Autism Center of Excellence (COE) Certification

Medical Home - Calendar of EventsUniversity of Washington experts provide the Autism Center of Excellence (COE) trainings through a contract with the Health Care Authority (HCA).

The next scheduled training is Friday, February 2, 2024  Flyer
Register the Feb 2, 2024 Autism COE training:

If you would like to be put on the list of people interested in learning when future trainings will happen,  please email Kate Orville, Training Coordinator at .

Purpose of the COE Training

  • To increase the number of qualified clinicians (COEs) across Washington State who can appropriately diagnose children and youth with autism who have Medicaid insurance.
  • Help children and families access needed services as appropriate, including writing a Medicaid/Apple Health prescription for Applied Behavioral Analysis (ABA). COE required for Managed Care Organization (MCO) prescription approval.

Who is Eligible to Become a COE

  • The HCA determines which primary care and other clinicians  can become COEs. Currently the list includes medical physicians working in primary care, specialty physicians, clinical psychologists, ARNPs and pediatric naturopaths. Physician Assistants (PA-C) whose supervising clinician is a COE are eligible as of Jan 1, 2023.
  • As of Oct 17, 2019 , an autism diagnosis from a COE provider (except for naturopath physicians and PA-Cs) can also be used by a family for Developmental Disabilities Administration (DDA) eligibility.

What the Training Covers

  • Evaluation and diagnosis of children exhibiting signs and symptoms of autism spectrum disorder and determining which evidence –based treatments, including ABA, are likely to be helpful for individual children
  • Community and state resources for children and youth with autism and their families
  • The lived experience of autism from autistics and family members- what they would like you as a health care professional to know
  • How to write an approved prescription for ABA treatment
  • Billing
  • Paperwork and process to complete to become a HCA recognized COE after the training

COE Training Logistics


Because of COVID-19 concerns, the COE training is now in  a hybrid online model.

Steps for the COE training course:

  • Register 
  • Complete the American Academy of Pediatrics’ (AAP) PediaLink course “Identifying and Caring for Children with Autism Spectrum Disorder: A Course for Pediatric Clinicians” developed by the American Academy of Pediatrics Council on Children with Disabilities Subcommittee. (you will also be sent information when you register)
    • You can create a free account and register for the course with  AAP/Pedialinks at course checkout.
    • The course, a combination of videos and readings, educates pediatric clinicians about evidence-based practices in care for children with ASD and is grounded in recommendations from the AAP clinical report, “Identification, Evaluation and Management of Children with Autism Spectrum Disorder.”
    • The 7 modules take approximately 6.5  hours to complete and are eligible for free AMA PRA Category 1 Credit™  (you can also earn free Maintenance of Certification( MOC)) Part 2 points but these are not required for the COE training)
  • Complete a brief online survey from the COE organizers after doing the Pedialinks course to show completion.
  • The on-line Zoom Videoconference training is 8:30 a.m. to 4:30 p.m. with 45 minutes off for lunch.  It includes a facilitated discussion led by Gary Stobbe, MD and Jim Mancini MS, CCC-SLP as well as other expert panelists to respond to questions posed via the online survey.  There is Washington State specific information about how to do an autism evaluation that meets Health Care Authority criteria and how to do this in your clinic. We also have regional breakouts to allow deeper discussion with peers and other community/agency partners.

More information about COEs and Autism Diagnosis in Washington State.

december, 2023