Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 6 § 130.3
Procedures for Release
130.3 - Procedures for Release
(Rev. 1, 09-11-02)
TriCare fiscal agents desiring Medicare information will usually request it either through
the TriCare headquarters in Denver or through the parallel RO. The TriCare headquarters
will refer the request to the parallel RO. Should a Medicare contractor receive a request
directly from TriCare, it will refer the request to the RO. The RO will meet with the
TriCare fiscal agent and the Medicare contractor to determine exactly what is needed,
impress upon the TriCare contractor that TriCare may not further disclose the
information, and indicate the cost involved, if any. (Also note that payment may be
estimated or waived if collection would interfere with efficient administration.) At the
RO's discretion, the Medicare contractor and the TriCare fiscal agent may meet to discuss
data and cost requirements without regional involvement. Upon agreement about data
and cost requirements, the RO will authorize release of the information from the
Medicare contractor to the TriCare fiscal agent.