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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 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The Managed Care Support (MCS) Manuals (T-3) for contracts prior to 07/21/2016 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 112, August 16, 2022

Summary of Changes: This change clarifies TRICARE Select enrollment jurisdiction, updates language regarding Prime enrollment changes when outside a PSA, and updates the administrative process regarding Prime and Select enrollment fees.
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TRICARE Policy Manual, Change 100, August 3, 2022

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2015 TOM Change 111, Apr 2015 TRM Change 64, and Apr 2015 TSM Change 62.
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TRICARE Reimbursement Manual (TRM), Change 64, August 3, 2022

Summary of Changes: See summary details below. This change is published in conjunction with Apr 2015 TOM Change 111, Apr 2015 TPM Change 100, and Apr 2015 TSM Change 62.
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TRICARE Systems Manual, Change 62, August 3, 2022

Summary of Changes: This change deletes procedure codes to the Childbirth and Breastfeeding Support Demonstrations. This change is published in conjunction with Apr 2015 TOM Change 111, Apr 2015 TPM Change 100, and Apr 2015 TRM Change 64.
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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 16, August 1, 2022

Summary of Changes: Interim Final Rule - Enrollment Fee and Cost Sharing under TRICARE Prime and Select for Retirees and Their Dependents
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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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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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Superceded Manuals

TRICARE Operations Manual, Change 291, August 30, 2022

Page Count: 1,684
Summary of Changes: This change establishes 2023 premium rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program.
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TRICARE Policy Manual, Change 271, August 2, 2022

Page Count: 1,106
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TOM Change 289 and Feb 2008 TRM Change 200.
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TRICARE Reimbursement Manual, Change 200, August 2, 2022

Page Count: 1,014
Summary of Changes: This change finalizes without change certain provisions of TRICARE coverage and reimbursement of certain services resulting from temporary changes in response to the COVID-19 pandemic. This change terminates the waiver of copayments and cost-shares (including deductibles) for authorized telemedicine services provided by network providers in response to the COVID-19 pandemic. This change is published in conjunction with Feb 2008 TOM Change 289 and Feb 2008 TPM Change 271.
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TRICARE Systems Manual, Change 147, April 25, 2022

Page Count: 976
Summary of Changes: This change revises language and adds codes.
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32 CFR 199 (2005), Change 90, August 1, 2022

Page Count: 540
Summary of Changes: Interim Final Rule - Enrollment Fee and Cost Sharing under TRICARE Prime and Select for Retirees and Their Dependents
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