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TAOP Operations

Chief, Program Operations

2008 TAOP Conference Seoul, KoreaToday’s Challenges, Tomorrow’s Solutions

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The elephant in the room

P a c i f i c TAOP Office

• DoD Field Activity of the USD/P&R operating under the authority, direction, & control of ASD/HA

• Management of the TRICARE health plan• Oversight of integrated healthcare delivery system • Interacts w/ officials & representatives of Congressional

committees, ASD/HA, Office of General Counsel, Services SGs, DVA, & other agencies & organizations to ensure understanding, integration, & implementation of DoD policy concerning TRICARE & MHS transformation

P a c i f i c TAOP Office

• Oversight of healthcare and support contracts– TGRO– IM/IT– Customer service– Health benefit advisor personnel– Case management– Enrollment & marketing functions

• Collaborate w/ & assist MTF commanders and operational forces w/ delivering healthcare services

• Responsible for medical & dental care delivery in areas not serviced by an MTF or DTF for AD, ADFMs, & USAFR & ANG on active duty requiring emergent/urgent care

P a c i f i c TAOP Office

• Work w/ISOS to identify sites to serve AD & their families for healthcare & ensure providers meet established contractual requirements for quality & credentialing.

P a c i f i c TAOP Office

• Our staff consists of professional, administrative, and technical personnel engaged in implementing and evaluating policies, standards, systems, & procedures necessary to deliver the comprehensive TRICARE healthcare benefit:

• Business Operations• Clinical Operations• Program Operations

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Program OpsDivision

Clinical OpsDivision

Business OpsDivision

Director

Customer ServiceBranch

SEA

Vacant

Obligatory Org Chart

P a c i f i c Business Operations

• TAOP Website Management• Responsible for resource management, administrative,

contracting and information technology matters in TAOP

P a c i f i c Clinical Operations

• Coordinate delivery of TRICARE benefits to beneficiaries • Clinical oversight of contracts • Provide guidance to higher local command authorities &

MTF commanders• Interpret/implement HA & TMA policies• Improve screening processes for EFMP enrollees

P a c i f i c Clinical Operations

• Coordinate healthcare services w/ medical directors from ISOS for remote to care for permanently assigned AD & ADFMs & traveling/deployed AD who require urgent or emergent healthcare

• Work closely w/ Service liaisons, DoD & DoS providers, & senior military leadership

• Partner w/ ISOS to oversee quality of care provided by HN facilities/providers

• Provide support/assistance in medical evacuations w/ Services & ISOS

P a c i f i c Program Operations

• Oversee implementation of TRICARE policies & benefits• Coordinate development, implementation & oversight of

proposed overseas healthcare contract • Responsible for daily program operations of TAOP• Supervise remote operations• Provide interpretation/guidance of TMA policies, health

benefits, claims resolution assistance, & TRICARE guidance/consultation to MTF commanders, TRICARE officers, health benefits advisors, & enrollment clerks

• Supervise Regional Customer Service Center

P a c i f i c Program Operations

• Administer & serve as the COR of administrative services contract, providing TRICARE beneficiary supports services, enrollment, & marketing & education

• Chair TPEC meetings• MTF Support• TMA policies can be found at

http://manuals.tricare.osd.mil/ • Policy directly related to Supplemental Health Care

funding or MTF issues are not mandated by TMA Policy. The CFR does provide some guidance found at www.tricare.mil

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