Treatment authorization


Treatment authorization process

Once the initial assessment has been completed, the Applied Behavior Analysis (ABA) provider will submit a request for treatment. Treatment authorizations are approved in six-month increments.

Humana Military must verify the following:

  • TRICARE eligibility
  • Autism Care Demonstration (ACD) eligibility
  • Treatment plan contains parent goals and engagement
  • Parent Pervasive Developmental Disorder Behavior (PDDBI) scores
  • Completion of outcome measures
  • Individualized Education Program (IEP), if applicable

The clinical review process will not be completed until all clinical documentation is provided. Beneficiaries can view authorization status by logging into their self-service account. Humana Military will not backdate and will deny reimbursement for services performed outside of the dates on the approved authorization.

Check authorization status
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Contact Humana Military's dedicated Autism Care Demonstration (ACD) team

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