who is eligible for care within the veterans health administration quizlet This is a topic that many people are looking for. caraimica.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, caraimica.org would like to introduce to you Veteran Community Care: Eligibility. Following along are instructions in the video below:
Veterans eligibility for community care depends on their individual health care needs or circumstances there there are six criteria that can qualify a veteran to receive community care and a only needs to meet one of these to be eligible in consultation with their care teams. A veteran may be eligible for community care in one of the following situations. 1.
Veteran needs a service not available at a va medical facility in this situation. A veteran needs a specific type of care or service that va does not provide in house at any of its medical facilities. For example.
If you are a female veteran and need maternity care. You would be eligible for community care. Because va does not provide maternity care in any of its medical.
Facilities. 2. Veteran.
Lives in a us. State. Or territory.
Without a full. Service va medical. Facility in this.
Scenario a veteran lives in a us. State. Or territory.
That does not have a full. Service va medical. Facility specifically this applies to veterans living.
In. Us states alaska hawaii new hampshire. Us territories guam american samoa northern mariana islands us.
Virgin islands for instance if you are a veteran living in guam you would be eligible for community. Care because you reside in a us. Territory.
Without a full service va medical facility. 3. Veteran.
Qualifies. Under the grandfathered provision related to distance eligibility for the veterans choice program. For this element.
There are a few different ways that a veteran could be eligible for community care initially. There are two requirements that must be met in every case veteran was eligible under the 40 mile criterion under the veterans choice program on the day. Before the va mission act was enacted into law june 6.
2018. And veteran continues to reside in a location. That would qualify them under that criterion if both of these requirements have been met a veteran may be eligible.
If one of the following is also true veteran lives in one of the five states with the lowest population density from the 2010. Census. North.
Dakota. South dakota. Montana.
Alaska. And wyoming. Or veteran lives.
In another state. Received care between june 6. 2017 and june 6.
2018. And requires care before june 6. 2020.
For example. If you are a veteran who has lived in kansas since 2012. Your home is 41 miles driving distance to the nearest.
Va medical facility with a full time. Primary care physician. And you received va care between june 6.
2017 and june 6. 2018. You would be eligible for community care until.
June 6. 2020. 4.
Va cannot provide care within certain designated access standards in this situation. A veteran meets. Specific access standards for average drive.
Time. Or appointment wait times for average drive time to a specific va medical facility. The access standards are 30 minute average drive time for primary care.
Mental health and non institutional extended care services. Including adult day health care. 60.
Minute average drive. Time for specialty care for appointment. Wait times.
At a specific va medical facility. The access standards are 20 days for primary care mental. Health care and non institutional extended care services.
Unless. The veteran agrees to a later date in consultation with their va health care provider. 28.
Days for specialty care from the date of request. Unless. The veteran agrees to a later date in consultation with their va health care provider.
For instance. If you are a veteran and live 10 miles from the nearest va care team. But it takes you over an hour to drive there on average due to heavy traffic.
You would be eligible for community care. 5. Its in the veterans best medical interest in this situation.
A veteran may be referred to a community provider. When the veteran and the referring clinician agree that it is in their best medical interest to see a community provider for example if you are a veteran with a certain type of ovarian cancer that your va oncologist is not experienced in treating and you live close to a community medical facility. Where there is a specialist for that type of cancer.
You could be eligible for community care. If the clinician and patient agree that this treatment should be provided by the community medical facility. 6.
A va service line does not meet certain quality standards in this scenario. If va has identified a medical service line. That is not meeting.
Vas standards for quality based on specific conditions. Veterans can elect to receive care from a community provider under certain limitations for example. If va has identified that the cardiology service line at a local va medical facility is not providing care.
That meets vas standards for quality. You may be able to elect to receive your cardiology care in the community. However there may be limits on when where and what is available under this criterion in addition to the six criteria veterans.
May also be eligible for urgent care from a community provider. Who is part of vas network to be eligible for urgent care veterans must be enrolled in the va health care system and have received care through va from either a va or community provider. Within the past 24 months finally.
Please note the following about eligibility for community care veterans. Must receive approval from va prior to obtaining care from a community provider. In most circumstances.
Veterans must either be enrolled in va health care or otherwise eligible for care eligibility for community care is dependent upon a veterans individual health care needs or circumstances and va staff members generally make all eligibility determinations to learn more about the eligibility for community care and to find out if you are eligible. Please. Contact your local va medical facility or visit vagov.
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