CHA News Article

VA Issues Interim Final Rule Implementing Veterans Choice Program
Establishes payment rates, eligibility criteria for participating non-VA health care providers

The Department of Veterans Affairs (VA) has released the attached interim final rule implementing provisions of the Veterans Access, Choice, and Accountability Act of 2014. The final rule establishes payment rates and methodologies for reimbursing participating non-VA health care entities and providers furnishing care and services through the Veterans Choice Program. The final rule also establishes the scope of the program, including the types of care and services that are covered, and defines eligibility criteria both for veterans and non-VA health care providers. In addition, the rule establishes a claims processing system to be managed by the Veterans Health Administration’s chief business office. The interim final rule will be effective Nov. 5, and the Centers for Medicare & Medicaid Services will accept comments for 120 days. CHA is currently reviewing the rule and will provide a detailed summary in the coming weeks.