Autism Services Demonstration
The Enhanced Access to Autism Services Demonstration is an enhancement to TRICARE’s Extended Care Health Option (
ECHO) program for those beneficiaries with certain diagnoses for autism spectrum disorders. This demonstration
project allows reimbursement for applied behavior analysis (
ABA)
services rendered by a tutor who is supervised by a Behavior Analyst Certification Board (BACB) certified provider.
Providers who are interested in participating in the Autism Demonstration Project or who want more information should visit the
TriWest Provider Portal.
Participation in the autism demonstration project is voluntary. You can find out more about the benefits under the autism demonstration
project by calling your
ECHO case manager.
Demonstration Eligibility
Children eligible for the Autism Services Demonstration:
- have been diagnosed with one of the following conditions:
- autistic disorder
- Asperger’s syndrome
- childhood disintegrative disorder
- pervasive developmental disorder – not otherwise specified (PDDNOS)
- have an active duty sponsor (including activated Guard and Reserve members)
- live in the United States
- be age 18 months or older
- enrolled in the sponsor’s service Exceptional Family Member Program (EFMP)
- registered in or registering into TRICARE’s ECHO program through TriWest
Providers
As part of the demonstration, eligible beneficiaries can receive
Education Interventions for Autism Spectrum Disorders (EIA) services from paraprofessional providers not available as part of
the basic TRICARE program or ECHO. A
directory of EIA Supervisors in
the TRICARE West Region approved to deliver services under the Autism Demonstration is now available.
Information on TRICARE.mil:
Extended Care
Health Option (ECHO)
Autism Services Demonstration
ECHO Costs
