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

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