Behavioral Health Programs

EUREKA SPRINGS ARKANSAS

THE OZARKS

INSURANCE COVERED TREATMENT

(800) 375-5725

VA COMMUNITY CARE Network

The VA Community Care Network is the link between the VA and community care providers. Through CCN, veterans are provided with quality health care services. The Community Care Network uses the standard requirements and guidelines to administer, pay for, and manage community providers’ services and networks. Behavioral Health Programs is a proud member of the Community Care Network. We can provide you the help you need with the support of the VA. 

VA COMMUNITY CARE Network

The VA Community Care Network is the link between the VA and community care providers. Through CCN, veterans are provided with quality health care services. The Community Care Network uses the standard requirements and guidelines to administer, pay for, and manage community providers’ services and networks. Behavioral Health Programs is a proud member of the Community Care Network. We can provide you the help you need with the support of the VA. 

GUIDE TO VA Community Care Network Benefits:

STEP ONE: FIND OUT IF YOU'RE ELIGIBLE FOR BENEFITS

Veterans’ health care or specific needs could determine their eligibility to receive care from their community provider. Even if they meet the particular eligibility requirements for a community provider, they will still have the option of getting help at a VA medical facility. Before a veteran can get care from a community provider, they must first receive the VA’s approval if they do not want to be billed for the care they received. A veteran must also be deemed eligible by a staff member from the VA to use a community care provider.

To determine eligibility for community care is dependent on the veteran’s individual needs or circumstances. Things to know about eligibility include:

  • Getting approval from the VA to use a community care provider before receiving care said community care provider.
  • The veteran must either be enrolled or eligible for the VA’s health care benefits.
  • The veteran must understand that eligibility for continual community care is dependent on the individual needs and circumstances of the veteran.
  • The staff members from the VA determine the eligibility of the veteran.

Veterans will be able to qualify for community care services if they meet ONE of the following criteria.

  • The person needs a service that is not provided by or available at a VA medical treatment center.
  • The veteran must either be enrolled or eligible for the VA’s health care benefits.
  • If the veteran lives in a State or territory of the United States that does not have a VA medical facility.
  • The veteran falls under the “Grandfather” provision regarding the distance eligibility for VCP.
  • The VA is unable to provide the care the veteran needs within the designated access standards.
  • The community care provider is what’s best for the veterans’ medical care.
  • The Service Line provided by the VA is unable to meet quality standards.
STEP TWO: MAKING AN APPOINTMENT

Veterans who decide they want to use a community care provider must first meet with a VA staff member to discuss their preference for a community provider. The staff member can then determine the eligibility of the veteran.

Once eligibility has been determined, the veteran will choose their preferred community provider or have a staff member from the VA to select one. However, whichever provider is selected must be a part of the community care network. For the veteran to use their desired community provider, they must be referred there from the VA. The VA is also required to send all medical documentation.

To schedule an appointment with the selected provider, the veteran can choose to:

  • Schedule the appointment themselves and then inform the VA about the appointment.
  • Use the VA’s online scheduling system to request the appointment.
  • Request that a VA staff member schedules an appointment.
  • Use the VA’s Third Party Administrator (TPA) to schedule appointments.
STEP THREE: RECEIVING CARE

Once the veteran arrives at the community care provider for their appointment, the provider should already have the following information:

 

  • Schedule the appointment themselves and then inform the VA about the appointment.
  • Use the VA’s online scheduling system to request the appointment.
  • Request that a VA staff member schedules an appointment.
  • Use the VA’s Third Party Administrator (TPA) to schedule appointments.

 

 

STEP FOUR: BILLING AND PAYMENT

While the veteran’s VA benefits will cover the veteran’s care, the veteran may still be responsible for paying a copayment. This is to cover the nonservice-connected care, which the veteran would have been required to pay for even if they used a VA medical facility. If the veteran had to enter urgent care, the copayment would be determined by the assigned priority group and how often the veteran visited urgent care in one calendar year.

Community providers cannot receive copayment from veterans; this includes urgent care. The VA handles all billing for veterans. The VA may also bill an insurance company for care a veteran received that was non-service connected.

Contact US Today

Our rehabilitation program is geared to help those struggling with the damage of PTSD, chemical dependency, and other crippling addictions. The causes aren't limited to a single event and can be much more complex. We treat a variety of those psychological disorders by finding the source and applying the very latest in evidence based theraputic methods.

VERIFY YOUR INSURANCE

We Accept Most Major PPO Insurance Policies

Your Policy Could Cover Up To 100% Of The Cost Of Treatment

Contact Us

(800) 375-5725

Speak with a Behavioral Health Programs Admissions Advocate for details.