Anatomy of a Standard Community-Care Reimbursement (In-Person or Telehealth)

Step 1 – Receive & Accept the Referral (HSRM) A VA clinician determines that a veteran qualifies for Community Care based on drive-time, wait-time, or best-interest criteria outlined in the MISSION Act. Once confirmed, VA staff create a referral using the HealthShare Referral Manager (HSRM). This system generates a 10-digit authorization number, lists approved CPT/HCPCS […]