# TRICARE; Revision of Nonparticipating Providers Reimbursement Rate; Removal of Cost Share for Dental Sealants; TRICARE Dental Program
> **US Department of Defense** · Final rule. · Published 2016-03-07 · Effective 2016-04-06 · 81 FR 11665
## Document
- **Document number:** 2016-04983
- **Category:** personnel
- **Sub-agency:** US Department of Defense
- **Federal Register citation:** 81 FR 11665
- **CFR reference:** 32 CFR 199
- **Publication date:** 2016-03-07
- **Effective date:** 2016-04-06
- **DOD docket:** DOD-2014-HA-0133
## Abstract

This final rule revises the benefit payment provision for nonparticipating providers to more closely mirror industry practices by requiring TDP nonparticipating providers to be reimbursed (minus the appropriate cost-share) at the lesser of billed charges or the network maximum allowable charge for similar services in that same locality (region) or state. This rule also updates the regulatory provisions regarding dental sealants to clearly categorize them as a preventive service and, consequently, eliminate the current 20 percent cost-share applicable to sealants to conform with the language in the regulation to the statute.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2016/03/07/2016-04983/tricare-revision-of-nonparticipating-providers-reimbursement-rate-removal-of-cost-share-for-dental)
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