Medicare and TRICARE payment rates are designed to fully reimburse institutions and be accepted by Medicare and TRICARE as full reimbursement. Hospitals, NFCs and HHAs eligible for TRICARE must enter into a participation agreement. 1. The HHA must submit all TRICARE claims for all services other than long-term medical equipment (ESD), while the beneficiary is under the home health plan, whether or not the good or service was provided by the HHA, by others in agreement with the HHA or under another contract or advice. (ii) the conditions of coverage. The following conditions/criteria must be met in order to be entitled to the HHA benefits and services referred to in point 21(i) of paragraph e of this Section:.