Subsection (b) (2) (v) of section 17.4110 establishes a standard of assessment that would allow VA to reject an application for certification if VA finds that VA is unlikely to enter into a Veteran Care Agreement with the applicant for programming reasons. We believe this basis for rejection is reasonable, given that Section 1703A is a permissible purchasing authority that authorizes (but does not require) the conclusion and use of Veteran care agreements. Therefore, there is little or no benefit to a supplier or organization or va to continue the Section 1703A(c) certification process, including obtaining and tracking certified status, if VA finds, in the exercise of its programmatic judgment, that it is unlikely to have a VCA with the entity or supplier. Under these conditions, VA may refuse the application in order to avoid unnecessary expenditure of resources by the organization or supplier and the A. The VA`s finding that the basis for refusal referred to in Article 17.4110(b)(2)(v) is met shall be assessed on a case-by-case basis. We will not address more specific circumstances in which VA might apply this refusal basis, although such circumstances generally arise if VA could probably not enter into a VCA with a company or provider, given that the care or services that a covered person needs are instead available through a VA agency, a contract. or a partition agreement (see 38 U.S.C 1703A (a) (1)). For example, if a company or provider was already part of VA`s community care network, or if VA`s contractual community care network already has adequate coverage of the services provided by the company or provider, va is unlikely to attempt to enter into a VCA with that company or provider. The Department of Veterans Affairs (VA) is amending its medical regulations to implement its power to provide necessary care to people covered by certain agreements. Section 102 of John S. McCain III, Daniel K.
Akaka and Samuel R. Johnson VA Keeping Internal Systems and Strengthening Integrated Outside Networks Act of 2018 authorizes VA to enter into agreements to provide necessary care and services if such care and services are not available to certain persons through a va agency or contract. or a sharing agreement. This provisional final rule sets out the parameters of such agreements, including the establishment of a certification process for providers providing such care or services; the establishment of a methodology for calculating the rates of payment for care or services under an agreement; and the establishment of an administrative procedure for the resolution of disputes arising out of or related to such agreements, including those relating to payment entitlements for care or services provided under an agreement. The concept of VA facility is defined as a VA point of care where insured persons can receive inpatient care, medical services or extended care services, including a VA medical centre, a VA community ambulance, a VA health centre, a VA community life centre, an independent ambulance and other va-ambulatory service sites. This definition refers to VA`s assessment in paragraph 17.4115 whether the care and services are achievable by a VA body or by a contract or sharing agreement. We have defined this term according to the types of care and services offered by a VA agency and we have a non-exhaustive list of examples of the names of these establishments (e.g. .B. VA Medical Centre, VA Community Ambulance, etc.) to ensure that future changes to the descriptions or names of VA agencies would not lead to a gap in our regulations.
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