Chapter 17 of the CHAMPUS Regulation (title 32 Code of Federal Regulations, section 199.17) authorizes a DoD-managed healthcare program called TRICARE. The Defense Health Agency (DHA) manages TRICARE. (DoD Directive 5136.13, dated September 30, 2013).
Chapter 10 of the CHAMPUS Regulation (title 32 Code of Federal Regulations, section 199.10) provides for administrative hearings to review appeals by beneficiaries and/or healthcare providers of adverse decisions made by DHA and/or its contractors. Under a memorandum of understanding between DHA and the Defense Office of Hearings and Appeals (DOHA), DOHA Administrative Judges, acting as hearing officers, conduct these hearings and make recommended decisions to DHA. Final decisions are made by the Director, Healthcare Operations, DHA, who forwards to the appealing parties copies of the recommended decisions and final decisions.