VA: Methodology for Reimbursing Medical Services, Extended Care Services, Pharmaceuticals, and Durable Medical Equipment Not on Medicare Fee Schedules

Federal Register

Mar 27, 2024

Notice from the U.S. Department of Veterans Affairs (VA) making changes to rates contained within the VA fee schedule, which is used as part of the rate structure for certain agreements the VA uses to purchase community care under the Veterans Community Care Program (VCCP). This notice also describes the VA's use of non-reimbursable codes and industry-standard business practices to ensure consistent adjudication of claims for services deemed non-billable or non-reimbursable. These changes are effective March 27, 2024.

Legislation and regulations · Long-term care · Pharmacy and prescription drugs · Reimbursement and payment models · Veterans