TRICARE program definition
Examples of TRICARE program in a sentence
TOP Prime Remote enrollment may occur at any time during the period of TOP eligibility and shall remain effective until the enrollee transfers enrollment to another region, disenrolls, or becomes ineligible for TOP Prime/TOP Prime Remote or the TRICARE program.
A type of Internal Partnership Agree- ment, established in the context of the TRICARE program by agreement of a military medical treatment facility commander and authorized TRICARE contractor.
A type External Partnership Agree- ment, established in the context of the TRICARE program by agreement of a military medical treatment facility commander and an authorized TRICARE contractor.
The health care option, provided as part of the TRICARE program under § 199.17, under which beneficiaries may choose to re- ceive care in facilities of the uniformed services, or from special civilian net- work providers (with reduced cost shar- ing), or from any other CHAMPUS-au- thorized provider (with standard cost sharing).
This exclusion does not apply to active or retired U.S. military personnel or their Dependents, who are enrolled in the TRICARE program.
The TRICARE program made available prior to Janu- ary 1, 2018, covering health benefits contracted for under the authority of TRICARE Young Adult.
The managed care option of the TRICARE program estab- lished under § 199.17.
The health care option, provided as part of the TRICARE program under § 199.17, under which beneficiaries are eligible for care in facilities of the uniformed services and CHAMPUS under standard rules and procedures.
Each Regulated Company that directly or indirectly receives reimbursement or payments under the Medicare and Medicaid Programs, the TRICARE program and such other similar federal, state or local reimbursement or governmental programs (collectively the “Government Programs”) has current provider numbers and provider enrollments and agreements required for each of such Government Programs.
The Paid Claims shall be reviewed based on the supporting documentation available at UHS’s or the Subject Facility’s office or under UHS’s control and applicable Medicare program, a state Medicaid program, or the TRICARE program requirements to determine whether the items and services furnished were medically necessary, appropriately documented, and whether the claim was correctly coded, submitted, and reimbursed.