Patient Administration - Army Publishing Directorate - U.S. Army

Point-of-service option
The freedom to obtain services from civilian providers on a case-by-case basis. Such freedom is retained by TRICARE
Prime enrollees. In such cases, all requirements applicable to standard CHAMPUS apply, except that there are higher
deductible and cost sharing requirements. Under Prime, for care not authorized by the PCM or health care finder,
deductibles and cost sharing requirements apply.
Practical military training
Any training activity which is part of the Army ROTC education and training program. Practical military training also
includes the Advanced Training Program, Field Training, and other ROTC-sponsored and supervised activities which
enhance the program by focusing on specific training goals and objectives and prepare the cadet for service as an Army
officer. The Army ROTC will not sponsor potentially hazardous activities. Examples of these activities include but are
not limited to rapelling, hang gliding, parasailing, parachute jumping, paint ball wars, and other activities where
substantial liability is possible. Legitimate intramural or similar activities are permissible.
Primary care manager
The first echelon provider that exercises primary decision authority regarding diagnosis and treatment of an individual
patient. The primary care manager may be an individual physician, or group practice within a specific clinic or
treatment site, or other designation. The primary care manager may be part of the MTF or the Prime civilian provider/
practitioner network. The enrollees will be given the opportunity to register a preference for primary care manager
from a list of choices provided by the MTF commander. Preference requests will be honored subject to availability
under the MTF beneficiary category priority system and other operational requirements established by the commander
(or other authorized person).
Quarters
Disposition of a military patient when the patient is returned to his or her unit or home for medically directed selftreatment
and is not to perform military duty until a medical officer indicates that he or she may perform such duties.
Responsible individual
An individual who is responsible for transactions relative to deposits in the patients’ trust fund when the patient is
unable to deposit directly with the custodian or assistant custodian.
Retired member
A member or former member of a Uniformed Service who is entitled to retired or retainer pay, or equivalent pay, as a
result of service.
Routine care
a. Routine dental care. All dental care necessary to maintain dental health and function other than care of an
emergency or elective nature.
b. Routine medical care. Nonemergency care that is required and medically indicated.
Subsistence rate charges
A flat, per diem, hospitalization charge which applies to enlisted and officers. No credit is given for meals not
consumed.
Subsisting out
The nonleave status of an inpatient who is no longer assigned to an operating bed and whose days become sick days,
not occupied bed days. Inpatients authorized to subsist out are not medically able to return to duty, but their continuing
treatment does not require a bed assignment.
Supplemental care
Funds used to obtain civilian health care for eligible beneficiaries when that care is not available in the MTF.
Transfer
Occurs each time an inpatient is transported from one MTF (civilian or military) to another MTF.
TRICARE Extra option
The health care option, provided as part of the TRICARE program under Section 199.17. Under this option, beneficiaries
may choose to receive care in facilities of the Uniformed Services on a space-available basis, or when CHAMPUS
eligible beneficiaries uses the preferred providers in the TRICARE contractor’s network at a beneficial discount, and
(usually) no claim forms have to be filed by the patient. When CHAMPUS non-network providers are used, the
132 AR 40–400 27 January 2010