![]() ![]() Physicians board-certified or board-eligible in:.The following TRICARE-authorized provider types can diagnose and submit referrals: PCMs TRICARE beneficiaries nominated for the ACD must have their TRICARE-authorized ASD-diagnosing and referring provider submit either a referral or diagnostic evaluation stating a diagnosis of ASD using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria to initiate the process for enrollment into the ACD. Those covered by the Transitional Assistance Management Program, Continued Health Care Benefits Program, or as a foreign force member may also be eligible for the ACD.Īutism Care Demonstration Enrollment CriteriaĮligible beneficiaries must have an ASD (F84.0) diagnosis by a TRICARE-authorized primary care manager (PCM) or TRICARE-authorized ASD referring or diagnosing provider.ĭiagnosis occurs under the TRICARE basic benefit. ![]() Learn more on our registering for ECHO page or refer to the "Definitive Diagnosis Requirements" section below. Dependents of active duty service members must register for the Extended Care Health Option (ECHO) to participate in the ACD.Tip: View/download our process flow that walks you through the ACD nomination to first treatment authorization.īeneficiaries must be enrolled a TRICARE health plan to be eligible for the ACD: HNFS will support families for up to 180 days during pre-enrollment to help them with enrollment requirements. Referral for applied behavior analysis (ABA) services from a TRICARE-authorized autism spectrum disorder (ASD)-referring and diagnosing provider.Referral to the ACD from a referring provider.Notification from a parent, Exceptional Family Member Program (EFMP) case manager, military hospital case manager, or clinic case manager.HNFS may receive one or more of the following notifications indicating the beneficiary may be eligible to access services under the ACD, which will initiate the pre-enrollment process: Health Net Federal Services, LLC (HNFS) must verify TRICARE beneficiaries meet specific eligibility requirements before authorizing services under the Autism Care Demonstration (ACD).īeneficiaries must meet the following eligibility requirements prior to enrollment into the ACD. ![]()
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |