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
Background graphic with scallop detail in brand colors

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

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