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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

TRICARE Policy Manual, Change 161, June 9, 2016

TRICARE Reimbursement Manual, Change 128, April 6, 2016

TRICARE Systems Manual, Change 87, April 12, 2016

Page Count: 956
Summary of Changes: This change adds the TRICARE Encounter Data (TED) Record Special Processing Code "UC -Urgent Care Pilot" to the TRICARE Systems Manual. This code is to be used on all TED records where one of the two self-referred authorizations allowed under this Pilot is used. If the TED SPC is implemented in the contractor's system after May 23, 2016, the contractor shall search for previously processed Urgent Care Pilot TED records and adjust those records to show SPC "UC". This change is published in conjunction with Feb 2008 TOM Change 179.

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