New Codes for Applied Behavior Analysis Services Begin in New Year

Thursday, December 20, 2018
Reprinted with permission from the Defense Health Agency, Communications Division

New procedure codes for providers of applied behavior analysis, or ABA, services under the TRICARE Comprehensive Autism Care Demonstration take effect Jan.1. 

“There should be little to no impact on beneficiaries since reimbursement rates and services provided to beneficiaries will remain unchanged,” said Navy Capt. Edward Simmer, Chief Clinical Officer, TRICARE Health Plan, and a psychiatrist.

"The implementation of the new codes improves the provider claims process and brings the autism care demonstration more in line with the TRICARE basic benefit," he said.

The Autism Care Demonstration (ACD) covers ABA services for all eligible TRICARE beneficiaries diagnosed with autism spectrum disorder. Behavior Analysis is based on the science of learning and behavior. The goal of ABA services is to increase behaviors that are helpful and decrease behaviors that are harmful or affect learning. ABA providers use ABA techniques to help children diagnosed with autism reach their maximum potential.  

Read more at www.health.mil