Common use of Retroactive Treatment Authorization Requirements Clause in Contracts

Retroactive Treatment Authorization Requirements. If a Service member is admitted to DVA health care without an authorization, or if the patient was seen without knowledge of a TBI, SCI, or blindness condition or assessment need, DVA facilities will request retro-active authorizations from TMA DHA-GL. If the patient is still an inpatient at the DVA facility, DHA-GL will issue the authorization retro-active to the date the admission occurred. if the patient has been discharged from inpatient care, DVA facilities will bill the contractor for‌ the care, and the SASs at DHA-GL will review the request. DoD/DVA MOU - APPENDIX A POLYTRAUMA, SCI, TBI, AND BLINDNESS f.‌ Case Management Additionally, care coordination support services will be provided by TMA in collaboration with the responsible MTF, and the treating DVA facility as a joint collaboration appropriate to each individual Service member’s case. Evaluation for case management under this MOA may involve case management initiatives of the DoD and the DVA for wounded, ill, and injured Service members.‌ If these patients meet the criteria, DVA Case Managers will notify the Federal Recovery Coordinators of their admission to a DVA facility.‌ g.‌ Inpatient Discharge Planning Patients identified for discharge will need an appropriate treatment plan for outpatient care.‌ h.‌ Home Supplies and Durable Medical Equipment (DME) (1) ‌ The treating DVA facility will provide clinical information to the military provider for purposes of MTF completion of MEB forms and provide the clinical information to that MTF for the board. (2)‌ It is recognized that the DoD and the DVA are working collaboratively to update and improve the DES. Individuals shall not be excluded from any of these initiatives simply because they are receiving services under this MOA.