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.
To become a TRICARE ABA provider, you must sign a Participation Agreement and be TRICARE certified. 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:
- 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 ABA Provider Roster Template
- Download the provider Checklist for Autism Spectrum Disorder.
- Access on-demand training for the TRICARE West Region at the Availity Learning Center.
- Download the Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) enrollment package for instructions.
- Read the Autism Care Demonstration Provider Quick Reference Guide.
- Learn about the ACD Annual Provider Training.
- Stay tuned for the upcoming Autism Care Demonstration Provider Guide!
To submit provider certification applications, please send them to provcerts@triwest.com.
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.