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Consideration under Veterans Community Care Program of continuity of care and need for caregiver or attendant

Title VI: Veterans’ Assuring Critical Care Expansions to Support Servicemembers · Subtitle A: Improvement of Veterans Community Care Program

Plain-language summaryAI

When deciding whether a veteran can receive care outside the Department of Veterans Affairs, the VA must consider if the veteran already has a relationship with an outside provider and if the veteran needs help from a caregiver to get to VA facilities. The VA must look at all relevant factors based on the veteran's medical needs and not rely on any single factor alone when making these decisions.

AI-generated from this section’s text — a quick orientation, not a substitute for the full text below. Not legal advice.

Section Text · Sec. 603.
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(1)

in paragraph (2), by adding at the end the following new subparagraphs:

(F)

The potential for improved continuity of care, including if a veteran has an established relationship with a non-Department provider and the likelihood of the covered veteran to seek and complete recommended care, including if the veteran would abstain from seeking such care if required to seek such care at a facility of the Department.

(G)

Whether the covered veteran needs an attendant to provide required aid or assistance to the veteran, including for the veteran to travel to a facility of the Department.

(2)

by adding at the end the following new paragraph:

(5)

The Secretary shall ensure that consideration of the factors specified in paragraph (2) includes consideration of all relevant factors, is driven by clinical need, and that no single factor is required to be determinative when considering the best medical interest of a covered veteran.