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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 29, June 20, 2018

Page Count: 1,172
Summary of Changes: This change adds language stating there is a waiver to the TRICARE Overseas Program (TOP) contractor to allow a provider to retain good faith payments in certain cases.
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TRICARE Policy Manual, Change 28, August 3, 2018

Page Count: 994
Summary of Changes: This change revises language to allow certification of Federally-recognized accrediting agencies approved by the USDE for provider clinical education programs.
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TRICARE Reimbursement Manual (TRM), Change 23, July 3, 2018

Page Count: 970
Summary of Changes: This change corrects Skilled Nursing Facility (SNF) for Fiscal Year 2018 and makes a correction to DRG.
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TRICARE Systems Manual, Change 17, August 7, 2018

Page Count: 702
Summary of Changes: This change terminates the TRICARE Retiree Dental Plan and transitions retired beneficiaries and their families to the OPM Federal Employees Dental and Vision Program.
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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The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion (indicated by a red banner) of each manuals' web page. Select the desired manual below, then proceed to the "Superseded" manual(s) that exist below the "Current" manual.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 225, July 25, 2018

Page Count: 1,636
Summary of Changes: This change fulfills the NDAA requirement for beneficiaries to be enrolled in either TRICARE Prime or TRICARE Select in order to be eligible for ECHO benefits. This change is published in conjunction with Feb 2008 TPM Change 204.
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TRICARE Policy Manual, Change 205, August 2, 2018

Page Count: 1,060
Summary of Changes: This change revises language to allow certification of Federally-recognized accrediting agencies approved by the USDE for provider clinical education programs.
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TRICARE Reimbursement Manual, Change 161, July 2, 2018

Page Count: 1,096
Summary of Changes: This change corrects Skilled Nursing Facility (SNF) for Fiscal Year 2018 and makes a correction to the DRG.
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TRICARE Systems Manual, Change 108, August 6, 2018

Page Count: 972
Summary of Changes: This change terminates the TRICARE Retiree Dental Plan and transitions retired beneficiaries and their families to the OPM Federal Employees Dental and Vision Program.
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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 76, December 29, 2017

Page Count: 536
Summary of Changes: Final Rule - TRICARE; Reimbursement of Long Term Care Hospitals and Inpatient Rehabilitation Facilities
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32 CFR 199 (2016), Change 2, December 29, 2017

Page Count: 504
Summary of Changes: Final Rule - TRICARE; Reimbursement of Long Term Care Hospitals and Inpatient Rehabilitation Facilities
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10 USC 55, Change 9, June 27, 2018

Page Count: 518
Summary of Changes: USC Classification Table, 115th, First Session (Public Laws 115-1 through 115-117)
—Prepared by Office of the Law Revision Counsel, U.S. House of Representatives (January 12, 2018).
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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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