• If there is increased access to these services
• If the services are reaching those most likely to benefit from them
• If the quality of those services is meeting an appropriate standard of care currently accepted by the professional community of providers, including the Behavior Analyst Certification Board
• That state licensure and certification requirements, where applicable, are being met

The Enhanced Access to Autism Services Demonstration allows non-certified educational intervention service providers, or tutors, to provide autism services to military family members in the United States. The demonstration is effective for services provided on or after March 15, 2008. Humana Military will administer the enhanced autism services in the TRICARE South Region.

Non-certified tutors and tutors-in-training may provide ABA services under close supervision. Authorized supervisors will be required to direct and oversee the tutors who provide the “hands on” work and verify that the tutors are trained and able to perform the services required to treat children with autism.

Note: The allowed cost of services provided by the Enhanced Access to Autism Services Demonstration on or after October 14, 2008, accrue to the ECHO fiscal year government maximum cost-share. See “TRICARE Extended Care Health Option” earlier in this section for details.

For more information about the Enhanced Access to Autism Services Demonstration, refer to Chapter 20, Section 10 of the TRICARE Operations Manual.