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IHS/THP Eligibility and Enrollment Verification

The following are ways IHS/THP facilities can verify AI/AN Veteran eligibility:
    • Secure Data Transfer
      Facilities can use the IHS Secure Data Transfer Service to request enrollment/eligibility information from the VA Health Eligibility Center (HEC) using the HEC Eligibility and Enrollment Verification Template. The IHS Secure Data Transfer is made available by IHS on a limited basis to enable the THP and IHS facilities to initially acquire a comprehensive listing of all their AI/AN Veteran enrollment and eligibility. Below are instructions for obtaining access to the IHS Secure Data Transfer Service and verifying Veteran eligibility and enrollment:
      • STEP 1: IHS/THP staff request access to the IHS Secure Data Transfer Service by emailing Access will be limited to email receipt and reply.
      • STEP 2: IHS/THP staff fills out columns A-C of the HEC EE Verification Template and emails it via the IHS Secure Data Transfer Service to Ms. Larsen.
      • STEP 3: VA HEC staff verifies the list of AI/AN Veteran’s eligibility and enrollment in the VA Healthcare System and fills in columns D-F of the HEC EE Verification Template.
      • STEP 4: VA HEC staff returns the completed HEC EE Verification Template to Ms. Larsen via IHS Secure Data Transfer and she will return it to the IHS/THP staff.
    • Contact the VA HEC by Telephone
      IHS/THP staff can contact the VA HEC directly by phone if the staff is checking the enrollment/eligibility on less than five Veterans; 1-855-488-8441, Monday to Friday, between the hours of 7:00 AM and 5:30 PM (Eastern Time). The Veteran’s name and social security number will be required. VA HEC can provide basic eligibility information over the phone (enrolled y/n, enrollment date)
    • Contact the Local VA Medical Center by Telephone
      IHS/THP staff can contact the local VA medical center to verify the AI/AN Veteran’s VA enrollment/eligibility via telephone call by calling the VA Benefits Manager listed in the completed IHS/THP Implementation Plan (page 6). It is recommended that IHS/THP staff work through the local VA medical center enrollment and eligibility coordinator to help determine if the Veteran is eligible for other limited benefits
  • Veteran Provided Documentation
    IHS/THP staff may request documentation or information regarding Veteran’s specific VA health care eligibility or/and service connection disability directly from the Veteran (e.g., VA letter, etc.).

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