A task force to help combat health care fraud involving programs intended to help Veterans was announced in October 2019. The U.S. Department of Justice and the Office of Inspector General of the U.S. Department of Veterans Affairs are undertaking a joint effort to focus attention on the increasing harm to the financial viability of its Veterans’ health care programs.
Veterans are entitled to health care services under a program called the Community Care program, which offers fee-for-service care. It allows non-VA health care providers in the Veteran’s community to provide health care services to the Veteran and, in turn, submit claims for payment to the VA. Under this program, Veterans who do not have access to care at a VA facility, may be entitled to care through a nearby community provider (a doctor’s office). To be eligible, the Veteran must meet special eligibility requirements. In addition to this unique program, the VA also provides other health care options for the families of Veterans through programs like the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA).
The authors of this blog are former prosecutors who now represent whistleblowers: Renée Brooker (former Assistant Director for Civil Frauds) email@example.com (202) 288-1295 and Eva Gunasekera (former Senior Counsel for Health Care Fraud) firstname.lastname@example.org