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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 3, June 10, 2008

TRICARE Policy Manual, Change 3, June 10, 2008

TRICARE Reimbursement Manual, Change 3, June 10, 2008

TRICARE Systems Manual, Change 3, June 10, 2008

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 19, August 12, 2008

10 USC 55, Baseline, January 3, 2007

Superceded Manuals

TRICARE Operations Manual, Change 70, September 18, 2008

TRICARE Policy Manual, Change 89, September 18, 2008

TRICARE Reimbursement Manual, Change 80, September 16, 2008

Page Count: 1,858
Summary of Changes: This change includes clarification that the foreign fee schedules apply to retirees or their eligible family members or standard Active Duty Family Members (ADFMs) for services received in the Philippines or Panama that fall under the claims processing jurisdiction of the foreign claims processor; removal of March 1, 2009 Country Specific Index Factor 0.229; and, clarification that the primary or principal diagnosis (not the admitting diagnosis) for an admission will be used to determine the group for a payment rate. In addition, this change increases the inpatient per diem amounts by including an add-on to reimburse for hospital capital costs. It also provides that country specific index factor adjusted CMACs will not apply to ancillary services. This change is made in conjunction with Aug 2002 TPM Change 88.

TRICARE Systems Manual, Change 65, September 18, 2008