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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 28, July 8, 2010


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


10 USC 55, Baseline, January 3, 2007


Superceded Manuals

TRICARE Operations Manual, Change 97, May 13, 2010


TRICARE Policy Manual, Change 123, May 20, 2010


TRICARE Reimbursement Manual, Change 116, June 24, 2010


TRICARE Systems Manual, Change 81, May 28, 2010