VHA Primary Care

The intent is to account for Veterans Health Care spending and display the spending by Veteran residence.



Agency - Department of Veterans Affairs

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.

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.
Website Address

http://www.va.gov




Program Accomplishments

Not Applicable.

Uses and Use Restrictions

All the services provided by primary clinics.

This includes the the individual and group primary care 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. Veterans are eligible for services under Title 38 USC 1705: Management of health care: patient enrollment system.

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 - The costs will be obligations. The majority of funds come from the Medical Services Appropriation (0160), however the Medical Support and Compliance (0152), Medical Facilities (0162) appropriations will count as well as the Federal Health Care Center (0169) appropriation where appropriate.

Range and Average of Financial Assistance

According to the cost of the 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 Road, Suite 114, Braintree, Maine 02184 Email: michelle.staton@va.gov Phone: 781-849-1837

Criteria for Selecting Proposals

Not Applicable.


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