On December 1, 2015, Tricare announced that professional rates for applied behavior analysis (ABA) through the Comprehensive Autism Care Demonstration (ACD) would be cut to align the rates with commercial insurer reimbursement for ABA in the spring of 2016. Rates for some professionals in certain locations will drop by as much as 35%. The coming rates are about 20% higher than Medicaid ABA rates.
Currently Tricare pays professionals providing ABA for the ACD at a fixed rate based on education and certification level, regardless of location. The rate was set in 2008 when the ACD began and before cost data . . .