PFA Insurance Guide

My insurance is provided by the Federal government:

Federal Employees, Military, Medicare, and Medicaid recipients Insurance provided /regulated by the Federal government is not subject to state law and therefore DOES NOT comply with any Maryland mandated services. Learn more about what autism treatment is covered by your plan:

Federal Employee Health Plan

Beginning in 2017, ALL Federal Employee Health Benefits (FEHB) plans are required to cover Applied Behavior Analysis (ABA) benefits for children on the autism spectrum.

Military

TRICARE covers Applied Behavior Analysis (ABA) from Board-Certified Behavior Analysts for all TRICARE eligible beneficiaries who are diagnosed with Autism Spectrum Disorder (ASD). The Comprehensive Autism Care Demonstration (CACD) supports one-to-one services and tiered delivery services, depending on the unique needs of the beneficiary.

The Extended Care Health Option (ECHO) provides financial assistance for an integrated set of services and supplies to eligible active duty family members enrolled in the Exceptional Family Member Program (EFMP).

Additional health care resources for military families:

Medicaid

Effective January 1, 2017, the Department of Health and Mental Hygiene will cover medically necessary Applied Behavior Analysis (ABA) therapy services for Maryland Medical Assistance enrolled members under the age of 21. Frequently Asked Questions about ABA from the Maryland Department of Health and Mental Hygiene.

ABA services for all Mediciad recipients will be managed by Beacon Health Options Maryland.

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