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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 135, April 22, 2024
Summary of Changes: This change provides updates as a result of DoDIG audit.
TRICARE Policy Manual, Change 125, March 18, 2024
Summary of Changes: See summary details below.
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.
TRICARE Systems Manual, Change 78, May 2, 2024
Summary of Changes: This change includes 2 new Special processing codes RP and SD. RP - Mail Order Pharmacy (MOP), Specialty Clinical Services, Drugs Dispensed and SD - Mail Order Pharmacy (MOP) Specialty Supportive Drugs Dispensed. Also RP and SD have been added to two edits 2-305-33R and 2-30-48R.