64.029: Purchase Care Program
Alternate Name: Purchase Care Program - VA Health Administration Center
Overview
Program Number
64.029
Status
Inactive
Last Modified
Sept. 7, 2020
Date Posted
Sept. 7, 2020
Objective
The Veterans Health Administration Office of Community Care (VHA OCC) operates two main service lines; Delivery Operations and Revenue Operations, that support medical care delivery and services for Veterans and their families. VHA OCC is also responsible for functions that support these service lines such as administration, planning, oversight and stakeholder relations.
Delivery Operations manages all of the programs that allow Veterans and their family members to receive care and services through community providers outside of VA (i.e. Veterans Choice Program and traditional community care) and manages Veteran and family member programs that pay for care outside of VA (i.e. Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and Foreign Medical Program (FMP)).
Revenue Operations manages the centralized processes that allow VA to collect revenue from private health insurance carriers for non-service connected care provided to insured Veterans. Funds that are collected go back to VA medical facilities to provide health care services to Veterans. VHA OCC is mainly responsible for managing back-end revenue cycle processes that take place at the seven Consolidated Patient Account Centers (CPACs) located across the country.
Other functions of VHA OCC support and strengthen the effectiveness of its business lines. These include strategy, policy and planning, budget, workforce management, performance improvement and oversight, data integration, communications and stakeholder relations.
Taken together, VHA OCC works closely with Veterans and their families, community providers, and VA staff to ensure Veterans can get care from community providers when needed, administers VHA’s beneficiary programs, and collects revenue from private health insurance carriers to provide additional financial support to VA medical facility operations.
Type of Assistance
C - Direct Payments for Specified Use
Applicant Eligibility
What follows is not a comprehensive listing of eligibility requirements. For detailed eligibility requirements the USC and CFR’s of each program should be consulted.
For Veterans generally eligibility is established by evidence of service by DD Form 214 or through the Veterans Benefits Administration. Benefits provided are based on eligibility as established at 8 levels approved by the VHA Deputy Under Secretary for Health. For Non Veteran Beneficiaries eligibility is established by adjudication of the Sponsoring Veteran as Permanently and Totally disabled (P&T) (38 CFR 17.52(a)(1)(iii)) and that the Non Veteran Beneficiary is a dependant of the Veteran by the VBA and is eligible for Chapter 35 Benefits.
Beneficiary Eligibility
As stated above under Applicant Eligibility.
Additional Information
Grant Awards
Purchase Care Program direct grants
Grant Opportunities