US VA Revises Regulations on Reimbursement for Emergency Treatment of US Veterans
January 10, 2018, 03:43:00 PM
Unites States — Today the U.S. Dept. of Veteran Affairs (US Vets Affairs) announced that it has, through a Federal Register notice, revised its regulations concerning payment or reimbursement for emergency treatment for non-service connected conditions at non-VA facilities.
Veteran 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.
Effective Jan. 9, VA updated a portion of its regulations in response to an April 2016 U.S. Court of Appeals for Vets Claims decision that stated Vets Affairs could no longer deny reimbursement when OHI pays a portion of the treatment expenses.
VA.Gov will apply the updated regulations to claims pending with Veteran Affairs on or after April 8, 2016, and to new claims. By law, Vet Affairs still may not reimburse US Veterans for the costs of copayments, cost shares and deductibles required by their OHI.
Vets Affairs 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 VA.
News Source: https://www.va.gov/opa/pressrel/PressArtInternet.cfm?id=3996