Outcome measures

 

Overview

Humana Military must receive completed outcome measures prior to issuing a treatment authorization. If the ABA provider is unable to complete outcome measure scores, please contact us at (866) 323-7155 for further assistance. TRICARE requires the submittal of scores and related data points (signature of the respondent and their relationship to the beneficiary) from the outcome measures outlined below.

Who can perform outcome measures?

Outcome measures can be performed by TRICARE-authorized ASD-diagnosing providers or, when authorized by Humana Military, ABA providers (Board Certified Behavior Analyst (BCBA) or BCBA-D) who can administer the Vineland-3, SRS-2 and PSI-4-SF/SIPA.

If the ABA provider is unable to complete the outcome measures, please contact Humana Military at (866) 323-7155.

Authorizations

Humana Military does not require a referral from the Primary Care Manager (PCM) or an ASD-diagnosing provider. Alternate providers are able to complete outcome measures under the basic benefits – requirements apply according to the specialty of the provider completing the measures. Humana Military communicates with providers ensuring all requirements are met within a timely manner. Please ensure all contact information is up to date.

Please contact Humana Military at (866) 323-7155 or log into provider self-service to update any provider information necessary.

What to expect the first two years
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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