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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

Page Count: 1,404
Summary of Changes: This change includes the following revisions: In Chapter 3, the requirements for payments to beneficiaries/providers (Section 2) and claim refund and collection procedures (Section 3) are clarified and expanded on; adds information on management reports provided to the contractors to assist in identifying enrollment fee discrepancies (Chapter 6, Section 1) and to assist in determining if Catastrophic Cap and Deductible Data (CCDD) adjustments/corrections are required (Chapter 8, Section 7); clarifies the transfer of out-of-jurisdiction claim requirements for both electronic and paper claims; and clarifies responsibility for processing/reimbursement of Active Duty Service Member (ADSM) dental claims (Chapters 16 and 17). This change also includes several other minor corrections and/or clarifications to existing requirements. This change is published in conjunction with Feb 2008 TPM Change 3, Feb 2008 TRM Change 3, and Feb 2008 TSM Change 3.

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 20, October 9, 2008

10 USC 55, Baseline, January 3, 2007

Superceded Manuals

TRICARE Operations Manual, Change 72, September 29, 2008

TRICARE Policy Manual, Change 90, September 29, 2008

TRICARE Reimbursement Manual, Change 83, September 29, 2008

TRICARE Systems Manual, Change 67, September 29, 2008