Autism Care Demonstration Training Requirements

All ACD providers must complete the ACD Provider Education in the provider portal, Availity, annually. Failure to complete the ACD Provider Education by the final day of the calendar year will result in a 10% claims penalty for all ABA rendered services during the non-compliant period.

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Encourage Virtual Community Groups

Encourage your patients to join our new Virtual Community Group interactive sessions led by health experts in topics like diabetes, mental health, and tobacco and vaping cessation.

Registration is in the Beneficiary Portal

Update to Referral and Authorization Process

As of April 30, the Alternative Referral and Authorization form will no longer be available. Use the online referral management system on the provider portal, Availity. You can still submit your referrals and authorizations requests via fax to 866-852-1893. For newborn and NICU patients, please fax the face sheet to 866-852-1885.

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Avoid Claims Delays

Before submitting a claim, confirm current TRICARE coverage, billing rules, and official program guidance on Claims Guidelines page.

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Don't Delay ADT Reporting

Submitting timely admission, discharge, and transfer (ADT) notifications support accurate authorizations, safe transitions, and prevent delays in claims processing.

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Sign Up for the Provider Pulse

Sent monthly, the Provider Pulse will keep you up to date with what’s happening with TRICARE. Read the latest Pulse and subscribe today.