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Does TRICARE cover ABA therapy for autism?
Verified by TRICARE.com Editorial Team
Updated 2024-12-01
AI-assisted (gemini, gpt-4o)
Quick Answer
TRICARE covers ABA therapy for autism through the Autism Care Demonstration, plus diagnostic evaluations, speech therapy, and OT. No specific hour limits—based on medical necessity.
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Key Takeaways
- ABA fully covered
- No hour limits
- Multiple therapy types
- ECHO program supplements
Detailed Answer
TRICARE autism services coverage:
Covered Under Autism Care Demonstration
- Applied Behavior Analysis (ABA) therapy
- Diagnostic evaluations
- Parent/caregiver training
- Speech-language therapy
- Occupational therapy
ABA Therapy Coverage
- Evidence-based treatment
- Board-certified behavior analysts
- Registered behavior technicians
- No specific hour limits
- Based on medical necessity
Requirements
- Autism spectrum diagnosis
- TRICARE-authorized providers
- Treatment plan approval
- Regular progress reviews
Finding Providers
- TRICARE provider directory
- Autism Care Demonstration registry
- Regional contractor assistance
Cost
- Active duty family: Minimal costs
- Retiree family: Standard cost-shares
Additional Services
- Respite care (ECHO)
- Family support
- Case management
Helpful Tips
- Find ACD-registered providers
- Request ECHO evaluation
- Document all treatments
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