NOTE: More information about TRICARE changes to Autism Coverage and Applied Behavior Analysis is available at http://www.tricare.mil/Home/CoveredServices/SeeWhatsCovered/AppliedBehaviorAnaly sis.aspx -----Original Message----- From: health.mil-bounce@xxxxxxxxxxxxx [mailto:health.mil-bounce@xxxxxxxxxxxxx] On Behalf Of HEALTH.MIL@xxxxxxxxxxxxx Sent: Monday, July 15, 2013 2:09 PM To: HEALTH.MIL@xxxxxxxxxxxxx Subject: [HEALTH.MIL] Tricare Cuts Will Hurt At-Risk Military Children, Lawmakers Say Tricare Cuts Will Hurt At-Risk Military Children, Lawmakers Say By Jennifer Hlad Stars and Stripes Published: July 15, 2013 SAN DIEGO, Calif. - New rules for Tricare will limit the ability of thousands of military children with developmental disabilities to get the therapy and care they need, two U.S. senators and an advocacy group say. "The apparent lack of understanding of the needs of children with developmental disability, including autism, when drafting the recent Tricare policy changes is astounding," Sens. Kirsten Gillibrand and Patty Murray wrote in a recent letter to Dr. Jonathan Woodson, the assistant secretary of defense for health affairs and director of Tricare management activity. The new rules, set to take effect July 25, require standardized testing for autistic children every six months, , and require the children to demonstrate progress to continue receiving a type of treatment called Applied Behavioral Analysis. The rules also require anyone who wants more than two years of the treatment to go through a waiver process and cut off care after 16 years old. Autism Speaks, an autism science and advocacy organization, is "very concerned" about the age cutoff and limits on the length of time children can receive care, as well as the administrative hurdles, said Karen Driscoll, associate director for federal government affairs and military relations. "Military families deserve better," Driscoll said. Gillibrand and Murray said the "measurable progress" requirement also is troublesome, since military children sometimes regress or have trouble making progress because of deployments, frequent moves or other life events common in military households. "Last year, new policies cut off children with Down syndrome, cerebral palsy and other developmental disabilities from receiving the care they need," Murray said. "This year, the (Department of Defense) had taken another step in the wrong direction." More than 23,000 Tricare beneficiaries are diagnosed with autism. In their letter to Woodson, Murray and Gillibrand questioned whether Tricare had consulted with experts on developmental disabilities, whether any other chronic conditions require repeated testing for continued care and whether the tests outlined in the rules are being used appropriately. "Given the impact family health care plays on military readiness, it is essential military families have assurances of continued health care," Murray and Gillibrand wrote. "Policies inconsistent with good clinical practice only serve to limit, restrict, delay and deny care." <mailto:hlad.jennifer@xxxxxxxxxxx> hlad.jennifer@xxxxxxxxxxx Twitter: @jhlad ------- SOURCE: Stars & Stripes article at <http://www.stripes.com/news> http://www.stripes.com/news NOTICE: Archived copies of this and other mailing list messages, subscribe\unsubscribe instructions and other useful information are available on the "LINKS FOR MIL\RET\VETS" website at <http://www.hostmtb.org> www.hostmtb.org == HEALTH.MIL Mailing List == 1. The following options may be used to join\leave this mailing list: a. ONLINE OPTION: Online subscription\unsubscription options are available at: <http://www.hostmtb.org> http://www.hostmtb.org <http://www.hostmtb.org/hmil.html> http://www.hostmtb.org/hmil.html <//www.freelists.org/list/health.mil> //www.freelists.org/list/health.mil b. E-MAIL OPTION: Subscription\unsubscription may be performed by sending an E-Mail message to the following address: (1) To subscribe to this mailing list, send an E-Mail message to <mailto:HEALTH.MIL-request@xxxxxxxxxxxxx> HEALTH.MIL-request@xxxxxxxxxxxxx with 'subscribe' as the subject. (2) To unsubscribe, send an E-Mail message to <mailto:HEALTH.MIL-request@xxxxxxxxxxxxx> HEALTH.MIL-request@xxxxxxxxxxxxx with 'unsubscribe' as the subject. 2. If the above subscribe or unsubscribe procedures don't work or if you have questions, comments, etc., about this mailing list, please contact <mailto:Milton.Bell126@xxxxxxxxx> Milton.Bell126@xxxxxxxxx