Tricare Comprehensive Autism Care Demonstration

shutterstock_68018104CARE, LLC has provided ABA for both Triwest and Tricare South/Humana military dependents for the past 6 years.  Our team of Board Certified Behavior Analyst (BCBA) supervisors and behavior technicians provide one-on-one Applied Behavior Analysis (ABA) services exclusively in-home and in the community setting for military families.

CARE has a highly successful history of providing these services to active military families.  Our professionals were leaders in bringing these programs to the areas we serve and are ready to help you!

Who is covered?

All retired, reserve and active military Tricare beneficiaries.

Is your sponsor on active duty? You must register in the Extended Care Health Option (ECHO) to qualify for the Autism Care Demo.

The Tricare Comprehensive Autism Care Demonstration (Autism Care Demo) covers ABA for all Tricare beneficiaries diagnosed with an autism spectrum disorder.  To receive services follow these steps:

Step 1: Get Diagnosed

Your child must by diagnosed by an approved diagnosing provider, which includes:

Primary Care Physicians with the following specialties:

  • Family Practice
  • Internal Medicine
  • Pediatrics

Tricare requires testing using the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) within one year to confirm the ASD diagnosis.

Specialized Diagnosing Providers who are board certified or board eligible in:

  • Behavioral Developmental Pediatrics
  • Neurodevelopmental Pediatrics
  • Pediatric Neurology
  • Adult or Child Psychiatry
  • Licensed Clinical Psychology, doctoral level

**In most cases, CARE will administer the ADOS-2 for clients receiving our in-home ABA programming.**

Step 2: Get a Referral and Authorization

  • This is required for everyone in all TRICARE plans
  • Your diagnosing provider will ask for a referral and authorization from your regional contractor or US Family Health Plan provider
  • You’ll get an authorization letter for ABA for one year.
  • A new referral and authorization is required each year

Step 3: Schedule an Appointment

You can schedule your appointment with the Board Certified Behavior Analyst (BCBA) listed in the authorization letter as soon as you get the letter.  Check the Status of Your Authorization here.

If CARE is not the provider listed on your authorization letter, please contact your regional contractor.

shutterstock_212953981The CARE BCBA will:

  • Complete an ABA evaluation
  • Develop an individual treatment plan
  • Supervise services provided by Board Certified Assistant Behavior Analysts (BCaBAs) or Behavioral Technicians
  • Re-evaluate your child as needed

The CARE Behavior Technician will:

  • Work one-on-one with your child implementing the individualized behavior plan
  • Provide ongoing training on intervention techniques to parents and caregivers

Your child’s individual treatment plan will provide details on how much ABA they will receive each week. The hours are subject to change during re-evaluation.

Contact us if you need assistance completing any of the steps listed above!