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Veterans Community Care Network: Providers One-Pager (PDF)

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With the urgent need to care for Veterans with prostate cancer, there is an opportunity for providers to help. Currently, there are an estimated 500,000 prostate cancer patients in the U.S. Department of Veteran’s Affairs (VA) health system and an estimated 16,000 of these patients have metastatic prostate cancer. With recently passed legislation, local providers are now able to care for Veterans and get reimbursed by being part of the VA Community Care Network (CCN).

Your practice administrator can enroll your practice to support the care of Veterans in your community. To join the network, please follow the four steps below:

  1. Determine the correct region for your practice. https://bit.ly/3eatsgV
  2. Have your practice administrator, or the most appropriate office personnel with access to key enrollment data, reach out to TriWest or Optum, based on your region.
  3. Ensure your practice accepts Medicare reimbursement.
  4. Review the requirements to establish a Veterans Care Agreement (VCA).
    See the CCA agreement overview by visiting https://bit.ly/3eawRMO
Map of CCN Provider Regions for TriWest and Optum

East & Central (Regions 1, 2, 3)
Managed by Optum
Region 1: 888-901-7407
Region 2: 844-839-6108
Region 3: 888-901-6613
https://vacommunitycare.com

Western U.S. (Regions 4, 5, 6)
Managed by TriWest
Provider Signup
https://www.triwest.com/en/provider/join-the-triwest-providernetwork
TriWest home page
https://www.triwest.com

Example Of A Veteran's Journey Through The VA Community Care Network

By enrolling in the Community Care Network, practices are helping Veterans get the care they need, where they need it.

To guide you through this process in more detail, please follow these steps below.

  1. Veteran seeks care from VA.
  2. VA determines, based on community care criteria, that the Veteran is eligible for community care for this medical need.
  3. VA engages community care provider to accept referral and method of delivery (medical record is included in referral packet).
  4. Once the referral is accepted, either VA schedules appointment with community care provider or veteran schedules appointment.
  5. Veteran receives care from community care provider.
  6. Provider sends medical record to VA.
  7. Provider bills Optum or TriWest for the care

What About Prescription Medicine?

  • For prescription medication, the prescription should be sent to and filled by the nearest VA pharmacy
  • Veterans can receive prescription medication for a 14-day or fewer supply that can be filled at a non-VA pharmacy
  • A prescription for more than a 14-day supply must be filled by VA

To Contact TriWest Or Optum:

1-855-PCCCVET (855-722-2838) 
Monday through Friday, 8:00 a.m. – 8:00 p.m. (local time zone)

Optum: https://vacommunitycare.com

TriWest: https://www.triwest.com

VA Community Care Network: https://va.gov/CommunityCare

About The ZERO Veterans Initiative

ZERO is committed to bringing the Veterans community the resources, tools, and education needed to fight and prevent the disease.


1 Richman, Mike. VA, Prostate Cancer Foundation seek solutions for aggressive prostate cancer. VA. Published November 13, 2019. Accessed August 18, 2020. https://www.research.va.gov/currents/1119-VA-and-Prostate-Cancer-Foundation-seek-solutions-for-aggressive-prostate-cancer.cfm

2 Text - H.R.6285 - 116th Congress (2019-2020): Veterans’ True Choice Act of 2020. Published March 13, 2020. Accessed August 18, 2020. https://www.congress.gov/bill/116th-congress/house-bill/6285/text?r=2&s=1

3 Community Care - Community Care. VA. Updated August 27, 2020. Accessed August 18, 2020. https://www.va.gov/resources/eligibility-for-community-care-outside-va

4 Urgent Care - Community Care. VA. Updated September 21, 2020. Accessed August 18, 2020. https://www.va.gov/COMMUNITYCARE/programs/veterans/Urgent_Care.asp

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