Autism Care Demonstration
TRICARE’s Autism Care Demonstration (ACD) allows eligible beneficiaries with autism spectrum disorder to receive reimbursement for applied behavior analysis (ABA) services.
Help Available for Beneficiaries Enrolling in ACD
TriWest Healthcare Alliance now offers enhanced support for TRICARE beneficiaries seeking enrollment in the Autism Care Demonstration (ACD), which provides applied behavior analysis services for individuals diagnosed with autism spectrum disorder (ASD).
Families can receive up to 180 days of assistance from a dedicated ACD specialist who can help:
- Explain ACD eligibility requirements and available services.
- Help obtain referrals for ASD diagnostic evaluations.
- Coordinate with providers to ensure all documentation is complete and submitted.
This support is especially helpful for families who are considering ACD enrollment for the first time or who were previously informed that required documentation was incomplete.
Please encourage eligible TRICARE families to call 833-818-2525 to request “ACD eligibility assistance.”
How to Become a TRICARE ABA Provider
To become a TRICARE ABA provider, you must sign a Participation Agreement and be TRICARE certified. TriWest will certify ABA providers for TRICARE within 10 business days from the receipt of a complete application that meets all requirements for certification. There is also a process for credentialing to become Network providers.
The following table provides an overview of ACD eligibility status.
| Provider Contracting Status | TRICARE Certified + Signed Participation Agreement |
TRICARE Certified + Signed Participation Agreement + Signed Network Agreement |
TRICARE Certified + Signed Participation Agreement + Signed Network Agreement + TriWest Credentialed |
|---|---|---|---|
| ACD Provider Status | Non-Network, Participating Provider | Non-Network, Participating Provider | In Network, Participating Provider |
| Loaded in Non-Network Directory (search for Autism) | |||
| Loaded in ACD & T5 Directory "Find Autism Care Demonstration" | |||
| Eligible to See Patients | |||
| Claims Paid (EFT Enrollment Required) |
We encourage ABA providers in the TRICARE West Region to review the resources below to provide the best care for our beneficiaries.
Resources:
- Check out the ACD Documentation and Quality Monitoring Guide
- Download the TRICARE Non-Network Autism Care Demonstration (ACD) (BCBA, BCBA-D and LBA) Individual Application.
- Download the TRICARE Provider Certification Application—Autism Care Demonstration (ACD) Autism Corporate Service Provider (ACSP) & Sole Provider
- Download the TRICARE Provider Certification Application—Autism Care Demonstration (ACD) Assistant Behavior Analyst
- Download the TRICARE Provider Certification Application—Autism Care Demonstration (ACD) Behavior Analyst/Applied Behavior Analysis (ABA) Supervisor
- Download the TRICARE Provider Certification Application—Autism Care Demonstration (ACD) Behavior Technician
- Download the TriWest Provider Roster Template
- Download the provider Checklist for Autism Spectrum Disorder.
- Access the on-demand ACD Annual Provider Training for the TRICARE West Region by going to the TriWest Learning Center on the provider portal. For more information on how to access the TriWest Learning Center, review our TRICARE West Region Provider Training & Webinars page.
- Download the Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) enrollment package for instructions.
- Read the Autism Care Demonstration Provider Quick Reference Guide.
- Stay tuned for the upcoming Autism Care Demonstration Provider Guide!
Please visit the Provider Certification and Credentialing page for more information about the TRICARE certification process.
If you have questions, you can reach the Autism Care Demonstration Customer Service at 833-818-2525 or email Provider Services Contracting at abaprovidercontracts@triwest.com.
For the fastest and easiest way to submit Autism Care Demonstration requests and documents, please use the online referral management system on Availity. You can also fax documents to the dedicated ACD fax at 877-875-9037.