Humana Military follows a placement process to ensure beneficiaries have access to an Applied Behavior Analysis (ABA) provider within TRICARE’s access to care standards.
The initial assessment may involve multiple visits and includes a direct observation of the beneficiary needing care. Information will be collected to help develop an individualized treatment plan which will include treatment recommendations and goals.
The beneficiary can obtain a second opinion from a different ABA provider if requested. A new referral is not required as long as it is within the two-year timeline.
Two “ongoing” treatment authorizations of direct service are not permitted. It is important to communicate with Humana Military on which provider the beneficiary would like to use to avoid delays in authorization approval for treatment.