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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, Change 5, August 28, 2017

Page Count: 1,136
Summary of Changes: This change adds Low Protein Modified Foods (LPMF) for the treatment of Inborn Errors of Metabolism (IEM) as a service that will need preauthorization in any setting. This change is published in conjunction with Apr 2015 TPM Change 8.
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TRICARE Policy Manual, Change 8, August 28, 2017

Page Count: 1,046
Summary of Changes: This change adds coverage for 1) low protein modified foods for the treatment of inborn errors of metabolism 2) services and supplies required to administer the ketogenic diet for the treatment of drug-resistant epilepsy, and 3) medical nutritional therapy and medical nutritional counseling provided by TRICARE authorized Providers including Nutritionists and Registered Dietitians. This change is published in conjunction with Apr 2015 TOM Change 5.
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TRICARE Reimbursement Manual (TRM), Change 5, August 23, 2017

Page Count: 912
Summary of Changes: This change revises the language that states Maryland is the only state with an All Payer Reimbursement System. It clarifies that any state with an All Payer Reimbursement System is to follow the same reimbursement rules that have been in place for all payer reimbursement systems such as Maryland. This change is published in conjunction with Apr 2015 TOM Change 4 and Apr 2015 TPM Change 7.
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TRICARE Systems Manual, Change 3, June 30, 2017

Page Count: 770
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Apr 2015 TPM Change 4, and Apr 2015 TRM Change 3.
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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

The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual. For the ADP Manual, select the TSM Manual.

TRICARE Operations Manual, Change 206, August 25, 2017

Page Count: 1,606
Summary of Changes: This change adds Low Protein Modified Foods (LPMF) for the treatment of Inborn Errors of Metabolism (IEM) as a service that will need preauthorization in any setting. This change is published in conjunction with Feb 2008 TPM Change 188.
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TRICARE Policy Manual, Change 188, August 25, 2017

Page Count: 1,074
Summary of Changes: This change adds coverage for 1) low protein modified foods for the treatment of inborn errors of metabolism 2) services and supplies required to administer the ketogenic diet for the treatment of drug-resistant epilepsy, and 3) medical nutritional therapy and medical nutritional counseling provided by TRICARE authorized Providers including Nutritionists and Registered Dietitians. This change is published in conjunction with Feb 2008 TOM Change 206.
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TRICARE Reimbursement Manual, Change 147, August 22, 2017

Page Count: 1,034
Summary of Changes: This change revises the language that states Maryland is the only state with an All Payer Reimbursement System. It clarifies that any state with an All Payer Reimbursement System is to follow the same reimbursement rules that have been in place for all payer reimbursement systems such as Maryland. This change is published in conjunction with Feb 2008 TOM Change 205, Feb 2008 TPM Change 187, and Feb 2008 TSM Change 96.
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TRICARE Systems Manual, Change 96, August 22, 2017

Page Count: 954
Summary of Changes: This change makes corrections to codes and verbiage. This change is published in conjunction with Feb 2008 TOM Change 205, Feb 2008 TPM Change 187, and Feb 2008 TRM Change 147.
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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 74, November 2, 2016

Page Count: 526
Summary of Changes: Final Rule: Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Refills of Maintenance Medications Through Military Treatment Facility Pharmacies or National Mail Order Pharmacy Program
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32 CFR 199 (2016), Baseline, December 1, 2016

Page Count: 502
Summary of Changes: This is the baseline version of the December 2016 32 CFR 199 (DHA Version).
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10 USC 55, Change 7, June 8, 2016

Page Count: 456
Summary of Changes: USC Classification Table, 114th, First Session (Public Laws 114-1 through 114-115)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 3, 2016).
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DCS User Guide, Baseline, June 1, 2017

Page Count: 202
Summary of Changes: This is the June 2017 Duplicate Claims System (DCS) User Guide.
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DoD WIC Overseas Program Policy Manual, Baseline, July 1, 2017

Page Count: 27
Summary of Changes: This is the July 2017 WIC Overseas Program Policy Manual
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