TRICARE Policy Manual 6010.57-M
The TRICARE Policy Manual (TPM) is incorporated by reference in the Managed Care Support Services (MCSS) contracts and is the principal vehicle for operating guidelines and instructions. The TPM provides a mechanism for keeping the contracts current by clarifying or modifying existing contractual requirements, adding new specifications/requirements and deleting obsolete information. The TPM, in conjunction with the February 2008 TRICARE Reimbursement Manual, provides guidance, policy interpretation and decisions implementing TRICARE, including those policies and procedures applicable to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). The TPM contains operational policy necessary to implement Title 32 to the Code of Federal Regulations Part 199 (32 CFR 199). This manual augments the 32 CFR 199 and must be used in conjunction for complete policy information.
This manual is valid for contracts awarded on or after June 27, 2008 for the North, South, and West Regions along with TQMC, CARS, TOP, and TPharm. The manuals will apply to the TDEFIC contract upon direction of the Contracting Officer.
The February 1, 2008 edition of the TRICARE Policy Manual (TPM), 6010.57-M, is available online.
All future changes will be published to this edition.Page Count: 1,088
Summary of Changes: This change corrects errors to the Fetal Surgery and Continuous Glucose Monitoring System.
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This manual is valid for contracts awarded on or after May 1, 2003 through June 26, 2008 for the North, South, and West Regions along with TDEFIC, NQMC, CARS, Retail, and TMOP.
The August 1, 2002 edition of the TRICARE Policy Manual (TPM), 6010.54-M, is available online. This edition supersedes the June 25, 1999 edition. All changes to the June 25, 1999 edition (through Change 22 dated April 30, 2004) have been incorporated.
No future changes will be published to this edition.Page Count: 1,144
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This manual is valid for contracts awarded on or before April 30, 2003.
The March 15, 2002 edition of the TRICARE Policy Manual (POL), 6010.47-M, is available online. This edition reissued the TRICARE Policy Manual and supersedes the June 25, 1999 edition. All changes to the June 25, 1999 edition (through Change 33 dated February 13, 2002) have been incorporated.
No future changes will be published to this edition.Page Count: 980
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The June 25, 1999 edition of the TRICARE Policy Manual (POL), 6010.47-M, is available online. This edition reissued the TRICARE Policy Manual and supersedes the December 18, 1998 edition. All changes to the December 18, 1998 edition (through Change 12 dated May 14, 1999) have been incorporated.
This online edition incorporates "Work Simplification" as described in this
Notice.
No future changes will be published to this edition.Page Count: 1,630
Summary of Changes: This change permits the temporary extension of TFL and TSRx benefits for whom a DEERS response of 7ONE is received. This change is published in conjunction with
Mar 2001 OPM Change 13.
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The December 18, 1998 edition of the TRICARE/CHAMPUS Policy Manual (POL), 6010.47-M, is available online. This edition reissued the TRICARE/CHAMPUS Policy Manual and supersedes the May 15, 1996 edition. All changes to the May 15, 1996 edition (through Change 35 dated November 4, 1998) have been incorporated.
This online edition includes the following administrative changes: reformatting, editorial changes and deletion of
obsolete material.
No future changes will be published to this edition.Page Count: 0
Summary of Changes: This correction removes the reference to living donor lobar lung transplantation listed in EXCLUSIONS and viral-induced liver disease when evidence of viremia is present which were inadvertently not deleted in
Dec 1998 Policy Change 10.
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The May 15, 1996 edition of the TRICARE/CHAMPUS Policy Manual (POL), 6010.47-M, is available online in a limited capacity. The user can only view/save Changes 1 (May 20, 1996) through 35 (November 4, 1998). This edition supersedes the September 1, 1989 edition and incorporates all changes to that manual through Change 105 dated March 1, 1996.
The "Entire Change Package" option indicates that the entire change package was small enough to be contained in one file; however, if it is a large change package the package will be divided into parts. (Example: Part 1: Chap 1 - 3, Part 2: Chap 4 - 6, etc.). Legend for abbreviations used below: Chap = Chapter, Sec = Section, Add = Addendum, Tbl = Table, TOC = Table of Contents, Pgs = Pages.
No future changes will be published to this edition.Page Count: 0
Summary of Changes: This change provides additional clarifying instructions for the CHAMPUS DRG-based payment system including payment of transfer cases with cost outliers and reimbursement of capital and direct medical education costs, and corrects the footnote for the wage index for MSA 1650. This change also sets forth the payment conditions for corneal tissue used in a corneal transplant that is performed in an ambulatory surgery center, a physician''s office, or on an outpatient basis. The physical therapy policy is being reissued to remove the diapulse criteria that was inadvertently left in a previous change.
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