View Manuals by Date (as of 12/16/2015)

 Calendar Icon

TRICARE Program Manuals - 2015 Edition (T-2017)

These manuals are applicable to the East and West Regional Managed Care Support Contracts (MCSCs) awarded on or after 07/21/2016. Upon direction of the Contracting Officer (CO), all or portions of these manuals may also apply to the TQMC, TCARS, TOP, TPharm, TDP, and TDEFIC.

TRICARE Operations Manual, Baseline, April 1, 2015

TRICARE Policy Manual, Baseline, April 1, 2015

TRICARE Reimbursement Manual (TRM), Baseline, April 1, 2015

TRICARE Systems Manual, Baseline, April 1, 2015

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 161, December 14, 2015

TRICARE Policy Manual, Change 150, December 10, 2015

TRICARE Reimbursement Manual, Change 120, December 7, 2015

TRICARE Systems Manual, Change 81, December 16, 2015

Page Count: 958
Summary of Changes: This change updates Centers for Medicare and Medicaid Services (CMS). In order to differentiate between on-campus and off-campus provider-based hospital departments, CMS is utilizing a previously unassigned Place of Service (POS) code (POS 19) and revising the current POS code descriptor for outpatient hospital (POS 22). TRICARE has historically used unassigned POS 19 as the place of service for Pharmacy TRICARE Encounter Data (TED) records. In order to comply with this change, the Defense Health Agency (DHA) must now change TED record POS logic 19 to POS 01. POS 01 is now designated by CMS as Pharmacy.

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 69, September 15, 2015

10 USC 55, Change 6, August 14, 2015