The Veterans Choice Program (VCP) is a program that has been created through the Veterans Access, Choice, Accountability Act (VACAA) of 2014. This law expands the number of options Veterans have for receiving care to ensure Veterans have timely access to high-quality care. Veterans Choice Program (VCP) provides primary care, inpatient and outpatient specialty care, and mental health care for eligible Veterans when the local U.S. Department of Veterans Affairs (VA) health care facility cannot provide the services due to:
- lack of available specialists.
- long wait times.
- extraordinary distance from the Veteran’s home.
While millions of Veterans will receive a Choice Card, only a subset of those who hold the card will be eligible to use it at any given time. Verification of eligibility in the form of an authorization from Health Net Federal Services, LLC (HNFS) is required for reimbursement of costs associated with care provided to a Veteran.
Those Veterans that are eligible must contact Health Net Federal Servces to obtain authorization for all care under VCP. Veterans are encouraged to access health care through the HNFS comprehensive network of community-based, non-VA medical professionals who meet VA quality standards. These highly qualified providers are contracted as part of Health Net’s URAC accredited Patient-Centered Community Care (PCCC) network and proudly serve our Veterans today in PCCC and VCP.
However, VCP allows a Veteran to choose a provider outside of the PCCC preferred network when a PCCC provider is not available or the Veteran has a preference for another community provider. Health Net Federal Services must verify the provider outside of the PCCC preferred network meets the certification and license requirements of VCP and the provider must agree with program requirements prior to scheduling an appointment.