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. Collapse to hide POL Chap 1 TOC contentsPDF FilePOL Chap 1 TOC -- Medical Services (TRICARE/CHAMPUS Policy Manual)
      1. PDF FilePOL Chap 1 Sect 1.1 -- Sexual Dysfunctions, Paraphilias and Gender Identity Disorders (Tricare/CHAMPUS Policy Manual)
      2. PDF FilePOL Chap 1 Sect 2.2 -- Office Visits - General (Tricare/CHAMPUS Policy Manual)
      3. PDF FilePOL Chap 1 Sect 2.4 -- Office Visits With Surgery (Tricare/CHAMPUS Policy Manual)
      4. PDF FilePOL Chap 1 Sect 2.5 -- Office Visits With Surgery (TRICARE Claimcheck) (Tricare/CHAMPUS Policy Manual)
      5. PDF FilePOL Chap 1 Sect 3.2 -- Home Visits (Tricare/CHAMPUS Policy Manual)
      6. PDF FilePOL Chap 1 Sect 4.4 -- Inpatient Concurrent Care (Tricare/CHAMPUS Policy Manual)
      7. PDF FilePOL Chap 1 Sect 4.5 -- Initial Hospital Visits (Tricare/CHAMPUS Policy Manual)
      8. PDF FilePOL Chap 1 Sect 4.6 -- Pre And Post Surgical Hospital Visits (Tricare/CHAMPUS Policy Manual)
      9. PDF FilePOL Chap 1 Sect 4.7 -- Follow-Up Hospital Visits (Tricare/CHAMPUS Policy Manual)
      10. PDF FilePOL Chap 1 Sect 4.8 -- Inpatient Concurrent Care (Tricare/CHAMPUS Policy Manual)
      11. PDF FilePOL Chap 1 Sect 4.9 -- Outpatient Observation Stays (Tricare/CHAMPUS Policy Manual)
      12. PDF FilePOL Chap 1 Sect 5.2 -- Skilled Nursing Facility Visits (Tricare/CHAMPUS Policy Manual)
      13. PDF FilePOL Chap 1 Sect 6.2 -- Nursing Home Visits (Tricare/CHAMPUS Policy Manual)
      14. PDF FilePOL Chap 1 Sect 7.1 -- Emergency Department (ED) Services (Tricare/CHAMPUS Policy Manual)
      15. PDF FilePOL Chap 1 Sect 8.2 -- Consultations (Tricare/CHAMPUS Policy Manual)
      16. PDF FilePOL Chap 1 Sect 9.1 -- Immunization Injections (Tricare/CHAMPUS Policy Manual)
      17. PDF FilePOL Chap 1 Sect 10.1 -- TRICARE Standard - Clinical Preventive Services (Tricare/CHAMPUS Policy Manual)
      18. PDF FilePOL Chap 1 Sect 10.2 -- Papanicolaou (PAP) Tests (Tricare/CHAMPUS Policy Manual)
      19. PDF FilePOL Chap 1 Sect 10.4 -- Well-Child Care (Tricare/CHAMPUS Policy Manual)
      20. PDF FilePOL Chap 1 Sect 10.5 -- Routine Physical Examinations (Tricare/CHAMPUS Policy Manual)
      21. PDF FilePOL Chap 1 Sect 11.1 -- Botulinum Toxin A Injections (Tricare/CHAMPUS Policy Manual)
      22. PDF FilePOL Chap 1 Sect 11.2 -- Vitamin B-12 Injections (Tricare/CHAMPUS Policy Manual)
      23. PDF FilePOL Chap 1 Sect 11.3 -- Chelation Therapy (Tricare/CHAMPUS Policy Manual)
      24. PDF FilePOL Chap 1 Sect 12.1B -- Limit On Acute Inpatient Mental Health Care Effective October 1, 1991 (Tricare/CHAMPUS Policy Manual)
      25. PDF FilePOL Chap 1 Sect 12.1C -- Limit On Residential Treatment Center (RTC) Care Effective October 1, 1991 (Tricare/CHAMPUS Policy Manual)
      26. PDF FilePOL Chap 1 Sect 12.1D -- Preauthorization Requirements For Acute Hospital Psychiatric Care Effective October 1, 1991 (Tricare/CHAMPUS Policy Manual)
      27. PDF FilePOL Chap 1 Sect 12.1E -- Preauthorization Requirement For Residential Treatment Center Care Effective October 1, 1991 (Tricare/CHAMPUS Policy Manual)
      28. PDF FilePOL Chap 1 Sect 12.1F -- Preauthorization Requirements For Substance Use Disorder Detoxification And Rehabilitation (Tricare/CHAMPUS Policy Manual)
      29. PDF FilePOL Chap 1 Sect 12.1G -- Psychiatric Partial Hospitalization Programs - Preauthorization And Day Limits (Tricare/CHAMPUS Policy Manual)
      30. PDF FilePOL Chap 1 Sect 12.2 -- Learning Disorders (Tricare/CHAMPUS Policy Manual)
      31. PDF FilePOL Chap 1 Sect 12.3 -- Attention-Deficit/Hyperactivity Disorder (Formerly Attention Deficit Disorder) (Tricare/CHAMPUS Policy Manual)
      32. PDF FilePOL Chap 1 Sect 12.5 -- Treatment Of Mental Disorders (Tricare/CHAMPUS Policy Manual)
      33. PDF FilePOL Chap 1 Sect 12.6 -- Psychological Testing (Tricare/CHAMPUS Policy Manual)
      34. PDF FilePOL Chap 1 Sect 12.7 -- Psychotherapy (Tricare/CHAMPUS Policy Manual)
      35. PDF FilePOL Chap 1 Sect 12.8 -- Family Therapy (Tricare/CHAMPUS Policy Manual)
      36. PDF FilePOL Chap 1 Sect 12.9 -- Psychotropic Pharmacologic Management (Tricare/CHAMPUS Policy Manual)
      37. PDF FilePOL Chap 1 Sect 12.10 -- Collateral Visits (Tricare/CHAMPUS Policy Manual)
      38. PDF FilePOL Chap 1 Sect 13.1 -- Biofeedback (Tricare/CHAMPUS Policy Manual)
      39. PDF FilePOL Chap 1 Sect 15.1 -- Gastroenterology (Tricare/CHAMPUS Policy Manual)
      40. PDF FilePOL Chap 1 Sect 15.2 -- Continuous Exophageal pH Monitoring (CAEpHM) (Tricare/CHAMPUS Policy Manual)
      41. PDF FilePOL Chap 1 Sect 16.1 -- Ophthalmological Services - Basic Program (Tricare/CHAMPUS Policy Manual)
      42. PDF FilePOL Chap 1 Sect 16.2 -- Orthokeratology (Tricare/CHAMPUS Policy Manual)
      43. PDF FilePOL Chap 1 Sect 17.1 -- Tinnitus Masker (Tricare/CHAMPUS Policy Manual)
      44. PDF FilePOL Chap 1 Sect 17.2 -- Otorhinolaryngologic Services (Tricare/CHAMPUS Policy Manual)
      45. PDF FilePOL Chap 1 Sect 17.3 -- Speech Pathology Services (Tricare/CHAMPUS Policy Manual)
      46. PDF FilePOL Chap 1 Sect 17.4 -- Audiological Services (Tricare/CHAMPUS Policy Manual)
      47. PDF FilePOL Chap 1 Sect 17.5 -- Hearing Aid Services (Tricare/CHAMPUS Policy Manual)
      48. PDF FilePOL Chap 1 Sect 18.1 -- Coronary Atherectomy (Tricare/CHAMPUS Policy Manual)
      49. PDF FilePOL Chap 1 Sect 18.2 -- Percutaneous Transluminal Coronary Angioplasty (Tricare/CHAMPUS Policy Manual)
      50. PDF FilePOL Chap 1 Sect 18.3 -- Radiofrequency Catheter Ablation (Tricare/CHAMPUS Policy Manual)
      51. PDF FilePOL Chap 1 Sect 18.4 -- Cardiac Rehabilitation (Tricare/CHAMPUS Policy Manual)
      52. PDF FilePOL Chap 1 Sect 18.5 -- Electrocardiogram (ECG) (Tricare/CHAMPUS Policy Manual)
      53. PDF FilePOL Chap 1 Sect 19.1 -- Non-Invasive Peripheral Vascular Diagnostic Studies: Cerebrovascular Arterial Studies (Tricare/CHAMPUS Policy Manual)
      54. PDF FilePOL Chap 1 Sect 19.2 -- Non-Invasive Peripheral Vascular Diagnostic Studies: Extremity Arterial Studies (Including Digits) (Tricare/CHAMPUS Policy Manual)
      55. PDF FilePOL Chap 1 Sect 19.3 -- Non-Invasive Vascular Diagnostic Studies: Extremity Venous Studies (Including Digits) (Tricare/CHAMPUS Policy Manual)
      56. PDF FilePOL Chap 1 Sect 20.1 -- Pulmonary Services (Tricare/CHAMPUS Policy Manual)
      57. PDF FilePOL Chap 1 Sect 20.2 -- Intermittent Positive Pressure Treatment (Tricare/CHAMPUS Policy Manual)
      58. PDF FilePOL Chap 1 Sect 21.1 -- Allergy Testing And Treatment (Tricare/CHAMPUS Policy Manual)
      59. PDF FilePOL Chap 1 Sect 22.1 -- Intraoperative Neurophysiology Testing (Tricare/CHAMPUS Policy Manual)
      60. PDF FilePOL Chap 1 Sect 22.2 -- Sensory Evoked Potentials (SEP) (Tricare/CHAMPUS Policy Manual)
      61. PDF FilePOL Chap 1 Sect 22.3 -- Neurology And Neuromuscular Services (Tricare/CHAMPUS Policy Manual)
      62. PDF FilePOL Chap 1 Sect 22.4 -- Electrocorticography (Tricare/CHAMPUS Policy Manual)
      63. PDF FilePOL Chap 1 Sect 22.5 -- 24-Hour Ambulatory Electroencephalographic (EEG) Monitoring (Tricare/CHAMPUS Policy Manual)
      64. PDF FilePOL Chap 1 Sect 22.6 -- Electroencephalographic (EEG) Video Monitoring (Tricare/CHAMPUS Policy Manual)
      65. PDF FilePOL Chap 1 Sect 22.7 -- Functional Cortical Mapping (Tricare/CHAMPUS Policy Manual)
      66. PDF FilePOL Chap 1 Sect 22.8 -- Electronystagmography (Tricare/CHAMPUS Policy Manual)
      67. PDF FilePOL Chap 1 Sect 24.2 -- Dermatological Procedures - General (Tricare/CHAMPUS Policy Manual)
      68. PDF FilePOL Chap 1 Sect 24.3 -- Phototherapy And Photochemotherapy (PUVA) (Tricare/CHAMPUS Policy Manual)
      69. PDF FilePOL Chap 1 Sect 25.1 -- Physical Therapy (Tricare/CHAMPUS Policy Manual)
      70. PDF FilePOL Chap 1 Sect 25.2 -- Osteopathic Manipulative Therapy (Tricare/CHAMPUS Policy Manual)
      71. PDF FilePOL Chap 1 Sect 25.3 -- Occupational Therapy (Tricare/CHAMPUS Policy Manual)
      72. PDF FilePOL Chap 1 Sect 25.4 -- Chiropractic Manipulative Treatment (Tricare/CHAMPUS Policy Manual)
      73. PDF FilePOL Chap 1 Sect 26.1 -- Nutritional Therapy (Tricare/CHAMPUS Policy Manual)
      74. PDF FilePOL Chap 1 Sect 26.2 -- Diagnostic Sleep Studies (Tricare/CHAMPUS Policy Manual)
      75. PDF FilePOL Chap 1 Sect 26.3 -- Premenstrual Syndrome (Tricare/CHAMPUS Policy Manual)
      76. PDF FilePOL Chap 1 Sect 26.4 -- Chronic Fatigue Syndrome (Tricare/CHAMPUS Policy Manual)
      77. PDF FilePOL Chap 1 Sect 26.5 -- Obstructive Sleep Apnea Syndrome (OSAS) (Tricare/CHAMPUS Policy Manual)
      78. PDF FilePOL Chap 1 Sect 26.6 -- Hyperbaric Oxygen Therapy (Tricare/CHAMPUS Policy Manual)
      79. PDF FilePOL Chap 1 Sect 26.7 -- Critical Care (Tricare/CHAMPUS Policy Manual)
      80. PDF FilePOL Chap 1 Sect 26.8 -- Urgent Care (Tricare/CHAMPUS Policy Manual)
    7. 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. Expand to show POL Chap 12 TOC contentsPDF FilePOL Chap 12 TOC -- TRICARE (TRICARE/CHAMPUS Policy Manual)
                          1. 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)