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VHA Outpatient Specialty Care
The Department of Veterans Affairs strives for excellence in patient care and veteran's benefits for its constituents through high quality, prompt and seamless service to United States veterans.
Stephen Kendall, Director Allocation Resource Center; 100 Grandview Rd Suite 114 Braintree, MA 02184; (781) 849-1837 fax (781)849-0306; email Stephen.kendall@va.gov.
Program Accomplishments
Not Applicable.
Uses and Use Restrictions
All services provided to eligible recipients for Outpatient Specialty Care.
This includes the Medical Specialties, the Surgical Specialties, Ambulatory Surger, Urgent/Emergency care, Dialysis, Cancer treatment clinics and outpatient rehabilitative medicine care, including SCI and Polytauma clinics.
Eligibility Requirements
Applicant Eligibility
Management of health care: patient enrollment system
(a) In managing the provision of hospital care and medical services under section 1710(a) of this title, the Secretary, in accordance with regulations the Secretary shall prescribe, shall establish and operate a system of annual patient enrollment.
The Secretary shall manage the enrollment of veterans in accordance with the following priorities, in the order listed:
(1) Veterans with service-connected disabilities rated 50 percent or greater.
(2) Veterans with service-connected disabilities rated 30 percent or 40 percent.
(3) Veterans who are former prisoners of war or who were awarded the Purple Heart, veterans who were awarded the medal of honor under section 3741, 6241, or 8741 of title 10 or section 491 of title 14, veterans with service-connected disabilities rated 10 percent or 20 percent, and veterans described in subparagraphs (B) and (C) of section 1710(a)(2) of this title.
(4) Veterans who are in receipt of increased pension based on a need of regular aid and attendance or by reason of being permanently housebound and other veterans who are catastrophically disabled.
(5) Veterans not covered by paragraphs (1) through (4) who are unable to defray the expenses of necessary care as determined under section 1722(a) of this title.
(6) All other veterans eligible for hospital care, medical services, and nursing home care under section 1710(a)(2) of this title.
Beneficiary Eligibility
Management of health care: patient enrollment system
(a) In managing the provision of hospital care and medical services under section 1710(a) of this title, the Secretary, in accordance with regulations the Secretary shall prescribe, shall establish and operate a system of annual patient enrollment. The Secretary shall manage the enrollment of veterans in accordance with the following priorities, in the order listed:
(1) Veterans with service-connected disabilities rated 50 percent or greater.
(2) Veterans with service-connected disabilities rated 30 percent or 40 percent.
(3) Veterans who are former prisoners of war or who were awarded the Purple Heart, veterans who were awarded the medal of honor under section 3741, 6241, or 8741 of title 10 or section 491 of title 14, veterans with service-connected disabilities rated 10 percent or 20 percent, and veterans described in subparagraphs (B) and (C) of section 1710(a)(2) of this title.
(4) Veterans who are in receipt of increased pension based on a need of regular aid and attendance or by reason of being permanently housebound and other veterans who are catastrophically disabled.
(5) Veterans not covered by paragraphs (1) through (4) who are unable to defray the expenses of necessary care as determined under section 1722(a) of this title.
(6) All other veterans eligible for hospital care, medical services, and nursing home care under section 1710(a)(2) of this title.
Credentials/Documentation
No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87.
Aplication and Award Process
Preapplication Coordination
Preapplication coordination is not applicable.
Environmental impact information is not required for this program.
This program is excluded from coverage under E.O.
12372.
Application Procedures
This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110. None
Award Procedures
VHA Office of Policy and Planning (10P1A) identifies beneficiaries. The Decision Support System (DSS) Managerial Cost Accounting System identifies the costs of the relevant services to specific patients. VHA Allocation Resource Center (10A3B) merges the patient costs and the beneficiaries.
Deadlines
Not Applicable.
Authorization
Caregivers and Veterans Omnibus Health Services Act of 2010, Public Law 111-163, 38 U.S.C 7681.
Range of Approval/Disapproval Time
Not Applicable.
Appeals
Not Applicable.
Renewals
Not Applicable.
Assistance Considerations
Formula and Matching Requirements
Statutory formulas are not applicable to this program.
Matching requirements are not applicable to this program.
MOE requirements are not applicable to this program.
Length and Time Phasing of Assistance
Services provided during the Fiscal Year. Method of awarding/releasing assistance: lump sum.
Post Assistance Requirements
Reports
Not Applicable.
Audits
Not Applicable.
Records
No Data Available.
Financial Information
Account Identification
36-0160-0-1-703.
Obigations
(Direct Payments for Specified Use) FY 13 Not Available; FY 14 Estimate Not Available; and FY 15 Estimate Not Available
Range and Average of Financial Assistance
According to the cost of services.
Regulations, Guidelines, and Literature
Not Applicable.
Information Contacts
Regional or Local Office
See Regional Agency Offices. Stephen Kendall, Director Allocation Resource Center; 100 Grandview Rd Suite 114 Braintree, MA 02184; (781) 849-1837 fax (781)849-0306; email Stephen.kendall@va.gov.
Headquarters Office
Michelle Staton 100 Grandview Rd, Suite 114, Barintree, Maine 02184 Email: michelle.staton@va.gov Phone: 781-849-1837
Criteria for Selecting Proposals
Not Applicable.
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