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45-508: DCIS may refer to: Defense Criminal Investigative Service , the criminal investigative arm of the Office of the Inspector General, U.S. Department of Defense Ductal carcinoma in situ , a precancerous type of mammary ductal carcinoma Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with

90-469: A preferred provider organization -like option called Tricare (CHAMPUS) Extra that required use of network providers in exchange for lower cost sharing, and the standard CHAMPUS option that continued the freedom of choice in selecting providers but required higher cost sharing and insurance deductibles known as Tricare Standard. Although DOD's initial intent under the CHAMPUS Reform Initiative

135-596: A 3 week training course specific to DCIS. Later, special agents may return to FLETC to attend specialized training in counterproliferation, procurement fraud, money laundering, cyber crimes, advanced interview techniques, etc. Tricare Tricare (styled TRICARE ) is a health care program of the United States Department of Defense Military Health System . Tricare provides civilian health benefits for U.S Armed Forces military personnel , military retirees, and their dependents , including some members of

180-457: A Tricare benefit even though they may be paid by Medicare, such as chiropractic benefits. The policy limitations applying to Tricare also apply to Tricare for Life and must therefore be deemed medically necessary and skilled care. Custodial care therefore is not covered. In 2004 the Tricare for Life benefit was transferred from the individual regional Tricare contractors. Medical claims are processed by

225-720: A nationwide managed care program for the MHS that would be completely implemented by May 1997. Under this program, known as Tricare, the United States was divided into 12 health care regions. An administrative organization, the lead agent, was designated for each region and coordinated the health care needs of all military treatment facilities in the region. Under Tricare, seven managed care support contracts were awarded covering DOD's 12 health care regions. Since then, Tricare has undergone several restructuring initiatives, including re-alignment of contract regions, Base Realignment and Closure , and

270-498: A partial premium cost sharing arrangement with DoD similar to civilian private or public sector employer plans, although typically at a lower cost than civilian plans. The program coverage is available worldwide to Selected Reserve (SELRES) members of both the Title 10 USC Federal Reserve Components ( Army Reserve , Navy Reserve , Air Force Reserve , Marine Corps Reserve ), Title 14 USC Federal Reserve Component ( Coast Guard Reserve ) and

315-565: A series of demonstration projects. Under a program known as the CHAMPUS Reform Initiative, a contractor provided both health care and administrative-related services, including claims processing. The Tricare Reserve Retired project was one of the first to introduce managed care features to the CHAMPUS program. Beneficiaries were offered three choices – a health maintenance organization -like option called Tricare (CHAMPUS) Prime that required enrollment and offered enhanced benefits and low cost sharing ,

360-631: A worldwide civilian federal law enforcement agency that investigates suspected criminal activities involving DoD Components and DoD contractors. When DCIS was created, the criminal investigative functions previously assigned to the Defense Investigative Service were transferred, along with 100 personnel billets, to the Office of the Assistant to the Secretary of Defense (Review and Oversight). In October 1981, an initial cadre of 12 individuals of

405-702: Is Tricare eligible. Tricare for Life was first incorporated as part of the then-seven regional Managed Care Support Contracts of Tricare in May 2001. The benefit was enacted by Congress in response to growing complaints from beneficiaries that as Medicare out of pocket costs increased a benefit was needed to pay these costs in lieu of Tricare retirees being required to purchase Medicare Supplemental Coverage to pay for prescriptions, physician and hospital dispensed drugs, cost shares and deductibles. Before Tricare for Life, Tricare beneficiaries immediately lost Tricare coverage upon attaining Medicare eligibility at age 65, placing them at

450-619: Is a health maintenance organization (HMO) style plan available to active duty personnel, retirees from the Active Component, retirees from the Reserve Component age 60 or older, and their eligible family members. Under Tricare Prime, beneficiaries must choose a primary care physician and obtain referrals and authorizations for specialty care . In return for these restrictions, beneficiaries are responsible only for small copayments for each visit (retirees and their families only). There

495-565: Is also available to reservists and their family under the Tricare Reserve Select Component. Under Tricare Select, beneficiaries can use any civilian health care provider that is payable under Tricare regulations. The beneficiary is responsible for payment of an annual deductible and coinsurance , and may be responsible for certain other out-of-pocket expenses . There were no enrollment fees for Tricare Select prior to 2021. As of January 1, 2021 The fees are: Tricare Prime

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540-469: Is an annual enrollment fee for Tricare Prime for military retirees and their family members. There is no enrollment fee for active duty military and their family members. The majority of Tricare PRIME enrollees must exclusively use the MTF (Military Treatment Facility) to receive their care, as long as the MTF has capacity. If the MTF does not have capacity, the commander of the MTF notifies the region's contractor and

585-445: Is similar to Tricare Reserve Select, but differs in that there is no premium cost-sharing with DoD as there is with Tricare Reserve Select. As such, retired Reserve Component members who elect to purchase Tricare Reserve Retired must pay the full cost (100%) of the calculated premium plus an additional administrative fee. Payments could range as high as $ 900.00 a month. Although open to all eligible retired Reserve Component personnel under

630-642: Is they return to a SELRES status. Reserve Component personnel who are also Federal civil servants (to include Army Reserve Technicians and Air Reserve Technicians in the Army Reserve, Army National Guard, Air Force Reserve and Air National Guard) and eligible for the Federal Employee Health Benefit Program (FEHBP) are also excluded from Tricare Reserve Select. Retired Reserve Component personnel and eligible dependent family members become eligible Tricare Standard, Tricare Extra or Tricare Prime on

675-564: The FBI . Upon passage of Public Law 105–85 (see Div. A, title X, § 1071(a)), DCIS special agents were granted the ability to carry concealed firearms, make arrests with or without a warrant, and execute search warrants. It is the obligation of the DoD Inspector General to "initiate, conduct, and supervise such...investigations in the Department of Defense (including the military departments) as

720-601: The Federal Law Enforcement Training Center (FLETC) located in Glynco, Georgia. They attend the 12 week Criminal Investigator Training Program (CITP) at FLETC Glynco along with special agent candidates of many different agencies including Homeland Security Investigations, United States Secret Service, and the Diplomatic Security Service. Following completion of CITP, DCIS special agents attend

765-651: The Global Information Grid ; exfiltration of sensitive DoD data or large volumes of personally identifiable information pertaining to civilian DoD employees or service members; or potential contractual violations on the part of a DoD contractor. DCIS is led by the Deputy Inspector General for Investigations. The Deputy Inspector General for Investigations is cross-designated as the Director of DCIS. The Principal Deputy Director of DCIS reports directly to

810-848: The Inspector General considers appropriate" (IG Act Sec. 8(c)(2)) and to "provide leadership and coordination and recommend policies for activities...to prevent and detect fraud and abuse in...[DoD] programs and operations (IG Act Sec. 2(2))." DCIS' current investigative priorities include: Illegal theft, export, diversion, transfer, or proliferation of sensitive DoD technology, systems, weapons, and equipment, with particular emphasis upon allegations involving targeted foreign nations, organized international criminal organizations, or potentially hostile entities apt to utilize said items in furtherance of assaults against U.S. military forces. Public corruption and financial crimes impacting crucial DoD operations, with particular emphasis upon schemes impacting

855-750: The Reserve Component . Tricare is the civilian care component of the Military Health System , although historically it also included health care delivered in military medical treatment facilities. The Tricare program is managed by the Defense Health Agency . Before 1 October 2013, it was managed by the Tricare Management Activity under the authority of the Assistant Secretary of Defense (Health Affairs) . On that date, it

900-519: The Title 32 National Guard ( Army National Guard and Air National Guard ) in a drill pay (also known as "paid") status. As of February 2008, retired Reserve Component personnel under the age of 60, actively drilling Individual Ready Reserve personnel in a non-paid status, or actively drilling Volunteer Training Unit personnel in a non-paid status do not qualify for Tricare Reserve Select. Individual Ready Reserve and Volunteer Training Unit members are eligible for reinstatement under Tricare Reserve Select

945-545: The DIS Special Investigations Unit began operating as DCIS special agents under the direction, authority, and control of the Assistant to the Secretary of Defense (Review and Oversight). DCIS was incorporated within the Department of Defense's Office of Inspector General when it was established in 1982. In 1997, DCIS became one of the first OIG investigative components to be granted permanent statutory law enforcement authorities comparable to those possessed by

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990-464: The Department of Defense have the authority to execute and serve any warrant or other process issued under the authority of the United States; to make arrests without a warrant for any offense against the United States committed in the presence of that agent; and to make arrests without a warrant for any felony cognizable under the laws of the United States if the agent has probable cause to believe that

1035-455: The Director and serves as the organization's second-in-command. DCIS Headquarters is organized into two functional branches: Each branch is managed by an Assistant Inspector General who is cross-designated as a Deputy Director of DCIS. DCIS is headquartered in Alexandria, Virginia, and maintains a presence in over 50 separate domestic and international locales. Field offices are situated in

1080-458: The Puget Sound region of Washington state. Tricare Reserve Select is a premium-based health plan that active status qualified National Guard and Reserve members may purchase. The classification is sometimes referred to as Tricare Reserve Component (RC). It requires a monthly premium and offers coverage similar to Tricare Standard and Extra for the military member and eligible family members. It has

1125-477: The Tricare Prime option and pay no out-of-pocket costs for Tricare coverage), Military Health System beneficiaries may have a choice of Tricare plan options depending upon their status (e.g., active duty family member, retiree, reservist , child under age 26 ineligible for family coverage, Medicare -eligible, etc.) and geographic location. Historically, health care for military personnel and their dependents

1170-497: The Tricare program. Currently, there are three regional Managed Care Support Contractors, a Medicare/Tricare Dual Eligible Fiscal Intermediary Contractor, and a Tricare Pharmacy contractor, who administers both Mail Order Pharmacy and Retail Pharmacy programs. In addition several administrative contractors provide quality management, auditing, and statistical services. Tricare Management Activity contracts and administers dental programs. In 2004, Tricare Management Activity re-aligned

1215-401: The addition of "Tricare for Life" benefits in 2001 for those who are Medicare -eligible, and "Tricare Reserve Select" in 2005. Tricare Select provides a similar benefit to the original CHAMPUS program and is available to Active Duty personnel, dependents, retirees from the Active Component, retirees from the Reserve Component age 60 or older, and their eligible family members. Tricare Select

1260-584: The age of 60, the program's principal focus is often perceived as being focused on recent Reserve Component retirees who are self-employed or otherwise ineligible for civilian employer provided/subsidized health insurance, especially those who were mobilized for full-time active duty service subsequent to 11 September 2001 in support of Operations Enduring Freedom , Iraqi Freedom , New Dawn and/or Noble Eagle . Retired Reserve Component personnel who elect to participate in Tricare Reserve Retired exit when

1305-474: The contractor's provider network is used to supplement the MTF's capacity. If the MTF regains capacity, the MTF reserves the right to move the beneficiaries back to receiving their care at the MTF in a process known as "recapture." US Family Health Plan , a Tricare Prime-sponsored health plan option, is made available by nonprofit health care providers in the Northeast U.S., Southeast Texas/Southwest Louisiana, and

1350-542: The following locations: Each field office is overseen by a Special Agent-in-Charge who is responsible for overseeing multiple subordinate resident agencies and posts of duties located throughout the United States. At present, DCIS maintains a presence in the following international locations: Pursuant to Title 10 of the United States Code §1585, DCIS special agents conducting, supervising, or coordinating investigations of criminal activity in programs and operations of

1395-463: The growth in the standing forces of the U.S. military due to the Cold War , access to care in military facilities became increasingly unavailable for military retirees and the dependents of both active duty and retired military personnel due to resource constraints and growing demands on the system. It was at this time that the concept of "space-available basis" for military retirees and military dependents

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1440-770: The health, safety, welfare, or mission‐readiness of U.S. troops. Procurement and acquisition fraud which result in multi‐million dollars losses, thus depriving DoD of critically‐needed funds that would otherwise be utilized to finance vital national defense initiatives. This includes the introduction of counterfeit or substandard products into the DoD acquisition system. Health care fraud committed by providers that involves quality of care, unnecessary care, or failure to provide care to Tricare ‐eligible service members, retirees, dependents, or survivors; or significant direct loss to DoD's Tricare Management Activity. Computer intrusions and other cyber crimes that result in serious compromises of

1485-799: The national Tricare Dual Eligible Fiscal Intermediary Contractor. Pharmacy claims are processed by the Tricare Pharmacy Contractor (Express Scripts) and Overseas Tricare for Life claims are processed by the Tricare Overseas Program Contractor (as of September 2010 this will be International SOS using Wisconsin Physicians Service as their Fiscal Intermediary partner). The signing of the National Defense Authorization Act in January 2011 aligned Tricare with

1530-636: The person to be arrested has committed or is committing the felony. Authorization for special agents of the Defense Criminal Investigative Service to carry firearms while assigned investigative duties or other duties as the Secretary may prescribe can be found in 10 U.S. Code §1585(a). To be considered for a DCIS special agent position, an individual must: Be a U.S. citizen, age between 21 and 37 years, pass screening, background investigation and have exceptional communication skills. DCIS special agent candidates receive initial training at

1575-471: The previous twelve regions into three large regions, known as Tricare North , Tricare South , and Tricare West . Services in these regions are provided by: All medical claims are processed ("adjudicated") by the following claims processing sub-contractors: In 2009, the Tricare Overseas Program contract consolidated the following: In October 2009 International SOS Assistance, Inc. was awarded

1620-491: The provisions of the 2010 Patient Protection and Affordable Care Act, and led to the creation of TYA. Enrollment began on 1 May 2011. The ultimate responsible organization for administration of Tricare is the U.S. Department of Defense Military Health System , which organized the Tricare Management Activity. The Tricare Management Activity contracts with several large health insurance corporations to provide claims processing, customer service and other administrative functions to

1665-526: The requirement for Part B coverage exists when the beneficiary that is Medicare eligible is the spouse of an Active Duty Service Member. In some instances Tricare for Life is primary payer when the services are normally a Tricare benefit but not covered by Medicare. This includes drug charges, when Medicare benefit limits are attained and services performed outside the United States or in a Veterans Affairs facility where Medicare does not pay. Tricare for Life does not pay patient liability for services that are not

1710-442: The same level of coverage as U.S. citizens who had never served full 20 to 30-plus year careers in the armed forces. This included becoming Medicare eligible due to disability. Tricare for Life is designed to pay patient liability after Medicare payments. There is no enrollment necessary for Tricare for Life and to be eligible, members must be Tricare and Medicare Eligible and have purchased Medicare Part B coverage. An exception to

1755-693: The service member reaches age 60 and he/she and their eligible dependent family members become eligible for the same Tricare Standard, Tricare Extra or Tricare Prime options as Active Component retirees and, in the case of Tricare Prime, at the same cost as Active Component retirees. Qualification questions should be referred to Tricare. Tricare Young Adult (TYA) is a premium-based health care plan available for purchase by qualified dependents who have aged out of Tricare at age 21, or age 23 for full-time college students. Dependents are eligible if they are unmarried, not eligible for either Tricare coverage or their own employer-sponsored health care coverage, and their sponsor

1800-543: The service member's 60th birthday in the same manner as Active Component retirees and their eligible dependents are eligible immediately upon retirement from active service. Qualification questions should be referred to Tricare. Tricare Reserve Retired is a premium-based health plan that qualified retired members of the National Guard and Reserve under the age of 60 may purchase for themselves and eligible family members. Established in 2008 and opened for enrollment in 2010, it

1845-544: The title DCIS . If an internal link led you here, you may wish to change the link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=DCIS&oldid=613573921 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Defense Criminal Investigative Service On April 20, 1981, Secretary of Defense Caspar Weinberger established DCIS as

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1890-434: Was disestablished and Tricare responsibility was transferred to the newly established Defense Health Agency. The Department of Defense operates a health care delivery system that served approximately 9.4 million beneficiaries in 2018. The Department of Defense's unified medical program represents $ 50.6 billion or 8% of total FY2019 U.S. military spending. With the exception of active duty service members (who are assigned to

1935-829: Was first noted. To address this problem, Congress passed the Dependents Medical Care Act of 1956 and the Military Medical Benefits Amendments of 1966. These acts allowed the Secretary of Defense to contract with civilian health care providers . This civilian health care program became known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) in 1966. In the late 1980s, because of escalating costs, paperwork demands, and general beneficiary dissatisfaction, DoD initiated

1980-480: Was provided in military medical facilities as promised by the military, and through a referral system by civilian medical personnel where military physicians were not available in a certain specialty, or when and where overcrowding of a military medical facility occurred. Active duty military personnel always have priority for care in military medical facilities. After World War II and the Korean War , especially with

2025-503: Was to award three competitively bid contracts covering six states, only one bid, made by Foundation Health Corporation (now Health Net ) covering California and Hawaii , was received. Foundation delivered services under this contract between August 1988 and January 1994. In late 1993, in response to requirements in the National Defense Authorization Act for Fiscal Year 1994, the DoD announced plans for implementing

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