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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, Baseline, April 1, 2015

TRICARE Policy Manual, Baseline, April 1, 2015

TRICARE Reimbursement Manual (TRM), Baseline, April 1, 2015

Page Count: 1,048
Summary of Changes: This is the baseline version of the April 2015 TRICARE Reimbursement Manual.

TRICARE Systems Manual, Baseline, April 1, 2015

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 185, May 27, 2016

Page Count: 1,614
Summary of Changes: This change is required to align the new TRICARE Quality Monitoring Contract (TQMC) interface between the Managed Care Support Contracts (MCSCs), Designated Providers (DPs) contracts, and the TRICARE Dual Eligible Fiscal Intermediary Contractor (TDEFIC), hereafter referred to “contractors,” regarding the timing of the TQMC records requests from a monthly basis to a periodic basis (with no increase in volume) and the frequency of the TQMC findings report from monthly to quarterly. The change also requires modification to the TRICARE Operations Manual (TOM) Chapter 7, Section 3 for the contractors to respond to the TQMC quarterly findings report as per the Contract Requirements Data List (CDRL).

TRICARE Policy Manual, Change 161, June 9, 2016

TRICARE Reimbursement Manual, Change 128, April 6, 2016

TRICARE Systems Manual, Change 87, April 12, 2016

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 71, May 6, 2016

10 USC 55, Change 7, June 8, 2016