Within this page, you will find Industry Perspective blogs written by the UCA Corporate Support Partners (CSP); Insights from UCA Chief Executive Officer Lou Ellen Horwitz; Practice Management blogs to help you better manage center operations; and bonus UCA education in Educational Insights.


PRACTICE MANAGEMENT: Urgent Care Providers Can Now Treat Veterans under New VA Benefit

Posted: Jun 27, 2019
Comments: 0
Author: UCA Admin

(Content provided by TriWest Healthcare Alliance Provider Education)

The Department of Veterans Affairs (VA) began offering urgent care and retail walk-in services to eligible Veterans on June 6, 2019, as part of the VA MISSION Act.

The benefit, which is the first of its kind from VA, is open access, allowing Veterans to receive urgent care within VA’s community care network without prior authorization. Urgent care providers and retail location clinics must first join the TriWest Healthcare Alliance provider network before treating Veterans under this benefit. To join the TriWest network of urgent care providers, email TriWest at triwesturgentcare@constantiahc.com.  


Learn More, Take the Training

TriWest has developed a free, live webinar on this new benefit. The webinar offers urgent care providers a better understanding of the program. Whether you are considering joining the network, or have already joined, this training will help you better understand VA urgent care processes.


Follow these steps to register for the webinar:

  1. Visit Availity at www.availity.com.
  2. Navigate to the TriWest Payer Space.
  3. Click on the TriWest Learning Center application.
  4. Sign up for the Urgent Care webinar at the time of your choice.


VA Urgent Care Benefit Overview

Below is an overview of the process and key points for this new Veteran benefit:

  • In order to treat Veterans, providers must be in the TriWest provider network.
  • Network urgent care providers and retail walk-in clinics may treat eligible Veterans without prior authorization from VA.
  • Before treatment, providers must first confirm a Veteran’s eligibility through a call-in number at TriWest.
  • VA requires providers to send medical documentation to the Veteran’s home VA Medical Center within 30 days of treatment.
  • Providers should send claims to WPS Military and Veterans Health (WPS MVH), TriWest’s claims processor, within 30 days of rendering care. TriWest is the payer on all claims.


Remember, for more specific details on the urgent care process, including billing and medical documentation, sign up for the TriWest Urgent Care webinar on Availity at www.availity.com. UCA members can also access a free pre-recorded webinar regarding enrollment, reimbursement, and other issues here.


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