Community Care Network
The VA Community Care Network (CCN) is VA’s direct link with community providers to ensure Veterans receive timely, high-quality care. CCN is comprised of five regional networks covering all U.S. states and territories, and is being deployed in a phased approach. Once fully implemented, CCN will be the preferred national network VA uses to purchase care for Veterans in their community. CCN uses industry-standard approaches and guidelines to administer services, promptly pay for services and manage the network to its full potential.
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CCN is comprised of five regional networks that serve as the contract vehicle for VA to purchase care for Veterans from community providers. The existing Patient-Centered Community Care (PC3) network will transition over time to allow for CCN implementation to occur region-by-region in a phased approach.
|Region 1||Region 2||Region 3||Region 4||Region 5|
|Region 1 map||Region 2 map||Region 3 map||Region 4 map||Region 5 map|
NOTE: VA awarded a contract to Optum Public Sector Solutions, Inc. (Optum), part of UnitedHealth Group, Inc., to serve as a Third Party Administrator (TPA) for CCN Regions 1, 2, and 3. In addition, VA has awarded a contract to TriWest Health Care Alliance (TriWest) to manage CCN Regions 4 and 5.
What is the Community Care Network (CCN)?
CCN is comprised of five regional networks. It covers all U.S. states and territories and relies on Third Party Administrators (TPA) to develop and administer regional networks of high-performing licensed health care providers on behalf of VA.
CCN has an established set of regional boundaries aligned to state boundaries to provide local flexibility and increased access to care. Each CCN regional network serves as the contract vehicle for VA to purchase care in the community.
How does CCN affect Veterans?
CCN is a robust network of community providers that provides Veterans greater choice and accessibility to care outside of VA medical facilities. VA can directly schedule community care appointments for Veterans through their local medical facility, with support, as needed, from VA’s contracted CCN Third Party Administrator (TPA) – Optum for Regions 1, 2 and 3 and TriWest for Regions 4 and 5. Veterans can also schedule their own appointments with support from local VA medical facility staff, if desired.
Which health care services does CCN include?
Health care services provided as part of CCN include medical, behavioral health, surgical, complementary and integrative health services (CIHS), and dental services for Veterans who are unable to receive care at a local VA medical facility. Durable medical equipment (DME) and prescription medications (up to a 14-day supply) will be provided for immediate needs.
CCN expands coverage for additional services to include dialysis, comprehensive rehabilitation, residential care, home-health care, hospice care, dental, immunizations, and long-term acute care. Under CCN, VA also covers CIHS benefits in the areas of biofeedback, hypnotherapy, massage therapy, Native American healing, relaxation techniques, and tai chi.
Does CCN cover medications prescribed by community providers?
If a provider determines a prescription is immediately required, medications can be prescribed — up to a 14-day supply — and filled at a participating in-network pharmacy for Veterans who were referred care through a CCN provider with an approved referral. Veterans must provide prescription benefit information to a participating CCN pharmacy.
If Veterans do not have an authorization for care through the CCN contractor or utilize a non-CCN participating pharmacy, they will have to pay out of pocket and seek reimbursement through their local VAMC.
Print the Billing Information Card (or have it viewable on your mobile device) and take it to your in-network pharmacy. When using the card, identify the correct region where you are seeking care.
For prescriptions of more than a 14-day supply, or if the prescribed medication is not immediately needed, then the community provider must send the prescription to the local VAMC pharmacy for fulfillment.
Does CCN cover durable medical equipment (DME), orthotics, and prosthetics?
If a provider identifies an immediate need for DME, orthotics or prosthetic items, the provider can provide the DME and submit a bill to Optum in Regions 1, 2 or 3, or TriWest in Regions 4 and 5. Routine DME, orthotics and prosthetic items require a consult and can be obtained via the Prosthetics and Sensory Aids Service (PSAS) at the local VAMC.
What happens if I want to receive additional services from my community provider beyond what was requested on my original referral?
Under CCN, community providers must submit a referral request to VA when a Veteran requires care beyond what is included on the original referral. The referral request will be reviewed by VA and, if appropriate, a new referral will be issued.
Do I need to have a referral from VA to visit a CCN provider?
Yes. Before a Veteran receives care or services from a CCN participating provider VA must refer the Veteran to a specific community provider.
Who schedules the appointments with community providers?
Under CCN, VA staff can refer Veterans directly to community providers and schedule community care appointments for Veterans through the local VA medical facility. In some instances, VA medical facility staff may elect to receive scheduling support from Optum or TriWest. Veterans can also choose to schedule their own appointment with support from local VA staff.
I am receiving community care right now, and I like the clinician who is taking care of me. With these changes, will I still be able to see my clinician?
Eligibility for community care will continue to be dependent upon your individual health care needs, care available at a VA medical facility, and other factors. VA staff will work with you to determine if you can continue to see your current community provider, and to confirm his or her participation in Optum or TriWest’s CCN provider networks. Some providers may not be able to or want to join VA’s CCN. In those cases, VA will work with you to find another contracted provider.
Is CCN part of an effort to privatize VA?
No. There is no effort underway to privatize VA. However, VA recognizes the health care landscape is constantly changing and VA’s unique population and broad geographic demands require partnerships with community providers to continue the long-standing tradition of offering community care to Veterans since 1945.
Who is responsible for handling customer service for Veterans?
VA directly manages Veteran community care customer service touchpoints while the CCN Regional Third Party Administrators (TPA) support inquiries from community providers and VA.
Where can I find more information about CCN?
VA developed a Community Care Contact Center (C4), which provides you, your beneficiaries and representatives with a singular point of contact to assist with questions related to VA community care.
Community Care Contact Center: 877-881-7618.
Community Care Contact Center: 877-881-7618
VA Facility Locator
Use the VA Facility Locator to find your nearest VA facility.