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Autism Care Demonstration

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A new TRICARE West Region contract is scheduled to start Jan. 1, 2025. With this, the West Region contractor will change from Health Net Federal Services, LLC (HNFS) to TriWest Healthcare Alliance (TriWest). HNFS is honored to provide exceptional service under the current West Region contract, and we will continue to do so throughout the remainder of our contract.

Read our West Region transition FAQs to learn more. 

 

Welcome! Through the Autism Care Demonstration (ACD), TRICARE-eligible beneficiaries diagnosed with autism spectrum disorder (ASD) have access to applied behavior analysis (ABA) and care coordination services. 

TRICARE offers multiple services to support beneficiaries diagnosed with ASD. Visit www.tricare.mil/autism for details. 

Looking for providers? Search our ACD-specific directory:

 

 

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Who's Eligible?
TRICARE beneficiaries must meet specific qualifications.
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Autism Care Demonstration Participation
Learn about diagnostic and eligibility criteria requirements for ACD enrollment.
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Referrals
Referrals for ABA services are valid for two years.
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Initial Assessments
Overview of the initial assessment process.
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Outcome Measures
Scores are used in treatment planning and evaluating progress over time.
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Initial Treatment Authorization
Approvals are six months in length and in place prior to service delivery.
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Clinical Necessity Reviews
All treatment plans are reviewed and must meet requirements before treatment is authorized.
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Service Settings
ABA services may be rendered in a variety of settings.
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Receiving ABA Services
Learn about access to care, parent training and changing providers.
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Copayments & Cost Shares
Access information related to TRICARE costs.
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Subsequent Treatment Authorizations
Explore the requirements for ongoing care beyond initial referral and authorization.
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Discharge Planning
What to expect when preparing to exit the ACD.
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Moving? 
The streamlined transfer process helps eliminate gaps in service.
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File a Complaint
Unresolved issue or concern? Contact HNFS' Complaint Officer.