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This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.
§ 1071 - Purpose of this chapter
§ 1072 - Definitions
§ 1073 - Administration of this chapter
§ 1073a - Contracts for health care: best value contracting
§ 1073b - Recurring reports and publication of certain data
§ 1074 - Medical and dental care for members and certain former members
§ 1074a - Medical and dental care: members on duty other than active duty for a period of more than 30 days
§ 1074b - Medical and dental care: Academy cadets and midshipmen; members of, and designated applicants for membership in, Senior ROTC
§ 1074c - Medical care: authority to provide a wig
§ 1074d - Certain primary and preventive health care services
§ 1074e - Medical care: certain Reserves who served in Southwest Asia during the Persian Gulf Conflict
§ 1074f - Medical tracking system for members deployed overseas
§ 1074g - Pharmacy benefits program
§ 1074h - Medical and dental care: medal of honor recipients; dependents
§ 1074i - Reimbursement for certain travel expenses
§ 1074j - Sub-acute care program
§ 1074k - Long-term care insurance
§ 1074l - Notification to Congress of hospitalization of combat wounded members
§ 1074m - Mental health assessments for members of the armed forces deployed in support of a contingency operation
§ 1075 - TRICARE Select
§ 1076 - Medical and dental care for dependents: general rule
§ 1076a - TRICARE dental program
§ 1076b - Repealed. Pub. L. 109–364, div. A, title VII, § 706(d), Oct. 17, 2006, 120 Stat. 2282]
§ 1076c - Dental insurance plan: certain retirees and their surviving spouses and other dependents
§ 1076d - TRICARE program: TRICARE Standard coverage for members of the Selected Reserve
§ 1076e - TRICARE program: TRICARE Standard coverage for certain members of the Retired Reserve who are qualified for a non-regular retirement but are not yet age 60
§ 1077 - Medical care for dependents: authorized care in facilities of uniformed services
§ 1078 - Medical and dental care for dependents: charges
§ 1078a - Continued health benefits coverage
§ 1078b - Provision of food to certain members and dependents not receiving inpatient care in military medical treatment facilities
§ 1079 - Contracts for medical care for spouses and children: plans
§ 1079a - CHAMPUS: treatment of refunds and other amounts collected
§ 1079b - Procedures for charging fees for care provided to civilians; retention and use of fees collected
§ 1080 - Contracts for medical care for spouses and children: election of facilities
§ 1081 - Contracts for medical care for spouses and children: review and adjustment of payments
§ 1082 - Contracts for health care: advisory committees
§ 1083 - Contracts for medical care for spouses and children: additional hospitalization
§ 1084 - Determinations of dependency
§ 1085 - Medical and dental care from another executive department: reimbursement
§ 1086 - Contracts for health benefits for certain members, former members, and their dependents
§ 1086a - Certain former spouses: extension of period of eligibility for health benefits
§ 1086b - Prohibition against requiring retired members to receive health care solely through the Department of Defense
§ 1087 - Programing facilities for certain members, former members, and their dependents in construction projects of the uniformed services
§ 1088 - Air evacuation patients: furnished subsistence
§ 1089 - Defense of certain suits arising out of medical malpractice
§ 1090 - Identifying and treating drug and alcohol dependence
§ 1090a - Commanding officer and supervisor referrals of members for mental health evaluations
§ 1091 - Personal services contracts
§ 1092 - Studies and demonstration projects relating to delivery of health and medical care
§ 1092a - Persons entering the armed forces: baseline health data
§ 1093 - Performance of abortions: restrictions
§ 1094 - Licensure requirement for health-care professionals
§ 1094a - Continuing medical education requirements: system for monitoring physician compliance
§ 1095 - Health care services incurred on behalf of covered beneficiaries: collection from third-party payers
§ 1095a - Medical care: members held as captives and their dependents
§ 1095b - TRICARE program: contractor payment of certain claims
§ 1095c - TRICARE program: facilitation of processing of claims
§ 1095d - TRICARE program: waiver of certain deductibles
§ 1095e - TRICARE program: beneficiary counseling and assistance coordinators
§ 1095f - TRICARE program: referrals for specialty health care
§ 1096 - Military-civilian health services partnership program
§ 1097 - Contracts for medical care for retirees, dependents, and survivors: alternative delivery of health care
§ 1097a - TRICARE Prime: automatic enrollments; payment options
§ 1097b - TRICARE program: financial management
§ 1097c - TRICARE program: relationship with employer-sponsored group health plans
§ 1098 - Incentives for participation in cost-effective health care plans
§ 1099 - Health care enrollment system
§ 1100 - Defense Health Program Account
§ 1101 - Resource allocation methods: capitation or diagnosis-related groups
§ 1102 - Confidentiality of medical quality assurance records: qualified immunity for participants
§ 1103 - Contracts for medical and dental care: State and local preemption
§ 1104 - Sharing of health-care resources with the Department of Veterans Affairs
§ 1105 - Specialized treatment facility program
§ 1106 - Submittal of claims: standard form; time limits
§ 1107 - Notice of use of an investigational new drug or a drug unapproved for its applied use
§ 1107a - Emergency use products
§ 1108 - Health care coverage through Federal Employees Health Benefits program: demonstration project
§ 1109 - Organ and tissue donor program
§ 1110 - Anthrax vaccine immunization program; procedures for exemptions and monitoring reactions
§ 1110a - Notification of certain individuals regarding options for enrollment under Medicare part B
§ 1110b - TRICARE program: extension of dependent coverage
Title 32 published on 2015-08-22
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 32 CFR Part 199 after this date.
This final rule implements section 702 (c) of the Carl Levin and Howard P. “Buck” McKeon National Defense Authorization Act for Fiscal Year 2015 which states that beginning October 1, 2015, the pharmacy benefits program shall require eligible covered beneficiaries generally to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. An interim final rule is in effect. Section 702(c) of the National Defense Authorization Act for Fiscal Year 2015 also terminates the TRICARE For Life Pilot Program on September 30, 2015. The TRICARE For Life Pilot Program described in section 716(f) of the National Defense Authorization Act for Fiscal Year 2013, was a pilot program which began in March 2014 requiring TRICARE For Life beneficiaries to refill non-generic prescription maintenance medications through military treatment facility pharmacies or the national mail-order pharmacy program. TRICARE for Life beneficiaries are those enrolled in the Medicare wraparound coverage option of the TRICARE program. This rule includes procedures to assist beneficiaries in transferring covered prescriptions to the mail order pharmacy program.
On September 2, 2016, the Department of Defense published a final rule (81 FR 61068-61098) titled TRICARE; Mental Health and Substance Use Disorder Treatment. DoD is making a technical amendment due to the discovery of two errors. We noted in the preamble of the final rule that we had removed the requirements regarding capacity (30 percent) and length of time licensed and at full operational status (6 months) for substance use disorder rehabilitation facilities (SUDRFs). However, we did not remove the necessary sentence in the regulatory text. In a response to a public comment in the preamble of the final rule, we said that TRICARE will require opioid treatment programs (OTPs) to be licensed and operate in substantial compliance with state and federal regulations. However, we did not make the necessary change in the regulatory text. This technical amendment corrects those errors.
This final rule modifies the TRICARE regulation to reduce administrative barriers to access to mental health benefit coverage and to improve access to substance use disorder (SUD) treatment for TRICARE beneficiaries, consistent with earlier Department of Defense and Institute of Medicine recommendations, current standards of practice in mental health and addiction medicine, and governing laws. This rule seeks to eliminate unnecessary quantitative and non-quantitative treatment limitations on SUD and mental health benefit coverage and align beneficiary cost-sharing for mental health and SUD benefits with those applicable to medical/surgical benefits, expand covered mental health and SUD treatment under TRICARE to include coverage of intensive outpatient programs and treatment of opioid use disorder and to streamline the requirements for mental health and SUD institutional providers to become TRICARE authorized providers, and to develop TRICARE reimbursement methodologies for newly recognized mental health and SUD intensive outpatient programs and opioid treatment programs.
The Department of Defense, Defense Health Agency, is proposing to revise its reimbursement of Long Term Care Hospitals (LTCHs) and Inpatient Rehabilitation Facilities (IRFs). Proposed revisions are in accordance with the statutory provision at title 10, United States Code (U.S.C.), section 1079(i)(2) that requires TRICARE payment methods for institutional care be determined, to the extent practicable, in accordance with the same reimbursement rules as apply to payments to providers of services of the same type under Medicare. Our regulation includes a definition for “Hospital, long-term (tuberculosis, chronic care, or rehabilitation).” This rule proposes to delete this definition and create separate definitions for “Long Term Care Hospital” and “Inpatient Rehabilitation Facility” in accordance with Centers for Medicare & Medicaid Services (CMS) classification criteria. Under TRICARE, LTCHs and IRFs (both freestanding rehabilitation hospitals and rehabilitation hospital units) are currently paid the lower of a negotiated rate (if they are a network provider) or billed charges (if they are a non-network provider). Although Medicare's reimbursement methods for LTCHs and IRFs are different, it is prudent to propose adopting both the Medicare LTCH and IRF Prospective Payment System (PPS) methods simultaneously to align with our statutory requirement to utilize the same reimbursement system as Medicare. This proposed rule sets forth the proposed regulation modifications necessary for TRICARE to adopt Medicare's LTCH and IRF Prospective Payment Systems and rates applicable for inpatient services provided by LTCHs and IRFs to TRICARE beneficiaries.
The DoD published a final rule on December 31, 2014 (79 FR 78707-78714). This rule makes correcting amendments to the previously published final rule to clarify that only the replacement of lost or stolen rental durable equipment is excluded from coverage. Additionally, in the final rule, DoD mistakenly used asterisks in a paragraph it was revising in its entirety. To correct this mistake and ensure that all revisions are appropriately codified, these correcting amendments set out the full text of the impacted paragraph.
This final rule revises the benefit payment provision for nonparticipating providers to more closely mirror industry practices by requiring TDP nonparticipating providers to be reimbursed (minus the appropriate cost-share) at the lesser of billed charges or the network maximum allowable charge for similar services in that same locality (region) or state. This rule also updates the regulatory provisions regarding dental sealants to clearly categorize them as a preventive service and, consequently, eliminate the current 20 percent cost-share applicable to sealants to conform with the language in the regulation to the statute.
This rulemaking proposes comprehensive revisions to the TRICARE regulation to reduce administrative barriers to access to mental health benefit coverage and to improve access to substance use disorder (SUD) treatment for TRICARE beneficiaries, consistent with earlier Department of Defense and Institute of Medicine recommendations, current standards of practice in mental health and addiction medicine, and governing laws. This proposed rule has four main objectives: (1) To eliminate quantitative and qualitative treatment limitations on SUD and mental health benefit coverage and align beneficiary cost-sharing for mental health and SUD benefits with those applicable to medical/surgical benefits; (2) to expand covered mental health and SUD treatment under TRICARE, to include coverage of intensive outpatient programs and treatment of opioid use disorder; (3) to streamline the requirements for mental health and SUD institutional providers to become TRICARE authorized providers; and (4) to develop TRICARE reimbursement methodologies for newly recognized mental health and SUD intensive outpatient programs and opioid treatment programs.
TRICARE Reserve Select (TRS) is a premium-based TRICARE health plan available for purchase worldwide by qualified members of the Ready Reserve and by qualified survivors of TRS members. TRICARE Dental Program (TDP) is a premium-based TRICARE dental plan available for purchase worldwide by qualified Service members. This final rule revises requirements and procedures for the TRS program to specify the appropriate actuarial basis for calculating premiums in addition to making other minor clarifying administrative changes. For a member who is involuntarily separated from the Selected Reserve under other than adverse conditions this final rule provides a time-limited exception that allows TRS coverage in effect to continue for up to 180 days after the date on which the member is separated from the Selected Reserve and TDP coverage in effect to continue for no less than 180 days after the separation date. It also expands early TRICARE eligibility for certain Reserve Component members from a maximum of 90 days to a maximum of 180 days prior to activation in support of a contingency operation for more than 30 days.