Manual Table of Contents

TRICARE/CHAMPUS Policy Manual 6010.47-M, December 1998, Change 12 (May 14, 1999)

  1. Collapse to hide TRICARE/CHAMPUS Policy Manual contentsManualTRICARE/CHAMPUS Policy Manual 6010.47-M, December 1998
    1. PDF FilePOL TOC (TRICARE/CHAMPUS Policy Manual)
    2. PDF FilePOL (Tricare/CHAMPUS Policy Manual)
    3. PDF FilePOL (Tricare/CHAMPUS Policy Manual)
    4. PDF FilePOL Foreword (TRICARE/CHAMPUS Policy Manual)
    5. PDF FilePOL Introduction (TRICARE/CHAMPUS Policy Manual)
    6. Expand to show POL Chap 1 TOC contentsPDF FilePOL Chap 1 TOC -- Medical Services (TRICARE/CHAMPUS Policy Manual)
      1. Expand to show POL Chap 2 TOC contentsPDF FilePOL Chap 2 TOC -- Anesthesia (TRICARE/CHAMPUS Policy Manual)
        1. Expand to show POL Chap 3 TOC contentsPDF FilePOL Chap 3 TOC -- Surgery And Related Services (TRICARE/CHAMPUS Policy Manual)
          1. Expand to show POL Chap 4 TOC contentsPDF FilePOL Chap 4 TOC -- Radiology (TRICARE/CHAMPUS Policy Manual)
            1. Expand to show POL Chap 5 TOC contentsPDF FilePOL Chap 5 TOC -- Pathology And Laboratory Services (TRICARE/CHAMPUS Policy Manual)
              1. Expand to show POL Chap 6 TOC contentsPDF FilePOL Chap 6 TOC -- Institutional Services (TRICARE/CHAMPUS Policy Manual)
                1. Expand to show POL Chap 7 TOC contentsPDF FilePOL Chap 7 TOC -- Other Services (TRICARE/CHAMPUS Policy Manual)
                  1. Expand to show POL Chap 8 TOC contentsPDF FilePOL Chap 8 TOC -- Special Benefit Information (TRICARE/CHAMPUS Policy Manual)
                    1. Expand to show POL Chap 9 TOC contentsPDF FilePOL Chap 9 TOC -- Eligibility Policy (TRICARE/CHAMPUS Policy Manual)
                      1. Expand to show POL Chap 10 TOC contentsPDF FilePOL Chap 10 TOC -- Provider Policy (TRICARE/CHAMPUS Policy Manual)
                        1. Expand to show POL Chap 11 TOC contentsPDF FilePOL Chap 11 TOC -- Administrative Policy (TRICARE/CHAMPUS Policy Manual)
                          1. Collapse to hide POL Chap 12 TOC contentsPDF FilePOL Chap 12 TOC -- TRICARE (TRICARE/CHAMPUS Policy Manual)
                            1. PDF FilePOL Chap 12 Sect 1.1 -- TRICARE - Overview (Tricare/CHAMPUS Policy Manual)
                            2. PDF FilePOL Chap 12 Sect 1.2 -- TRICARE Overseas Program (TOP) (Tricare/CHAMPUS Policy Manual)
                            3. PDF FilePOL Chap 12 Sect 2.1 -- TRICARE - Costs And Uniform HMO Benefit (Tricare/CHAMPUS Policy Manual)
                            4. PDF FilePOL Chap 12 Sect 2.1 -- Benefits And Beneficiary Payments Under The TRICARE Program Table 1 (Tricare/CHAMPUS Policy Manual)
                            5. PDF FilePOL Chap 12 Sect 2.2 -- TRICARE Prime - Catastrophic Loss Protection (Tricare/CHAMPUS Policy Manual)
                            6. PDF FilePOL Chap 12 Sect 2.3 -- TRICARE Overseas Program (TOP) - Costs And Uniform HMO Benefits (Tricare/CHAMPUS Policy Manual)
                            7. PDF FilePOL Chap 12 Sect 2.3 -- Benefits And Beneficiary Payments Under The TRICARE Overseas Program Beginning October 1, 1996 Table 1 (Tricare/CHAMPUS Policy Manual)
                            8. PDF FilePOL Chap 12 Sect 2.4 -- TRICARE Overseas Program Prime - Catastrophic Loss Protection (Tricare/CHAMPUS Policy Manual)
                            9. PDF FilePOL Chap 12 Sect 3.1 -- TRICARE - Pharmacy Benefits (Tricare/CHAMPUS Policy Manual)
                            10. PDF FilePOL Chap 12 Sect 4.1 -- TRICARE - Health Care Finders (Tricare/CHAMPUS Policy Manual)
                            11. PDF FilePOL Chap 12 Sect 4.2 -- TRICARE Overseas Program (TOP) - Health Care Finders (HCF) (Tricare/CHAMPUS Policy Manual)
                            12. PDF FilePOL Chap 12 Sect 5.1 -- TRICARE - Utilization Management And Quality Management (Tricare/CHAMPUS Policy Manual)
                            13. PDF FilePOL Chap 12 Sect 5.2 -- TRICARE Overseas Program (TOP) - Utilization Management And Quality Management (Tricare/CHAMPUS Policy Manual)
                            14. PDF FilePOL Chap 12 Sect 6.1 -- TRICARE - Resource Sharing And Resource (Tricare/CHAMPUS Policy Manual)
                            15. PDF FilePOL Chap 12 Sect 7.1 -- TRICARE Prime - Enrollment (Tricare/CHAMPUS Policy Manual)
                            16. PDF FilePOL Chap 12 Sect 7.2 -- TRICARE Overseas Program Prime - Enrollment (Tricare/CHAMPUS Policy Manual)
                            17. PDF FilePOL Chap 12 Sect 7.2 -- Sample Of TRICARE Overseas Program Prime Enrollee Card Enclosure 1 (Tricare/CHAMPUS Policy Manual)
                            18. PDF FilePOL Chap 12 Sect 7.3 -- TRICARE - Prime And Status Changes (Tricare/CHAMPUS Policy Manual)
                            19. PDF FilePOL Chap 12 Sect 7.4 -- TRICARE Overseas Program (TOP) - Prime And Status Changes (Tricare/CHAMPUS Policy Manual)
                            20. PDF FilePOL Chap 12 Sect 8.1 -- TRICARE Prime - Clinical Preventive Services (Tricare/CHAMPUS Policy Manual)
                            21. PDF FilePOL Chap 12 Sect 8.2 -- TRICARE Overseas Program Prime - Clinical Preventive Services (Tricare/CHAMPUS Policy Manual)
                            22. PDF FilePOL Chap 12 Sect 9.1 -- TRICARE Prime - Primary Care Managers (Tricare/CHAMPUS Policy Manual)
                            23. PDF FilePOL Chap 12 Sect 9.2 -- TRICARE Overseas Program Prime - Primary Care Managers (PCM) (Tricare/CHAMPUS Policy Manual)
                            24. PDF FilePOL Chap 12 Sect 10.1 -- TRICARE Prime - Point Of Service Option (Tricare/CHAMPUS Policy Manual)
                            25. PDF FilePOL Chap 12 Sect 10.2 -- TRICARE Overseas Program Prime - Point Of Service option (Tricare/CHAMPUS Policy Manual)
                            26. PDF FilePOL Chap 12 Sect 11.1 -- TRICARE - Lead Agent Requirements (Tricare/CHAMPUS Policy Manual)
                            27. PDF FilePOL Chap 12 Sect 11.2 -- TRICARE Overseas Program (TOP) - Lead Agent Requirements (Tricare/CHAMPUS Policy Manual)
                            28. PDF FilePOL Chap 12 Sect 11.2 -- Sample Of Lead Agent Enclosure 1 -- Memorandum Of Understanding (MOU) (Tricare/CHAMPUS Policy Manual)
                            29. PDF FilePOL Chap 12 Sect 12.1 -- TRICARE - Program Integrity (Tricare/CHAMPUS Policy Manual)
                            30. PDF FilePOL Chap 12 Sect 12.2 -- TRICARE Overseas Program (TOP) - Program Integrity (Tricare/CHAMPUS Policy Manual)
                          2. Expand to show POL Chap 13 TOC contentsPDF FilePOL Chap 13 TOC -- Payments Policy (TRICARE/CHAMPUS Policy Manual)
                            1. PDF FilePOL Chap A Appendix A-1 -- TRICARE-Authorized Residential Treatment Centers (TRICARE/CHAMPUS Policy Manual)
                            2. PDF FilePOL -- For payment of services provided on or after October 1, 1994 Appendix A-1 -- TRICARE-Authorized Residential Treatment Centers (TRICARE/CHAMPUS Policy Manual)
                            3. PDF FilePOL -- For payment of services provided on or after April 6, 1995 Appendix A-2 -- TRICARE-Authorized Residential Treatment Centers (TRICARE/CHAMPUS Policy Manual)
                            4. PDF FilePOL -- Following are the rate adjustments for those RTCs whose 1995 per diems were below the 30th percentile of all established fiscal year 1995 rates. The rates were adjusted by the lesser of the Consumer Price Index - Urban Wage Earners (CPI-U) for medi
                            5. PDF FilePOL -- Following are the rate adjustments for those RTCs whose 1995 per diems were below the 30th percentile of all established fiscal year 1995 rates. The rates were adjusted by the lesser of the Consumer Price Index - Urban Wage Earners (CPI-U) for medi
                            6. PDF FilePOL -- For payment of services provided on or after October 1, 1997. Appendix A-5 -- TRICARE-Authorized Residential Treatment Centers (TRICARE/CHAMPUS Policy Manual)
                            7. PDF FilePOL -- For payment of services provided on or after October 1, 1998. Appendix A-6 -- TRICARE-Authorized Residential Treatment Centers (TRICARE/CHAMPUS Policy Manual)
                            8. PDF FilePOL Chap B (TRICARE/CHAMPUS Policy Manual)
                            9. PDF FilePOL Appendix B -- Participation Agreement For Freestanding Or Institution-Affiliated Birthing Center Maternity Care Services For TRICARE/CHAMPUS Beneficiaries (TRICARE/CHAMPUS Policy Manual)
                            10. PDF FilePOL (TRICARE/CHAMPUS Policy Manual)
                            11. PDF FilePOL Appendix C -- TRICARE/CHAMPUS Standards For Residential Treatment Centers Serving Children And Adolescents (RTCs) (TRICARE/CHAMPUS Policy Manual)