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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 57, September 19, 2011


TRICARE Policy Manual, Change 55, September 16, 2011


TRICARE Reimbursement Manual, Change 53, September 13, 2011


TRICARE Systems Manual, Change 29, September 20, 2011

Page Count: 894
Summary of Changes: This change adds a new TED pricing rate code of 'DD' (Discounted DRG). Addition of this code will allow the government to identify claims reimbursed at a discounted DRG rate and will correct a problem identified with Feb 2008 TSM Change 17. Feb 2008 TSM, Change 17 implemented a change to the interim hospital billing TED submission requirements and allowed interim-interim and interim-final billings, with the exception of interim billings reimbursed under DRG or Home Health Agency (HHA) payment methodology, as unique TED records rather than as adjustments to the TED record for the initial billing.


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 46, September 16, 2011


10 USC 55, Change 2, July 18, 2011


Superceded Manuals

TRICARE Operations Manual, Change 126, September 19, 2011


TRICARE Policy Manual, Change 147, September 16, 2011


TRICARE Reimbursement Manual, Change 137, September 12, 2011


TRICARE Systems Manual, Change 91, September 20, 2011