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DOD/DODOASHA RIN: 0720-AB86 Publication ID: Fall 2021 
Title: ●TRICARE; Implementation of Changes to the VA Private Sector Care Claims; Double Coverage Plans Excluded 

This proposal addresses a problem elevated to the Office of Management and Budget in 2020, where approximately $12 million in duplicate payments were made by the Department of Defense (DoD) and the Department of Veterans Affairs (VA) for DoD/VA dual-eligible patients who received healthcare services in the private sector. This change to the current definition of double coverage plans allows DoD to recoup payments made once informed that the beneficiary was referred for care by the VA to the private sector and that the corresponding claim was rightfully paid by the VA. The revised language would provide DoD with the relief necessary to recoup duplicate payments if a VA authorization/referral is present, thereby maximizing Federal appropriations in support of patient care.

Agency: Department of Defense(DOD)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 32 CFR 199   
Legal Authority: 5 U.S.C. 301    10 U.S.C. ch. 55   
Legal Deadline:  None
Action Date FR Cite
NPRM  11/00/2021 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Mary Wessendorf
Senior Program Analyst
Department of Defense
Office of Assistant Secretary for Health Affairs
7700 Arlington Blvd,
Falls Church, VA 22042-1213
Phone:703 541-9434