TRICARE's Autism Care Demonstration requires the DSM criteria behind an autism spectrum disorder diagnosis to be documented on this two-page checklist before ABA can be authorized. The diagnosing provider marks each criterion as present or not, rates severity in both domains, and notes intellectual or language impairment and comorbidities. It travels with the Referral for Applied Behavior Analysis to Humana Military.
The ASD-diagnosing provider completes the whole checklist and adds their name, credentials, signature, the date of diagnosis and any known comorbid conditions.
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Clinical diagnosis: DSM-5 diagnostic checklist
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Yes. The Referral for Applied Behavior Analysis states that the DSM criteria must be documented in the DSM-5 diagnostic checklist. The checklist and a validated assessment tool with results support the definitive ASD diagnosis that must be approved before ABA starts.
The checklist has a box for individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger's disorder or PDD-NOS. The provider checks it and completes the checklist to reclassify the earlier diagnosis as autism spectrum disorder under DSM-5 criteria.
Whether ASD criteria are met, whether it is with or without intellectual impairment and with or without language impairment, known comorbid conditions (medical, genetic, neurodevelopmental, behavioral health or other), the date of diagnosis, and the provider's name, credentials, signature and date.