T-5 GDA Table.pdf

Government Designated Authority (GDA) Table

TRICARE Operations Manual (TOM) Chapter Section/Paragraph GDA

1. Administration Section 2, paragraph 5

Was TRICARE Health Plan, Purchased Care Delivery Branch

Section 4, paragraph 7.3 Was Director, TROs/Program Offices Section 4, paragraph 7.3.1 Was Director, TROs/Program Offices

2. Transition Section 2, paragraph 4.1 THP/MCSD/HPOSS Section 2, paragraph 4.1.1 THP/MCSD/HPOSS Section 2, paragraph 5.1 THP/MCSD/HPOSS Section 2, paragraph 5.2.1 THP/MCSD/HPOSS Section 2, paragraph 6.1 THP/MCSD/HPOSS Section 6, paragraph 2.7 Records Management Section 6, paragraph 3.6 Records Management Section 8, paragraph 4.3 Section 9, paragraph 2.6 Clinical Operations Section9, paragraph 8.1.4 Clinical Operations

4. Provider Certification and Credentialing

Section 1, paragraph 6.2 CQM SME

5. Network Development

Section 1, paragraph 3.0 Network SME Section 1, paragraph 3.1.1 Network SME Section 1, paragraph 3.1.2 Network SME

6. Enrollment Section 1, paragraph 5.3.1 Enrollment SME Section 1, paragraph 5.6.3.1 Enrollment SME Section 1, paragraph 10.7.1.4 Enrollment SME Section 1, paragraph 10.7.5.1 Enrollment SME Section 1, paragraph 10.7.5.4.2 Enrollment SME Section 1, paragraph 10.7.6.1 Enrollment SME Section 1, paragraph 10.7.8 Enrollment SME

7. Clinical Operations Section 2, paragraph 2.1 CM SME Section 2, paragraph 2.3.1 CM SME Section 2, paragraph 2.3.4 CM SME, Medical Director Section 3, paragraph 3.1 PH SME Section 4, paragraph 4.3 UM SME, Medical Director Section 6, paragraph 3.1 CQM SME, other clinical SMEs as appropriate

Section 6, paragraph 3.3.1 CQM SME, other clinical SMEs as appropriate

Section 6, paragraph 3.4 CQM SME Section 6, paragraph 3.5 CQM SME Section 6, paragraph 5.3 THP Medical Director/CQM SME Section 6, paragraph 5.5 THP Medical Director/CQM SME Section 6, paragraph 5.5.1 THP Medical Director/CQM SME Section 6, paragraph 5.5.2 THP Medical Director/CQM SME Section 7, paragraph 4 THP Medical Director/CQM SME

8. Claims Processing Section 1, paragraph 5.2.7 Was Director, TRICARE Regional

Office (TRO) Section 5, paragraph 5.2 Was TRICARE Regional Office (TRO)

11. Customer Service Section 1, paragraph 1.2 Customer Service Section 2, paragraph 1.1.4 Customer Service Section 2, paragraph 1.2 Customer Service Section 2, paragraph 2 Customer Service Section 2, paragraph 8 Customer Service Section 5, paragraph 4.3.2 DHA Comms Section 5, paragraph 4.3.6.1 DHA Comms Section 5, paragraph 4.3.7.1 DHA Comms Section 6, paragraph 3.2 Customer Service Section 6, paragraph 5.1 Customer Service Section 6, paragraph 6.2 Customer Service

15. Market Directors, MTF Directors, and Contractor Interfaces

Section 1, paragraph 2.1 The GDA was HCO Directorate Section 1, paragraph 2.1.2 The GDA was HCO Directorate Section 1, paragraph 2.3.1 The GDA was HCO Directorate Section 2, paragraph 2.1 Section 2, paragraph 2.2 Section 2, paragraph 2.3.2.1 Section 2, paragraph 2.5 Section 2, paragraph 3.1.1 Section 2, paragraph 3.1.2.3 Section 2, paragraph 3.1.2.4 Section 2, paragraph 3.1.2.5 Section 2, paragraph 3.2.1 Section 2, paragraph 3.2.3.2 Section 2, paragraph 3.2.3.3 Section 2, paragraph 3.2.3.4 Section 2, paragraph 9.1.5.1

16. TRICARE Prime Remote Program

Section 1, paragraph 2.2 was Director, TROs Section 1, paragraph 3.1 was Director, TROs Section 1, paragraph 3.2 was Director, TROs Section 1, paragraph 3.3 was Director, TROs

Section 1, paragraph 4.4 was Dep Dir, DHA Section 3, paragraph 1.1 was TRO Section 3, paragraph 3.1.1 was TRO Section 3, paragraph 3.4.2.1 was TRO Section 4, paragraph 3.4.1 was Dep Dir, DHA Section 4, paragraph 3.5.1.3 was Dir TRO Section 5, paragraph 7.2 was Dir THP Section 5, paragraph 8.4 was Dir THP Section 5, paragraph 9.8 was Dir, DHA

17. Supplemental Health Care Program

Section 1, paragraph 4.7 Section 3, paragraph 1.2.1.7.1 was Dir, DHA Section 3, paragraph 2 was Dir TRO and COO TRO Section 3, paragraph 5.3.4 was Dir TRO Section 3, paragraph 5.3.4.1 was Dir TRO Section 3, paragraph 5.3.6 was Dir, DHA Section 3, paragraph 8.2.1.3 was Dir, DHA Addendum B

19. HIPAA

Section 3, paragraph 1.4 was Director, TRO Section 3, paragraph 2.1.2.3 was Director, TRO

21. TRICARE Alaska Section 1, paragraph 2 was Director, TRO Section 1, paragraph 2.2 Section 1, paragraph 3.3 was TRO-W Section 1, paragraph 9.2 Section 1, paragraph 13.3 Section 1, paragraph 22.1 was Director, TRO Section 1, paragraph 22.2 was TRO-W

22. Reserve Component Health Coverage Plans

Section 1, paragraph 8.19.9.1 was TRO, TAO Section 1, paragraph 10.7 was TRO, TAO

25. TRICARE Young Adult Section1, paragraph 8

26. Continued Health Care Benefit Program

Section 1, paragraph 3.1.3.2 was Director, TRO-E

28. Prescription Monitoring Program

Section 1, paragraph 8.2.2

TRICARE Policy Manual (TPM) Chapter Section/Paragraph GDA

1. Administration Section 1.1, paragraph 3.4.3 was Team Chief, MB&RD

Section 1.1, paragraph 4.1 was Dir, TRO Section 4.1, paragraph 2.5.2.4.1 Section 6.1, paragraph 1.6 was Dir, DHA Section 7.1, paragraph 1.1 Was TRO Section 9.1, paragraph 2.5.8 was DHA Clin Ops and CMO Section 9.1, paragraph 2.5.13 was DHA Clin Ops and CMO

7. Medicine Section 3.1, paragraph 3.2 was Dir, DHA Section 3.1, paragraph 3.4.1 was Dir, DHA Section 3.1, paragraph 3.4.2 was Dir, DHA Section 3.3, paragraph 3.2.1 was Dir, DHA Section 3.3, paragraph 3.3.1 was Dir, DHA Section 3.4, paragraph 2 was Dir, DHA Section 3.5, paragraph 3.1.2 Note was TRO Section 3.8, paragraph 4.2 Note was TRO

8. Other Services Section 15.1, paragraph 2.5 Was TRO Section 15.1, paragraph 2.5.5 was D, DHA Section 15.1, paragraph 2.7 was D, DHA CSD Section 15.1, paragraph 2.11 was D, DHA CSD

10. Eligibility and Enrollment

Section 2.1, paragraph 1.1.3 was Dir TRO Section 2.1, paragraph 2.1.1 New Section 2.1, paragraph 2.4.3.1.2 New Section 2.1, paragraph 2.4.3.1.4 New Section 2.1, paragraph 2.4.3.5 was D, DHA Section 3.1, paragraph 1.7.2 was Dir TRO

11. Providers Section 2.3, paragraph 3.1.4.3 was Dir, DHA Section 2.5, paragraph 3.3.1 was Dir, DHA Section 2.7, paragraph 3.3.1 was Dir, DHA Section 2.9, paragraph 3.2.1 was Dir, DHA Section 7.1, paragraph 1.16.2 was TRO and DHA Pgm Integrity Section 8.1, paragraph 2 was Dir, DHA Section 8.1, paragraph 3.3.1 was Dir, DHA Section 12.1, paragraph 2.5.5 Was COR Addendum D, 3.3(b) was TRO, TOPO and USFHP COR

Addendum E, 3.4(b) was TRO, TOPO and USFHP COR Addendum F, 2.5 Addendum G, 2.5 was TRO, TOPO and USFHP COR

TRICARE Reimbursement Manual (TRM) Chapter Section/Paragraph GDA

1. General Section 22, paragraph 3.2

2. Beneficiary Liability

Addendum A, paragraph 6 was Director TRO and TAO

3. Operational Requirements

Section 5 was CO or COR

5. Allowable Charges Section 2, paragraph 3.2 was Team Ch, MB&RS and TROS Section 2, paragraph 3.3.2 was TROs Section 2, paragraph 3.3.3.1 Was TROs Section 2, paragraph 3.4

7. Mental Health Addendum B, paragraph 1.2 was COR

13. Outpatient Prospective Payment System (OPPS)- Ambulatory Payment Classification (APC)

Section 2, paragraph 3.10.1.1.1 Was COR Section 3, paragraph 3.1.5.7.1 Was Director, TRICARE Regional

Offices (DTROs) Section 3, paragraph 3.1.5.7.1.3 Was DTRO Section 3, paragraph 3.1.5.7.1.3.1 Was DTRO Section 3, paragraph 3.1.5.7.1.4 Was DTRO Section 3, paragraph 3.1.5.7.2 Was TRO

14. Sole Community Hospitals (SCHs)

Section 1, paragraph 4.2.2.8 Was TRO COR Section 1, paragraph 4.2.7.2.3.4 Was DTRO Section 1, paragraph 4.2.7.2.3.4.1 Was DTRO Section 1, paragraph 4.2.7.2.4 Was DTRO Section 1, paragraph 4.2.7.2.9 Was Director, TRO

15. Critical Access Hospitals (CAHs)

Section 1, paragraph 4.4.2.3.4 Was Director, TROs Section 1, paragraph 4.4.3 Was Director, TROs Section 1, paragraph 4.4.8 Was Director, TROs

17. Inpatient Rehab Facilities (IRFs)

Section 1, paragraph 4.8.2.3.4 Was Chief, MCSC Program Section 1, paragraph 4.8.2.3.4.1 Was Chief, MCSC Program Section 1, paragraph 4.8.3 Was Chief, MCSC Program Section 1, paragraph 4.8.3.2 Was Chief, MCSC Program Section 1, paragraph 4.8.8 Was Chief, MCSC Program

TRICARE Systems Manual (TSM) Chapter Section/Paragraph GDA

2. TRICARE Encounter Data (TED)

Addendum A, Footnote #2 TRICARE Overseas Program Office?