<h2><strong>APPLIED BEHAVIOR ANALYSIS (ABA)</strong></h2>
<p>Applied Behavior Analysis (ABA) services for beneficiaries diagnosed with autism spectrum disorder are covered under TRICARE’s comprehensive Autism Care Demonstration (ACD). ABA uses behavior modification principles, such as positive reinforcement, to teach and maintain behavior. ABA can help develop skills, such as communication and social abilities. It can also help decrease behaviors, such as aggression or self-injury, by introducing replacement skills such as self-advocacy and assent. ABA services are covered under the ACD for all qualifying dependents of ADSMs, retirees, and certain National Guard and Reserve members.</p>
<p><strong>Note:</strong> In the overseas region, this service is available in <strong>limited locations</strong> and <strong>only authorized in countries that have in-network providers with these certifications</strong>. ABA services should only be provided to beneficiaries if a preauthorization/approval for services has been received. </p>
<p>If you are a provider currently working under the TOP and have any questions, please contact the ACD Manager at <a href="mailto:ACDprogram@top.internationalsos.com" target="_blank">ACDprogram@top.internationalsos.com</a></p>
<p>For more information on ABA TRICARE Policy details, download the resources below:</p>
<table border="0" style="width: 298pt; color: rgb(68, 68, 68);" width="397">
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<td colspan="1" rowspan="1" width="247" style="padding: 0.75pt; width: 185pt; height: 15pt;"><p style="margin: 11pt 0in;">ABA Medical Care Brief for MTFs & ABA Providers</p></td>
<td colspan="1" rowspan="1" width="151" style="padding: 0.75pt; width: 113pt; height: 15pt;"><p style="margin: 11pt 0in 11pt 0.1in;">{downloaddocs=/providers/tco-media/documents/medical-care-brief-new-design---autism---april-2020-final-1:English}</p></td>
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<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in;">Important Information Regarding the Autism Care Demonstration (ACD)</p></td>
<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in 11pt 0.1in;">{downloaddocs=/providers/tco-media/documents/ACD-Info-JAN2022:English}</p></td>
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<p><strong>Below are the forms providers will need to complete when seeing TRICARE beneficiaries:</strong></p>
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<td colspan="1" rowspan="1" width="247" style="padding: 0.75pt; width: 185pt; height: 15pt;"><p style="margin: 11pt 0in;">Applied Behavior Analysis (ABA) Services Forms*</p></td>
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<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in;">{downloaddocs=/providers/tco-media/documents/aba-assessment-and-treatment-plan-april-2024:ABA Assessment and Treatment Plan}<br></p></td>
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<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in;">{downloaddocs=/providers/tco-media/documents/aba-discharge-form---final-april-2020:ABA Discharge Form}</p></td>
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<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in;">{downloaddocs=/providers/tco-media/documents/topacd-DSM5-checklist:TOP ACD Clinical Diagnosis DSM-5 Checklist}</p></td>
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<td colspan="1" rowspan="1" style="padding: 0.75pt; height: 15pt;"><p style="margin: 11pt 0in;">{downloaddocs=/providers/tco-media/documents/acd-medical-team-conference-form-final-oct-2022:ACD Medical Team Conference Form}</p></td>
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<p><em>Note: All ABA clinical documents should be sent password-protected to the following email address: </em><a href="mailto:mtfreferrallon@internationalsos.com" target="_blank"><em>mtfreferrallon@internationalsos.com</em></a></p>