TRICARE Operations Manual 6010.59-M

Each TRICARE Manual on the web incorporates all changes by the date of publication. Although changes are published, they may not be implemented by the contractor until directed to do so by the Contracting Officer.
The TRICARE Operations Manual (TOM) is incorporated by reference into the Managed Care Support Contracts (MCSCs) and is the primary vehicle for operational guidelines and instructions to the contractor. The TOM provides a mechanism for clarifying and modifying existing contractual requirements, adding new specifications/requirements and deleting obsolete information. All or portions of the TOM may also be incorporated by reference into other TRICARE contracts.

April 1, 2015 edition

These manuals are applicable to the East and West Regional Managed Care Support Contracts awarded on or after 07/21/2016. Upon direction of the Contracting Officer, all or portions of these manuals may also apply to the TRICARE Quality Monitoring Contract (TQMC), TRICARE Claims Audit Review Services (TCARS), TRICARE Overseas Program (TOP), TRICARE Pharmacy (TPharm), TRICARE Dental Program (TDP), and TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC).
The April 1, 2015 edition of the TRICARE Operations Manual (TOM), 6010.59-M, is available online.
All future changes will be published to this edition.
Last Updated: November 30, 2018
Most Recent Change Number: Change 41


Page Count: 1,182
Summary of Changes: This change adds TRICARE coverage for: (1) joint response (where the ambulance and the paramedic are provided by different entities) when there is no agreement between the two providers and (2) treat-and-release (where services are administered but no transport is made). This change is published in conjunction with Apr 2015 TPM Change 36 and Apr 2015 TRM Change 27.