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Autism Demonstration Overview Participation Requirements Responsibilities Reimbursement FAQs
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Participation Requirements


To become a TRICARE authorized provider, an Educational Interventions for Autism Spectrum Disorders (EIA) Supervisor must meet the professional requirements specified in the Demonstration and contract or directly employ qualified Tutors. 

EIA Supervisors must be certified by the Behavior Analysts Certification Board (BACB) as a Board Certified Behavior Analysts or Board Certified Associate Behavior Analysts where such state-issued license or certification is not available.   To become an HMHS authorized provider, EIA Supervisors must:
  • Submit evidence of professional liability insurance in the amounts of one million dollars per claim and three million dollars in aggregate, unless State requirements specify greater amounts; insurance must remain in effect during the entire time a provider is authorized under the Demonstration.
  • Employ directly or contract with EIA Tutors meeting the following qualifications*:
    • Undergone a criminal background check to include current Federal, State, and County Criminal and Sex Offender reports for all locations the EIA Tutor has resided or worked during the previous 10 years; and
    • Completed 40 hours of classroom training in ABA techniques in accordance with the BACB guidelines for Responsible Conduct for Behavior Analysts.  Training requirements may be met through orientation, classroom, or shadowing conducted by the EIA Supervisor;   and
    • Completed a minimum of 12 semester hours of college coursework in psychology, education, social work, behavioral sciences, human development or related fields and be currently enrolled in a course of study leading to an associate or bachelor degree by an accredited college or university; or
    • Completed a minimum of 48 semester hours of college courses in an accredited college or university; or
    • Have a High School diploma or GED equivalent and have completed 500 hours of employment providing ABA services as verified by the Autism Demonstration Corporate Services Provider (ACSP; an individual, corporation, foundation, or public entity that renders service allowable under the ECHO).
  • Have a current, unrestricted State-issued license or certification to provide ABA services, or be certified by the BACB.
  • Agree to Criminal History Review
  • Maintain all applicable business licenses and employment or contractual documentation in accordance with Federal, State, and local requirements and the EIA Supervisor’s business policies regarding EIA Tutors.
  • Meet all applicable requirements of the states in which services are provided, including remote supervision of EIA Tutors and oversight of EIA services provided where the beneficiary resides.
  • Agree to cooperate fully with a designated utilization and clinical quality management organization which has a contract with the DoD for the geographic area in which the provider does business.
  • Agree to cooperate fully with HMHS audits and quality evaluations of care and service.
  • Enter into a participation agreement.  
*An application must be accompanied by a college transcript and verification of continued enrollment if applicable, or a High School Diploma/GED Certificate with evidence to support 500 hours of work in ABA therapy, and signed attestation of the tutor background check.

Related Links

Participation Agreement  Application for Participation 
         
Mail the completed documentation to:
Humana Military Healthcare Services
Attn:  Network Development 3-515
PO Box 740085
Louisville, KY  40201-9927
 
Last Update: May 27, 2010