TRICARE applied behavior analysis (ABA) benefit : comparison with Medicaid and commercial benefits / Margaret A. Maglione, Srikanth Kadiyala, Amii M. Kress, Jaime L. Hastings, Claire E. O'Hanlon.
At head of title: Rand National Defense Research Institute.
Bibliography
Includes bibliographical references (pages 63-65).
Contents
1. Introduction -- 2. Coverage of ABA--Comparison of TRICARE with Medicaid and commercial insurance -- 3. Reimbursement rates for ABA, Medicaid, and commercial insurance -- 4. Potential provider shortage areas -- 5. Discussion -- Appendix: Sensitivity analysis results.
Summary
This study compared the Applied Behavior Analysis benefit provided by TRICARE as an early intervention for autism spectrum disorder with similar benefits in Medicaid and commercial health insurance plans. The study focused on comparing a proposed TRICARE reimbursement rate decrease from $125 per hour to $68 per hour for such services performed by a Board Certified Behavior Analyst to reimbursement rates in other plans.
