Published Change Packages

Whenever a manual is updated we will publish a change package, which includes the transmittal and a list of pages affected by the change. You can view the published change packages for each manual here. Please select a manual from the list below.

NOTE
Each TMA Manual distributed on the web currently incorporates all published changes. Although changes are published, they are not implemented by the contractors until they receive direction to do so by the Contracting Officer.

View the change history for each section of each manual. The change history displays an expandable tree. It will display the manual, the section, a list of changes affecting each section, and the pages in that section affected by each published change. NOTE: Please be patient because the change history may take several seconds to start.

Links from documents contained within this web site may include links providing direct access to other Internet resources, including web sites. Because of the dynamic nature of the Internet, TMA cannot be responsible for the accuracy of or content of information contained in the links to other web sites.

Published Change Packages
ManualChangePublished Date
TRICARE Program Manuals - 2015 Edition (T-2017)
Show published changesTRICARE Operations Manual 6010.59-M, April 2015Change 83January 20, 2021
Hide published changesTRICARE Policy Manual 6010.60-M, April 2015Change 77December 24, 2020
Change 76December 9, 2020
Change 75November 13, 2020
Change 74November 5, 2020
Change 73October 29, 2020
Change 72October 16, 2020
Change 71October 5, 2020
Change 70September 10, 2020
Change 69September 4, 2020
Change 68August 28, 2020
Change 67June 9, 2020
Change 66May 29, 2020
Change 65May 20, 2020
Change 64May 12, 2020
Change 63April 29, 2020
Change 62April 22, 2020
Change 61April 17, 2020
Change 60March 13, 2020
Change 59February 26, 2020
Change 58January 22, 2020
Change 57December 13, 2019
Change 56December 5, 2019
Change 55November 13, 2019
Change 54October 10, 2019
Change 53September 27, 2019
Change 52September 20, 2019
Change 51September 11, 2019
Change 50September 4, 2019
Change 49August 22, 2019
Change 48June 28, 2019
Change 47June 18, 2019
Change 46April 30, 2019
Change 45April 26, 2019
Change 44April 23, 2019
Change 43March 19, 2019
Change 42March 12, 2019
Change 41February 8, 2019
Change 40January 25, 2019
Change 39January 15, 2019
Change 38January 4, 2019
Change 37December 4, 2018
Change 36October 19, 2018
Change 35September 14, 2018
Change 34September 11, 2018
Change 33September 7, 2018
Change 32August 31, 2018
Change 31August 21, 2018
Change 30August 15, 2018
Change 29August 9, 2018
Change 28August 3, 2018
Change 27July 26, 2018
Change 26June 25, 2018
Change 25June 15, 2018
Change 24May 30, 2018
Change 23May 18, 2018
Change 22May 11, 2018
Change 21May 8, 2018
Change 20May 3, 2018
Change 19March 7, 2018
Change 18February 21, 2018
Change 17February 14, 2018
Change 16February 6, 2018
Change 15November 30, 2017
Change 14November 21, 2017
Change 13November 15, 2017
Change 12November 2, 2017
Change 11October 27, 2017
Change 10October 24, 2017
Change 9October 20, 2017
Change 8August 28, 2017
Change 7August 23, 2017
Change 6August 2, 2017
Change 5July 27, 2017
Change 4June 30, 2017
Change 3May 23, 2017
Change 2May 17, 2017
Change 1March 10, 2017
BaselineApril 1, 2015
Show published changesTRICARE Reimbursement Manual 6010.61-M, April 2015Change 53January 8, 2021
Show published changesTRICARE Systems Manual 7950.3-M, April 2015Change 44December 24, 2020
TRICARE Program Manuals - 2008 Edition (T-3)
Show published changesTRICARE Operations Manual 6010.56-M, February 2008Change 270January 4, 2021
Hide published changesTRICARE Policy Manual 6010.57-M, February 2008Change 250December 23, 2020
Change 249December 8, 2020
Change 248November 12, 2020
Change 247November 4, 2020
Change 246October 28, 2020
Change 245October 15, 2020
Change 244September 3, 2020
Change 243June 8, 2020
Change 242May 28, 2020
Change 241May 19, 2020
Change 240May 11, 2020
Change 239April 28, 2020
Change 238April 21, 2020
Change 237April 16, 2020
Change 236March 12, 2020
Change 235February 25, 2020
Change 234January 21, 2020
Change 233December 12, 2019
Change 232December 4, 2019
Change 231November 12, 2019
Change 230October 9, 2019
Change 229September 26, 2019
Change 228September 19, 2019
Change 227September 10, 2019
Change 226September 3, 2019
Change 225August 21, 2019
Change 224June 27, 2019
Change 223April 29, 2019
Change 222April 25, 2019
Change 221April 22, 2019
Change 220March 18, 2019
Change 219March 11, 2019
Change 218February 7, 2019
Change 217January 24, 2019
Change 216January 14, 2019
Change 215January 3, 2019
Change 214December 3, 2018
Change 213October 18, 2018
Change 212September 13, 2018
Change 211September 10, 2018
Change 210September 6, 2018
Change 209August 30, 2018
Change 208August 20, 2018
Change 207August 14, 2018
Change 206August 8, 2018
Change 205August 2, 2018
Change 204July 25, 2018
Change 203June 14, 2018
Change 202May 10, 2018
Change 201May 7, 2018
Change 200May 2, 2018
Change 199March 6, 2018
Change 198February 20, 2018
Change 197February 13, 2018
Change 196February 5, 2018
Change 195January 29, 2018
Change 194November 29, 2017
Change 193November 20, 2017
Change 192November 1, 2017
Change 191October 26, 2017
Change 190October 23, 2017
Change 189October 19, 2017
Change 188August 25, 2017
Change 187August 22, 2017
Change 186August 1, 2017
Change 185July 26, 2017
Change 184June 29, 2017
Change 183June 13, 2017
Change 182May 22, 2017
Change 181March 9, 2017
Change 180February 17, 2017
Change 179February 8, 2017
Change 178January 18, 2017
Change 177December 29, 2016
Change 176December 20, 2016
Change 175November 7, 2016
Change 174November 3, 2016
Change 173October 19, 2016
Change 172October 13, 2016
Change 171September 13, 2016
Change 170September 12, 2016
Change 169September 6, 2016
Change 168August 12, 2016
Change 167July 19, 2016
Change 166June 28, 2016
Change 165June 22, 2016
Change 164June 17, 2016
Change 163June 15, 2016
Change 162June 14, 2016
Change 161June 9, 2016
Change 160May 10, 2016
Change 159May 4, 2016
Change 158April 6, 2016
Change 157February 16, 2016
Change 156February 10, 2016
Change 155February 8, 2016
Change 154January 28, 2016
Change 153January 19, 2016
Change 152December 24, 2015
Change 151December 21, 2015
Change 150December 10, 2015
Change 149December 7, 2015
Change 148December 3, 2015
Change 147December 1, 2015
Change 146November 25, 2015
Change 145November 20, 2015
Change 144September 9, 2015
Change 143September 1, 2015
Change 142August 28, 2015
Change 141August 26, 2015
Change 140August 24, 2015
Change 139August 20, 2015
Change 138August 19, 2015
Change 137July 1, 2015
Change 136June 5, 2015
Change 135May 5, 2015
Change 134April 1, 2015
Change 133March 23, 2015
Change 132March 19, 2015
Change 131March 11, 2015
Change 130January 27, 2015
Change 129January 22, 2015
Change 128January 16, 2015
Change 127January 12, 2015
Change 126January 8, 2015
Change 125January 6, 2015
Change 124December 10, 2014
Change 123November 17, 2014
Change 122November 12, 2014
Change 121November 4, 2014
Change 120October 28, 2014
Change 119October 23, 2014
Change 118September 23, 2014
Change 117September 22, 2014
Change 116September 19, 2014
Change 115July 3, 2014
Change 114June 25, 2014
Change 113June 5, 2014
Change 112May 20, 2014
Change 111May 15, 2014
Change 110April 7, 2014
Change 109March 31, 2014
Change 108March 24, 2014
Change 107February 25, 2014
Change 106February 3, 2014
Change 105December 31, 2013
Change 104December 17, 2013
Change 103December 12, 2013
Change 102December 11, 2013
Change 101December 6, 2013
Change 100November 20, 2013
Change 99September 19, 2013
Change 98September 16, 2013
Change 97September 11, 2013
Change 96September 6, 2013
Change 95August 22, 2013
Change 94July 17, 2013
Change 93July 16, 2013
Change 92July 11, 2013
Change 91July 8, 2013
Change 90June 25, 2013
Change 89June 17, 2013
Change 88June 13, 2013
Change 87April 4, 2013
Change 86March 18, 2013
Change 85February 22, 2013
Change 84February 7, 2013
Change 83December 17, 2012
Change 82November 26, 2012
Change 81November 6, 2012
Change 80October 16, 2012
Change 79September 24, 2012
Change 78September 21, 2012
Change 77September 18, 2012
Change 76September 13, 2012
Change 75August 24, 2012
Change 74August 16, 2012
Change 73August 10, 2012
Change 72August 2, 2012
Change 71July 27, 2012
Change 70June 18, 2012
Change 69June 8, 2012
Change 68May 25, 2012
Change 67May 23, 2012
Change 66May 17, 2012
Change 65May 3, 2012
Change 64April 20, 2012
Change 63April 6, 2012
Change 62March 19, 2012
Change 61March 16, 2012
Change 60March 1, 2012
Change 59February 16, 2012
Change 58January 11, 2012
Change 57November 10, 2011
Change 56September 28, 2011
Change 55September 16, 2011
Change 54September 8, 2011
Change 53August 23, 2011
Change 52August 18, 2011
Change 51June 30, 2011
Change 50June 27, 2011
Change 49June 7, 2011
Change 48May 26, 2011
Change 47May 13, 2011
Change 46May 4, 2011
Change 45April 13, 2011
Change 44March 22, 2011
Change 43March 9, 2011
Change 42March 7, 2011
Change 41March 3, 2011
Change 40December 3, 2010
Change 39November 24, 2010
Change 38November 4, 2010
Change 37September 14, 2010
Change 36September 9, 2010
Change 35September 3, 2010
Change 34August 10, 2010
Change 33July 29, 2010
Change 32July 27, 2010
Change 31July 23, 2010
Change 30July 21, 2010
Change 29July 15, 2010
Change 28July 13, 2010
Change 27March 12, 2010
Change 26January 25, 2010
Change 25January 13, 2010
Change 24January 6, 2010
Change 23December 24, 2009
Change 22December 16, 2009
Change 21November 24, 2009
Change 20November 16, 2009
Change 19November 6, 2009
Change 18October 29, 2009
Change 17October 23, 2009
Change 16October 22, 2009
Change 15October 19, 2009
Change 14September 28, 2009
Change 13September 21, 2009
Change 12September 16, 2009
Change 11August 12, 2009
Change 10August 10, 2009
Change 9August 5, 2009
Change 8June 2, 2009
Change 7May 28, 2009
Change 6May 21, 2009
Change 5May 14, 2009
Change 4November 7, 2008
Change 3June 10, 2008
Change 2May 15, 2008
Change 1March 13, 2008
BaselineFebruary 1, 2008
Show published changesTRICARE Reimbursement Manual 6010.58-M, February 2008Change 190January 7, 2021
Show published changesTRICARE Systems Manual 7950.2-M, February 2008Change 132December 23, 2020
Other Manuals
Show published changes32 CFR 199 (DHA Version), April 2005 (for use with 2008 (T-3) Manuals)Change 86November 17, 2020
Hide published changes32 CFR 199 (DHA Version), December 2016 (for use with 2015 (T-2017) Manuals)Change 12November 17, 2020
Change 11October 30, 2020
Change 10September 28, 2020
Change 9September 3, 2020
Change 8June 3, 2020
Change 7May 12, 2020
Change 6May 4, 2020
Change 5March 17, 2020
Change 4February 15, 2019
Change 3December 11, 2018
Change 2December 29, 2017
Change 1September 29, 2017
BaselineDecember 1, 2016
Show published changes10 USC 55 (DHA Version), January 2007Change 9June 27, 2018
Duplicate Claims System (DCS) User Guide, June 2017BaselineJune 1, 2017
DoD Women, Infants, and Children (WIC) Overseas Program Policy Manual, July 2017BaselineJuly 1, 2017
Superceded Manuals
Show published changesTRICARE Operations Manual 6010.51-M, August 2002Change 151February 12, 2013
Show published changesTRICARE Policy Manual 6010.54-M, August 2002Change 175April 3, 2013
Show published changesTRICARE Reimbursement Manual 6010.55-M, August 2002Change 159April 3, 2013
Show published changesTRICARE Systems Manual 7950.1-M, August 2002Change 102April 3, 2013
Show published changesTRICARE Policy Manual 6010.47-M, March 2002Change 22April 30, 2004
Hide published changesTRICARE Reimbursement Manual 6010.53-M, March 2002Change 37October 22, 2004
Change 36October 6, 2004
Change 35October 1, 2004
Change 34May 10, 2004
Change 33May 5, 2004
Change 32April 30, 2004
Change 31March 17, 2004
Change 30December 2, 2003
Change 29November 24, 2003
Change 28October 27, 2003
Change 27October 21, 2003
Change 26October 16, 2003
Change 25October 1, 2003
Change 24September 17, 2003
Change 23September 2, 2003
Change 22August 14, 2003
Change 21August 6, 2003
Change 20July 29, 2003
Change 19July 17, 2003
Change 18June 11, 2003
Change 17May 16, 2003
Change 16May 8, 2003
Change 15April 18, 2003
Change 14April 17, 2003
Change 13April 4, 2003
Change 12March 13, 2003
Change 11March 12, 2003
Change 10March 7, 2003
Change 9January 28, 2003
Change 8December 24, 2002
Change 7November 14, 2002
Change 6October 23, 2002
Change 5September 30, 2002
Change 4September 24, 2002
Change 3July 17, 2002
Change 2June 19, 2002
Change 1June 13, 2002
BaselineMarch 15, 2002
Show published changesMCSC Operations Manual 6010.49-M, March 2001Change 38April 30, 2004
Show published changesTRICARE/CHAMPUS Policy Manual 6010.47-M, May 1996Change 33February 13, 2002
Show published changesAutomated Data Processing And Reporting Manual 6010.50-M, July 1992Change 51October 22, 2004
Show published changesTRICARE/CHAMPUS Policy Manual 6010.47-M, December 1998Change 12May 14, 1999
Hide published changesTRICARE/CHAMPUS Policy Manual 6010.47-M, May 1996Change 35November 4, 1998
Change 34October 9, 1998
Change 33September 10, 1998
Change 32September 8, 1998
Change 31September 4, 1998
Change 30August 21, 1998
Change 29August 7, 1998
Change 28July 8, 1998
Change 27June 3, 1998
Change 26April 30, 1998
Change 25April 17, 1998
Change 24January 7, 1998
Change 23December 3, 1997
Change 22November 12, 1997
Change 21October 8, 1997
Change 20September 15, 1997
Change 19September 12, 1997
Change 18September 5, 1997
Change 17August 20, 1997
Change 16July 3, 1997
Change 15May 16, 1997
Change 14May 9, 1997
Change 13February 28, 1997
Change 12February 14, 1997
Change 11November 29, 1996
Change 10November 5, 1996
Change 9November 4, 1996
Change 8September 26, 1996
Change 7September 25, 1996
Change 6September 20, 1996
Change 5August 23, 1996
Change 4August 5, 1996
Change 3June 28, 1996
Change 2June 7, 1996
Change 1May 20, 1996
Show published changesTRICARE/CHAMPUS Operations Manual 6010.49-M, July 1992Change 165January 29, 2001
Hide published changesTRICARE/CHAMPUS Operations Manual 6010.49-M, July 1992Change 139May 19, 1999
Change 138May 12, 1999
Change 137April 9, 1999
Change 136March 31, 1999
Change 135March 24, 1999
Change 134March 23, 1999
Change 133March 11, 1999
Change 132March 11, 1999
Change 131March 1, 1999
Change 130February 25, 1999
Change 129February 12, 1999
Change 128January 5, 1999
Change 127January 4, 1999
Change 126December 14, 1998
Change 125October 28, 1998
Change 124September 25, 1998
Change 123September 11, 1998
Change 122September 10, 1998
Change 121September 4, 1998
Change 120September 3, 1998
Change 119August 7, 1998
Change 118July 15, 1998
Change 117July 10, 1998
Change 116June 22, 1998
Change 115June 12, 1998
Change 114June 2, 1998
Change 113April 21, 1998
Change 112April 17, 1999
Change 111March 17, 1998
Change 110March 13, 1998
Change 109February 24, 1998
Change 108February 18, 1998
Change 107December 19, 1997
Change 106December 5, 1997
Change 105December 3, 1997
Change 104November 26, 1997
Change 103October 29, 1997
Change 102October 24, 1997
Change 101September 30, 1997
Change 100September 15, 1997
Change 99September 12, 1997
Change 98September 5, 1997
Change 97August 27, 1997
Change 96August 26, 1997
Change 95August 20, 1997
Change 94August 6, 1997
Change 93July 24, 1997
Change 92July 23, 1997
Change 91July 9, 1997
Change 90July 3, 1997
Change 89June 6, 1997
Change 88May 16, 1997
Change 87May 9, 1997
Change 86May 5, 1997
Change 85April 10, 1997
Change 84March 19, 1997
Change 83March 14, 1997
Change 82February 28, 1997
Change 81February 25, 1997
Change 80February 19, 1997
Change 79February 14, 1997
Change 78January 30, 1997
Change 77December 3, 1996
Change 76November 5, 1996
Change 75September 25, 1996
Change 74September 20, 1996
Change 73August 23, 1996
Change 72August 5, 1996
Change 71July 31, 1996
Change 70June 28, 1996
Change 69June 7, 1996
Change 68May 20, 1996
Change 67May 14, 1996
Change 66April 19, 1996
Change 65March 1, 1996
Show published changesAutomated Data Processing And Reporting Manual 6010.50-M, July 1992Change 81May 18, 1999
Show published changes32 CFR 199 (TMA Version), July 2001Change 27October 12, 2004
TRICARE National Enrollment Database Manual 6010.52-M, November 2000BaselineNovember 20, 2000

NOTES

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After downloading any and all PDF files (PDF ), the text of all cross-references is accurate but clicking on links will not work in most cases because the documents are not in their proper locations. For example, the current TOM in a folder called TO02, the TPM in a folder called TP02, the TRM in a folder called TR02, the TSM in a folder called TS02, and the CFR in a folder called FR05.