CHAMPVA In-House Treatment Initiative (CITI) - Community Care
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Community Care


Quick Links

Veterans Crisis Line Badge
My healthevet badge

CHAMPVA In-House Treatment Initiative (CITI)

icon CHAMPVA treatment facilityThe CHAMPVA In-house Treatment Initiative (CITI) is a voluntary program that allows treatment of beneficiaries of the Civilian Health and Medical Program of the Department of Veteran Affairs (CHAMPVA) at Veterans Affairs medical centers (VAMCs) that have elected to participate in CITI.

Frequently Asked Questions

How do I know if the local VA medical facility participates in CITI?

To find out if your local VA medical center or clinic participates in CITI, please contact the facility directly. A link to a list of participating facilities with direct contact phone numbers is located in the RESOURCES section at the bottom of this page. You may also contact the VHA Office of Community Care (VHA OCC) via any of the methods listed on the contacts page.

Contact Us
Why doesn’t every VA medical facility participate in CITI?

CITI is designed to provide CHAMPVA beneficiaries with access to care in a VA facility after the facility has met the needs of their Veteran population. In some areas, Veterans' needs utilize the full capacity of the VA medical facility.

Are there eligibility requirements for the program?

Yes. Since the VA cannot bill Medicare for covered medical services, any CHAMPVA enrollee with Medicare is not eligible to participate in the CITI. If you become Medicare eligible, you must stop using CITI services and obtain your care from a Medicare provider. Your other health insurance (OHI) status may also impact eligibility for the CITI. A participating facility or the VHA Office of Community Care can provide you with additional information on CITI eligibility.

How do I enroll?

You may be asked to complete an application or a patient registration form by the participating medical facility. Each participating facility has access to the CHAMPVA computer system to check your eligibility and OHI status.

What services are covered under CITI?

Each participating VA medical facility determines what kind of services may be provided on a space available basis. This includes the availability of the VA pharmacy to fill prescriptions written by a VA physician. If the facility does not offer pharmacy services, it is still possible to use other CHAMPVA program services for your pharmacy needs. Please refer to the CHAMPVA Guide or Pharmacy Benefits for additional information on pharmacy options.

CHAMPVA GuidePharmacy Benefits
Can the availability of services change once I am in the program?

Yes. If the facility experiences a change in Veteran workload, they may decide to limit or discontinue CITI services. The facility will work with our office to provide you timely notification of necessary changes. We can assist you in finding other providers if you are no longer able to be treated at a CITI facility.

How much is the cost share under CITI?

There are no cost shares or deductibles for covered services received at a participating CITI facility.

What if the CITI facility is not able to provide necessary medical care?

If the participating facility determines you need medical services that are beyond their direct ability, they may refer you to a community health care provider. You will need to use your CHAMPVA benefits when receiving care from this provider. You will be responsible for your standard cost-share under the CHAMPVA program which is typically 25 percent of allowable charges up to $3,000 per year after a $50 annual deductible. The CITI facility will not be involved in payment for this care. The community provider should bill our office directly.

PLEASE NOTE: The CHAMPVA Contact Center is experiencing higher than normal call volume, which at times can prevent you from being able to reach our Customer Service Agents. We are aware of the challenges our customers are facing when trying to contact us by phone and are working to resolve them as quickly as possible. We apologize for the inconvenience this has caused you.

You may receive a fast busy signal when trying to call the CHAMPVA Contact Center at 800-733-8387. We want to ensure you that we are open during our normal business hours from 8:05 a.m. to 7:30 p.m. Eastern Standard Time. Please wait a few moments and try your call again. We appreciate your patience.

For questions that are not time-sensitive, the Inquiry Routing & Information System (IRIS) is an alternative method of communicating with CHAMPVA. Please use the link below to be directed to the IRIS "Ask a Question" form.

Inquiry Routing & Information System (IRIS)


CHAMPVA Customer Call Center