VA Ann Arbor Healthcare System

VA Ann Arbor
Healthcare System
April D. Bartlett, LMSW
Outreach Coordinator
August 2015
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The Department of Veterans Affairs (VA)
VHA
NCA
Veterans Health
Administration
National Cemetery
Administration
VBA
Veterans Benefits
Administration
VETERANS HEALTH ADMINISTRATION
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VA Health Care
• VA Mission Statement: Honor America’s
Veterans by providing exceptional health
care that improves their health and wellbeing.
• The VA operates the nation’s largest
integrated health care system with more
than 1,400 sites including hospitals,
community clinics, community living
centers, domiciliary, readjustment
counseling centers, and various other
facilities.
• 70% of all health care providers have
trained at VA medical facilities!
VETERANS HEALTH ADMINISTRATION
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VA Ann Arbor Healthcare System: Locations
Flint Community Based Outpatient Clinic
Jackson Community Based Outpatient Clinic
VA Ann Arbor Medical Center
VETERANS HEALTH ADMINISTRATION
Toledo Community Based Outpatient Clinic
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VA Ann Arbor Healthcare System: Service Area
MICHIGAN
VETERANS HEALTH ADMINISTRATION
OHIO
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VA Ann Arbor Healthcare System
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VA Ann Arbor Healthcare System (VAAAHS) is a
comprehensive, integrated health care delivery
system serving Veterans living in Michigan and
northwestern Ohio.
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VAAAHS employs 2,829 employees (27% of whom
are Veterans)
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120 VAAAHS Physicians Named to Best
Doctors in America List for 2014
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65,421 Veterans (including 4,618 women) utilized
VAAAHS in FY2014
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109 Acute Hospital Beds (Critical Care, Telemetry,
Medical, Surgical, Acute Psychiatry)
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40 Community Living Center (CLC) Beds (Geriatric
evaluation and management, Rehabilitation,
Palliative Care/End-of-Life Care, Inpatient Respite)
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VA Ann Arbor Healthcare System: Benefits Package
Preventive Care Services
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Immunizations
Physical Examinations
Health Care Assessments
Screening Tests
Health Education Programs
Outpatient Treatment Services
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Primary & Specialty Care
Emergency Outpatient Care
Surgical
Mental Health
Substance Use Treatment
Inpatient (Hospital) Treatment Services
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Medical
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Surgical
Mental Health
Medications and Supplies
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Prescription medications
Over-the-Counter medications
Medical/Surgical supplies
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Specialty Care Services
Ann Arbor
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Arthritis Clinic
Sleep Clinic
Endoscopy
Endocrine Clinic
ENT
Geriatrics
Infectious Disease
Invasive Radiology
Renal
Hemodialysis
Liver
Hematology/Oncology
Chemotherapy
Radiation Oncology
Mental Health Intensive Case
Management (MHICM)
Vascular Surgery
MRI
Palliative Care
Plastics
VETERANS HEALTH ADMINISTRATION
• Cardiac Surgery
• Transcatheter Aortic Valve Replacement
(TAVR) Surgical Suite
• Robotic Surgery
• Bariatric Surgery (NEW)
• Optometry and Ophthalmology
• Dental
• Speech/Audiology
• Orthopedics
• Orthotics and Prosthetics
• Dermatology/Plastics
• Rheumatology
• Pulmonary
• Infectious Disease
• Neurosurgery
• Neurology
• Urology
• Women’s Health
• Chaplain Services (Spiritual Support)
• Traumatic Brain Injury
• Outpatient Spinal Cord Injury
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• Visual Impairment Services
VA Ann Arbor Healthcare System: Benefits Package
Long-Term Care
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Geriatric Evaluation
Hospice/Palliative Care Services
Respite Care
Homemaker/Home Health Aide
Purchased Skilled Home Healthcare
Contract Adult Day Health Care
Home Based Primary Care
Medical Foster Homes
Contract Nursing Home Care
Telehealth
Non-Medical Veteran Services
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Beneficiary Travel & Transportation Services
Caregiver Support
My Health-e-Vet
Minority Veterans Program
Canteen Services
Veteran Health Identification Card
*Some Benefits Have Special Eligibility Criteria
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VA Ann Arbor Healthcare System: Benefits Package
Limited Benefits (require special eligibility criteria include):
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Ambulance Services
Dental Care
Eyeglasses and Hearing Aids
Home Health Care
Maternity and child birth services
Non-VA Health Care Services
Exclusions (from the Medical Benefits Package include):
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Abortions and abortion counseling
Cosmetic surgery
Gender alteration
Health club or spa membership
In-vitro fertilization
Drugs and biological devices not approved by the FDA
Services not ordered and provided by licensed/accredited professional
staff
Special private-duty nursing
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VA Ann Arbor Healthcare System: Women’s Services
VA offers an array of health care services for
women Veterans, including:
• General medical care for any acute or chronic illness
• Preventive care such as nutrition counseling, weight
control, and smoking cessation
• Gender-specific care such as preconception counseling
before and in-between pregnancies, Pap smears, breast
exams, mammograms, birth control, and menopause care
• VA also supports non-VA care for obstetrics and labor &
delivery care
• Specialty services for difficulties such as depression,
homelessness, military sexual trauma (MST), Posttraumatic
Stress Disorder (PTSD), and substance use problems
VAAAHS Women Veterans Program Manager –
Cheryl Allen, RN (734) 845-3660
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VA Ann Arbor Healthcare System: Mental Health Services
VA offers an array of Mental Health Services
including:
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Acute Inpatient MH Unit (AIMH)
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Consultation/Liaison Psychiatry
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Substance Use Disorder Intensive Outpatient Program
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Mental Health Clinic
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Substance Abuse Clinic
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PTSD Clinical Team
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Primary Care-Mental Health
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Neuropsychology
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Mental Health Intensive Case Management (MHICM)
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Compensated Work Therapy (CWT) Program
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Healthcare for Homeless Veterans (HCHV) Program
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Veterans Integration To Academic Leadership (VITAL)
College/University Outreach
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Veterans Justice Outreach Program (VJO)
VETERANS HEALTH ADMINISTRATION
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Suicide Prevention Coordinator and
Case Manager
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SeRV Mental Health (provides case
management, mental health
screening and crisis intervention to
OEF/OIF/OND Veterans
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How Veterans Enroll in Care
There are four ways a Veteran may apply for enrollment:
Online: When applying at www.va.gov/healthbenefits/enroll Veterans simply fill out the
application and electronically submit it to VA for processing. No need to submit additional
documents with your application to verify your military service. VA will search for your supporting
military information through our electronic information systems and will contact you if we are
unable to locate your information.
By Mail: The application form can be downloaded from the website above. Complete the form
(VA Form 1010EZ)
and mail to:
VA Ann Arbor Healthcare System
Attention: Health Benefits (11U)
2215 Fuller Rd.
Ann Arbor, MI 48105
Phone: (734) 845-5275
By Phone: Veterans may complete the application over the phone, or have a paper copy
mailed to them, by calling 1-877-222-VETS between the hours of 8:00 AM and 8:00 PM ET,
Monday-Friday.
In Person: Veterans may also apply in person at any VA health care facility.
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Who
How doQualifies
I enroll? and How: Basic Eligibility
Basic Eligibility Requirements
In order to receive VA health care benefits, a Veteran must fall into one of three
categories:
• A person who served in the active military, naval, or air service and
who was discharged or released under conditions other than
dishonorable.
• A former Reservist who served full-time for operational support
purposes (excluding training).
• A former National Guard member who was mobilized by a Federal
Order.
Note: Military discharges other than honorable (i.e. bad conduct) require a VA Regional Office decision to
determine if the Veteran’s character of discharge is a bar to benefits before routine care may be provided.
Those with Uncharacterized or Dishonorable discharges are ineligible for VA health care benefits.
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Who
How doQualifies
I enroll? and How: Minimum Duty
In addition to proper character of discharge, Veterans must
meet one of the following length of service criteria:
• Served 24 consecutive months active duty if begun after
September 7, 1980 (enlisted), or October 16, 1981 (officers).
• Served full time when called or ordered to active duty by
executive order for Reservists and National Guard members
(other than training only).
Note: The minimum duty requirement may not apply to Veterans who
were discharged for a disability incurred or aggravated in the line of duty
or if a Veteran has a compensable service-connected disability.
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Who
How doQualifies
I enroll? and How
Combat Veteran Eligibility Criteria
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Veterans (including activated Reservists and members of the National Guard) are eligible if
they served on active duty in a theater of combat operations after November 11, 1998, and
have been discharged under other than dishonorable conditions.
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Combat Veterans should apply for enrollment within 5 years of the date of discharge or
release from active duty.
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Health Benefits under the “Combat Veteran” Authority include:
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Cost-free care and medications provided for conditions potentially related to combat
service (they are responsible for applicable copays for treatment of conditions not
related to combat service).
Enrollment in Priority Group 6 unless eligible for enrollment in a higher priority group.
Full access to VA’s Medical Benefits Package & time-limited access to VA Dental
Care.
Enhanced Eligibility
Certain Veterans may be afforded enhanced eligibility status such as:
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Former Prisoners of War (FPOWs)
Purple Heart Recipients
Medal of Honor Recipients
VA awarded Service-Connected Disability of 10% or more
Receiving a VA Pension
And others…visit www.va.gov/healthbenefits/apply/veterans for more information.
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Who
How doQualifies
I enroll? and How
The number of Veterans who can be enrolled in the health care program is determined by the
amount of money Congress gives VA each year. Since funds are limited, VA set up Priority
Groups to make sure that those Veterans in need receive the care they earned. A Veteran’s
income level, service-connected disability rating, or other qualifying factors will
determine what Priority Group they will be placed in and whether or not they will have
co-payments.
Priority Group 1
•Veterans with VA service-connected disabilities rated 50% or more.
•Veterans assigned a total disability rating for compensation based on unemployability.
Priority Group 2
•Veterans with VA service-connected disability rated 30% or 40%.
Priority Group 3
•Veterans who are former POWs.
•Veterans awarded the Purple Heart Medal.
•Veterans awarded the Medal of Honor.
•Veterans whose discharge was for a disability incurred or aggravated in the line of duty.
•Veterans with VA service-connected disabilities rated 10% or 20%.
•Veterans awarded special eligibility classification under Title 38, U.S.C., § 1151, “benefits for
individuals disabled by treatment or vocational rehabilitation.”
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Who
How doQualifies
I enroll? and How
Priority Group 4
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Veterans receiving increased compensation and pension based on their need for regular Aid
and Attendance or by reason of being permanently Housebound.
Veterans determined by VA to be catastrophically disabled.
Priority Group 5
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Non-service-connected Veterans and non-compensable service-connected Veterans rates
0%, whose annual income and/or net worth are not greater than the VA income limits.
Veterans receiving VA Pension benefits.
Veterans eligible for Medicaid.
Priority Group 6
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Compensable 0% service-connected Veterans.
Veterans exposed to ionizing radiation during the atmospheric testing or during the
occupation of Hiroshima and Nagasaki.
Project 112/SHAD recipients
Veterans who served in the Republic of Vietnam between January 9, 1962 and May 7, 1975.
Veterans of the Persian Gulf War that served in the Southwest Asia Theater of combat
operations between August 2, 1990 and November 11, 1998.
Veterans who served in a theater of combat operations and discharged from active duty on or
after January 28, 2003, for five years post discharge.
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Who
How doQualifies
I enroll? and How
Priority Group 7
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Veterans with incomes below the geographic means test
(GMT) income limits and who agree to pay the
applicable copayment.
Priority Group 8
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Veterans with gross household incomes above the VA
income limits who were enrolled as of January 16, 2003
and who agree to pay the applicable copayment or
Veterans with gross household incomes not exceeding
the VA Income Limits or GMT Income Limits by more
than 10% and who agree to pay the applicable
copayment.
If you have questions about VA eligibility or enrollment
contact the VA Ann Arbor Health Benefits Unit at (734)
769-7100 extension 55275.
Note: Applicable Copayments may include Outpatient Copays,
Medication Copays, Inpatient Copays, and Long-Term Care Copays.
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Affordable Care Act (ACA)
The health care law was created to:
• Give more Americans access to quality, affordable
care;
• Lower health care costs; and
• Improve health care quality for all Americans.
If a Veteran is enrolled in VA healthcare, they do not need
to do anything else to meet the minimal essential coverage
requirements for ACA.
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Veterans Choice Program
Veterans Access, Choice, & Accountability Act of 2014
• The Veteran must be:
Enrolled in VA health care system prior to August
1, 2014, or
A combat Veteran <5 years post discharge
• Requirements:
Must have VA appointment >30 days or live >40
miles from any VA;
Treatment must be pre-authorized
Choice Program Call Center: (866) 606-8198
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VA Ann Arbor Healthcare System: Contact Information
Phone: (734) 769-7100
Website:
www.annarbor.va.gov
www.facebook.com/VAAnnArbor
www.twitter.com/VAAnnArbor
www.flickr.com/VAAnnArbor
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Other VA Contact Information:
• U.S. Department of Veterans Affairs www.va.gov
• Veterans Crisis Line 1-800-273-8255, Press 1
www.veteranscrisisline.net
• Make the Connection (Shared Experiences & Support for Vets)
www.maketheconnection.net/veterans
• National Call Center for Homeless Veterans:
1-877-4AID-VET (877-424-3838)
• Women Veterans Call Center:
1-855-VA-WOMEN (855-829-6636)
• VA Caregiver Support Line:
1-855-260-3274
www.caregiver.va.gov
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Important Websites
• VA Choice Program Website
Veteran Benefits
http://www.va.gov/opa/choiceact/
Administration
• Non-VA Care Website
(VBA)
http://www.nonvacare.va.gov/
&
National
• Vendor Inquiry System
(VIS)Cemetery
https://www.vis.fsc.va.gov/
Administration (NCA)
• Provider and Veteran links, Forms, Brochures, & Information
• Identify previous, current, and future payments
• Financial Services Center
http://www.fsc.va.gov/
• Offers a wide range of financial and accounting products and services to
both the VA and Other Government Agencies.
VETERANS
HEALTH
ADMINISTRATION
VETERANS
BENEFITS
ADMINISTRATION
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VBA Major Benefit Programs
Major Benefit Programs
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Compensation
Pension
Housebound/Aid & Attendance
Education
Vocational Rehabilitation & Employment
Life Insurance
Home Loan Guaranty
Burial
Dependents and Survivors
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VBA Benefits: How to Apply
• Contact VBA for an application by
calling PH: 1-800-827-1000
• Apply online at www.va.gov
• Visit Washtenaw County Department of
Veterans Affairs:
2155 Hogback Rd. Ann Arbor, MI
PH: (734) 973-4540
VETERANS BENEFITS ADMINISTRATION
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National Cemetery Administration
VA Burial Benefits
• National Cemeteries
• State Veterans Cemeteries
• Headstone or Marker
• Burial Flag
• Presidential Memorial Certificates
• Burial Cost Reimbursement
• Service Connected: Up to $2000.00
• Non-Service Connected: Up to $745.00
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VA Burial Benefits
National Cemetery Burial
120+ Cemeteries Nationwide
• Gravesite
• Opening and Closing
• Headstone/Marker
• Burial Flag
• Funeral Honors
• Presidential Memorial Certificates
• Burial Cost Reimbursement
• Perpetual Care
• All at No Cost to the Family
VETERANS BENEFITS ADMINISTRATION
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National
Cemetery Administration
Department
of Veterans
(VA)
Contact Information
Affairs
• National Cemetery Administration
www.cem.va.gov
• Great Lakes National Cemetery
4200 Belford Rd.
Holly, MI 48442
Phone: (248) 328-0386
NATIONAL CEMETERY ADMINISTRATION
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QUESTIONS?
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