Applied Behavior Analysis

(ABA) How can I learn more about the Autism Care Demonstration?

Please visit our Autism Care Demonstration page. You can also visit www.health.mil/autism. 
 

(ABA) How do I become a provider for the Autism Care Demonstration?

Applied behavior analysis (ABA) providers interested in joining the network, must complete and return via fax or U.S. mail a Network ABA Provider Participation Packet. Note: We are currently revising our ABA Provider Participation Packet. Please check back.

You must also submit a completed TRICARE Provider Roster.

ABA providers who wish to become a non-network provider must complete an ABA Provider Application, located on our Non-Network Applications page. 

(ABA) How do I update the following demographics: address, phone number or fax number?

You can update your address, phone number or fax number by submitting a completed TRICARE Provider Roster.  

(ABA) How does a credentialed provider or certified behavior technician get established at multiple locations? 

You must submit a completed TRICARE Provider Roster. 

(ABA) Once a complete application is received, how long does it take to get a provider certified or credentialed and loaded into the system?

It can take HNFS up to 60 days to credential a network ABA provider (BCBA, BCBA-D, BCaBA, QASP or LBA) based upon the accuracy of the information provided. 

It can take us up to 10 days to certify new behavior technicians (who are certified, rather than credentialed). 

It can take up to 30 days to process a non-network provider application. 

(ABA) I'm a new behavior technician. How do I determine my effective date?

Behavior technicians who have an active national or state certification may begin seeing patients as of their certification date submitted on the group roster as long as the group has an executed network agreement by that date. 

BTs can begin to see patients on their national or state certification date as long as the group has an executed network agreement by that date. We recommend providers check XPressClaim before submitting claims.

(ABA) How do I change my specialty? 

For ABA provider speciality changes (for example, RBT to BCaBA or BCaBA to BCBA), you must submit a completed TRICARE Provider Roster. 

(ABA) Are ABA providers required to have a Medicare number for contracting or certification?

No. Board Certified Behavior Analysts (BCBAs), Board Certified Assistant Behavior Analysis (BCaBAs), BCBA-doctorals (BCBA-Ds) and licensed applied behavior analysis (ABA) providers do not require a Medicare number. 

(ABA) Behavior technicians are certified, not credentialed. How do they check network status?

Behavior technicians (BTs) are subject to a certification process in order to participate as a provider in the Autism Care Demonstration. Learn more on our ABA Provider Types page. 

HNFS certifies new BTs within 10 days of receipt of a completed application. New BTs can begin to see TRICARE patients on their national or state certification date as long as the group has an executed network agreement by that date. We recommend providers check XPressClaim prior to submitting claims.

Individual BTs will not display in the TRICARE West Region Network Provider Directory and are not available to check their status online.