An evaluation program designed to assess whether an organization performs work in accordance with established policy and procedures.

The rating schedule in Part 4 of Title 38, Code of Federal Regulations (also known as the “Department of Veterans Affairs Schedule for Rating Disabilities (VASRD)”) is primarily a guide in the evaluation of disability resulting from all types of diseases and injuries encountered as a result of or incident to military service. The percentage ra...

Assignment of disability ratings are based on the Department of Veterans Affairs Schedule for Rating Disabilities as implemented by Part 4 of Title 38, Code of Federal Regulations (also known as the “Department of Veterans

Affairs Schedule for Rating Disabilities (VASRD)”) and DOD Manual 1332.18, Volume 1, “Disability Evaluation System (D...

Targeted reviews of specific issues, conditions, or high-level interest items using constructed cases. A review board, external to the Military Departments, will construct the cases and evaluate physical evaluation board (PEB) performance on the targeted policy issues within the constructed cases.

Formulas used by the Military Services for operational and force structure planning. For example, the Army assigns one forward surgical team to every committed brigade combat team, and the Air Force deploys one behavioral health team for every 2,000 deployed Air Force personnel.

PCOF data are probabilities that a certain diagnosis will occur. In a planning tool, casualty rates determine the number of casualties. PCOF data determines the diagnosis that will be applied to each of the casualties.

The number of casualties per 1,000 population at risk. This term and its definition are proposed for inclusion in the next edition of Joint Publication 1-02 (Reference (h)).

The DOD’s managed health care program for active duty service members (ADSMs), military families, military retirees and their families, survivors, and other TRICARE-eligible beneficiaries. TRICARE is a blend of the military’s system of hospitals and clinics and civilian providers.

The Army, Navy, Air Force, Marine Corps, Coast Guard, National Oceanic and Atmospheric Administration, and Public Health Services.

The mechanism by which the Secretary of Defense exercises authority to provide care in DoD MTFs in the United States for foreign materiel program (FMP) and their dependents on a non-reimbursable basis if comparable care is made available to at least a comparable number of United States military personnel and their dependents in that foreign country. RHCAs...

The practice of a provider billing a beneficiary the difference between the TRICARE allowed amount and the billed charges on a claim. Participating providers and network providers may not collect from all sources an amount that exceeds the TRICARE allowed amount. Non-participating providers may not collect an amount that exceeds the balance billing limit,...

The geographic area where TRICARE Prime benefits are offered. At a minimum, this includes areas around MTFs and BRAC sites.

A program of practical bilateral cooperation between individual Euro-Atlantic partner countries and NATO. It allows partners to build up an individual relationship with NATO, choosing their own priorities for cooperation.

A plan that qualified adult children can purchase after eligibility for “regular” TRICARE coverage ends at age 21 (or 23 if enrolled in college).

The central coordinating agency for allegations of fraud and abuse within the TRICARE Program.