Community Care

• CHAMPVA / CITI
• CHAMPVA for Primary Family Caregivers
• Children of Women Vietnam Veterans
• Foreign Medical Program
• Spina Bifida Health Care Benefits Program
• Fact Sheets for Providers

Veteran Community Care (VA MISSION Act)

General Information

• Article: VA MISSION Act: Top Questions Answered
  Top questions received from Veterans about changes to community care under the VA MISSION Act.
  (VAntage Point, 6/14/19)
• Fact Sheet: General Information
  Describes community care improvements, processes, expected timeframes and FAQs.
• Information Sheet: Veteran Community Care–Previous and Current State
  A simple overview of the previous and current state of Veteran community care, including changes made under the VA MISSION Act of 2018.
• Article: What is the Latest on Community Care?
  Highlights VA efforts to-date for improving community care, what to expect and next steps.
  (VAntage Point, 03/19/19)
• Fact Sheet: Reporting Veteran Concerns with Community Care
  Information on reporting concerns regarding the quality or safety of services received during a community care visit or other issues related to community services.

Eligibility

• Fact Sheet: Veteran Community Care–Eligibility
  Describes community care eligibility, examples of how the six criteria would be applied and FAQs.
• Article: New Eligibility Criteria a Major Improvement Over Existing Rules
  Highlights general requirements surrounding community care eligibility and describes the six criteria for eligibility under the VA MISSION Act.
  (VAntage Point, 04/09/19)

Appointments and Getting Care

• Fact Sheet: Veterans Community Care–Appointments and Getting Care
  Describes how a Veteran can find a community provider, how referrals for community care are made, how appointments can be made and how care is provided.
• Article: VA MISSION Act: Answers to Top Questions About Community Care Appointments
  Top questions received from Veterans about VA referrals and making appointments with a community care provider.
  (VAntage Point, 11/25/19)
• Article: Finding a Community Provider, Making Appointments, and Getting Care
  Information on how Veterans can find a community provider in the VA network, make an appointment and get care.
  (VAntagePoint, 06/06/19)
• Fact Sheet: Veteran Community Care Access to Information Prior to Surgery
  Information to Veterans regarding where to find information on the surgeon that is performing their procedure.

Emergency Care

• Fact Sheet: VA Community Emergency Care–Information for Veterans

Urgent Care

• Fact Sheet: Veteran Community Care–Urgent Care
  Describes urgent care eligibility, how to find an urgent care provider, covered services, copayments and prescription medication.
• Article: Answers to the Top Five Questions About Urgent Care
  Answers common questions about the urgent care benefit offered as part of the VA MISSION Act.
  (VAntage Point, 07/03/19)
• Article: VA’s New Urgent Care Benefit for Veterans
  Highlights general requirements surrounding the new urgent care benefit and describes the eligibility for urgent care under the VA MISSION Act.
  (VAntage Point, 05/29/19)
  

Costs and Billing

• Fact Sheet: Billing and Payment
  Describes Veteran copayments and health insurance, as well as community care payments and claims.

Sunset of Veterans Choice Program

• Fact Sheet: Sunset of Veteran Choice Program
  Provides information on the end of the Veterans Choice Program.
• Article: New Eligibility Criteria for Community Care, New Urgent Care Benefit and the Sunset of the Veterans Choice Program
  Information about what Veterans can expect when the Veterans Choice Program ends on June 6, 2019.
  (VAntagePoint, 05/31/19)

General Information

• Fact Sheet: Family Member Programs – Participating Providers
• Fact Sheet: Preventing and Reporting Fraud, Waste and Abuse

CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) / CHAMPVA Inhouse Treatment Initiative (CITI)

• Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA): Eligibility, Application Instructions, and Use of Other Health Insurance
• CHAMPVA Deductibles and Copays
• The CHAMPVA In-House Treatment Initiative (CITI)

Medicare and CHAMPVA

• Medicare and CHAMPVA
• CHAMPVA and the Medicare Prescription Drug Plan

Pharmacy Benefits

• CHAMPVA Pharmacy Benefits
• OptumRx – Pharmacy Benefits Manager
• Medication Disposal Safety Tips (from VA Pharmacy Benefits Management Services)

Information for Students

• School Enrollment Certification Requirements for CHAMPVA Benefits

CHAMPVA for Primary Family Caregivers

• CHAMPVA Benefits for the Primary Family Caregiver
  • Beneficios del Cuidado de Salud de CHAMPVA para el Cuidador Familiar Primario
• Stipend Benefit for the PRIMARY Family Caregiver
  • Beneficio de Estipendio para el Cuidador Familiar Primario

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Children of Women Vietnam Veterans (CWVV) Health Care Benefits Program

• CWVV Health Care Benefits Program and Payment Methodology

Foreign Medical Program (FMP)

• The Foreign Medical Program
• How to File a FMP Claim

Spina Bifida (SB) Health Care Benefits Program

• Spina Bifida Health Care Benefits Program and Payment Methodology

Fact sheets for Providers