Provider certification

Applied Behavior Analysis (ABA) provider certification (via Humana Military)

ABA provider certification definition:

To provide ABA services to TRICARE beneficiaries, ABA providers must be TRICARE-certified. TRICARE recognizes the following certification types: ACD-Corporate Services Providers (ACSP) includes autism centers, autism clinics, and sole providers (regardless of setting of rendered ABA services, i.e. home or clinic), ABA supervisors, Assistant Behavior Analysts, and Behavior Technicians. Once certified, providers can apply to join the TRICARE East network. For ABA Provider requirements, please see the TRICARE Operations Manual, Chapter 18, Section 4.

ABA provider certification submission:

Provider certification excluding ABA

Provider certification definition:

Providers must be TRICARE-certified to file claims and receive payment for TRICARE services. Certified providers must meet the licensing and certification requirements of TRICARE regulations and practice for that area of healthcare. Wisconsin Physicians Service (WPS) performs TRICARE East provider certification services excluding ABA.

Provider certification submission:

TRICARE East
Attn: Provider Certification
PO Box 7870
Madison, WI 53707-7870

Fax: (608) 221-7535