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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 23, August 25, 2010

TRICARE Policy Manual, Change 34, August 10, 2010

TRICARE Reimbursement Manual, Change 34, August 10, 2010

TRICARE Systems Manual, Change 20, August 25, 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 38, August 18, 2010

10 USC 55, Baseline, January 3, 2007

Superceded Manuals

TRICARE Operations Manual, Change 102, August 27, 2010

Page Count: 1,614
Summary of Changes: This change requires the Managed Care Support Contractors (MCSCs) to take responsibility for tracking CAP/DME over and under payments; reporting them to the TRICARE Regional Offices (TROs); recouping overpayments; and making additional payments when an underpayment is identified. In addition, the MCSCs are now responsible for proactively researching Medicare Cost Reports to ensure all CAP/DME payments are accurate and reflect the latest information reported on the hospital's Medicare Cost Report. This change will eliminate the need for the TRICARE Management Activity (TMA) to have outside audits performed on Capital and Direct Medical Education (CAP/DME) payments and puts the responsibility for managing this on the TROs who are responsible for overseeing MCSCs' claims payments/processing. This change is published in conjunction with Aug 2002 TRM Change 119.

TRICARE Policy Manual, Change 127, August 9, 2010

TRICARE Reimbursement Manual, Change 119, August 27, 2010

TRICARE Systems Manual, Change 84, August 24, 2010