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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, Baseline, April 1, 2015

Page Count: 1,094
Summary of Changes: This is the baseline version of the April 2015 TRICARE Operations Manual.
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TRICARE Policy Manual, Baseline, April 1, 2015

Page Count: 1,024
Summary of Changes: This is the baseline version of the April 2015 TRICARE Policy Manual.
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TRICARE Reimbursement Manual (TRM), Baseline, April 1, 2015

Page Count: 1,048
Summary of Changes: This is the baseline version of the April 2015 TRICARE Reimbursement Manual.
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TRICARE Systems Manual, Baseline, April 1, 2015

Page Count: 768
Summary of Changes: This is the baseline version of the April 2015 TRICARE Systems Manual.
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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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 143, March 24, 2015

Page Count: 1,608
Summary of Changes: This change directs the contractor to not offer appeals in reconsideration determinations when the basis of the denial is a statutory or regulatory exclusion.
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TRICARE Policy Manual, Change 134, April 1, 2015

Page Count: 1,080
Summary of Changes: See the Change Transmittal.
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TRICARE Reimbursement Manual, Change 112, March 23, 2015

Page Count: 1,202
Summary of Changes: See the Change Transmittal. This change is published in conjunction with Feb 2008 TPM Change 133.
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TRICARE Systems Manual, Change 73, January 13, 2015

Page Count: 964
Summary of Changes: This change will allow the TRICARE Encounter Data system to accurately reimburse and edit data for the TPHARM4 contract.
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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 66, December 31, 2014

Page Count: 542
Summary of Changes: Final Rule - TRICARE Program; Clarification of Benefit Coverage of Durable Equipment and Ordering or Prescribing Durable Equipment; Clarification of Benefit Coverage of Assistive Technology Devices under the Extended Care Health Option Program
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10 USC 55, Change 5, December 2, 2014

Page Count: 432
Summary of Changes: USC Classification Table, 113th Congress, First Session (Public Laws 113-1 through 113-72 and 113-74)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 16, 2014).
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TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

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If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help Resources page.

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