The Veterans Health Administration Office of Community Care (OCC) operates two main service lines, Delivery Operations and Revenue Operations, that support medical care delivery and services for Veterans and their families. OCC is also responsible for functions that support these service lines such as administration, planning, oversight and stakeholder relations.
- Delivery Operations manages all of the programs that allow Veterans and their family members to receive care and services through community providers outside of VA (i.e. Veterans Choice Program and traditional community care) and manages Veteran and family member programs that pay for care outside of VA (i.e. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and Foreign Medical Program (FMP)).
- Revenue Operations manages the centralized processes that allow VA to collect revenue from private health insurance carriers for non-service connected care provided to insured Veterans. Funds that are collected go back to VA medical facilities to provide health care services to Veterans. OCC is mainly responsible for managing back-end revenue cycle processes that take place at the seven Consolidated Patient Account Centers (CPACs) located across the country.
- Other functions of OCC support and strengthen the effectiveness of its business lines. These include strategy, policy and planning, budget, workforce management, performance improvement and oversight, data integration, communications and stakeholder relations.
Taken together, OCC works closely with Veterans and their families, community providers, and VA staff to ensure Veterans can get care from community providers when needed, administers VHA’s beneficiary programs, and collects revenue from private health insurance carriers to provide additional financial support to VA medical facility operations.
- Fact Sheet: VHA Office of Community Care Overview
Describes the functions of the VHA Office of Commmunity Care.