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TRICARE Program Manuals - 2008 Edition (T-3)

These manuals serve for contracts awarded on or after 06/27/2008 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

TRICARE Operations Manual, Change 37, March 3, 2011

TRICARE Policy Manual, Change 43, March 9, 2011

TRICARE Reimbursement Manual, Change 44, March 2, 2011

TRICARE Systems Manual, Change 22, February 18, 2011

Other Manuals

Authority for the TRICARE Program is the 32 CFR 199. DHA is providing a version of Title 32 to the Code of Federal Regulations, Part 199 (32 CFR 199) and 10 United States Code Chapter 55 as a convenience for the DHA community.

32 CFR 199 (2005), Change 41, February 14, 2011

10 USC 55, Change 1, September 20, 2010

Superceded Manuals

TRICARE Operations Manual, Change 114, February 22, 2011

TRICARE Policy Manual, Change 135, March 8, 2011

TRICARE Reimbursement Manual, Change 128, March 1, 2011

Page Count: 1,682
Summary of Changes: This change updates the Diagnosis Related Group (DRG) rates, weights, and marginal cost factors for Fiscal Year (FY) 2011 and includes the $535 inpatient per diem as stated in the National Defense Authorization Act (NDAA) for FY 2011.

TRICARE Systems Manual, Change 87, February 17, 2011

Page Count: 1,100
Summary of Changes: For dates of service on or before July 1, 2010, the NUBC has retired codes 7-Emergency Room, B-Transfer from another Home Health Agency (HHA), and C-Readmission to the Same HHA. The NUBC has created a new condition code, code 47, to replace the point of origin code B. However, the Home Health Agency Prospective Payment System (HHA PPS) Pricer does not include the new code 47. When a condition code 47 is included on the claim, the contractor will ensure correct reimbursement of the claim by changing the HHA PPS Pricer input record to reflect a point of origin code B. The NUBC will not replace point of origin C or 7. This change is published in conjunction with Aug 2002 TRM Change 127.