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12 December 18, 2015 Health and Wellness BULLSEYE
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model. ABA Supervisor?
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either or both. Supervisor is authorized to provide
ABA services for each beneficiary at
t 8IJDIFWFS NPEFM ZPV DIPPTF EF- a time. You may seek consultation
pends on the patient’s individual from another Authorized ABA Su-
needs and provider availability. pervisor if your treating Authorized
By 99th Medical Group t 5IF &$)0 "VUJTN %FNPOTUSBUJPO In a sole provider model, your child ABA Supervisor lacks sub-specialty
began in March 2008. This demo in- gets all applied behavior analysis expertise to treat a specific behavior.
Q: Does TRICARE cover applied be- creased access to supervised services services from just one provider (Au- When your primary Authorized ABA
havior analysis? from Assistant Behavior Analysts thorized ABA with a Master’s degree Supervisor consults with another
and ABA tutors (now called Certified or higher). Authorized ABA Supervisor, your
A: TRICARE may cover Applied Be- Behavior Technicians). primary Authorized ABA Supervisor
havior Analysis (ABA) or other remains responsible for the Treat-
therapeutic services for benefi- t*O"VHVTU
XFFYQBOEFEDPWFS- In a tiered model, your child gets ment Plan and is the sole provider au-
ciaries with Autism Spectrum age to non-active duty family mem- ABA services from a team of providers thorized to bill for ABA services. You
Disorder. Visit the TRICARE bers through the basic program and lead by an Authorized ABA Supervisor. can also request a referral from your
Comprehensive Autism Care Dem- the ABA Pilot. Here’s an example of the tiered model: primary care physician for a second
onstration page for information on t 0O %FD
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how to get ABA care. providers for different services: as a team approach and therefore
How long has TRICARE covered ap- using the ECHO Autism Demonstra- Authorized ABA Supervisor for ap- another Authorized ABA Supervisor
plied behavior analysis (ABA)? tion or the ABA Pilot were fully tran- plied behavior analysis assessments, may provide ABA services as a team
sitioned into the Autism Care Demo. treatment plans and help for parents. participant. However, the designated
t 8FWF DPWFSFE "#" GPS BDUJWF EVUZ What’s the difference between the sole Assistant Behavior Analyst or Certi- Authorized ABA Supervisor remains
family members since 2005 through provider model and the tiered model, fied Behavior Technician for direct responsible and is the only one who
the Extended Care Health Option and do I have to choose one option? one-on-one ABA. In this scenario, is authorized to bill for ABA services.
(ECHO), and before that, through the Authorized ABA Supervisor
the Program for Persons with Dis- t:PVEPOUIBWFUPDIPPTFCFUXFFOUIF submits the bill. Can I file a complaint about an Au-
thorized ABA, Assistant Behavior
abilities.
sole provider model and the tiered Can we see more than one Authorized ___________ See DOC, on page 16
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