eligibility and enrollment charlie matthies april 14, 2014

19
ELIGIBILITY AND ELIGIBILITY AND ENROLLMENT ENROLLMENT Charlie Matthies Charlie Matthies April 14, 2014 April 14, 2014

Upload: alannah-francis

Post on 27-Dec-2015

214 views

Category:

Documents


1 download

TRANSCRIPT

ELIGIBILITY AND ELIGIBILITY AND ENROLLMENTENROLLMENT

Charlie MatthiesCharlie MatthiesApril 14, 2014April 14, 2014

Enrollment RequirementsEnrollment Requirements VA Form 10-10EZVA Form 10-10EZ DD Form 214DD Form 214

• Active Duty served minimum 2 years Active Duty served minimum 2 years after September 7, 1980.after September 7, 1980.

• Reserves or National Guard: need Reserves or National Guard: need

Presidential USC Title 10 deployment or Presidential USC Title 10 deployment or Executive Order. Executive Order.

Character of DischargeCharacter of Discharge

Types of DischargeTypes of Discharge• HonorableHonorable• GeneralGeneral• Other Than HonorableOther Than Honorable

Upgrade on DD Form 215Upgrade on DD Form 215 Approval from Regional Office (RO)Approval from Regional Office (RO)

Enrollment ProcessEnrollment Process

Receive / verify applicationReceive / verify application Enroll veteran into VISTA / Enrollment Enroll veteran into VISTA / Enrollment

System (ES)System (ES) Fax any info to HEC, if applicableFax any info to HEC, if applicable Wait 3 daysWait 3 days Send letterSend letter Currently Currently 44,00044,000 veterans actively veterans actively

using MT VA Healthcare system.using MT VA Healthcare system.

Common Errors on Common Errors on SubmissionSubmission

Incorrect or No DD 214 Incorrect or No DD 214 • Need DD214 Member 4 copyNeed DD214 Member 4 copy

Member did not sign 10-10 EZ/EZRMember did not sign 10-10 EZ/EZR

Member did not provide financial Member did not provide financial income on applicationincome on application

Basic Veteran StatusBasic Veteran Status

Nonservice ConnectedNonservice Connected Service ConnectedService Connected Non-VeteranNon-Veteran

Combat VeteranCombat Veteran

Served on active duty in theater of Served on active duty in theater of combat operation after Persian Gulf combat operation after Persian Gulf WarWar

In combat against hostile force In combat against hostile force during a period of hostiles after during a period of hostiles after November 11, 1998November 11, 1998

Priority GroupsPriority Groups

Priority Group 1, 2 - SCPriority Group 1, 2 - SC Priority Group 3 - POW/PH/M of H/SCPriority Group 3 - POW/PH/M of H/SC Priority Group 4 Aid & AttendancePriority Group 4 Aid & Attendance Priority Group 5 Income InfoPriority Group 5 Income Info Priority Group 6 Combat VeteranPriority Group 6 Combat Veteran Priority Group 7 and 8 Net WorthPriority Group 7 and 8 Net Worth Priority Group 8E and 8GPriority Group 8E and 8G

Camp LeJeuneCamp LeJeune Camp LeJeune Act: August 6, 2012Camp LeJeune Act: August 6, 2012

• Served in Camp LeJune, NC between Served in Camp LeJune, NC between 1/1/1957 – 12/31/1987.1/1/1957 – 12/31/1987.

• 15 Illnesses: can file for service 15 Illnesses: can file for service connection.connection.

• Must register all veterans and family Must register all veterans and family members.members.

• VBA Handbook says PG 6, but actually VBA Handbook says PG 6, but actually enrolled as PG 8c.enrolled as PG 8c.

DentalDental

Class I – Class I – SC 10% under 9900 series.SC 10% under 9900 series. Class II – Class II – No dental services provided No dental services provided

within 90 days of separation; 1 time care, within 90 days of separation; 1 time care, must apply within 180 days of separation.must apply within 180 days of separation.

Class IIA – Class IIA – service connected disability service connected disability that involve tooth/teeth.that involve tooth/teeth.

Class IIC – POWs: Class IIC – POWs: unlimited dental care.unlimited dental care.

Dental ContinuesDental Continues

Class III – Class III – Veterans with dental condition Veterans with dental condition determined by VA dentist.determined by VA dentist.

Class IV – Class IV – SC 100% P&T or 60% with SC 100% P&T or 60% with Umeployability; unlimited dental care.Umeployability; unlimited dental care.

Class V – Class V – Vocational Rehab.Vocational Rehab. Class VI – Class VI – scheduled admission or scheduled admission or

outpatient care that may complicate the outpatient care that may complicate the medical condition.medical condition.

VHICVHIC Veterans Healthcare Identification Veterans Healthcare Identification

Card (VHIC)Card (VHIC) Production started around the end of Production started around the end of

February 2014 February 2014 Final Card: Long bar code without Final Card: Long bar code without

SSN SSN

VHIC ContinuesVHIC Continues

ID card can come with branch of ID card can come with branch of serviceservice

Need 2 forms of IDNeed 2 forms of ID ID card is scheduled to work with the ID card is scheduled to work with the

new Kiosknew Kiosk

KioskKiosk A tool to help reduce the burden on A tool to help reduce the burden on

VA staff, improve clinic workflow and VA staff, improve clinic workflow and increase customer satisfaction.increase customer satisfaction.

• Reduce check-in wait times.Reduce check-in wait times.• Check-in electronically.Check-in electronically.• View future appointments.View future appointments.• Manage VA Healthcare file.Manage VA Healthcare file.• Apply for beneficiary travel.Apply for beneficiary travel.

Travel PayTravel Pay

Priority Groups 1 & 2 Priority Groups 1 & 2 Treatment for SC condition Treatment for SC condition Veteran receiving VA PensionVeteran receiving VA Pension Veteran scheduled for C&P ExamVeteran scheduled for C&P Exam Veteran income doesn’t exceed VA Veteran income doesn’t exceed VA

pension ratepension rate

Travel PayTravel Pay

Mileage RatesMileage Rates• $0.415 per mile$0.415 per mile

30 days from date of appointment to 30 days from date of appointment to request travel payrequest travel pay

Deductible Deductible FY2013 VAMC Fort Harrison paid out FY2013 VAMC Fort Harrison paid out

7.5 million dollars.7.5 million dollars.

Travel Pay – Big ChangesTravel Pay – Big Changes Cash – at VAMC only.Cash – at VAMC only.

Direct DepositDirect Deposit• Using same bank accounts as VBA.Using same bank accounts as VBA.• Arrive within 10 business days.Arrive within 10 business days.• Check accounts before calling.Check accounts before calling.

Debit CardsDebit Cards• On hold – waiting on equipment.On hold – waiting on equipment.

Lodging CriteriaLodging Criteria

Must be enrolled in VA Healthcare. Must be enrolled in VA Healthcare. Must have appointment before 9 Must have appointment before 9

a.m. or last appointment of the day.a.m. or last appointment of the day. Live greater than 125 miles.Live greater than 125 miles. FY2014 VAMC Fort Harrison paid out FY2014 VAMC Fort Harrison paid out

$462,698.00 in lodging.$462,698.00 in lodging.

Any Questions ??Any Questions ??