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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 9, November 15, 2017

Page Count: 1,140
Summary of Changes: This change brings the TRICARE T17 manuals in line with T3 manuals and implements the mental health/SUD Final Rule published on September 2, 2016 with an effective date of October 3, 2016. This change updates and aligns mental health/SUD benefits with medical/surgical benefits by the elimination of differential mental health/SUD cost-sharing/co-payments (vis a vis medical/surgical care cost-shares and co-pays). It updates mental health/SUD benefits by (a) removing quantitative treatment limitations for mental health and SUD treatment; (b) expanding benefits for opioid treatment; and (c) streamlining requirements to become an authorized mental health/SUD provider. This change is published in conjunction with Apr 2015 TPM Change 13 and Apr 2015 TRM Change 10.
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TRICARE Policy Manual, Change 14, November 21, 2017

Page Count: 994
Summary of Changes: See the Change Transmittal.
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TRICARE Reimbursement Manual (TRM), Change 10, November 15, 2017

Page Count: 942
Summary of Changes: This change brings the TRICARE T17 manuals in line with T3 manuals and implements the mental health/SUD Final Rule published on September 2, 2016 with an effective date of October 3, 2016. This change updates and aligns mental health/SUD benefits with medical/surgical benefits by the elimination of differential mental health/SUD cost-sharing/co-payments (vis a vis medical/surgical care cost-shares and co-pays). It updates mental health/SUD benefits by (a) removing quantitative treatment limitations for mental health and SUD treatment; (b) expanding benefits for opioid treatment; and (c) streamlining requirements to become an authorized mental health/SUD provider. This change is published in conjunction with Apr 2015 TOM Change 9 and Apr 2015 TPM Change 13.
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TRICARE Systems Manual, Change 5, November 2, 2017

Page Count: 772
Summary of Changes: This change updates codes to the October quarterly Medicare OPPS. This change is published in conjunction with Apr 2015 TPM Change 12.
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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 209, November 6, 2017

Page Count: 1,618
Summary of Changes: This change extends the LDT Demonstration termination date for three years from July 18, 2017 to July 18, 2020.
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TRICARE Policy Manual, Change 193, November 20, 2017

Page Count: 1,080
Summary of Changes: See the Change Transmittal.
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TRICARE Reimbursement Manual, Change 151, November 8, 2017

Page Count: 1,066
Summary of Changes: This change provides clarifying language on the DE/DMEPOS policy, and also addresses the CMS competitive bidding program.
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TRICARE Systems Manual, Change 99, November 27, 2017

Page Count: 968
Summary of Changes: This change updates the NIST SP 800-53 Checklist to the NIST SP 800-171 Checklist and deletes references not pertaining to non-DoD entities.
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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 75, September 29, 2017

Page Count: 530
Summary of Changes: Interim Final Rule - Establishment of TRICARE Select and Other TRICARE Reforms
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32 CFR 199 (2016), Change 1, September 29, 2017

Page Count: 502
Summary of Changes: Interim Final Rule: Establishment of TRICARE Select and Other TRICARE Reforms
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10 USC 55, Change 8, September 19, 2017

Page Count: 508
Summary of Changes: USC Classification Table, 114th, Second Session (Public Laws 114-116 through 114-329)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 6, 2017).
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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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Not available for this change

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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Not available for this change

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