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TRICARE Waives Primary Care Manager Referrals for Guam and Northern Mariana Islands due to Typhoon Mawar
The Defense Health Agency (DHA) today announced that a Primary Care Manager (PCM) Referral Waiver is in place for all TRICARE Prime Overseas and TRICARE Prime Remote Overseas enrolled beneficiaries seeking/receiving care in Guam and the Northern Mariana Islands due to the impacts of Typhoon Mawar.
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This page contains a listing of case-mix weights used for the HHPPS. This list formerly was published in the TRICARE Reimbursement Manual, Chapter 12, Addendum J. The HIPPS codes and case-mix weights for episodes are available for download below.
Additionally, payments under the HHPPS are subject to a wage-index adjustment. Previously these were published in the TRICARE Reimbursement Manual. For efficiency, we are now publishing them to this website.
Please visit the TRICARE Reimbursement Manual, Chapter 12 and the Medicare HHA PPS website at for additional information on coding and billing for Home Health care reimbursed through the HHPPS.
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