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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 19, May 14, 2010

Page Count: 1,400
Summary of Changes: This change directs the new TRICARE Overseas (TOP) contractor to assume adjudication/payment of all overseas Supplemental Health Care Program (SHCP) claims. Overseas Military Treatment Facilities (MTFs) will no longer be responsible for paying these claims. This change will mitigate the possibility of duplicate payments and will improve claims data quality since all overseas claims will be adjudicated via the same process. This was a finding in the Department of Defense (DoD) Inspector General (IG) audits. Ms. Ellen Embry recently gave guidance to the services regarding overseas SHCP, and the Overseas Active Duty Claims Working (OADCW) Group charter was signed by Ms. Jean Storck on 18 May 2009 (as the acting TMA Deputy Director). The OADCW charter specifically identifies this change package as a "deliverable" for the working group. This change does not apply to the Managed Care Support Contractors (MCSCs) or the current overseas contractors.

TRICARE Policy Manual, Change 27, March 12, 2010

TRICARE Reimbursement Manual, Change 27, March 18, 2010

Page Count: 1,404
Summary of Changes: This change provides rate corrections for Partial Hospitalization Programs (PHPs), freestanding psychiatric PHP reimbursement, and psychiatric hospitals and units with low TRICARE volume. These rates are corrected to be consistent with Federal Register mental health notice.

TRICARE Systems Manual, Change 15, March 12, 2010

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 29, April 9, 2010

Page Count: 518
Summary of Changes: Final - TRICARE; Relationship Between The TRICARE Program And Employer-Sponsored Group Health Coverage

10 USC 55, Baseline, January 3, 2007

Page Count: 336
Summary of Changes: This is the baseline version of the January 2007 10 USC Chapter 55 - Medical and Dental Care.
— USC Classification Table, 110th Congress, First Session (Public Laws 110-1 through 110-180) (January 8, 2008).
— USC Classification Table, 110th Congress, Second Session (Public Laws 110-181 through 110-460 (December 23, 2008).
— Prepared by Office of the Law Revision Counsel, U.S. House of Representatives.

Superceded Manuals

TRICARE Operations Manual, Change 97, May 13, 2010

TRICARE Policy Manual, Change 123, May 20, 2010

Page Count: 1,114
Summary of Changes: See the Change Transmittal for a detailed summary.

TRICARE Reimbursement Manual, Change 116, June 24, 2010

TRICARE Systems Manual, Change 81, May 28, 2010