Extended Care Health Option (ECHO) benefits include training, rehabilitation, special education, assistive technology devices, institutional care in private nonprofit, public and State institutions/facilities and, if appropriate, transportation to and from such institutions/facilities, home health care and respite care for the primary caregiver of the ECHO-registered beneficiary.
- All ECHO benefits must be authorized in advance and received from a TRICARE-authorozied provider.
- If you want to change providers, you must get a new benefit authorization from your regional contractor.
Home Health Care
ECHO Home Health Care (EHHC) provides medically necessary skilled services to those ECHO beneficiaries who are homebound and generally require more than 28 to 35 hours per week of home health services or respite care. The EHHC benefit is only available in the 50 United States, District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam. >>Learn more
Repite Care for Primary Caregivers
Primary caregivers of the ECHO-registered beneficiary is authorized up to 16 hours of in-home respite care per month. If the ECHO-registered beneficiary qualifies for the ECHO Home Health Care benefit, the primary caregiver is authrized for up to 40 hours per week (eight hours per day, five days per week). Only one respite benefit can be used in the same calendar month; they cannot be used together. Respite care is only available in the United States, the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands.
ECHO Autism Demonstration
The Enhanced Access to Autism Services Demonstration (ECHO Autism Demonstration) allows eligible ECHO-registered beneficiaries to have access to a greater range of existing evidence-based Educational Interventions for Autism Spectrum Disorders (EIA) services through an expanded network of educational intervention providers. >>Learn more.
Public Funds and Facilities
Many communities offer public funds or programs for persons with disabilities. You must use these resources first to the extent they are available and adequate for ECHO benefits related to training, rehabilitation, special education, assistive technology devices and institutional care in private nonprofit, public and state institutions/facilities and, if appropriate, transportation to and from such institutions and facilities
If adequate public assistance is not available, you must include a Public Facility Use Certificate from the proper public official explaining why public assistance is unavailable or insufficient with your request for ECHO benefits.
Did you know?
Services needed to establish qualifying conditions, confirm the severity of the of a qualifying condition or measure the extent of functional loss may be cost shared under ECHO or your basic TRICARE program.