TRICARE Policy Manual 6010.60-M

Each TRICARE Manual on the web incorporates all changes by the date of publication. Although changes are published, they may not be implemented by the contractor until directed to do so by the Contracting Officer.
The TRICARE Policy Manual (TPM) is incorporated by reference in the Managed Care Support Contracts (MCSCs) and is the primary vehicle for policy and benefit guidelines and instructions. The TPM provides a mechanism for keeping the contracts current by clarifying or modifying existing contractual requirements, adding new specifications/requirements and deleting obsolete information. The TPM, in conjunction with the April 2015 TRICARE Reimbursement Manual, provides guidance, policy interpretations and decisions implementing TRICARE, including those policies and procedures applicable to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). The TPM contains operational policy necessary to implement Title 32 to the Code of Federal Regulations Part 199 (32 CFR 199). This manual augments the 32 CFR 199 and must be used in conjunction, for complete policy information.

April 1, 2015 edition

These manuals are applicable to the East and West Regional Managed Care Support Contracts awarded on or after 07/21/2016. Upon direction of the Contracting Officer, all or portions of these manuals may also apply to the TRICARE Quality Monitoring Contract (TQMC), TRICARE Claims Audit Review Services (TCARS), TRICARE Overseas Program (TOP), TRICARE Pharmacy (TPharm), TRICARE Dental Program (TDP), and TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC).
The April 1, 2015 edition of the TRICARE Policy Manual (TPM), 6010.60-M, is available online.
All future changes will be published to this edition.
Last Updated: February 21, 2018
Most Recent Change Number: Change 18


Page Count: 1,040
Summary of Changes: This change updates the following (a) authorization for use of the patient’s home or other secure location as an originating site for telemedicine services, (b) authorization of telemedicine for any otherwise covered TRICARE benefit when such services are deemed medically or psychologically necessary and appropriate, (c) authorization of payment for telemedicine visit to be made at the same amount as when they service is provided without the use of a telecommunications system, and (d) elimination of prescriptive language with regard to the exercise of telemedicine services, instead directing contractors to adhere to clinical specialty and telemedicine practice guidelines as well as licensure/regulatory requirements of the jurisdiction in with the patient/provider are located. This change is published in conjunction with Apr 2015 TOM Change 3.