Aims to improve care and services under the Veterans Community Care Program of the Department of Veterans Affairs (VA).
Establishes eligibility standards for veterans to access community care, including specific time and distance requirements for appointments.
Requires the VA to notify veterans of their eligibility for care within two business days of a request.
Considers veterans’ preferences for care and the need for caregivers in the decision-making process.
Mandates written notification to veterans if their request for care is denied, including reasons and appeal instructions.
Ensures veterans are informed about telehealth options when discussing care.
Requires the use of value-based reimbursement models in the Veterans Community Care Program.
Extends the deadline for healthcare providers to submit claims under the prompt payment standard from 180 days to one year.
Plans to establish an interactive online self-service module for veterans to manage appointments and track care requests.
Mandates the publication of average wait times for care at VA medical centers.
Modifies requirements for the Center for Innovation for Care and Payment, including establishing a pilot program for mental health and substance use services.
Establishes a standardized screening process for determining veterans’ eligibility for mental health treatment programs.
Requires regular reports on improvements to the clinical appeals process and on the care and services provided under the community care program.
