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Veterans Choice Program Law Changes

On April,19 2017, The President signed a law that removes the August 7, 2017 expiration date and allows VA to utilize funding dedicated to the Veterans Choice Program (VCP) until it is exhausted.

The Veterans Choice Program is a critical program that increases access to care for Veterans by authorizing millions of appointments for Veterans in the community. This fact sheet highlights the three changes made to the VCP.

Change 1 – Removal of Expiration Date:

The law removes the August 7, 2017 expiration date for the VCP. The VCP will continue until the original $10 billion dollars is spent. Based on current estimates, funds for the VCP will last through January 2018, but could shift to fall of 2017 if more Veterans use the program.

Impact to Veterans:

  • Veterans eligible for the VCP will continue receiving care from providers in the community.

 

Impact to community providers:

  • Community providers can continue delivering care to Veterans.

Change 2 – Primary Coordinator of Benefits:

VA is now the Primary Coordinator of Benefits for services provided to Veterans under the VCP. This common sense change VA requested from Congress more closely aligns the VCP with the other community care programs.

Impact to Veterans:

  • Before this law change, some Veterans were required to pay the cost-shares/co-pays associated with their private health insurance, now those Veterans will not have to pay the cost-shares/co-pays to their private health insurance carrier.

 

Impact to community providers:

  • Originally, some community providers had to bill the Veterans’ private health insurance and the VCP. With the law change community providers will now only have to bill the VCP.

Change 3 – Information Sharing:

Previously, VA had a restriction different from other health care providers regarding the exchange of health information. This law removes these restrictions and ensures that community providers have access to appropriate health information for Veterans and brings VA in line with other health care providers and federal standards related to the exchange of health information. We emphasize that this does not create an exception to, or weaken in any manner, the protections of the Health Insurance Portability and Accountability Act (HIPAA).

Impact to Veterans:

  • Veterans will experience improved continuity and quality of care because community providers will have appropriate access to necessary medical records.

 

Impact to community providers:

  • Community providers will now have access to all appropriate health information for Veterans.

 

Call the Choice Program Call Center at 866-606-8198 for more information.

2017-04-27T12:47:48+00:00 April 27th, 2017|Updates|