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Provider Reference Library

Email Updates

Email Updates

Providers can stay up to date with VHA Office of Community Care by subscribing to our email distribution list. Send an email to LISTSERV@LISTSERV.VA.GOV with the subject line "SUBSCRIBE COMMUNITYPROVIDERS-L” along with your name in the body of the email.

Fact Sheets

The fact sheets listed below provide specific information that providers and office managers need to know in order to participate in Community Care programs.

You can view fact sheets for Veterans and beneficiaries on Community Care Fact Sheets.


ProgramFact Sheet Title
Veteran Programs
General Ambulance Transport at VA Expense – A Guide for Community Ambulance Providers
Veteran Choice Program Veterans Choice Program Provider Network
Veteran Choice Program Billing for VA Community Care Programs
Veteran Choice Program Complaint Process for PC3/Veterans Choice Program
Veteran Choice Program Choice First Episode of Care, Expansion of 60-day Authorization–Not to Exceed One Year
Foreign Medical Program Foreign Medical Program (FMP)–Information for Outpatient Providers and Office Managers (04-20) Fact Sheet 04-20 is also available in the languages listed below.
Foreign Medical Program  FMP Fact Sheet 04-20—GERMAN
 Foreign Medical Program FMP Fact Sheet 04-20—GREEK
 Foreign Medical Program FMP Fact Sheet 04-20—ITALIAN
 Foreign Medical Program FMP Fact Sheet 04-20—JAPANESE
 Foreign Medical Program FMP Fact Sheet 04-20—KOREAN
 Foreign Medical Program FMP Fact Sheet 04-20—SPANISH
 Foreign Medical Program FMP Fact Sheet 04-20—THAI
Family Member Programs
CHAMPVA  CHAMPVA Payment Methodology
CHAMPVA CHAMPVA and the Use of Durable Medical Equipment
CHAMPVA CHAMPVA– Information for Providers and Office Managers
CWVV Children of Women Vietnam Veterans Payment Methodology
SBHCBP Spina Bifida Health Care Benefits Program Payment Methodology
SBHCBP Spina Bifida Health Care Benefits Program–Information for Providers and Office Managers

Forms

Below are forms frequently used by our providers. Forms for other Community Care programs can be found on our Forms page.

Forms for OCC Programs

  • VA-FSC Vendor File Request Form, VA Form 10091
    This form enables all vendors to apply for payment via Electronic Funds Transfer, or to submit changes/updates to their Financial Management System (FMS) Vendor Record in order to receive VA payments that comply with the 1996 Debt Collection Improvement Act.

    VA Form 10091–Fillable PDF

    For questions regarding VA Form 10091, please contact the Nationwide Vendor File Division to VAFSCCSHD@VA.GOV or call 1-877-353-9791.

  • CMS-1500 (OMB NO. 0938-0999), Health Insurance Claim Form

    CMS-1500–Print-Only

  • UB-04 CMS-1450 (OMB NO. 0938-0997), Medical Billing Claim Form
    Visit the Centers for Medicare & Medicaid Services (CMS), Institutional Paper Claim Form (CMS-1450) for information on obtaining the CMS-1450.

    Institutional Paper Claim Form (CMS-1450)

    You can download a sample CMS Form 1450 from the CMS.gov website. However, copies of the form should not be downloaded for submission of claims, since they may not accurately replicate colors included in the form. These colors are needed to enable automated reading of information on the form.

  • UB-92 HCFA-1450 (OMB NO. 0938-0279), Medical Billing Claim Form
    As of May 23, 2007, the use of Form UB-92 HCFA-1450 has been discontinued; only the new UB-04 billing form is to be used. All rebilling of claims should use the UB-04 billing form, even though earlier submissions may have been on the UB-92.

    For more information the use of Form UB-92 HCFA-1450, visit the National Uniform Billing Committee website at www.nubc.org.

  • Refusal of Transfer to VA Health Care Facility, VA Form 10-8001

    VA Form 10-8001–Fillable PDF
  • CHAMPVA Mental Health Preauthorization Request form
    This form is for mental health preauthorization for Veterans Affairs family member programs.

    CHAMPVA Mental Health Preauthorization Request form–Fillable PDF

Training and Presentations

  • VHA TrainingFinder Real-time Affiliate Integrated Network (TRAIN)
    VHA TRAIN is an external learning management system that provides valuable, Veteran-focused, accredited, continuing medical education at no cost to community health care providers. Access and log into the VHA TRAIN website to get started. Information on how to enroll, a list of available courses and additional instructions can be found in the VHA TRAIN Fact Sheet.

    VHA TRAIN websiteVHA TRAIN Fact Sheet

VHA TRAIN delivers free, VA-approved training on Veteran-specific health topics. Published on Nov 22, 2017.
 

  • Veterans Choice Program Resources for Outreach Partners
    A compilation of materials designed to make it easy to share information and spread awareness about the Veterans Choice Program. It includes customizable communications and templates.

    Veterans Choice Program Resources for Outreach Partners
  • Learn About Military Culture
    A training course for community providers on treating the unique Veteran patient community.
  • PTSD Consultation Program
    Post-traumatic stress disorder training offered for health care professionals who treat Veterans.

    PTSD Consultation Program
  • Fraud, Waste and Abuse Prevention
    VHA Office of Community Care Department of Program Integrity provides news and information on fraud, waste and abuse – including a robust suite of resources and training – to guide your understanding of these issues and how you can help prevent them.

    Fraud, Waste and Abuse Prevention
  • How to Read a Preliminary Fee Remittance Advice Report (PFRAR)
    This document will help providers understand the format of the PFRAR, a customized, vendor-specific document that supplies data to identify claim dates and services, reasons for disapproval and/or payment amounts. An interactive training module is being developed that will familiarize providers with the PFRAR including what individual fields mean, how to find outstanding balances and how to use the report to reconcile bills with outstanding claims.

    How to Read a PFRAR
  • ICD-10 Resources
  • Pregnancy Management: Clinical Practice Guidelines
    A detailed, VA/DoD reference guide of current industry best practices for symptoms and diagnoses related to the management of pregnancy.

    Pregnancy Management: Clinical Practice Guidelines
  • Clinical Education Products
    Free clinical education products on a range of mental health and substance use topics developed by the VA are available to our VA Community Care partners on the Mental Illness Research, Education and Clinical Centers (MIRECC) website.

    MIRECC website
    Below is a sample of the products that are available:
    • A Therapist's Guide to Brief Cognitive Behavioral Therapy
    • Get Moving and Get Well Manual
    • Multi-Setting Peaceful Mind: A Manual to Aid in the Management of Anxiety in Veterans with Memory Impairment
    • A Veteran’s Guide to Talking With Kids About PTSD
    • Collaborative Safety Planning for Older Adults