The coverage for the definitive diagnosis of Autism Spectrum Disorder

• Referral requirement from an eligible TRICARE-authorized provider
• Prior authorization requirement for services
• ABA provider completion of assessment and treatment plan
• Case management services; they remain unaffected and are available to currently enrolled ACD beneficiaries

• For beneficiaries new to the ACD, the ASN will:
  • develop a comprehensive care plan
  • improve care transition support
  • provide greater care coordination
• Increased access to ASD support and resources
• Outcome measures – additional measures/changing of timelines
• Increased parental involvement and family support
• Addition of group coverage for ABA services
• Improved medical collaboration via medical team conferences
• Continued parental training via telehealth beyond COVID-19
• Removal of confirmation diagnosis requirement