When is “Applied Behavior Analysis (ABA)” covered under ECHO?
In accordance with TRICARE Policy Manual, Chapter 9, Section 9.1, ABA is an ECHO benefit when provided by a TRICARE-authorized provider. Payable services include periodic evaluation of the beneficiary, development of a treatment plan, and training of family members to provide services in accordance with the treatment plan. TRICARE can also pay for the “hands-on” ABA services when provided by a TRICARE-authorized provider. However, TRICARE will not pay for such services when provided by family members, trainers, or other individuals who are not TRICARE-authorized providers. There is no monthly cap but there is a $36,000 fiscal year cap.
