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VA Update

Get the latest updates from the VA regarding Community Care Coordination, Tribal Health Program, Veterans Choice Program, and more. Learn about upcoming outreach campaigns and find contact information for reimbursement agreement inquiries.

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VA Update

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  1. VA Update Northwest Portland Area Indian Health Board Quarterly Meeting Portland, OR January 16, 2018

  2. VA Secretary’s Five Priorities - VA’s Strategic Framework

  3. Community Care Coordination • Existing reimbursement agreements will expire on June 30th 2019 – discussions on follow-on agreements will be conducted. • Care coordination is largely a local matter – we need to know where this is not working well. Building relationships between tribes/IHS and VA is key. • Only direct care is reimbursed under existing agreements. Future ability to reimburse for purchased care is unknown; we welcome collaboration with one or more tribes to improve coordination of VA purchased care.

  4. Tribal Health Program • Contract with Cerner to purchase a new Electronic Health Record is being pursued (no estimated award date) • Eligibility for VA healthcare benefits is defined in legislation; we can only apply those criteria to assess whether a Veteran is eligible. Enrollment staff at the local VA Medical Center can assist with this www.va.gov is a good resource • Pharmacy billing questions

  5. Tribal Health Program (continued) • GAO reports on VA-IHS MOU • VA training for coordinating services - addressed at local levels • Cultural Competency – OTGR office working on training module • Veterans Choice Program (VCP) – describe and update • On Dec 22nd VCP funding was extended ($2.1 billion); should last until mid-2018 • Emergency MH care expanded to OTH-discharged Vets last spring • Latest EO offers 1 year MH care to all newly discharged Vets • Pending legislation: CARE Act • Congressional interest in expanding VA Caregiver Support Program to earlier Vet cadres (earlier than 9/11 gen)

  6. VA Office of Tribal Government Relations Update • VA releasing their 2017 Executive Summary Report regarding engagement with Indian Country • Going through concurrence process now • Nationwide Outreach Campaign in Indian Country for Veterans with presumptive disabilities • DTLL sent out October 30, 2017 • 20 Tribes responded – 6 within my region (AK, CA, NV, OR, WA) • VA OTGR engaging in 2018 outreach across Indian Country • Veteran Summits, Regional Tribal Meetings, Veteran Training, Tribal Site Visits

  7. Questions Regarding Reimbursement Agreements • Bill Murray, VISN 20 Strategic Planner, William.Murray3@va.gov, 360-567-4684 • Terry Bentley, Tribal Government Relations Specialist, Pacific District (OR, WA, CA, ID, NV, CA, AK) Terry.Bentley@va.gov, 541-440-1271 • VHA Chief Business Office for Purchased Care, tribal.agreements@va.gov

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