Office of community care | veterans affairs

With community care, eligible Veterans have access to a network of more than a million community providers across all 50 states and U.S. territories. Community care supplements the VA health

care system so Veterans can receive care through community providers when VA can’t provide the care you need, when or where you need it. Here are two examples where you could be eligible

for community care: (1) When VA doesn’t provide a specific type of care or (2) when you have to drive too far or wait too long to get care with a VA provider. In most cases, you must receive

VA approval before receiving care from a community provider. Check with VA staff, such as your the local Referral Coordination Team, to understand all of your potential options including

community care. HOW TO DETERMINE ELIGIBILITY FOR COMMUNITY CARE You may be eligible for community care if you meet any of the following six criteria: * You require a specific service your VA

health facility does not provide * You live in a state or territory that doesn’t have a full-service VA health care facility * You previously qualified under the 40-mile distance

requirement and remained qualified on June 6, 2018, and you still live in a location that would make you eligible under these requirements * VA can’t provide the care you need within our

access standards for drive and wait times * You and your VA provider agree that getting care from an in-network community provider is in your best medical interest * VA can’t provide the

service needed in a way that meets our quality standards SETTING UP AN APPOINTMENT AND FINDING A COMMUNITY PROVIDER First, check with a member of your VA care team to find out if you’re

eligible for community care. After community care eligibility is confirmed, there are two options to schedule an appointment with a community provider: * Coordinate with a VA staff member to

schedule an appointment for you, or * Schedule an appointment with the provider directly by using VA Online Scheduling to request an appointment. Learn more about VA Online Scheduling. To

reschedule or cancel your community care appointment, you must contact the community provider and the Office of Community Care at 720-857-5988. * Routine prescriptions for medications must

be faxed from the community provider to the VA Pharmacy at . Prescriptions must appear on the VA National Formulary. * Prescriptions from an ER or Urgent Care visit can be taken to a

community pharmacy for a 14-day supply with no refills. You will be required to pay out-of-pocket. * To be reimbursed for the cost of these prescriptions, mail VA Form 10-320, payment

receipt, and a copy of the prescription to: VA COMMUNITY CARE PAYMENT CENTER P.O. BOX 1004 FORT HARRISON, MT 59636 * If your community care provider wants to order DME (crutches, splints,

oxygen equipment, hospital beds, etc.) they must fill out a Request for Service (RFS) Form and fax it to the Office of Community Care at . * To request the status of a DME order, call

720-723-6868. * To request the status of an eyeglass order, call 303-283-5303. COMMUNITY CARE INFORMATION AND RESOURCES