Manual Table of Contents

TRICARE Operations Manual 6010.56-M, February 2008, Change 255 (December 16, 2019)

  1. Collapse to hide TRICARE Operations Manual contentsManualTRICARE Operations Manual 6010.56-M, February 2008
    1. PDF FileTO08 TOC -- Master TOC (TRICARE Operations Manual (TOM))
    2. PDF FileTO08 Foreword -- Foreword
    3. Expand to show TO08 Chap 1 TOC contentsPDF FileTO08 Chap 1 TOC -- Administration (TRICARE Operations Manual (TOM))
      1. Expand to show TO08 Chap 2 TOC contentsPDF FileTO08 Chap 2 TOC -- Records Management (TRICARE Operations Manual (TOM))
        1. Expand to show TO08 Chap 3 TOC contentsPDF FileTO08 Chap 3 TOC -- Financial Administration (TRICARE Operations Manual (TOM))
          1. Expand to show TO08 Chap 4 TOC contentsPDF FileTO08 Chap 4 TOC -- Provider Certification And Credentialing (TRICARE Operations Manual (TOM))
            1. Expand to show TO08 Chap 5 TOC contentsPDF FileTO08 Chap 5 TOC -- Provider Networks (TRICARE Operations Manual (TOM))
              1. Expand to show TO08 Chap 6 TOC contentsPDF FileTO08 Chap 6 TOC -- Enrollment (TRICARE Operations Manual (TOM))
                1. Expand to show TO08 Chap 7 TOC contentsPDF FileTO08 Chap 7 TOC -- Utilization And Quality Management (TRICARE Operations Manual (TOM))
                  1. Expand to show TO08 Chap 8 TOC contentsPDF FileTO08 Chap 8 TOC -- Claims Processing Procedures (TRICARE Operations Manual (TOM))
                    1. Expand to show TO08 Chap 9 TOC contentsPDF FileTO08 Chap 9 TOC -- TRICARE Duplicate Claims System - TRICARE Encounter Data (TED) Version (TRICARE Operations Manual (TOM))
                      1. Expand to show TO08 Chap 10 TOC contentsPDF FileTO08 Chap 10 TOC -- Claims Adjustments And Recoupments (TRICARE Operations Manual (TOM))
                        1. Expand to show TO08 Chap 11 TOC contentsPDF FileTO08 Chap 11 TOC -- Beneficiary And Provider Services (BPS) (TRICARE Operations Manual (TOM))
                          1. Expand to show TO08 Chap 12 TOC contentsPDF FileTO08 Chap 12 TOC -- Appeals And Hearings (TRICARE Operations Manual (TOM))
                            1. Expand to show TO08 Chap 13 TOC contentsPDF FileTO08 Chap 13 TOC -- Program Integrity (TRICARE Operations Manual (TOM))
                              1. Expand to show TO08 Chap 14 TOC contentsPDF FileTO08 Chap 14 TOC -- Audits, Inspections, And Reports (TRICARE Operations Manual (TOM))
                                1. Expand to show TO08 Chap 15 TOC contentsPDF FileTO08 Chap 15 TOC -- Regional Director (RD)/Military Treatment Facility (MTF) and Contractor Interfaces (TRICARE Operations Manual (TOM))
                                  1. Expand to show TO08 Chap 16 TOC contentsPDF FileTO08 Chap 16 TOC -- TRICARE Prime Remote (TPR) Program (TRICARE Operations Manual (TOM))
                                    1. Expand to show TO08 Chap 17 TOC contentsPDF FileTO08 Chap 17 TOC -- Supplemental Health Care Program (SHCP) (TRICARE Operations Manual (TOM))
                                      1. Collapse to hide TO08 Chap 18 TOC contentsPDF FileTO08 Chap 18 TOC -- Demonstrations (TRICARE Operations Manual (TOM))
                                        1. PDF FileTO08 Chap 18 Sect 1 -- General
                                        2. PDF FileTO08 Chap 18 Sect 2 -- EXPIRED - Department Of Defense (DoD) Cancer Prevention And Treatment Clinical Trials Demonstration
                                        3. PDF FileTO08 Chap 18 Sect 3 -- EXPIRED - Department Of Defense (DoD) In-Utero Fetal Surgical Repair Of Myelomeningocele Clinical Trial Demonstration
                                        4. PDF FileTO08 Chap 18 Sect 4 -- EXPIRED - Department Of Defense (DoD) Weight Management Demonstration
                                        5. PDF FileTO08 Chap 18 Sect 5 -- EXPIRED - Department Of Defense (DoD) Tobacco Cessation Demonstration
                                        6. PDF FileTO08 Chap 18 Sect 6 -- EXPIRED - Department Of Defense (DoD) Alcohol Abuse Prevention And Education Demonstration
                                        7. PDF FileTO08 Chap 18 Sect 7 -- EXPIRED - TRICARE Demonstration Project For The State Of Alaska - Critical Access Hospital (CAH) Payment Rates
                                        8. PDF FileTO08 Chap 18 Sect 8 -- Department Of Defense (DoD) Enhanced Access To Autism Services Demonstration
                                        9. PDF FileTO08 Chap 18 Sect 9 --EXPIRED - Operation Noble Eagle/Operation Enduring Freedom Reservist And National Guard (NG) Benefits Demonstration
                                        10. PDF FileTO08 Chap 18 Sect 10 -- EXPIRED - Web-Based TRICARE Assistance Program (TRIAP) Demonstration
                                        11. PDF FileTO08 Chap 18 Sect 11 -- Expired As Of May 4, 2015 - TRICARE South Region United States Coast Guard (USCG) Access To Care (ATC) Demonstration For TRICARE Prime/TRICARE Prime Remote (TPR) Beneficiaries
                                        12. PDF FileTO08 Chap 18 Sect 12 -- EXPIRED - Department Of Defense (DoD) TRICARE Demonstration Project for the Philippines
                                        13. PDF FileTO08 Chap 18 Sect 13 -- TRICARE Evaluation Of Centers For Medicare And Medicaid Services (CMS) Approved Laboratory Developed Tests (LDTs) Demonstration Project
                                        14. PDF FileTO08 Chap 18 Sect 14 -- EXPIRED - Department Of Defense (DoD) Enhanced Access to Patient-Centered Medical Home (PCMH): Demonstration Project for Participation in the Maryland Multi-Payer Patient-Centered Medical Home Program (MMPCMHP)
                                        15. PDF FileTO08 Chap 18 Sect 15 -- EXPIRED - Department of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs)
                                        16. PDF FileTO08 Chap 18 Sect 16 -- EXPIRED As Of September 30, 2015 - Pilot Program for Refills of Maintenance Medications for TRICARE For Life (TFL) Beneficiaries through the TRICARE Mail Order Program (TMOP)
                                        17. PDF FileTO08 Chap 18 Sect 17 -- Defense Health Agency (DHA) Evaluation of Non-United States Food and Drug Administration (FDA) Approved Laboratory Developed Tests (LDTs) Demonstration Project
                                        18. PDF FileTO08 Chap 18 Sect 18 -- Department Of Defense (DoD) Comprehensive Autism Care Demonstration
                                        19. PDF FileTO08 Chap 18 Sect 19 -- EXPIRED As Of January 1, 2018 - Pilot Program On Urgent Care For TRICARE Prime/TRICARE Prime Remote (TPR) Beneficiaries
                                        20. PDF FileTO08 Chap 18 Sect 20 -- Demonstration Projects On Value-Based Purchasing (VBP) Initiatives
                                        21. PDF FileTO08 Chap 18 Sect 21 -- Bundled Payments For Lower Extremity Joint Replacement And Reattachment (LEJR) Surgery And Post-Operative Care Demonstration Program
                                        22. PDF FileTO08 Chap 18 Sect 22 -- National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2017 Value-Based Purchasing (VBP) Initiative Medication Adherence Pilot
                                        23. PDF FileTO08 Chap 18 Sect 23 -- Department of Defense (DoD) TRICARE Pilot Project To Redirect Uniformed Services Beneficiaries Identified For Inpatient Admission At Civilian Emergency Departments (EDs) For Admission To Designated Military Treatment Facilities (MTFs)
                                        24. PDF FileTO08 Chap 18 Addendum A -- EXPIRED - Participation Agreement For Corporate Services Provider (CSP)
                                        25. PDF FileTO08 Chap 18 Addendum B -- Participation Agreement For Comprehensive Autism Care Demonstration Corporate Services Provider (ACSP)
                                      2. Expand to show TO02 Chap 19 TOC contentsPDF FileTO08 Chap 19 TOC -- Health Insurance Portability and Accountability Act (HIPAA) of 1996 (TRICARE Operations Manual (TOM))
                                        1. Expand to show TO02 Chap 20 TOC contentsPDF FileTO08 Chap 20 TOC -- TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC) (TRICARE Operations Manual (TOM))
                                          1. Expand to show TO02 Chap 21 TOC contentsPDF FileTO08 Chap 21 TOC -- TRICARE Alaska (TRICARE Operations Manual (TOM))
                                            1. Expand to show TO02 Chap 22 TOC contentsPDF FileTO08 Chap 22 TOC -- TRICARE Reserve Select (TRS) (TRICARE Operations Manual (TOM))
                                              1. Expand to show TO08 Chap 23 TOC contentsPDF FileTO08 Chap 23 TOC -- TRICARE Pharmacy (TPharm) (TRICARE Operations Manual (TOM))
                                                1. Expand to show TO08 Chap 24 TOC contentsPDF FileTO08 Chap 24 TOC -- TRICARE Overseas Program (TOP) (TRICARE Operations Manual (TOM))
                                                  1. Expand to show TO08 Chap 25 TOC contentsPDF FileTO08 Chap 25 TOC -- TRICARE Young Adult (TYA)
                                                    1. Expand to show TO08 Chap 26 TOC contentsPDF FileTO08 Chap 26 TOC -- Continued Health Care Benefit Program (CHCBP)
                                                      1. Expand to show TO08 Chap 27 TOC contentsPDF FileTO08 Chap 27 TOC -- Prime Service Area (PSA) Reduction in Fiscal Year (FY) 2014 Policies And Effective Dates
                                                        1. Expand to show TO08 Chap 28 TOC contentsPDF FileTO08 Chap 28 TOC -- Prescription Monitoring Program (PMP)
                                                          1. PDF FileTO08 Appendix A -- Acronyms And Abbreviations
                                                          2. PDF FileTO08 Appendix B -- Definitions
                                                          3. PDF FileTO08 Index -- Index