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Oversight authority over community care

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

Plain-language summaryAI

Contracts for care under the Veterans Community Care Program must require providers and contractors to give government officials access to records and personnel for audits and investigations. Third party administrators must include similar requirements in their agreements with providers and notify them through provider handbooks. The Secretary of Veterans Affairs will create standard contract language for these provisions in consultation with the Inspector General.

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

Section Text · Sec. 613.
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(a) In general

The Secretary of Veterans Affairs shall include in each contract or agreement used to provide care or services through the Veterans Community Care Program provisions requiring the contractor and any subcontractor or participating provider to provide government officials, including the Office of the Inspector General of the Department of Veterans Affairs, access, within a reasonable time and manner, to records, materials, documents, data, and personnel necessary to conduct audits, inspections, evaluations, or investigations related to such care or services.

(b) Third party administrators

(1) Requirement

The Secretary shall require third party administrators under the Veterans Community Care Program to include provisions in agreements with participating providers that are equivalent to the provisions required under subsection (a).

(2) Notification

Notification of the requirements under this section and any other related information as the Secretary determines appropriate shall be included in the provider handbooks of third party administrators under the Veterans Community Care Program.

(c) Standard contract language

The Secretary shall establish standard contract language under this section in consultation with the Inspector General of the Department of Veterans Affairs.

(d) Veterans Community Care Program defined

In this section, the term Veterans Community Care Program means the Veterans Community Care Program under section 1703 of title 38, United States Code.