Does TriCare Cover ABA Therapy?

TriCare is a health care program for members of the military and their families. It covers a wide range of medical services, including Applied Behavior Analysis (ABA) therapy.

ABA therapy is a type of therapy that is used to treat individuals with autism spectrum disorder (ASD) and other developmental disorders.

ABA therapy is a highly effective treatment for ASD, and it is often recommended by doctors and therapists.

The therapy involves breaking down complex behaviors into smaller, more manageable steps, and then rewarding the individual for completing each step. Over time, this helps the individual learn new skills and behaviors.

TriCare covers ABA therapy for eligible beneficiaries who have been diagnosed with ASD or other developmental disorders.

To be eligible for coverage, the therapy must be deemed medically necessary by a licensed healthcare provider. The provider must also be authorized to provide ABA therapy by TriCare.

TriCare has specific guidelines for ABA therapy coverage.

The therapy must be provided by a licensed and certified ABA provider, and it must be supervised by a licensed healthcare provider. The therapy must also be provided in accordance with the guidelines set forth by the Behavior Analyst Certification Board (BACB).

In addition to covering ABA therapy, TriCare also covers other types of therapy for individuals with ASD and other developmental disorders. These therapies may include speech therapy, occupational therapy, and physical therapy.