Skip to main content
Military Health System
MHS Home
Utility Navigation Links
TRICARE.MIL
Main Navigation
Home
Manuals
Change History
Manuals by Date
Search
Help
Home
Manuals
TRICARE Program Manuals - 2021 Edition (T-5)
TRICARE Operations Manual 6010.62-M, April 2021
TRICARE Policy Manual 6010.63-M, April 2021
TRICARE Reimbursement Manual 6010.64-M, April 2021
TRICARE Systems Manual 7950.4-M, April 2021
TRICARE Program Manuals - 2015 Edition (T-2017)
TRICARE Operations Manual 6010.59-M, April 2015
TRICARE Policy Manual 6010.60-M, April 2015
TRICARE Reimbursement Manual 6010.61-M, April 2015
TRICARE Systems Manual 7950.3-M, April 2015
Other Manuals
32 CFR 199 (DHA Version), December 2016
DoD Women, Infants, and Children (WIC) Overseas Program Policy Manual, July 2017
Duplicate Claims System (DCS) User Guide, June 2017
10 USC 55 (DHA Version), January 2007
Change History
Manuals by Date
Search
Help
Need larger text?
MHS Home
>
TRICARE Reimbursement Manual 6010.61-M, April 2015
>
Change 2 - Affected Sections
TRICARE Reimbursement Manual 6010.61-M, April 2015, Change 2, List of Affected Sections
Chap 1 Sect 34 -- Hospital Inpatient Reimbursement In Locations Outside The 50 United States (U.S.) And The District Of Columbia
Page 3
Page 5
Page 7
Page 8
Page 9
Page 10
Chap 2 Sect 1 -- Cost-Shares And Deductibles For TRICARE Services Received Prior To January 1, 2018 And For TRICARE Services Received On Or After January 1, 2018 By TRICARE For Life (TFL) Beneficiaries
Page 6
Page 7
Page 8
Page 9
Chap 2 Addendum A -- Benefits And Beneficiary Payments Under The TRICARE Program For Services Received Prior To January 1, 2018; And For TRICARE Services Received On Or After January 1, 2018 By TRICARE For Life (TFL) Beneficiaries
Page 2
Page 3
Chap 3 Sect 3 -- Discounts
Page 3
Chap 4 Sect 4 -- Specific Double Coverage Actions
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Chap 5 Sect 4 -- Payment For Professional/Technical Components Of Diagnostic Services
Page 1
Page 2
Chap 6 TOC -- Diagnosis Related Groups (DRGs)
Page 1
Page 2
Chap 6 Sect 3 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Basis Of Payment)
Page 6
Page 7
Chap 6 Sect 7 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Adjusted Standardized Amounts (ASAs))
Page 1
Chap 6 Sect 8 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Adjustments To Payment Amounts)
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Chap 6 Addendum B -- TRICARE Adjusted Standardized Amounts (ASAs) - FY 2016 And Beyond
Page 1
Chap 6 Addendum C -- Diagnosis Related Groups (DRGs), DRG Relative Weights, Arithmetic And Geometric Mean Lengths-Of-Stay (LOS), And Short-Stay Outlier Thresholds - FY 2016 And Beyond
Page 1
Chap 7 Sect 1 -- Hospital Reimbursement - TRICARE Inpatient Mental Health Per Diem Payment System
Page 5
Page 6
Page 7
Chap 8 TOC -- Skilled Nursing Facilities (SNFs)
Page 1
Page 2
Chap 8 Sect 1 -- Skilled Nursing Facility (SNF) Prospective Payment System (PPS) For Services Received Prior To October 1, 2019
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Chap 9 Sect 1 -- Ambulatory Surgical Center (ASC) Reimbursement For Services Before October 1, 2023
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Chap 11 TOC -- Hospice
Page 1
Chap 11 Sect 4 -- Hospice Reimbursement - Guidelines For Payment Of Designated Levels Of Care
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 18
Page 19
Page 20
Page 21
Page 22
Page 23
Page 24
Page 25
Chap 12 Sect 4 -- Home Health Benefit Coverage And Reimbursement - Prospective Payment Methodology
Page 14
Page 17
Page 19
Chap 12 Addendum A -- Definitions And Acronym Table
Page 1
Chap 13 Sect 1 -- General
Page 10
Page 11
Chap 13 Sect 2 -- Billing And Coding Of Services Under Ambulatory Payment Classifications (APC) Groups
Page 12
Chap 13 Sect 3 -- Prospective Payment Methodology
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
Page 17
Page 18
Page 19
Page 20
Page 21
Page 22
Page 23
Page 24
Page 25
Page 26
Page 27
Page 28
Page 29
Page 30
Page 31
Page 32
Page 33
Page 34
Page 35
Page 36
Page 37
Page 38
Page 39
Chap 14 Sect 1 -- Sole Community Hospitals (SCHs)
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Chap 15 Sect 1 -- Critical Access Hospitals (CAHs)
Page 5
Page 6
Page 7
Page 8
Page 9
Chap 11 Addendum A (FY 2016) --
Page 1
Page 2
Index --
Page 1
Page 2
Page 4
Page 5
Chap 8 Addendum B (FY 2017) --
Page 1
Chap 8 Addendum D (FY 2017) --
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Chap 8 Addendum E (FY 2017) --
Page 1
Chap 8 Addendum F (FY 2017) --
Page 1
Chap 11 Addendum A (FY 2017) --
Page 1
Chap 11 Addendum B (FY 2017) --
Page 1
Chap 11 Addendum C (FY 2017) --
Page 1
You are leaving Health.mil
The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U.S. Government sites or the information, products, or services contained therein. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.
You are leaving Health.mil
View the external links disclaimer
.
OK
Cancel
Follow us on Instagram
Follow us on LinkedIn
Follow us on Facebook
Follow us on Twitter
Follow us on YouTube
Sign up on GovDelivery
Health.mil logo
Health.mil logo