[BlindVet-Talk] [EXTERNAL] VA Revises Regulations on Reimbursement for Emergency...
NABlindVets at aol.com
NABlindVets at aol.com
Fri Jan 12 20:09:46 UTC 2018
____________________________________
From: Dalene.Renfroe at va.gov
Sent: 1/11/2018 12:58:27 P.M. Eastern Standard Time
Subj: FW: [EXTERNAL] VA Revises Regulations on Reimbursement for Emergency
Treatment of Veterans
FYI
Veterans AFFAIRS
VA News Release
_VA Revises Regulations on Reimbursement for Emergency Treatment of
Veterans_
(http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTgwMTEwLjgzNTA1NjgxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE4
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rel/PressArtInternet.cfm?id=3996)
01/10/2018 03:43 PM EST
VA Revises Regulations on Reimbursement for Emergency Treatment of
Veterans
WASHINGTON — Today the U.S. Department of Veterans Affairs (VA) announced
that it has, through a Federal Register _notice_
(http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTgwMTEwLjg
zNTA1NjgxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE4MDExMC44MzUwNTY4MSZkYXRhYmFzZWl
kPTEwMDEmc2VyaWFsPTE4MTkwMTgxJmVtYWlsaWQ9ZGFsZW5lLnJlbmZyb2VAdmEuZ292JnVzZXJ
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JZD0mJiY=&&&101&&&https://www.gpo.gov/fdsys/pkg/FR-2018-01-09/pdf/2018-00232
.pdf) , revised its regulations concerning payment or reimbursement for
emergency treatment for non-service connected conditions at non-VA
facilities.
VA 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 VA was
taking immediate action to address delayed payments to community providers,
_found here_
(http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTgwMTEwLjgzNTA1NjgxJm1lc3NhZ2VpZD1NREItUFJELUJVT
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2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&102&&&https://www.va.gov/o
pa/pressrel/pressrelease.cfm?id=3993) .
Effective Jan. 9, VA updated a portion of its regulations in response to
an April 2016 U.S. Court of Appeals for Veterans Claims _decision_
(http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2
lkPTIwMTgwMTEwLjgzNTA1NjgxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE4MDExMC44MzUwNT
Y4MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE4MTkwMTgxJmVtYWlsaWQ9ZGFsZW5lLnJlbmZyb2
VAdmEuZ292JnVzZXJpZD1kYWxlbmUucmVuZnJvZUB2YS5nb3YmdGFyZ2V0aWQ9JmZsPSZleHRyYT
1NdWx0aXZhcmlhdGVJZD0mJiY=&&&103&&&http://www.nvlsp.org/images/uploads/NVLSP
-CAVC-Decision-Staab.pdf) that stated VA could no longer deny
reimbursement when OHI pays a portion of the treatment expenses.
VA will apply the updated regulations to claims pending with VA on or
after April 8, 2016, and to new claims. By law, VA still may not reimburse
Veterans 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 VA.
More information on the amended regulation along with guidance may be
found _here_
(http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTgwMTEwLjgzNTA1NjgxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0
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0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&104&&&https://www.va.gov/COM
MUNITYCARE/programs/veterans/Emergency_Care.asp) .
###
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