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Defense Health Agency

"On October 1, 2013, the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. These activities include those previously managed by TRICARE Management Activity (TMA), which was disestablished on the same date. During the next several months, all TMA websites will change to reflect the new DHA. We appreciate your patience during this transition."

Sole Community Hospitals (SCH)

Beginning January 1, 2014, TRICARE will begin a multiyear transition to a new method for reimbursing sole community hospitals (SCHs) for inpatient services. This change allows TRICARE to comply with federal law by aligning its reimbursements more closely with Medicare’s. TRICARE is committed to successfully implementing a responsible payment method that supports the health and readiness of our military. The following links provide helpful information concerning this new reimbursement methodology:

 

The complete list of SCHs contain the most current information and is updated quarterly. The list is based on information from Centers for Medicare and Medicaid Services (CMS), augmented by TMA based on a comparison with the current CAH list.

   

Critical Access Hospitals (CAH)

The list of CAHs contain the most current information and is updated quarterly. The list is based on information from CMS.

   

CAH Inpatient and Outpatient Cost to Charge Ratios (CCRs)

   
   

Use the State Average CCRs only if the subject hospital is not listed in the Facility-based file.