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Applied Behavior Analysis Maximum Allowed Amounts

The following applied behavior analysis (ABA) reimbursement rates are for care received under the Autism Care Demonstration. 

ABA Maximum Allowed ACD Rates

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ABA Maximum Allowed Rates Effective May 1, 2022

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4/1/2022

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ABA Maximum Allowed Rates Effective May 1 2021

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ABA Maximum Allowed Rates Effective August 1, 2021

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ABA Maximum Allowed Rates Effective May 1 2020

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ABA Maximum Allowed Rates Effective May 1 2019

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ABA Maximum Allowed Amounts Effective May 1, 2018

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Applied Behavior Analysis Maximum Allowed Amounts - Effective May, 1, 2017

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5/12/2017

Higher of Original ACD Rates--$125/$75/$50, December 23, 2016 Posted Rates, or Updated 2017 Locality Rates

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Applied Behavior Analysis Maximum Allowed Amounts

Applied Behavior Analysis Maximum Allowed Amounts - Spring 2016

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5/1/2016

These rates were calculated by updating the National Rates presented at the ABA Roundtable (Dec 3, 2015) based on a re-survey of the states' Medicaid rates in January and February 2016. The updated National Rates were then adjusted using the Medicare geographic locality factors, exactly as used to adjust all other TRICARE rates. The rates depicted are either the actual rate calculated or the current rate less 15%, whichever is higher. The rates have also been adjusted to ensure that they are no less than the Medicaid rates in those states which have adopted statewide Medicaid rates for these services. The rates are effective April 1, 2016, for the localities below numbered 301-389. The rates without a locality number at the bottom are effective May 1, 2016.

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Applied Behavior Analysis Maximum Allowed Amounts

RAND Report: TRICARE Applied Behavior Analysis Benefit

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1/1/2016

This report, prepared by the RAND Corporation, provides a comparison of TRICARE's current applied behavior analysis benefit with Medicaid and commercial benefits. The comparison includes reimbursement rates, copayments and annual caps.

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Applied Behavior Analysis Maximum Allowed Amounts
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Last Updated: May 10, 2022
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