3.
To access the menus on this page please perform the following steps. This agreement expands TriWest’s services to all regions across the country under this program.For more information, please review the Frequently Asked Questions and the HNFS Provider newsletter below.U.S. 2. If you are a UnitedHealthcare or Optum participating care provider or facility with an active Department of Veterans Affairs Community Care Network (VA CCN) agreement, you can find more information about VA CCN, including the VA CCN Provider Manual, at vacommunitycare.com. PC3 is managed by a Third Party Administrator (TPA), TriWest Healthcare Alliance (TriWest), which performs certain functions on behalf of VA, such as scheduling appointments and paying claims.The following health care services are covered under PC3:PC3 is one of the national contract vehicles and network of community providers VA uses to purchase community care when the services are not available within VA medical facilities. To access the menus on this page please perform the following steps. Please also notify VA about any clinical concern needing follow-up.Using the ZIP code of the Veteran’s residence, find the appropriate VA medical facility using the Ensure you have activated the Veteran’s pharmacy benefit by calling to check their eligibility, To help a Veteran find an in-network pharmacy to fill their prescription in the same state as the urgent care visit:For telephone assistance finding an in-network, in-state pharmacy for a Veteran to fill their prescription:After providing urgent care to a Veteran, the urgent care provider must:Using the ZIP code of the Veteran’s residence, find the appropriate VA medical facility using the For questions, please call the CVS Caremark Pharmacy Help Desk at 800-364-6331 (24/7).For questions, please call the Express Scripts Pharmacy Help Desk at 800-922-1557 (24/7).To confirm a Veteran’s eligibility for urgent care services, call:For general support, call the appropriate phone number listed below:U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420If you are in crisis or having thoughts of suicide, VA contracts with TriWest to manage CCN Region 4, which consists of 13 states: Popular on Community Care Network. If none of the community providers in VA’s network are feasibly available, VA will work to add a provider to the network. Together, we will ensure that our nation’s Veterans have access to the right care, at the right time and in the right setting. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420If you are in crisis or having thoughts of suicide, 3. CCN is VA’s direct link with community providers to ensure eligible Veterans receive timely, high-quality care. The Community Care Network (CCN) is the Department of Veterans Affairs (VA) new network for Veterans. Hit enter to expand a main menu option (Health, Benefits, etc). Please switch auto forms mode to off. PC3 is intended to provide eligible Veterans with access to medical care when services are not readily available or accessible at their local VA medical facility.
Under certain circumstances, community providers may also contract directly with the VA to participate in the program. VA offers urgent care services to eligible Veterans at in-network urgent care clinics to treat minor injuries and illnesses that are not life-threatening, such as colds, strep throat, sprained muscles, and skin and ear infections.To serve Veterans under this benefit, you must be an in-network urgent care provider through a VA Third Party Administrator (TPA). TriWest, VA's TPA, manages some appointment scheduling denpending on the VAMC and Veterand preference, and does this through a network of over half a million community providers across the United States.Below is the process community providers use to care for Veterans through PC3:If you are interested in partnering with VA, you must become a PC3 provider by establishing a contract with TriWest. Optum is TPA for Region 1, and TriWest is TPA for Regions 2-6.When a Veteran presents at an urgent care provider, you must check their eligibility for the urgent care benefit (this also activates their pharmacy benefit).If you need to contact a VA medical facility to obtain additional clinical information, please use the To encourage eligible Veterans to seek care when and where they need it, VA does not publish a specific list of covered services for urgent care.However, VA excludes from the urgent care benefit preventive services and dental services, as well as other items that are not included in the medical benefits package. According to the VA, the law is designed to give . Contact the TPA assigned to your region for more information.Submit medical documentation within 30 calendar days to the Veteran’s home VA medical center (VAMC) via an approved method, such as Veterans Health Information Exchange (VHIE) or fax.
The VA Community Care Network was authorized by the 2018 VA MISSION Act. Department of Veterans Affairs through VA’s new Community Care Network.
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