Possession of the appropriate KSAs required to perform duties of a Service member’s assigned specialty in a deployed or operational setting.

Medical care provided by civilian providers, including individuals, groups, hospitals, and clinics, who have agreed to accept TRICARE beneficiaries.  Providers in the purchased care system generally deliver healthcare at negotiated rates, adhere to provider agreements, and follow other requirements of the managed care program.

Authorized medical services, personnel strengths, and military treatment facility infrastructure of the direct care system are limited to those needed to maintain the critical wartime medical readiness skills and core competencies of health care providers within the DOD and ensure the medical readiness of Service members.

Any member of the Armed Forces, civilian employee of the Department of Defense, or personal services contract employee under Title 10, United States Code, Section 1091 authorized by the Department of Defense to perform health care functions.

Service personnel who are authorized to perform health care functions.  This includes members of the Active and Reserve Components.

A set of questions to assist military treatment facilities in identifying and correcting financial and clinical workload data problems. The DQMC Workgroup updates this list of questions annually, concurrently with the Commander’s DQ Statement.

A subset of questions from the Data Quality Management Control (DQMC) Review List that the military treatment facility commander or director approves and submits to the DHA DQMC Program Manager.  The DQMC Workgroup updates this statement annually.

The commander or director of an MTF established for the purpose of furnishing medical or dental care to eligible individuals.

The DOD health care program that provides health care coverage for medical services, medications, and dental care for military families, retirees and their families, and survivors.

A permanent, severely disabling illness, disorder, or injury incurred or aggravated in the line of duty that compromises the ability to perform ADL to such a degree that a service member requires personal or mechanical assistance to leave home or bed, or requires constant supervision to avoid physical harm to self or others.

An individual who helps an eligible Service member with ADL and/or specific services essential to the safe management of the Service member’s condition.

A DOD- or VA-licensed physician with medical expertise in the determination of medical disability by nature of their medical training or completion of training specifically with the intent and requirements of SCAADL evaluation and certification.

Military or civilian personnel (including working under contractual or similar arrangement) who have received advanced education or training beyond the technical level in a recognized health care discipline and who are licensed, certified, or registered by a State, government agency, or professional organization to provide specific health services in that...

Feeding (including special diets), dressing and sheltering; personal hygiene; observation and general monitoring; bowel training or management (unless abnormalities in bowel function are of a severity to result in a need for medical or surgical intervention in the absence of skilled services); safety precautions; general preventive procedures (such as tur...

A patient who is not admitted into a hospital.  Outpatient care includes care in emergency rooms, same day surgery centers, and ambulatory procedure clinics for patients who are not subsequently hospitalized overnight during the episode of care.