What is patient centered community care?

What is patient centered community care?

Patient-Centered Community Care (PC3) is a nation-wide network of community providers VA uses to refer Veterans to community care under specific circumstances.

What is the PC3 program?

PC3 is a VA nationwide program to provide eligible Veterans access to certain medical care when the local VA medical facility cannot readily provide the care due to lack of an available specialist, long wait times, geographic inaccessibility, or other factors.

What is the difference between VA CCN and TriWest?

General VA refers Veterans to community providers based on MISSION ACT criteria, which are broader than PC3 criteria. TriWest is the primary customer service contact for Veterans. Customer Service VA is the primary customer service contact for Veterans using CCN.

Is TriWest same as Tricare?

TriWest Healthcare Alliance is owned by a holding company, TriWest Alliance, comprised of not-for-profit health care organizations (including Blue Shield of California) and the university hospital systems located throughout the TRICARE West Region.

Does TriWest cover family members?

TriWest offers vision insurance covering a variety of discounted services to employees and their eligible family members.

Does VA still use TriWest?

TriWest has been serving eligible VA patients with care in the community since 2013.

How do I verify eligibility for TriWest?

For urgent care, providers must be in-network with TriWest and call TriWest at 1-833-4VETNOW (1-833-483-8669) to confirm a Veteran’s eligibility before rendering care. For ER care, VA coordinates directly with the provider and will determine eligibility.

Does TriWest require authorization?

All PC3 services, with the exception of the Urgent Care/Retail Location benefit, and emergency care, require a prior authorization from TriWest Healthcare Alliance to prevent claims denials.

Is TriWest same as TRICARE?