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Case 1:10-cv-00373'RBW Document 137-L Filed O7l26lf3 Page 7 of 104
OFFICE OFTHE ASSISfANT SECRETAFY OF OEFENSE
HEALI}I AFFAIRS
r r E 3TCEH|nE Ecl' tlxl{A.aJGOht, coloRADo llclrtca
13-CODAA-003?85 July 18,2013
Mr. Orie T. Mullen, Jr.
President, Humana MilitaryHumana Covernrnent Business, Inc.500 W. Maitr Str€etLouisville, KY 40202
Subjecl Cladlication oflmpldnentation ofNalional Def€nse Authorization Acl(NdAA), scction 705, Pilot Progtam for fi€ Trcatment ofAutism Sp€clrum Disoder,
Including Applied Behavior Analysis (ABA)
Reference: Contract Number HT 002-11-C'0003Contract Madification Nutnbers P00227; P0Ol33; P00470
Dear Mr. Mullen:
This letter advises that TMA has.eceived concems fiom oul active duty
ben€ficiaries as well as your feedback on the irnpl€me ation of the ABA PilolBeneficiaries have expressed significant appreher$ion lhat the new policy places added
requirements on the provision ofABA that are overly burdensome and may b€ difficult to
meet. Most conceming lo our active dqty be*iciaries is rhat the July 25,2013
implemeotation date will create a 8ap in cale for some b€neficiari€s \{hose cullentautlprizalions arc expiring now or will expire shortly after dre July 25th date' We
under$tard thes€ beneficiad€s may not have had an opportunity to obtain the ABAassessmenl, t€sting, and treatment plans that a.e required uader the change b obtain
continued care audmriz.tiots.
In light oflh€sc concernq tho Assistant Sccretary ofDefetsc (Healrh Affails) has
dir.cted that for all active duty family mefiibc.s, claims for ABA will continue to be paid
in accordance with tle guidance provided in TPM; Change 73, publisM on August l0'2012. ln additioa activc duty family members may cotltinu€ to leceive ABA services
under the provirions ofthe Extelded Care Health Option Enhanced Acc€ss to AutismSewices DemoDstration in accordance with TOM; Ch9[ge 68 published January I l,2012.
A non-active duty family metrbcr cuEently receiving ABA under the TRICAREBasic Progan necds a diagnosis and staldardized testing in accoldance with therequirements published on June 25, 2013, only if h€/she wsnts ABA leioforcementservices in the ABA Pilot. ln the meantime, w€ will contitue to pay for their TRICARE
case 1:x0-cv-00373-RBw oocumetlt 137-7 Pile/l otl26na Page I d104
Brlic PFgre ABA $ctr€s nt scsdffi lfietb $ e,! Fsddcdh TP!'t'ChtgsiB, Frbli3b.il6 A{ts I0, 2012
cciwi[i[n 1lnc*.r, R.giood DnldorBc&k! Dc Lor S4 ot. Satdi R.fioll ACOGcoegp Mtlcb€I, $!tt&slo h.rilo Bs!*f HrltrutltBrvln Ud, $uE!a,e Co!,EnmrlrCirdt Ro.gtrt, f}lA-Plrtrj filllofry Mor*\ lRGSodr A !!qp.Dia.KcD Rrkl, TRO-SouL Auur Div.Joftn t .*8, Cbicf,CrDD-AnftrF rl3, COF.A Sttf Adi{d