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)