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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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 2, May 17, 2017

Page Count: 1,134
Summary of Changes: This change brings the T2017 Manuals current with the T-3 Manuals, by incorporating T-3 changes published from December 20, 2016 through March 28, 2017 and adds revisions and administrative updates. This change is published in conjunction with Apr 2015 TPM Change 2, Apr 2015 TRM Change 2, and Apr 2015 TSM Change 2.
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TRICARE Policy Manual, Change 3, May 23, 2017

Page Count: 1,040
Summary of Changes: See the Change Transmittal.
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TRICARE Reimbursement Manual (TRM), Change 2, May 17, 2017

Page Count: 930
Summary of Changes: This change brings the T2017 Manuals current with the T-3 Manuals, by incorporating T-3 changes published from December 20, 2016 through March 28, 2017 and adds revisions and administrative updates. This change is published in conjunction with Apr 2015 TOM Change 2, Apr 2015 TPM Change 2, and Apr 2015 TSM Change 2.
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TRICARE Systems Manual, Change 2, May 17, 2017

Page Count: 770
Summary of Changes: This change brings the T2017 Manuals current with the T-3 Manuals, by incorporating T-3 changes published from December 20, 2016 through March 28, 2017 and adds revisions and administrative updates. This change is published in conjunction with Apr 2015 TOM Change 2, Apr 2015 TPM Change 2, and Apr 2015 TRM Change 2.
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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), Baseline, December 1, 2016

Page Count: 502
Summary of Changes: This is the baseline version of the December 2016 32 CFR 199 (DHA Version).
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10 USC 55, Change 7, June 8, 2016

Page Count: 456
Summary of Changes: USC Classification Table, 114th, First Session (Public Laws 114-1 through 114-115)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 3, 2016).
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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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Superceded Manuals

TRICARE Operations Manual, Change 202, January 10, 2017

Page Count: 1,606
Summary of Changes: This change adds language for Active Duty Service Members who have sustained amputations, in order to refer to an Advanced Rehabilitation Center.
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TRICARE Policy Manual, Change 182, May 22, 2017

Page Count: 1,122
Summary of Changes: See the Change Transmittal.
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TRICARE Reimbursement Manual, Change 143, March 28, 2017

Page Count: 1,040
Summary of Changes: This change removes “urgently needed care” from the Emergency Services benefits chart, adds “urgent care” to the Individual Provider Services and Outpatient Hospital Departments sections, which revises the policy to clearly note urgent care co-pays as $12.
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TRICARE Systems Manual, Change 94, March 13, 2017

Page Count: 954
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TRM Change 141.
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32 CFR 199 (2005), Change 74, November 2, 2016

Page Count: 526
Summary of Changes: Final Rule: Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Refills of Maintenance Medications Through Military Treatment Facility Pharmacies or National Mail Order Pharmacy Program
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