Educational Interventions for Autism Spectrum Disorders (EIA) are individualized activities to increase positive behaviors and modify inappropriate behaviors. An Applied Behavior Analyst (ABA) is a professional with the education and knowledge required to provide EIA services. ABA professionals may be certified as a Board Certified Behavior Analyst (BCBA) or a Board Certified Associate Behavior Analyst (BCABA). Only individuals who are licensed or certified by a State or the Behavior Analyst Certification Board (BACB) are eligible to be TRICARE-authorized ABA providers.
An EIA Tutor is an individual who has completed required education and training that qualifies them to carry out therapeutic interventions and activities under the direction and supervision of an EIA Supervisor. EIA Tutors are unique to the Demonstration and cannot bill independently for services.
Under the Demonstration, the EIA Supervisor is responsible for completing a comprehensive assessment and development of a Behavior Plan that provides targeted skills and behaviors that will be addressed through sessions with the EIA Tutor. The EIA Supervisor is also responsible for monitoring EIA Tutor performance, periodic reassessment and evaluation of the effectiveness of the plan, providing updated progress information to ValueOptions, and administrative services such as billing.
TRICARE-authorized EIA Supervisors must obtain approval from an ValueOptions Case Manager before beginning services under the Demonstration. A summary of progress and updated behavior plan must be submitted to the ValueOptions Case Manager to approve ongoing services.