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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:

 

As of July 1, 2014, the TRICARE Regional Contractors are responsible for maintaining a current listing of Sole Community Hospitals in their region based on information from the Center for Medicare and Medicaid Services (CMS). Any questions concerning the status of an SCH should be directed to the appropriate regional contractor. The following list is maintained for historical purposes only and will not be updated each quarter.

   

Critical Access Hospitals (CAH)

Beginning July 1, 2014, the TRICARE Regional Contractors are responsible for maintaining a current listing of Critical Access Hospitals (CAHs) in their region based on information from the Center for Medicare and Medicaid Services (CMS). Any questions concerning the status of an CAH should be directed to the appropriate regional contractor. The following list is maintained for historical purposes only and will not be updated each quarter.

   

CAH Inpatient and Outpatient Cost to Charge Ratios (CCRs)

The following Facility-based and State Average CCRs are provided by Fiscal Year:

   
   

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