The HealthShare Referral Manager (HSRM) Team is pleased to announce the launch of the Weekly HSRM Trainings. HSRM is VA’s secure, web-based platform for referral and authorization management.  As a community provider, you will find VA’s new system to be a great asset in the delivery of quality patient care. Trainings of this system will be offered  every Tuesday  from 1 PM - 2 PM EST. We encourage you to attend to learn about how HSRM:

• Reduces turn-around time for claims adjudication
• Facilitates Health Information Exchange (HIE) between you and VA
• Reduces time you spend waiting for calls, faxes, or emails to obtain the information you need to provide care

 All trainings will include an overview of HSRM and its features, a live walk-through of the  system, and time for questions and answers.

 Please register in advance and join us for one of these weekly trainings by visiting Weekly  HSRM Trainings on VHA TRAIN. An account on VHA TRAIN is required in order to register  for a training.

The Department of Veterans Affairs (VA) contract with Health Net Federal Services (HNFS) ended on September 30, 2018.  VA is dedicated to working with providers to transition care coordination as seamlessly as possible and to communicate pertinent and timely information.

To assist you, our provider partners, during this transition time, we’ve outlined important information and key dates to note:

To Submit Claims: Community providers have until March 26, 2019 to submit initial claims to HNFS for payment for covered services that were rendered through September 30, 2018.

To Check Claims Status: Community providers can continue to use www.availity.com to check status on claims submitted for HNFS-authorized services.

Appeals, Denials, and Adjustments: will continue in accordance with the mutually agreed upon appeals process through January 30, 2020.

For Additional Assistance:

• Providers may call the HNFS provider customer line at 844-728-1914 for PC3/VCP claims and authorization inquiries related to HNFS-authorized services or visit HNFS’ website at www.hnfs.com/go/VA.
• Providers should address all outstanding PC3/VCP claims and authorization inquiries related to HNFS-authorized services claims directly with HNFS first by calling the HNFS provider customer line at 844-728-1914 or visiting HNFS’ website at www.hnfs.com/go/VA.
• If after working with HNFS you are unable to get resolution for outstanding claims, contact OCC, Provider Relations & Services, Network Management at ProviderExperience@va.gov; a staff member will be assigned to work with you and HNFS toward resolution.

VA continues to move forward with the deployment of Region 1 of Community Care Network (CCN) contract in partnership with Optum Public Sector Solutions (Optum).   Optum will establish a vast network of community care providers in Region 1.   To be part of CCN, community providers are encouraged to join Optum’s provider network and be part of their extensive foundation of network of providers to deliver care to our nations’ Veteran population.  Community providers who wish to be part of this network are encouraged to contact Optum at VACCNProviderContracting@optum.com.

The Department of Veterans Affairs published a proposed regulation in the Federal Register for the new Veterans community care program, including access standards on February 22, 2019.

The proposed regulation (RIN 2900-AQ46) is currently available online at https://federalregister.gov/d/2019-03030.

Public comment period is now until March 25, 2019 and VA encourages the public to provide input on the proposed publication during that time.  For instructions on how to submit a comment, visit the Federal Register website at www.regulations.gov and search for RIN 2900-AQ46.

To read the full news release go to:  https://www.va.gov/opa/pressrel/pressrelease.cfm?id=5208

February 21, 2019:  VHA Office of Community Care Overview -  This webinar provides an overview of Community Care programs and policies, focuses on how to file clean claims, and goes into other topics such as eligibility, referral, top rejection reasons and other provider issues.  Register for the webinar.

February 28, 2019:  Post-traumatic Stress Disorder (PTSD) Assessment Treatment:  At the conclusion of this webinar attendees will be able to At the conclusion of this webinar attendees will be able to (1) identify the four symptom clusters of PTSD, (2) summarize the key points of the 2017 VA/DoD Clinical Practice Guideline (CPG) for PTSD, (3)identify at least three evidence based treatments for PTSD, and (4) identify at least three National Center for PTSD resources and educational products. 

• VA Staff register in TMS (ID 37421)
• Community providers register in VHA TRAIN , (ID 1082571)

Go to the VHA Community Care Provider Education & Training  Resources web page for a full listing of upcoming webinars and links to recordings of past webinars.