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The VA Community Care Network
A Guide for Nursing Facilities & Intermediate Care Facilities (ICFs)
In California, independent Physician Assistants (PAs) can bill the Department of Veterans Affairs (VA) for services provided to veterans, but it’s essential to understand the regulations surrounding this process.
Welcome to Veterans Desk, your trusted partner in helping healthcare organizations serve those who have served our nation. This guide is designed for Nursing Facilities (NFs) and Intermediate Care Facilities (ICFs) that wish to enroll in the VA Community Care Network (CCN). These facilities provide essential long-term care, rehabilitation, and daily living support to veterans with chronic medical or functional needs.
Step-by-Step Enrollment in the VA CCN
Verify Your Facility Credentials
• Maintain valid state licensure and certification as an NF or ICF
• Ensure compliance with CMS standards and any applicable federal/state regulations
Prepare Required Documents
- Proof of facility licensure and CMS certification (if applicable)
- Facility staffing plan, showing licensed RNs, LPNs, CNAs, and relevant support staff
- W-9 form for reimbursement
- Current proof of general liability or malpractice insurance
- Written documentation of compliance with health, safety, and patient care standards
Submit Your Application
Submit your application through the appropriate VA CCN portal for your region:
• Optum (Regions 1–3):
• TriWest (Regions 4–5):
Complete Mandatory Training
Facilities must complete training on:
• VA compliance requirements
• Documentation and care coordination protocols
Credentialing & Facility Review
- Your facility and staff credentials will be verified by the CCN administrator
- Additional reviews may assess accessibility, safety, and alignment with veteran care needs
Final Contract
- Once credentialed, you will receive a contract outlining reimbursement policies and care expectations
- Upon signing, you may begin delivering authorized care to veterans in your facility
Why NFs and ICFs Matter to Veterans
Many veterans live with complex health challenges such as chronic conditions, reduced mobility, cognitive impairments, or the need for post-acute rehabilitation. Nursing Facilities and ICFs offer structured environments with round-the-clock care, skilled nursing, and personalized support. These services are vital in preserving veterans’ dignity, safety, and quality of life.
As an NF or ICF, your role in the VA CCN includes:
- Providing 24/7 nursing care and supervision for eligible veterans.
- Supporting physical therapy (PT), occupational therapy (OT), and rehabilitation needs
- Assisting with medication management, ADLs, and chronic condition monitoring
- Coordinating care with VA case managers and social workers
- Ensuring veterans transition safely from hospital to long-term care or intermediate settings
Key Benefits of Joining the VA CCN
- Expand Veteran Access to Skilled Care: Address the growing need for high-quality long-term and rehabilitative care for aging and medically complex veterans
• Streamlined Reimbursement: Receive timely payment for approved services as outlined in the veteran’s individualized care plan
• Collaborative Care Planning: Work alongside VA healthcare teams to ensure veterans receive coordinated, veteran-centric care
• Participation in VA Programs: Join initiatives aimed at reducing institutionalization when appropriate and enhancing quality of life
• Compliance & Quality Recognition: Be recognized for meeting high standards of care for a respected and deserving population
Bridging the Gap for Veterans
Educational Support & Facility Development
• Access VA-sponsored training on geriatric care, dementia support, chronic disease management, and veteran rehabilitation
• Align with VA quality standards to improve care outcomes and family satisfaction
• Receive updates on policy changes, best practices, and patient safety initiatives relevant to long-term care
Transitioning from Military Service
• Facilities with staff who are former military medics or nurses can highlight this experience when applying
• Former military healthcare workers may assist with veteran engagement and culturally informed care practices
Frequently Asked Questions (FAQs)
What types of services do Nursing Facilities and ICFs provide to veterans?
Facilities deliver skilled nursing care, physical and occupational therapy, assistance with ADLs, medication management, chronic disease monitoring, and cognitive support services.
How does the VA determine a veteran’s eligibility for placement in a facility?
Placement is authorized after a VA physician and care team assess medical necessity and document the need for facility-based care in the veteran’s treatment plan.
Will the VA reimburse care for both short-term and long-term stays?
Yes. The VA will reimburse for any care that is medically necessary and explicitly approved in the veteran’s authorized care plan, including both short-term rehab and long-term residence.
Can a veteran be referred directly from a hospital or VA clinic?
Yes. Veterans may be referred via VA discharge planners or care coordination teams. However, care must be pre-authorized through the VA CCN before admission.