Impact of Medicare Reimbursement Rate Decrease on TRICARE

On March 3, Congress passed emergency legislation delaying the 21.2 percent decrease in Medicare reimbursement rates for an additional 30 days. The TRICARE Management Activity greatly appreciates Congress' swift action as it allowed more time to fully evaluate the impact the decrease in Medicare reimbursement rates will have on the TRICARE program.

Whatever the outcome, TRICARE will take at least 30 days to fully understand the impact on TRICARE and take appropriate action. While federal law requires TRICARE reimbursement rates to be equal to Medicare rates to the extent practical, the law does permit TRICARE to make exceptions to ensure an adequate network of providers or to eliminate a situation of severely impaired access to care.

More information about this legislation and its impact on TRICARE will be posted on the TRICARE.mil website as soon as it becomes available.

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