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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, Change 13, August 22, 2024

Summary of Changes: This change implements adjustments to the demonstration and outlines special policies for implementation of the Childbirth and Breastfeeding Support Demonstration overseas. This change is published in conjunction with TRICARE Systems Manual 7950.3-M, April 2021 Change 9.
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TRICARE Policy Manual, Change 12, August 26, 2024

Summary of Changes: See summary details below.
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TRICARE Reimbursement Manual, Change 8, August 23, 2024

Summary of Changes: This change adds a new addendum regarding Billed charges and the Reimbursement for Professional and DMEPOS/PEN Services without Fee-Scheduled Rates.
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TRICARE Systems Manual, Change 9, August 22, 2024

Summary of Changes: This change implements adjustments to the demonstration and outlines special policies for implementation of the Childbirth and Breastfeeding Support Demonstration overseas. This change is published in conjunction with TRICARE Operations Manual 6010.63-M, April 2021 Change 13.
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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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 140, August 2, 2024

Summary of Changes: This change updates requirements to direct the Private Sector Care Contractor to manage Other Health Insurance (OHI) information without use of DMDC's OHI Repository. This change is published in conjunction with TRICARE Policy Manual 6010.60-M, April 2015 Change 130; TRICARE Reimbursement Manual 6010.61-M, April 2015 Change 81; and TRICARE Systems Manual 7950.3-M, April 2015 Change 82.
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TRICARE Policy Manual, Change 132, August 29, 2024

Summary of Changes: This change aligns TRICARE policy with a provision in the National Defense Authorization Act for Fiscal Year 2024 (Sec. 703) that expands coverage of hearing aids to child dependents of certain former members of the uniformed services.
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TRICARE Reimbursement Manual (TRM), Change 83, August 20, 2024

Summary of Changes: This change updates the mental health reimbursement rates and moves an incorrect reference to the RTC 771 Form from TPM, Chapter 11 Addendum D to Addendum E. This change is published in conjunction with TRICARE Policy Manual 6010.60-M, April 2015 Change 131.
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TRICARE Systems Manual, Change 82, August 2, 2024

Summary of Changes: This change updates requirements to direct the Private Sector Care Contractor to manage Other Health Insurance (OHI) information without use of DMDC's OHI Repository. This change is published in conjunction with TRICARE Operations Manual 6010.59-M, April 2015 Change 140; TRICARE Policy Manual 6010.60-M, April 2015 Change 130; and TRICARE Reimbursement Manual 6010.61-M, April 2015 Change 81.
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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 19, May 24, 2024

Summary of Changes: Final Rule - TRICARE; Removal of Certain Temporary Regulation Changes Made in Response to COVID-19
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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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