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Autism Care Demonstration

TRICARE covers applied behavior analysis (ABA) for all beneficiaries through the TRICARE Autism Care Demonstration.

Meeting Resources

Download meeting minutes, transcripts, and questions/answers from the Autism Roundtable and Stakeholder meetings.

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Changes to Texas License Requirements for ABA Providers

Due to changes in Texas (TX) licensure laws for applied behavior analysis (ABA) providers, TX has now defined the licensure requirements for assistant behavior analysts (requiring a certification from the BACB - the Board Certified Assistant Behavior Analyst certification) which goes into effect on Sept. 1, 2018.

More Information

Information Paper on Durable Equipment

This information paper details the guidelines and procedures for appropriate DE requests and criteria for approval, including a brief review of the literature for DE/DME for TRICARE eligible beneficiaries diagnosed with Autism Spectrum Disorder (ASD).

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ACD Provider Information Stakeholder Meeting #11: Documentation and Claims

Meeting Reference
6/28/2018

Documentation and Claims from the ACD Provider Information Stakeholder Meeting #11 held on April 26, 2018.

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ACD Provider Information Stakeholder Meeting #11: Questions and Answers

Meeting Reference
6/28/2018

Questions and answers from the ACD Provider Information Stakeholder Meeting #11 held on April 26, 2018.

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Autism Care Demonstration

ACD Provider Information Stakeholder Meeting #11: Meeting Transcript

Meeting Reference
6/28/2018

Meeting transcript from the ACD Provider Information Stakeholder Meeting #11 held on April 26, 2018.

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Autism Care Demonstration

ABA Maximum Allowed Amounts Effective May 1, 2018

Publication
5/1/2018

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Applied Behavior Analysis Maximum Allowed Amounts | Autism Care Demonstration

Annual Report on the Autism Care Demonstration Program

Report
8/16/2017

SASC Report for FY 2016, 114-49, Pg. 157-158

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Autism Care Demonstration

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

Publication
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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Autism Care Demonstration | Applied Behavior Analysis Maximum Allowed Amounts

Applied Behavior Analysis Maximum Allowed Amounts - Spring 2016

Publication
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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Autism Care Demonstration | Applied Behavior Analysis Maximum Allowed Amounts

RAND Report: TRICARE Applied Behavior Analysis Benefit

Report
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 | Autism Care Demonstration

Defense Health Board Findings Pertaining to Autism Treatment

Report
9/18/2009

This memo outlines the findings and recommendations of the Defense Health Board Findings pertaining to Autism Treatment.

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Autism and Applied Behavior Analysis

Presentation
9/5/2008

Autism and Applied Behavior Analysis presented to the Defense Health Board Sept. 5, 2008

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