Page:United States Statutes at Large Volume 110 Part 3.djvu/861

 PUBLIC LAW 104-201—SEPT. 23, 1996 110 STAT. 2591 work information, appointment information, and information regarding the existence of third-party payers. (b) AMENDMENT OF EXISTING CONTRACTS.— TO assure a single consistent source of information throughout the health care delivery system of the uniformed services, the Secretary of Defense shall amend each TRICARE program contract, with the consent of the TRICARE program contractor and notwithstanding any requirement for competition, to require the contractor— (1) to use software furnished under the Composite Health Care System to record military treatment facility provider appointments; and (2) to record TRICARE program enrollment through direct use of the Composite Health Care System software or through the uniform two-way interface between the contractor and military treatment facilities systems, where applicable. (c) DEFINITION OF TRICARE PROGRAM. — For purposes of this section, the term 'TRICARE program" means the managed health care program that is established by the Secretary of Defense under the authority of chapter 55 of title 10, United States Code, principally section 1097 of such title, and includes the competitive selection of contractors to financially underwrite the delivery of health care services under the Civilian Health and Medical Program of the Uniformed Services. SEC. 713. PLANS FOR MEDICARE SUBVENTION DEMONSTRATION Reports. PROGRAMS. (a) PROGRAM FOR ENROLLMENT IN TRICARE MANAGED CARE OPTION. —Not later than September 6, 1996, the Secretary of Defense and the Secretary of Health and Human Services shall jointly submit to Congress and the President a report containing a specific plan (including the recommendations of the Secretaries required under subsection (b)) regarding the establishment of a demonstration program under which— (1) covered beneficiaries under chapter 55 of title 10, United States Code, who are also entitled to benefits under part A of the medicare program are permitted to enroll in the managed care option of the TRICARE program; and (2) the Secretary of Health and Human Services reimburses the Secretary of Defense from the Medicare program on a capitated basis for the costs of providing health care services to military retirees who enroll. (b) SPECIFIC ELEMENTS OF REPORT. —The report shall include the following: (1) The number of covered beneficiaries described in subsection (a) who are projected to participate in the demonstration program and the minimum number of such psirticipants necessary to conduct the demonstration program effectively. (2) A plan for notifying such covered beneficiaries of their eligibility for enrollment in the demonstration program and for any other matters connected with enrollment. (3) A recommendation for the duration of the demonstration progreim. (4) A recommendation for the geographic regions in which the demonstration program should be conducted. (5) The appropriate level of capitated reimbursement, and a schedule for such reimbursement, from the Medicare program

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