Medical Management Guide, 2009, Version 3.0 - Tricare

Medical Management Guide Version 3.0 Appendix A - ReferencesPage 153GENERAL REFERENCESExecutive SummaryAccreditation Handbook for Ambulatory Health Care. Accreditation Association for Ambulatory Health Care,2008: http://www.aaahc.org/eweb/StartPage.aspx.32 CFR 199.17, TRICARE Program: http://www.access.gpo.gov/nara/cfr/waisidx_05/32cfr199_05.html.42 CFR, Public Health, Centers for Medicare and Medicaid Services (CMS) — Information updated as of July 16,2009: http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=/ecfrbrowse/Title42/42tab_02.tpl.Section I – Medical Management EssentialsDoD Population Health Improvement Plan and Guide, 2001. TMA/Government Printing Office:http://www.tricare.mil/ocmo/download/mhs_phi_guide.pdf.DoDD 1010.10, Health Promotion and Disease/Injury Prevention, Aug. 22, 2003:http://www.dtic.mil/whs/directives.DoDD 6025.18-R, DoD Health Information Privacy Regulation, January 2003:http://www.dtic.mil/whs/directives.Dranove, D. The Economic Evolution of American Healthcare: From Marcus Welby to Managed Care. PrincetonUniversity Press, 2002.Kongstvedt, P. R. Managed Care: What It Is and How It Works, 2nd ed. Jones and Bartlett, 2007.Privacy Act of 1974 (as amended): http://www.usdoj.gov/opcl/privstat.htm (U.S. Department of Justice).Health Insurance Privacy and Accountability Act of 1996 (HIPAA), Aug. 21, 1996:http://aspe.hhs.gov/admnsimp/pL104191.htm. See also:• Centers for Medicare & Medicaid Services (DMS):http://www.cms.hhs.gov/HIPAAGenInfo/Downloads/HIPAALaw.pdf.• Department of Health and Human Services (HHS): http://www.hhs.gov/ocr/privacy/index.html.Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) Reorganization Act of 1992 (S. 1306)TRICARE Policy Manual 6010.54-M, TRICARE Overseas Program (TOP), Chap. 12, Sec. 11.1 — Managed CareSupport Contractor (MCSC) Responsibilities for Claims Processing. Aug. 1, 2002: http://www.tricare.mil/tp02/C12S11_1.PDF.