# TRICARE; Sub-Acute Care Program; Uniform Skilled Nursing Facility Benefit; Home Health Care Benefit; Adopting Medicare Payment Methods for Skilled Nursing Facilities and Home Health Care Providers
> **US Department of Defense** · Final rule. · Published 2005-10-24 · Effective 2003-08-01 · 70 FR 61368
## Document
- **Document number:** 05-20415
- **Category:** personnel
- **Sub-agency:** US Department of Defense
- **Federal Register citation:** 70 FR 61368
- **CFR reference:** 32 CFR 199
- **Publication date:** 2005-10-24
- **Effective date:** 2003-08-01
## Abstract

This rule partially implements the TRICARE "sub-acute and long-term care program reform" enacted by Congress in the National Defense Authorization Act for Fiscal Year 2002, specifically: Establishment of "an effective, efficient, and integrated sub-acute care benefits program," with skilled nursing facility (SNF) and home health care benefits modeled after those of the Medicare program; adoption of Medicare payment methods for skilled nursing facility, home health care, and certain other institutional health care providers; adoption of Medicare rules on balance billing of beneficiaries, prohibiting it by institutional providers and limiting it by non- institutional providers; and change in the statutory exclusion of coverage for custodial and domiciliary care.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2005/10/24/05-20415/tricare-sub-acute-care-program-uniform-skilled-nursing-facility-benefit-home-health-care-benefit)
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