81 FR 67060 - Tribal Health Programs-Community Care Consolidation

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 189 (September 29, 2016)

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will facilitate a Tribal Consultation on the VHA's effort to improve continuity of care and health care access for Veterans by consolidating multiple community care programs, previously known as non-VA care, into one standard program with standard rates. In October 2015, VA submitted to Congress the Plan to Consolidate Programs of Department of Veterans Affairs to Improve Access to Care, http:// www.va.gov/opa/publications/VA_Community_Care_Report_11_03_2015.pdf, which lays out the vision for a consolidated community care program that is easy to understand, simple to administer, and meets the needs of Veterans, community providers, and VA staff. As VA continues to move forward with implementing the vision of the Plan, we again seek tribal input to assist VA in developing the network of providers in a manner that would build on VA's existing relationships with tribal health programs and facilitate future collaboration to improve health care services provided to all eligible, VA-enrolled Veterans, regardless of whether they are eligible for Indian Health Service-funded health care or not. We are seeking tribal consultation regarding the tribal health programs' participation in the core provider network, as outlined in the Plan, and potentially transitioning from the current reimbursement agreement structure to a model under which tribal health programs deliver care to all eligible, VA enrolled Veterans using a standard reimbursement rate based on Medicare rates.

[Federal Register Volume 81, Number 189 (Thursday, September 29, 2016)]
[Notices]
[Page 67060]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-23483]


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DEPARTMENT OF VETERANS AFFAIRS


Tribal Health Programs--Community Care Consolidation

AGENCY: Department of Veterans Affairs.

ACTION: Notice of Tribal Consultation.

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SUMMARY: The Department of Veterans Affairs (VA), Veterans Health 
Administration (VHA) will facilitate a Tribal Consultation on the VHA's 
effort to improve continuity of care and health care access for 
Veterans by consolidating multiple community care programs, previously 
known as non-VA care, into one standard program with standard rates. In 
October 2015, VA submitted to Congress the Plan to Consolidate Programs 
of Department of Veterans Affairs to Improve Access to Care, http://www.va.gov/opa/publications/VA_Community_Care_Report_11_03_2015.pdf, 
which lays out the vision for a consolidated community care program 
that is easy to understand, simple to administer, and meets the needs 
of Veterans, community providers, and VA staff. As VA continues to move 
forward with implementing the vision of the Plan, we again seek tribal 
input to assist VA in developing the network of providers in a manner 
that would build on VA's existing relationships with tribal health 
programs and facilitate future collaboration to improve health care 
services provided to all eligible, VA-enrolled Veterans, regardless of 
whether they are eligible for Indian Health Service-funded health care 
or not. We are seeking tribal consultation regarding the tribal health 
programs' participation in the core provider network, as outlined in 
the Plan, and potentially transitioning from the current reimbursement 
agreement structure to a model under which tribal health programs 
deliver care to all eligible, VA enrolled Veterans using a standard 
reimbursement rate based on Medicare rates.

DATES: Comments must be received by VA on or before November 5, 2016.

ADDRESSES: Written comments should be submitted by email at 
[email protected], by fax at 202-273-5716, or by mail 
at U.S. Department of Veterans Affairs, Suite 915L, 810 Vermont Avenue 
NW., Washington, DC 20420.

FOR FURTHER INFORMATION CONTACT: Majed Ibrahim, VA Office of Community 
Care, VHA at (562) 400-3134 (this is not a toll-free number), or by 
email at [email protected].

SUPPLEMENTARY INFORMATION:  VA is seeking consultation and comments on 
the following questions:
    (1) What would be the impact of transitioning from the existing 
reimbursement agreement structure, which requires each tribe to enter 
into an individual reimbursement agreement with VA, to a standard 
arrangement for reimbursement of direct care services provided to 
eligible Veterans managed by a third party administrator for VA?
    (2) Would tribal health programs be interested in expanding direct 
care services under this new structure to include reimbursements for 
care provided to all Veterans enrolled in VA health care, regardless of 
whether they are eligible for IHS-funded health care or not?
    (3) Would tribal health programs be interested in receiving 
standard reimbursement rates based on Medicare rates plus a feasible 
percentage of those rates to minimize improper payments and comply with 
industry standards?
    (4) Would tribal health programs be interested in extending 
existing reimbursement agreements between VA and tribal health programs 
through December 2018 and ensuring any new reimbursement agreements 
between VA and tribal health programs extend through December 2018, as 
VA works in collaboration with tribes and other VA stakeholders on 
implementing a consolidated community care program?
    Tribal leaders and/or their designated representatives and other 
interested parties are invited to attend and provide comments during 
the in-person consultation and/or submit written comments.
    Signing Authority: The Secretary of Veterans Affairs, or designee, 
approved this document and authorized the undersigned to sign and 
submit the document to the Office of the Federal Register for 
publication electronically as an official document of the Department of 
Veterans Affairs.

    Approved: September 23, 2016.
Jeffrey M. Martin
Program Manager, Regulation Policy & Management, Office of the 
Secretary, Department of Veterans Affairs.
[FR Doc. 2016-23483 Filed 9-28-16; 8:45 am]
 BILLING CODE 8320-01-P