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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 101, June 25, 2013

TRICARE Policy Manual, Change 91, July 8, 2013

TRICARE Reimbursement Manual, Change 81, June 17, 2013

TRICARE Systems Manual, Change 50, June 25, 2013

Page Count: 944
Summary of Changes: This change implements NDAA FY 2013, Section 705. TRICARE Management Activity (TMA) is making comprehensive changes that revise coverage of autism services across the TRICARE Program, to include expansion of ABA and who receives these benefits. TRICARE Basic Program coverage of ABA provided by Board Certified Behavior Analysts (BCBA) or above for all TRICARE beneficiaries with ASD initially implemented in 2012, will continue with appropriate physician referral and oversight requirements. Active Duty Family Members (ADFMs) will continue to be eligible for ABA reinforcement under the Extended Care Health Option (ECHO) Autism Demonstration from supervised Board Certified Assistant Behavior Analysts (BCaBA) and paraprofessional ABA tutors. Non-Active Duty Family Members (NADFMs) will now be eligible to receive ABA reinforcement from supervised BCaBAs and paraprofessional ABA tutors under the 12-month “ABA Pilot” authorized by the NDAA FY 2013, Section 705. This change is published in conjunction with Feb 2008 TOM Change 101 and Feb 2008 TPM Change 90.

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 57, May 29, 2013

10 USC 55, Change 4, July 3, 2013

Superceded Manuals

TRICARE Operations Manual, Change 151, February 12, 2013

Page Count: 1,710
Summary of Changes: This change revises records management requirements for transferring electronic records to the electronic Code of Federal Regulations (eFRC) and provides additional guidance and/or clarification on contractor compliance with relevant provisions of applicable federal statutes and regulations.

TRICARE Policy Manual, Change 175, April 3, 2013

Page Count: 1,144
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Aug 2002 TRM Change 159 and Aug 2002 TSM Change 102.

TRICARE Reimbursement Manual, Change 159, April 3, 2013

TRICARE Systems Manual, Change 102, April 3, 2013