The Department of Veterans Affairs (VA) has announced that precertification is no longer required for Community Care Network (CCN) providers before providing authorized care for Veterans.
Key Points
- VA no longer requires or enforces precertification notifications for CCN providers before providing authorized care for Veterans.
- The VA Precertification Portal (VAPP) is being taken offline and will no longer accept precertification submissions.
- Precertification paper forms are no longer required or accepted by VA.
- This change will not impact claims processing or payment.
- Providers should continue delivering care in accordance with existing VA authorizations and Standard Episodes of Care (SEOCs).
- VA and Optum are updating materials, guidelines, and resources to remove references to precertification requirements.
Frequently Asked Questions
Is precertification still required?
No. VA has confirmed that precertification is no longer required for CCN providers.
Can providers still submit notifications through VAPP?
No. VAPP is being taken offline and will no longer accept submissions.
Will this impact claims?
No. VA has indicated that this change will have no impact on claims processing or payment.
Can providers continue providing care?
Yes. Providers should continue rendering services in accordance with existing VA authorizations and SEOCs.
Do providers still need to follow the Request for Service (RFS) process?
Yes. An RFS is still required when:
- Requesting additional visits or time beyond what is authorized in an active referral, including when an authorization is nearing expiration.
- Requesting a new specialty service referral.
- Requesting an additional procedure or service that was not included in the original SEOC.
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