How the end of the Public Health Emergency impacts VA care and services

St. Cloud VA Healthcare System Update
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How the end of the Public Health Emergency impacts VA care and services

 

With the ending of the COVID-19 Public Health Emergency (PHE) on May 11, 2023, some of VA’s pandemic-related authorities will expire as well.  Here is an overview of how the end of the PHE will impact VA care and services:

Return to in-person visits for Veteran Family Caregivers

During the pandemic, VA relaxed requirements for in-person visits associated with VA’s Program of Comprehensive Assistance for Family Caregivers (PCAFC) and instead conducted most of those visits virtually. These visits included initial home-care assessments, home care reassessments, and wellness contacts. This flexibility will end on May 11, 2023. In-person visits have already resumed for most Veterans and family caregivers applying for or participating in PCAFC who require in-home visits.

Expanded use of VA Video Connect for telehealth

Following expiration of the PHE, the Department of Health and Human Services will resume enforcement of HIPAA Rules regarding telehealth. VA will therefore limit the telehealth platforms that can be used by Veterans for scheduled video visits with VA health care professionals. Veterans will still, however, be able to access telehealth using VA Video Connect, the primary video platform authorized for scheduled video telehealth visits. Webex will be authorized as an alternative platform for scheduled video telehealth visits under specified circumstances such as when VA Video Connect is unavailable.

Continuation of telemedicine prescriptions for controlled medications

During the public health emergency, VA clinicians have been able to prescribe controlled medicines to Veterans following a telehealth examination without first having an in-person examination. Drug Enforcement Administration (DEA) and Substance Abuse and Mental Health Services Administration (SAMHSA) have announced a temporary rule that will extend the current PHE related flexibilities for prescribing controlled medications, so VA’s prescribing flexibility will not expire when the public health emergency ends. Additionally, DEA, in concert with Health and Human serves (HHS) and in coordination with the VA, has proposed rules for telemedicine flexibilities beyond the declared public health emergency.

Impact on Veterans experiencing homelessness

During the PHE, Veterans experiencing homelessness and those participating in HUD-VASH could receive additional direct support from VA – including assistance needed for the safety and survival of the Veteran (such as food, shelter, clothing, blankets, and hygiene items), transportation needed to support the stability and health of the Veteran (such as for appointments with service providers, conducting housing searches, and obtaining food and supplies), communications equipment and services needed to support the stability and health of the Veteran (such as tablets, smartphones, disposable phones, and related service plans), and more. After May 11, 2023, Veterans will no longer be able to receive this type of direct support under this authority. Congress has proposed legislation that would authorize VA to continue providing the assistance described above after the end of the PHE, but for now, we are taking all possible steps to make this transition as smooth as possible for Veterans experiencing homelessness – including offering support through our Supportive Services for Veterans Families program, local Centers for Development and Civic Engagement (formerly Voluntary Service), and community partners.

Reinstatement of pre-pandemic deadlines for VA travel reimbursement

Under the PHE, VA extended the deadline for Veterans and caregivers to apply for travel reimbursement for mileage and other travel expenses to and from approved health care appointments – meaning that Veterans could apply for these benefits beyond the normal 30-day window. This flexibility will end on June 9, 2023. After that date, Veterans submitting a claim for travel reimbursement will have to submit it within 30 days of their VA medical appointment. Veterans will also be required to submit beneficiary travel appeals within 365 days.

Removal of VA’s legal authority to provide COVID-19 vaccinations to spouses, caregivers and Veterans not enrolled in VA health care

During the PHE, VA was authorized to provide COVID-19 vaccinations to spouses, caregivers and Veterans who are not enrolled in the VA health care system. Following the expiration of the PHE on May 11, 2023, VA will no longer have this legal authority. Spouses, caregivers, and Veterans not eligible for VA health care are encouraged to remain up to date with recommended vaccines and access COVID-19 vaccination in the community: https://www.vaccines.gov/