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HNFS' Contract to End Sept. 30, 2018 – July 2018 Updates

Thursday, June 28, 2018

As we move closer to Health Net Federal Services, LLC’s (HNFS’) Patient-Centered Community Care (PCCC) and Veterans Choice Program (VCP) contract end date of Sept. 30, 2018, our priority remains to work closely with the U.S. Department of Veterans Affairs (VA) and our community providers to ensure a smooth transition for those impacted.

Please review the latest updates (updated July 2, 2018):

Care for mileage-eligible veterans to transition to VA
Effective July 3, 2018, VA will assume care coordination for mileage-eligible veterans, also referred to as distance-eligible veterans. HNFS will continue to assist all other VCP-/PCCC-eligible veterans with appointment scheduling for dates through Sept. 30, 2018. Providers and veterans can visit VA’s website, www.vets.gov/facilities, to locate the appropriate phone number to the veteran’s local or assigned VAMC.

Initial authorizations to reflect Sept. 30 end date
We are adjusting existing authorizations that extend beyond the contract expiration date to reflect an end date of Sept. 30, 2018, and will notify impacted providers and veterans. HNFS is unable to authorize services beyond Sept. 30, 2018. 

Requests for additional services to transition to VA
Effective July 3, 2018, HNFS will no longer accept requests for additional services for VCP and PCCC authorizations. All requests must be submitted to the local VA medical center (VAMC). This will provide local VAMCs the opportunity to approve and issue new authorizations, as appropriate, as well as ensure VA can transition complex care in the most efficient way possible. Visit www.vets.gov/facilities to locate the appropriate phone number to the veteran’s local or assigned VAMC. If asked to submit the request in writing, providers can submit their requests to the VAMC via Virtru Pro secure mail or fax. Written requests should include supporting medical documentation to support the request, specify which additional services are being requested and be signed by the requesting provider.

Bundled services authorizations ending
Effective June 25, 2018, HNFS, will no longer issue bundled services authorizations to providers. For any VCP/PCCC authorizations received, please refer to the provider notification packet issued to the initial servicing provider to determine authorization validity dates, approved (and excluded) services, number of visits, and general program guidelines. All bundled services authorizations received prior to June 25, 2018, remain active through their validity dates. 

New contract transition web resource
We’ve added a contract transition page on our website to help you stay up to date with upcoming changes. Visit this page for current transition information.