News – July 16, 2018
Health Net Federal Services Contract Close Out
The Department of Veterans Affairs (VA) contract with Health Net Federal Services (HNFS) is ending on September 30, 2018. HNFS is the third party administrator for the eastern region of the Veterans Choice Program (VCP) and Patient-Centered Community Care (PC3) networks. When the contract with HNFS ends, VA will take over all activity previously performed by HNFS. The end of VA’s contract with HNFS does not affect VA’s contract with TriWest Healthcare Alliance, which administers the western region of the VCP and PC3 networks.
VA will work with Veterans, community providers, and VA staff to transition care coordination from HNFS to your local VA medical facility as seamlessly as possible. No immediate action is needed on your part. However, if you are requesting care in the community after September 30, 2018, please contact your local VA medical facility to coordinate your care.
If you are unaware of whom to contact, please visit the Facility Locator to find your local facility.
Distance Eligible Veterans
If you are a Distance Eligible Veteran (located outside of 40 miles to the nearest VA medical facility) and need to schedule an appointment in the community after June 30, 2018, please contact your local VA medical facility community care office for authorization and care coordination.
Frequently Asked Questions
The VA contract with HNFS is scheduled to end on September 30, 2018, per the contract agreement.
VCP will continue, but the Patient-Centered Community Care network for Veterans in HNFS regions will be discontinued on September 30, 2018.
All care delivered after September 30, 2018, will be coordinated through your local VA medical facility.
HNFS will be issuing updated authorization letters to Veterans and providers with authorizations that extend beyond the contract expiration date to reflect an end date of September 30, 2018.
Existing appointments under the HNFS contract must be completed before the end of the contract. Appointments after September 30, 2018, must be coordinated by a VA medical facility who will work together with your community provider to ensure a seamless transition for care authorization, coordination, billing and payments.
HNFS will continue to process claims after the September 30, 2018, contract end date. Claims for services on or after October 1, 2018, will be coordinated directly between your community provider and VA. This information has also been communicated to your community provider.
The VCP customer service lines will remain active and open during normal business hours
Choice Program Support Line: 866-606-8198
Monday – Friday, 8:00 a.m. – 8:00 p.m. ET, excluding certain holidays
PC3 customer service lines will remain active and open during normal business hours through September 30, 2018. Appointments after September 30, 2018, will be coordinated through your local VA medical facility.
Patient-Centered Community Care: 800-979-9620
Monday – Friday, 6:00 a.m. – 10:00 p.m. ET, excluding certain holidays