Since November 1, 2009, former Service members may receive medical care for service-related medical conditions identified during their six-month transition. The Transitional Care for Service-Related Conditions (TCSRC) provision is available for former Service members participating in the Transitional Assistance Management Program (TAMP).
The benefit requires that the medical condition be newly diagnosed during TAMP, related to service and able to be resolved within 180 days after it is identified. A Department of Defense (DoD) physician must validate the condition and confirm that it can be treated within 180 days. Once a DoD physician has validated the condition, the former service member is entitled to receive medical care for that condition as if he or she were on active duty. The TCSRC benefit is in effect for 180 days from the date the condition is validated.
TCSRC Eligibility Checklist
To qualify for the TCSRC benefit, a former Service member’s medical condition must be:
- Newly diagnosed during the TAMP period
- Related to active duty service
- Able to be resolved within 180 days
- Approved by the Military Medical Support Office (MMSO) Central Cell
If you are going to treat a TAMP-eligible member for a medical condition that he or she believes is related to active duty service, you should advise your patient to apply for the TCSRC benefit. You will need to supply your patient with documentation that shows the appropriate diagnostic and treatment codes, demonstrating how the condition will be resolved within 180 days, which your patient will submit when applying for the benefit.
The former Service member will submit the information with his or her request for the TCSRC benefit to the MMSO Central Cell. They must also include justification that the condition is related to his or her active duty service. If approved by the MMSO, the approval will be forwarded to TriWest for TCSRC care authorization. If you are identified as the authorized provider, associated medical claims should be submitted to TriWest and processed without cost-shares for the former Service member.
For more information, please refer to TRICARE.mil.