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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 4, November 7, 2008


TRICARE Policy Manual, Change 6, May 21, 2009


TRICARE Reimbursement Manual, Change 6, May 20, 2009

Page Count: 1,454
Summary of Changes: This change allows separate reimbursement for urinalysis by dipstick when billed with an Evaluation and Management (E/M) CPT code. This brings TRICARE's reimbursement policy in line with Medicare's reimbursement policy. This change brings this manual up-to-date with published Change 89 (January 13, 2009) to the August 2002 TRICARE Reimbursement Manual (TRM), 6010.55-M.


TRICARE Systems Manual, Change 5, May 15, 2009

Page Count: 884
Summary of Changes: This change includes annual updates for the following reimbursement systems/rates: Residential Treatment Centers (RTCs), Hospice, Diagnosis Related Group (DRG), Inpatient Mental Health, Partial Hospitalization, Skilled Nursing Facilities (SNFs), and Birthing Centers. This change brings this TRICARE Systems Manual up-to-date with published Change 68 (October 17, 2008) to the August 2002 TRICARE Systems Manual (TSM), 7950.1-M. This change is published in conjunction with Feb 2008 TRM Change 5.


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 23, March 17, 2009


10 USC 55, Baseline, January 3, 2007


Superceded Manuals

TRICARE Operations Manual, Change 78, May 8, 2009


TRICARE Policy Manual, Change 95, May 8, 2009


TRICARE Reimbursement Manual, Change 92, May 8, 2009


TRICARE Systems Manual, Change 70, May 8, 2009

Page Count: 1,102
Summary of Changes: This change reflects the Centers for Medicare and Medicaid Services (CMS) CY 2009 changes that have already been incorporated into contractor?s claims processing systems through the Outpatient Code Editor (OCE)/Pricer quarterly update process. This change is published in conjunction with Aug 2002 TPM Change 78, Aug 2002 TPM Change 95, and Aug 2002 TRM Change 92.