Benefits available with Autism Spectrum Disorder (ASD)

 

What's covered

Basic benefit covered services:

  • Medical team conference with interdisciplinary team of healthcare professionals
  • Occupational Therapy (OT)
  • Pharmacotherapies
  • Physical Therapy (PT)
  • Psychotherapies
  • Psychological testing
  • Respite care
  • Speech Therapy (ST)

Autism Care Demonstration (ACD) covered services:

  • Autism services coordination via the Autism Services Navigator (ASN) for beneficiaries enrolled on or after Oct. 1, 2021
  • Applied Behavior Analysis (ABA) services

TRICARE eligibility

To enroll in the ACD, beneficiaries must meet the following:

  • Must be enrolled in an eligible TRICARE plan
  • Active Duty Family Members (ADFM) must register for the Extended Care Health Option (ECHO)
  • Must also be diagnosed with ASD to receive services under the ACD program (diagnosis must be from a TRICARE-authorized Primary Care Manager (PCM) or specialist approved to diagnose ASD)

Approved PCMs:

  • Pediatricians
  • Pediatric family medicine physicians
  • Pediatric nurse practitioners

Approved specialists:

  • Board-certified developmental pediatrician
  • Board-certified neurodevelopmental pediatrician
  • Pediatric neurologist
  • Pediatric child psychologist
  • PhD clinical psychologist
  • Specific board-certified Doctors of Nursing Practice (DPN)
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Contact Humana Military's dedicated Autism Care Demonstration (ACD) team

Available Monday through Friday, 8 AM - 7 PM (ET)
Call
(866) 323-7155
Fax
(877) 378-2316 (Referrals)
(877) 200-0401 (ECHO support)