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About TMA

The TRICARE Management Activity (TMA) is a field activity of the Undersecretary of Defense for Personnel and Readiness, and was formally established under Department of Defense (DoD) Directive 5136.12 on May 31, 2001.

Since February 1998, TMA leadership has managed the TRICARE health care program for active duty members and their families, retired service members and their families, National Guard/Reserve members and their families, survivors and others entitled to DoD medical care.

This directive is the TMA Charter and solidifies TMA's mission, responsibilities, functions, relationships, authorities and organizational structure. In prior DoD Directive 5136.1 and in the Defense Federal Acquisition Regulation Supplement (DFARS), references to the "Office of CHAMPUS" are now understood to be "TMA." As a chartered organization, the TMA will continue to operate under the authority of the Assistant Secretary of Defense for Health Affairs.

TMA Organization

TMA has operational offices located in Falls Church, Virginia and Aurora, Colorado. Additionally, TMA is organized into six geographic health service regions, each with its own TRICARE Regional Office and Regional Director. The overseas regions are referred to as "areas." Each region/area:

  • Provides oversight of regional operations and health plan administration at the regional level;
  • Manages the contracts with regional contractors;
  • Supports military treatment facility (MTF) Commanders;
  • Develops business plans for non-MTF areas (e.g. remote areas); and
  • Funds regional initiatives to optimize and improve delivery of health care.

TMA has partnered with regional contractors in the three U.S regions to provide health care services and support to beneficiaries. The TRICARE regional contractors assist the TRICARE Regional Offices and military treatment facility commanders in operating a world-class health benefit. The regional contractors do not provide retail pharmacy, dental or TRICARE For Life claims processing services. These services are provided by other contractors. The three overseas areas are supported by TRICARE Area Offices. (TAOs). TAOs, in collaboration with military treatment facility commanders, are responsible for the development and execution of an integrated plan for the delivery of health care within each overseas area.

TRICARE North Region

The North Region includes Connecticut, Delaware, the District of Columbia, Illinois, Indiana, Iowa (Rock Island area), Kentucky (except Fort Campbell), Maine, Maryland, Massachusetts, Michigan, Missouri (St. Louis Area), New Hampshire, New Jersey, New York, North Carolina, Ohio Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin.

TRICARE South Region

The South Region includes Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, Texas (excluding the El Paso area) and Fort Campbell, Kentucky.

TRICARE West Region

The TRICARE West Region includes Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excluding Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (the southwestern corner, including El Paso), Utah, Washington and Wyoming.

TRICARE Eurasia-Africa Area

The TRICARE Eurasia-Africa area is managed by the TAO Eurasia-Africa located at Sembach Air Base in Germany, and includes the European and African continents, all Middle Eastern countries, Pakistan, Russia and several former Soviet Republics including the Baltic States, Ukraine, Georgia, Kazakhstan, Kyrgyzstan and Uzbekistan.

TRICARE Latin America and Canada (TLAC) Area

The TLAC area is managed by the TAO TLAC located at San Antonio, Texas. TLAC includes Central and South America, the Caribbean Basin, Canada, Puerto Rico and the Virgin Islands.

TRICARE Pacific Area

The TRICARE Pacific area is managed by the TAO Pacific located at Camp Lester in Okinawa, Japan, and includes Guam, Japan, Korea, Asia, New Zealand, India and Western Pacific remote countries.