Before a child can start applied behavior analysis under TRICARE's Comprehensive Autism Care Demonstration (ACD) in the East Region, Humana Military needs a complete referral with a definitive autism spectrum disorder diagnosis. This form captures the diagnosis with symptom severity, comorbidities, the initial diagnosis date, ECHO registration and the assessment services requested. The referral must be approved before ABA begins.
An approved ASD-diagnosing provider or specialized ASD-diagnosing provider, such as the primary care manager, a developmental pediatrician, psychologist or psychiatrist, completes the whole form and includes a validated assessment tool with its results.
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Referral for Applied Behavior Analysis (ABA)
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An approved ASD-diagnosing provider or a specialized ASD-diagnosing provider, such as a primary care manager, developmental pediatrician, psychologist or psychiatrist. The referral must give a definitive ASD diagnosis with symptom severity and a validated assessment tool with results, and a specialized provider is required if the child was first diagnosed at age eight or older.
The ACD DSM-5 diagnostic checklist documenting the DSM criteria, plus the validated assessment tool and its results. The referral itself lists the ASD diagnosis and severity level, medical and psychological comorbidities, the initial diagnosis date and the CPT 97151 units requested.
No. TRICARE requires the complete referral to be submitted and approved before ABA services begin. After approval, the ABA supervisor submits the initial assessment and treatment plan, which also must reach Humana Military before treatment starts.