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VA.Gov Revises Regulations on Reimbursement for Emergency Treatment of Vets

Vet Affairs Revises Regulations on Reimbursement for Emergency Treatment of Veteran

January 10, 2018, 03:43:00 PM

Printable Version
[1]

USA — This day the U.S. Department of Veteran Affairs (VA.Gov) announced that it has, through a Federal Register notice[3], revised its regulations concerning payment or reimbursement for emergency treatment for non-service connected conditions at non-VA facilities. 

Government Veterans Affairs will begin processing claims for reimbursement of reasonable costs that were only partially paid by the Veteran’s other health insurance (OHI). Those costs may include hospital charges, professional fees and emergency transportation, such as ambulances. 

This change comes on the heels of an earlier announcement that Vet Affairs was taking immediate action to address delayed payments to community providers, found here.[4]

Effective Jan. 9, Veterans Affairs updated a portion of its regulations in response to an April 2016 U.S. Court of Appeals for Veteran Claims decision[5] that stated US Vets Affairs could no longer deny reimbursement when OHI pays a portion of the treatment expenses. 

VA will apply the updated regulations to claims pending with Veteran Affairs on or after April 8, 2016, and to new claims. By law, US Veterans Affairs still may not reimburse US Vets for the costs of copayments, cost shares and deductibles required by their OHI. 

VA will work directly with community providers to get additional information needed to review and process these claims. Previous claims do not have to be resubmitted unless requested by Veterans Affairs. 

More information on the amended regulation along with guidance may be found here[6]

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Associated links

  1. ^ Printable Version (www.va.gov)
  2. ^ link to viewer software Web site (www.va.gov)
  3. ^ notice (www.gpo.gov)
  4. ^ found here (www.va.gov)
  5. ^ decision (www.nvlsp.org)
  6. ^ here (www.va.gov)
  7. ^ US Vets Affairs Office of Public Affairs Distribution List (www.va.gov)
  8. ^ Return to Vets Affairs News Releases Home Page (www.va.gov)

News Source: https://www.va.gov/opa/pressrel/PressArtInternet.cfm?id=3996

Updated: January 10, 2018 — 8:43 pm
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