: This is the baseline version of the April 2021 TRICARE Policy Manual (TPM).
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TRICARE Reimbursement Manual, Baseline, December 5, 2022

Summary of Changes: This is the baseline version of the April 2021 TRICARE Reimbursement Manual (TRM).
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TRICARE Systems Manual, Baseline, December 5, 2022

Summary of Changes: This is the baseline version of the April 2021 TRICARE System Manual (TSM).
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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The Managed Care Support (MCS) Manuals for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 116, February 22, 2023

Summary of Changes: Revise performance standard to more accurately reflect contractor processing of potential duplicates identified by the DHA Duplicate Claims System and update DCS training requirements for transition to on-line training application. This change is published in conjunction with Apr 2015 TSM Change 64.
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TRICARE Policy Manual, Change 107, January 6, 2023

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2015 TRM Change 66.
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TRICARE Reimbursement Manual (TRM), Change 66, January 6, 2023

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2015 TPM Change 107.
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TRICARE Systems Manual, Change 64, February 22, 2023

Summary of Changes: Revise performance standard to more accurately reflect contractor processing of potential duplicates identified by the DHA Duplicate Claims System and update DCS training requirements for transition to on-line training application. This change is published in conjunction with Apr 2015 TOM Change 116.
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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 17, January 12, 2023

Summary of Changes: Interim Final Rule - Expanding TRICARE Access to Care in Response to the COVID-19 Pandemic
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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
Superceded Manuals

32 CFR 199 (2005), Change 90, August 1, 2022

Page Count: 540
Summary of Changes: Interim Final Rule - Enrollment Fee and Cost Sharing under TRICARE Prime and Select for Retirees and Their Dependents
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If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page.

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