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EIA Supervisor

       
A TRICARE authorized EIA Supervisor must meet one or more of the following requirements:

  1. Be a Board Certified Behavior Analyst (BCBA), as certified by the Behavior Analyst Certification Board (BACB); or
  2. Be a Board Certified Associate Behavior Analyst (BCABA) as certified by the BACB, who is supervised by a BCBA; or
  3. Be an individual who is currently approved  by the BACB to take the BCBA examination; and
    1. Submits a copy of the approval notification on BACB letterhead that is dated not more than 2 years prior to the date of application for TRICARE authorization; and
    2. Who is supervised by or supervises EIA providers jointly with a BCBA; or
  4. Be an individual who meets the minimum degree requirements to be eligible to sit for the BCBA examination; and
    1. Submits documentation of having completed at least 169 classroom hours of graduate level instruction in the content areas identified by the BACB; and
    2. Submits documentation of having completed 75% of the experience requirements to be eligible to sit for the BCBA examination; and
    3. Who is supervised by a BCBA; or
  5. Be an individual who meets the degree requirements for BCBA examination, has 8 years of professional experience in implementing, designing, and overseeing behavior analysis services for individuals with autism:
    1. Submits letters from employers and/or other reasonable proof documenting 8 years of professional experience in implementing, designing, and overseeing behavior analysis services for individuals with autism; and
    2. Has submitted on his behalf a confidential evaluation of professional competence in implementing, designing, and overseeing behavior analysis services for individuals with autism, recommendation as a competent supervisor of trainees in the field and attestation of professional ethics from each of 3 BCBAs; and
    3. Who is supervised by a BCBA; or
    4. If seeking waiver of the supervision requirement, submit the attestations of 3 BCBAs that in their professional judgments the individual does not require on-going supervision of his work from a BCBA.

An EIA Supervisor may provide supervisory oversight to EIA Tutors and non- Board Certified Behavioral Analyst EIA Supervisors.  EIA Supervisors are responsible for submitting the Behavior Plans and Treatment Progress Reports to the Managed Care Support Contractor’s case manager. Behavior Plans and Treatment Progress Reports must be approved by the primary care physician or the ASD specialist.  The EIA Supervisor is also responsible for organizing and directing quarterly family treatment progress meetings. Only an EIA Supervisor may bill TRICARE for services.

The EIA Supervisor must:

  • Maintain all applicable business license requirements of state or local jurisdictions; and
  • Provide verification of qualifications as an EIA Supervisor; and
  • Submit proof of professional liability insurance in the amounts of $1 million per claim and $3 million in aggregate; unless there are state requirements that are in different amounts; and
  • Pass a criminal background check; and
  • Obtain an authorization from the Humana Military Healthcare Services demonstration case manager before rendering services, and
  • Cooperate fully with a designated utilization and clinical quality management organization which has a contract with the Department of Defense for the geographic area in which the provider does business. 

Tutor Responsibilities and Limitations
An EIA Tutor works one on one with children implementing the behavior plan designed and maintained by the EIA Supervisor.  The Tutor gathers quantifiable behavioral data necessary for the EIA Supervisor to evaluate the effectiveness of the plan. An EIA Tutor may not conduct behavioral evaluations, establish a child’s Behavioral Plan, or bill independently for services provided to TRICARE beneficiaries. An EIA Tutor or Tutor- in-Training must meet all of the qualifying requirements described in the TRICARE Operations Manual, Chapter 20, Section 10. Tutors work under the supervision of an EIA Supervisor.

            
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Created: March 14, 2008