# Presentation: 426891

## Department  of Defense
Tricare Management Activity (TMA)
Contract Resource Management
Aurora, Colorado

**Tricare Management Activity (TMA)**
**Contract Resource Management**
**Aurora, Colorado**

## Defense Health Program Mission Statement

-   “To enhance the Department of Defense and our nation’s security by providing health support for the full range of military operations and sustaining the health of all those entrusted to our care.”

## Department of Defense:

U.S. Army	

U.S.Air Force

U.S. Navy

U.S. Marines 

- U.S. Army*	*
- U.S.Air Force
- U.S. Navy
- U.S. Marines* *

- Army Reserves
- Air Force Reserves
- Navy Reserves
- Marine Reserves
- Army National Guard
- Air Force National Guard

- Uniformed Services

## Uniformed Services

**Non-DOD Agencies:**
- Coast Guard
- Public Health Service
- National Oceanic and Atmospheric Administration

**Outside the U.S.   ****	****	****	****Government:**
- Continuing Health Care Benefit Program
- NATO  & other Foreign Military

## Number of Beneficiaries

_**9.2 Million Eligible Beneficiaries**__ _
- 1.7 Million Active Duty
- 1.8 Million Active Duty Family Members
- 5.6 Million Retirees & Family Members
- Other Beneficiaries –  approx. 58,000

## Defense Health Program

**$42.18 Billion **
**__________________________________________________**
-     $31.02 Billion - Appropriated Funds
- $23.69 Billion Healthcare
- $  6.96 Billion Military Medical Personnel
- $   368 Million Military Construction
- $11.16 Billion - Medicare Eligible Retiree Health Care Trust Fund

## Where  the Money Goes:

_**Military Treatment Facilities**_
- Operated by the Military Services
- 63 Military Hospitals
- 413 Medical Clinics
- 413 Dental Clinics
- 89,400 Military Personnel
- 44,100 Civilian Personnel
- Paid by Defense Finance & Accounting Service (DFAS)

## Where  the Money Goes:

_**Military Offices**_
- Office of the Assistant Secretary of Defense
- 	 for Health Affairs
- 3 Tricare Regional Offices (United States)
- 3 Tricare Area Offices (Overseas)
- 	Europe (inc. Africa & Middle East)
- 	Pacific (inc. Asia)
- 	Latin America/Canada
- 3 Surgeon General Offices
- 	Army, Navy (inc. Marines) and Air Force

## Where  the Money Goes:

_**Tricare Management Activity**_
- Civilian Health Care Providers
- Civilian Pharmacies
- Mail Order Pharmacy
- Civilian Dental Care
- Administration of Contracts
- About 350 Military, Civilian & Contract employees
- Paid by TMA thru Treasury

## A Week in the Life

_**Total Weekly Outlay = $809 million**_
- _Number of: _		         _Military Facilities_	    _Civilian Care (TMA)_
- Inpatient Admissions         	        4,800	               13,700
- Outpatient Visits	  	    664,000	       Included in Claims Processed
- -----------------------------------------------------------------------------------------------------------------------
- Claims Processed			         n/a    	 	3.7  Million
- -----------------------------------------------------------------------------------------------------------------------
- Prescriptions
- 	          Retail			     940,000	      	1.17 Million
- 	          Mail Order	     	          n/a	              175,000
- ----------------------------------------------------------------------------------------------------------------------
- Dental Visits	  	    101,900 	          Pay Premium-Not Claims
- ----------------------------------------------------------------------------------------------------------------------
- Births			           980	 	         1,260

## Tricare Regions

## TMA Contracts

_**Healthcare Contracts: **__** **_
- North, South & West Regional Contracts
- Foreign Claims
- Medicare Dual Eligible Retirees
- Retail Pharmacy
- Mail Order Pharmacy

- Uniformed Services Family Health Program (6 Civilian Hospitals)
- Active Duty Dental Care
- Family Dental Care
- Retiree Dental Care

## TMA Contracts

_**Administrative Contracts:**_
- 	Remote Overseas
- 	Puerto Rico
- 	Marketing & Education
- 	Healthcare Auditing
- Note: CRM doesn’t handle any day to day TMA operations such as payroll,     travel, building operations, etc.

## Treasury Programs

- SPS
- ASAP
- IPAC
- Treasury Offset Program
- CA$HLINK
- GOALS
- GWA
- 224 Reporting

## SPS

- Reimburse Regional contractors for most of their healthcare payments.
- Pay all administrative payments for all contracts.
- Pay all other payments except what is paid thru ASAP or IPAC.

## ASAP	

- Use 1031 Processing
- Healthcare claims are processed by the contractors who submit data to TMA.
- TMA obligates funds and authorizes the contractors to release payments.
- As payments clear the contractor’s bank, their bank is allowed to draw funds from the FRB-Richmond.

## IPAC

- Collect Reimbursable Bills from non-DOD Services.
- Pay Defense Logistics Agency for drugs for Mail Order Pharmacy.
- Received collections from the Justice Department and Treasury Department for various receivables.
- Receive Collections from Judge Advocate General (JAG) Offices for 3rd Party Liability Claims.
- Pay and Collect from the Veteran’s Administration
- Receive collections/make payments to other DOD and non-DOD agencies as needed.

## Treasury Offset Program

- TMA Contractors are the 1st to identify and attempt collection action.
- Cases are transferred to TMA General Counsel’s office for further collection action after contractors are unable to collect.
- Cases may be referred to TOP or the Justice Department depending on the circumstances.

## CA$HLINK
Reports of ASAP Transactions
Reports of Deposits with FRB

GOALS
Reports of IPAC Transactions
Statement of Differences

GWA
Reports of SPS Transactions

224 Reporting  
Report to Treasury
Also, submit copy to DFAS

- Reports of ASAP Transactions
- Reports of Deposits with FRB
- GOALS
- Reports of IPAC Transactions
- Statement of Differences
- GWA
- Reports of SPS Transactions
- 224 Reporting
- Report to Treasury
- Also, submit copy to DFAS

##    Points of Contact

- Evelyn Young, Certifying Officer/Accountant
- Tricare Management Activity
- Contract Resource Management
- 16401 East Centretech Parkway
- Aurora, CO  80011-9066
- Phone:  303-676-3421
- Email: evelyn.young@tma.osd.mil