Spina Bifida Health Care Benefits Program (SBHCBP)
The Department of Veterans Affairs (VA) provides monetary allowances, vocational training and rehabilitation and VA-financed health care benefits to certain Korea and Vietnam Veterans' birth children who have been diagnosed with spina bifida (SB). If you are the birth child of a Vietnam Veteran and you have been diagnosed with spina bifida, you may already be receiving monetary allowances, vocational training or rehabilitation due to your condition. For the purpose of the VA SB Health Care Benefits Program, spina bifida is defined as all forms or manifestations of spina bifida (except spina bifida occulta).
The Veterans Health Administration Office of Community Care (VHA OCC) in Denver, Colo., manages the SB Health Care Benefits Program, including authorization of benefits and the subsequent processing and payment of health care claims after a determination of eligibility has been made by the Denver VA Regional Office (VARO).
To qualify, you must be diagnosed with spina bifida as the VA defines it — basically, all forms or manifestations of SB (except sp ina bifida occulta).
Once the Denver VARO determines eligibility, Spina Bifida awardees (or guardians) are contacted by the Veterans Health Administration Office of Community Care and registered for health care benefits. The VHA OCC will then send beneficiaries detailed information addressing covered and noncovered services and supplies, preauthorization requirements, and claim filing instructions.
You can contact the Denver VA Regional Office for detailed application information, Monday through Friday from 8 a.m. to 3 p.m., Mountain Standard Time (MST), except Wednesday, 8 a.m. to 11:30 p.m., MST.
Denver VA Regional Office Contacts
Fax: 844-531-7818 (Toll-free)
Department Of Veterans Affairs
Evidence Intake Center
P.O. Box 4444
Janesville, WI, 53547-4444
Meds by Mail: Meds by Mail is a voluntary service that provides a safe, easy and cost-free way for eligible CHAMPVA and Spina Bifida beneficiaries to receive non-urgent maintenance medications delivered right to your door.
OptumRx Retail Pharmacy Network: OptumRx electronically processes pharmacy claims nationwide, including Puerto Rico, Guam, and the Virgin Islands. Beneficiaries are serviced through a network of over 82,000 retail pharmacies.Pharmacy Benefits
View SB Claims Information for detailed information on how to submit various types of claims for the VA Spina Bifida Health Care Benefits Program. Health care providers can obtain more information about the program and how to file claims on SB Health Care Benefits Program–Information for Providers.SB Claims Information SB Health Care Benefits Program–Information for Providers
The Affordable Care Act (ACA) is a health care law that was created to expand access to affordable health care coverage for all Americans, lower costs, and improve quality and care coordination. Under the health care law, people will have health coverage that meets a minimum standard (called "minimum essential coverage"). If you are enrolled in the Spina Bifida Health Care Benefits Program, you do not need to take additional steps to meet the health care law coverage standards. The ACA does not change Spina Bifida benefits or out-of-pocket costs.
For additional information, view the ACA information on the VA website or call our customer service center:
VA, Affordable Care Act and You
VHA OCC Customer Service Center
General information: 888-820-1756
Eligibility application: 303-914-2900
Colorado residents ONLY: 800-827-1000
Preauthorization fax: 303-331-7807
VHA Office of Community Care
Spina Bifida Health Care Benefits Program
PO Box 469065
Denver CO 80246-9065
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- SB Health Care Benefits Program Guide
- SB Health Care Benefits Program brochure
- SB Health Care Benefits Program policy manual
- How to File a SB Benefits Claim
- Fact Sheet: The Spina Bifida Health Care Benefits Program
- Fact Sheet: SB Health Care Benefits Program Payment Methodology
- Fact Sheet: Participating Providers
- Locate a Provider
- Spina Bifida Association