Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

View Manuals by Date (as of 4/29/2020)


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 65, April 29, 2020

Page Count: 1,208
Summary of Changes: This change is clarifying the preauthorization requirements for Provisional Coverage of services and supplies, depending on the service or supply being covered, and specifically removing the preauthorization requirement for Digital Breast Tomosynthesis (also referred to as 3D mammograms) and Platelet Rich Plasma Injections. This change is published in conjunction with Apr 2015 TPM Change 63.
Search

TRICARE Policy Manual, Change 63, April 29, 2020

Page Count: 1,020
Summary of Changes: This change is clarifying the preauthorization requirements for Provisional Coverage of services and supplies, depending on the service or supply being covered, and specifically removing the preauthorization requirement for Digital Breast Tomosynthesis (also referred to as 3D mammograms) and Platelet Rich Plasma Injections. This change is published in conjunction with Apr 2015 TOM Change 65.
Search

TRICARE Reimbursement Manual (TRM), Change 48, April 17, 2020

Page Count: 946
Summary of Changes: This change clarifies coverage for assistant surgeons and surgical assistants. This change is published in conjunction with Apr 2015 TOM Change 63 and Apr 2015 TPM Change 61.
Search

TRICARE Systems Manual, Change 36, April 15, 2020

Page Count: 704
Summary of Changes: This change adds an edit grouping for portions of the CHCBP health plan, adds language to the definitions of existing codes to clarify individual or family coverage, removes an edit code grouping, adds relational edit code for plasma injections and adds denial adjustment codes for cases where the billing provider is not eligible to receive payments for billed services and where benefits are not available under the plan.
Search

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 259, April 28, 2020

Page Count: 1,658
Summary of Changes: This change is clarifying the preauthorization requirements for Provisional Coverage of services and supplies, depending on the service or supply being covered, and specifically removing the preauthorization requirement for Digital Breast Tomosynthesis (also referred to as 3D mammograms) and Platelet Rich Plasma Injections. This change is published in conjunction with Feb 2008 TPM Change 239.
Search

TRICARE Policy Manual, Change 239, April 28, 2020

Page Count: 1,084
Summary of Changes: This change is clarifying the preauthorization requirements for Provisional Coverage of services and supplies, depending on the service or supply being covered, and specifically removing the preauthorization requirement for Digital Breast Tomosynthesis (also referred to as 3D mammograms) and Platelet Rich Plasma Injections. This change is published in conjunction with Feb 2008 TOM Change 259.
Search

TRICARE Reimbursement Manual, Change 185, April 16, 2020

Page Count: 1,000
Summary of Changes: This change clarifies coverage for assistant surgeons and surgical assistants. This change is published in conjunction with Feb 2008 TOM Change 257 and Feb 2008 TPM Change 237.
Search

TRICARE Systems Manual, Change 126, April 14, 2020

Page Count: 974
Summary of Changes: This change adds an edit grouping for portions of the CHCBP health plan, adds language to the definitions of existing codes to clarify individual or family coverage, removes an edit code grouping, adds relational edit code for plasma injections and adds denial adjustment codes for cases where the billing provider is not eligible to receive payments for billed services and where benefits are not available under the plan.
Search

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 79, March 17, 2020

Page Count: 536
Summary of Changes: Final Rule - TRICARE; Addition of Physical Therapist Assistants and Occupational Therapy Assistants as TRICARE-Authorized Providers
Search

32 CFR 199 (2016), Change 5, March 17, 2020

Page Count: 504
Summary of Changes: Final Rule - TRICARE; Addition of Physical Therapist Assistants and Occupational Therapy Assistants as TRICARE-Authorized Providers
Search

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).
Search

DCS User Guide, Baseline, June 1, 2017

Page Count: 202
Summary of Changes: This is the June 2017 Duplicate Claims System (DCS) User Guide.
Download
Search
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
Download
Search
Not available for this change

Utility Navigation Links

DoD Seal

tricare.mil is the offical website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help Resources page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.5.7082.22297

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.