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TRICARE Program Manuals - 2015 Edition (T-2017)

These manuals are applicable to the East and West Regional Managed Care Support Contracts (MCSCs) awarded on or after 07/21/2016. Upon direction of the Contracting Officer (CO), all or portions of these manuals may also apply to the TQMC, TCARS, TOP, TPharm, TDP, and TDEFIC.

TRICARE Operations Manual, Change 65, April 29, 2020

TRICARE Policy Manual, Change 64, May 12, 2020

TRICARE Reimbursement Manual (TRM), Change 48, April 17, 2020

TRICARE Systems Manual, Change 36, April 15, 2020

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 259, April 28, 2020

TRICARE Policy Manual, Change 240, May 11, 2020

TRICARE Reimbursement Manual, Change 185, April 16, 2020

TRICARE Systems Manual, Change 126, April 14, 2020

Page Count: 974
Summary of Changes: This change adds an edit grouping for portions of the CHCBP health plan, adds language to the definitions of existing codes to clarify individual or family coverage, removes an edit code grouping, adds relational edit code for plasma injections and adds denial adjustment codes for cases where the billing provider is not eligible to receive payments for billed services and where benefits are not available under the plan.

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 81, May 12, 2020

32 CFR 199 (2016), Change 7, May 12, 2020

10 USC 55, Change 9, June 27, 2018

DCS User Guide, Baseline, June 1, 2017

DoD WIC Overseas Program Policy Manual, Baseline, July 1, 2017