Department of Defense
INSTRUCTION
NUMBER 6025.20
April 9, 2013
Incorporating Change 1, Effective October 2, 2013
USD(P&R)
SUBJECT: Medical Management (MM) Programs in the Direct Care System (DCS) and
Remote Areas
References: See Enclosure 1
1. PURPOSE. This instruction:
a. Reissues DoD Instruction (DoDI) 6025.20 (Reference (a)), in accordance with the
authority in DoD Directive (DoDD) 5124.02 (Reference (b)).
b. Implements policy for establishing MM programs within the DCS in accordance with
DoDD 1010.10 (Reference (c)), DoDI 6025.13 (Reference (d)), and DoDD 6000.14 (Reference
(e)).
c. Establishes policy, assigns responsibilities, and prescribes uniform guidelines, procedures,
and standards for the implementation of clinical case management (CM) in the Military Health
System (MHS), for TRICARE beneficiaries including care of the wounded, ill, and injured (WII)
in accordance with the authority in Reference (b) and DoDI 1300.24 (Reference (f)).
d. Defines terms for MM, implements polices, assigns responsibilities, and specifies content
for activities within the military treatment facilities (MTF).
e. Establishes an interdependent MM system between the DCS and purchased care system
(PCS) to improve the delivery and the quality of healthcare.
f. Incorporates and cancels Directive-Type Memorandum 08-033 (Reference (g)).
2. APPLICABILITY. This instruction:
a. Applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs
of Staff and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the
Department of Defense, the Defense Agencies, the DoD Field Activities, and all other
organizational entities within the DoD (referred to collectively in this instruction as the “DoD
