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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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 133, January 12, 2024

Summary of Changes: This change updates the coverage criteria for NIPT testing under the LDT demonstration. This change is published in conjunction with TRICARE Systems Manual 7950.3-M, April 2015 Change 76.
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TRICARE Policy Manual, Change 125, March 18, 2024

Summary of Changes: See summary details below.
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TRICARE Reimbursement Manual (TRM), Change 77, March 25, 2024

Summary of Changes: This change updates applicability for Ambulatory Surgery Center reimbursement policy and General Temporary Military Contingency Payment Adjustment language regarding hold harmless payments and the Outpatient Prospective Payment System year dates.
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TRICARE Systems Manual, Change 77, March 12, 2024

Summary of Changes: This change corrects an administrative error and replaces the word "Defense Enrollment Eligibility Reporting System (DEERS)" with "application". This change is published in conjunction with TRICARE Policy Manual 6010.60-M, April 2015 Change 124.
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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 18, April 4, 2023

Summary of Changes: Final Rule - TRICARE; Reimbursement of Ambulatory Surgery Centers and Outpatient Services Provided in Cancer and Children's Hospitals
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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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