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Veterans Choice Program–Information for Providers

The Veterans Choice Program (VCP) is one of several programs VA uses to provide care to Veterans through community providers. For example, if a Veteran needs an appointment for a specific type of care, and VA cannot provide the care in a timely manner or the nearest VA medical facility is too far away or too difficult to get to, then VA may refer the Veteran to a community provider who participates in VCP.

If you are a community provider interested in providing care for Veterans through VCP, you must establish a contract with one of VA’s third party administrators (TPA), Health Net Federal (Health Net) or TriWest Healthcare Alliance (TriWest). The TPAs help administer VCP on behalf of VA.

Choice Provider Locator tool

NOTE: Providers do not need to join PC3 to participate in VCP, and all current PC3 providers are automatically eligible to participate in VCP.

Eligibility Requirements

Community providers interested in participating in VCP must meet the following eligibility requirements:

  • Must accept Medicare rates
  • Must meet Medicare Conditions for Coverage and Conditions of Participation, or other criteria established by VA
  • Be in compliance with all applicable federal and state regulatory requirements
  • Have same or similar credentials as VA staff
  • Submit a copy of the medical records to the TPA for medical care and services provided to Veterans for inclusion in the VA electronic record
  • Must be eligible according to the U.S. Department of Health and Human Services Office of Inspector General (OIG) Exclusion Program

Medicare Conditions for Coverage and Conditions of ParticipationSearch the OIG Exclusions Database

Sign Up to Participate

If you meet the eligibility requirements, contact the appropriate TPA using the information listed below. The map shows which third party administrators (TPA) to contact depending on your location. Complete the process to establish a contract or provider agreement with the appropriate TPA, which will allow you to care for Veterans through VCP.

Veterans Choice Program-Map of TPAs by Region



TriWest logo

Website:
Join the TriWest Network

Email:
providerservices@triwest.com

Phone:
1-855-722-2838

Hours:
8:00am – 10:00pm EST, Monday – Friday
excluding federal holidays

Health Net logo

Website:
Join the Health Net Network

Email:
HNFSProviderRelations@Healthnet.com

Phone:
1-800-979-9620

Hours:
6:00am – 7:00pm EST, Monday –Friday
excluding federal holidays

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