Common use of Treating DVA Facility Clause in Contracts

Treating DVA Facility. (a) DVA facilities will assist MTFs in selecting the most appropriate participating DVA facility (listed in Appendix B) to provide treatment to prospective ADSMs under this MOA. Consideration shall be given to selecting a DVA facility closest to the ADSM’s home of record or other location requested by the ADSM (guardian, conservator, or designee), subject to availability of beds at the facility and approval by TMA. If the preferred/approved DVA facility is unable to accept the patient, DoD, in coordination with DVA, will assist in locating an appropriate DVA facility for placement of the patient. (b) Upon being identified by a responsible MTF, the identified DVA facility will review patient medical record documentation submitted by the responsible MTF to decide whether to accept the patient for the indicated inpatient or outpatient treatment within the scope of this MOA. Typically, transfers from MTF inpatient treatment to DVA inpatient treatment will involve direct telephone contact between the responsible MTF physician and the accepting DVA physician. Upon receipt of medical records, the DVA facility will respond within three business days with either a request for more information or an acceptance or denial decision. (c) Upon request. the selected DVA facility will provide patient status information to the assignedresponsible MTF in order to assist that MTF with the preparation of the request for preauthorization for submission to TMA. DoD/DVA MOU Page 5Polytrauma, SCI, TBI, and Blindness (d) Clinical case management of ADSMs under the MOA will remain the responsibility of the responsible MTF and the DVA facility. Upon receipt of a preauthorization. the DVA case manager will accept current clinical information along with the case management plan of care and discharge plan from the responsible DoD) MTF case manager. DoD MTF case managers will update the appropriate patient tracking application(s) and forward necessary information to the DVA case manager. (e) Upon receipt of a preauthorization, the responsible MTF and the accepting DVA facility will coordinate transfer of care for the patient from DoD treatment to DVA treatment along with an agreed upon date and time of transfer. Appendix A lists the criteria for the transfer of patients and the instances in which patients are not to be transferred. In the case of emergent transfers, DVA facilities will accept inpatient transfers without regard to hour of the day, day of the week, or holidays. All non- emergent or routine inpatient transfers must be transferred within the duty day and time frame coordinated with the treating DVA facility. At MTFs where DVA staff is assigned, the DVA Liaison for Health Care will assist with the transfer of care. If the ADSM is receiving treatment in a civilian facility, the DVA facility will participate in coordinating the transfer with the civilian provider along with the MTF as appropriate. (f) The accepting DVA staff physician will review military transportation arrangements and make recommendations as appropriate. XXX will assist responsible MTFs and GPMRC in coordinating the medically indicated mode of transportation. If the responsible MTF (in coordination with GPMRC) cannot arrange ground transportation from the airfield to the DVA facility, the receiving DVA facility shall obtain appropriate local transportation and will be reimbursed by DoD for costs incurred by DVA. (g) The treating DVA facility is responsible for completing and submitting requests for continued treatment authorization to TMA. Requirements for the authorization request are specified in AppendixA. If a request for outpatient, transitional rehabilitation setting, or other treatment immediately follows discharge from inpatient treatment tinder this MOA, it shall be considered to be a request for continued treatment and the treating DVA facility is responsible for submitting the request for authorization. if care is to be continued outside of DVA. DVA may assist in finding an acceptable provider if necessary to provide a smooth transition from DVA care setting. (h) When ADSMs are a direct admission, the treating DVA facility will notify TMA Military Medical Support Office (MMSO) immediately upon admission of an ADSM to a DVA facility under this MOA. XXX will assign a case manager to coordinate the full continuum of services for the ADSM. The DVA case manager will provide the TMA MMSO case manager periodic updates, no less than once a month, depending on the acuity or complexity of the case, until the medical determination or the medical board process is complete or the ADSM patient is discharged and returned to an MTF or other military control. This continued coordination is necessary to aid in communication to the DoD PCM, command, other program managers, and medical board personnel. (i) The treating DVA facility will coordinate the hospital discharge of an ADSM with the appropriate MTF and TMA and provide a discharge plan as outlined in Appendix A. (j) DVA will provide sufficient medical information and documentation for the designated MTF to conduct a medical board for a disability determination. (k) The treating DVA facility will notify the responsible MTF of any ADSMs’ absences, while coordinating potential medical discharge, and/or change of location. (l) Prior to discharge. the treating DVA facility will notify the responsible MTF of the patient’s pending discharge so that the responsible MTF may assist the patient with TRICARE Prime portability enrollments in the region or his/her next or final destination, if desired.

Treating DVA Facility. (a) DVA facilities will assist MTFs in selecting the most appropriate participating DVA facility (listed in Appendix B) to provide treatment to prospective ADSMs under this MOA. Consideration shall be given to selecting a DVA facility closest to the ADSM’s home of record or other location requested by the ADSM (guardian, conservator, or designee), subject to availability of beds at the facility and approval by TMA. If the preferred/approved DVA facility is unable to accept the patient, DoD, in coordination with DVA, will assist in locating an appropriate DVA facility for placement of the patient. (b) Upon being identified by a responsible MTF, the identified DVA facility will review patient medical record documentation submitted by the responsible MTF to decide whether to accept the patient for the indicated inpatient or outpatient treatment within the scope of this MOA. Typically, transfers from MTF inpatient treatment to DVA inpatient treatment will involve direct telephone contact between the responsible MTF physician and the accepting DVA physician. Upon receipt of medical records, the DVA facility will respond within three business days with either a request for more information or an acceptance or denial decision. (c) Upon request. the selected DVA facility will provide patient status information to the assignedresponsible assigned responsible MTF in order to assist that MTF with the preparation of the request for preauthorization for submission to TMA. DoD/DVA MOU Page 5Polytrauma5 Polytrauma, SCI, TBI, and Blindness (d) Clinical case management of ADSMs under the MOA will remain the responsibility of the responsible MTF and the DVA facility. Upon receipt of a preauthorization. the DVA case manager will accept current clinical information along with the case management plan of care and discharge plan from the responsible DoD) MTF case manager. DoD MTF case managers will update the appropriate patient tracking application(s) and forward necessary information to the DVA case manager. (e) Upon receipt of a preauthorization, the responsible MTF and the accepting DVA facility will coordinate transfer of care for the patient from DoD treatment to DVA treatment along with an agreed upon date and time of transfer. Appendix A lists the criteria for the transfer of patients and the instances in which patients are not to be transferred. In the case of emergent transfers, DVA facilities will accept inpatient transfers without regard to hour of the day, day of the week, or holidays. All non- non-emergent or routine inpatient transfers must be transferred within the duty day and time frame coordinated with the treating DVA facility. At MTFs where DVA staff is assigned, the DVA Liaison for Health Care will assist with the transfer of care. If the ADSM is receiving treatment in a civilian facility, the DVA facility will participate in coordinating the transfer with the civilian provider along with the MTF as appropriate. (f) The accepting DVA staff physician will review military transportation arrangements and make recommendations as appropriate. XXX will assist responsible MTFs and GPMRC in coordinating the medically indicated mode of transportation. If the responsible MTF (in coordination with GPMRC) cannot arrange ground transportation from the airfield to the DVA facility, the receiving DVA facility shall obtain appropriate local transportation and will be reimbursed by DoD for costs incurred by DVA. (g) The treating DVA facility is responsible for completing and submitting requests for continued treatment authorization to TMA. Requirements for the authorization request are specified in AppendixA. Appendix A. If a request for outpatient, transitional rehabilitation setting, or other treatment immediately follows discharge from inpatient treatment tinder this MOA, it shall be considered to be a request for continued treatment and the treating DVA facility is responsible for submitting the request for authorization. if care is to be continued outside of DVA. DVA may assist in finding an acceptable provider if necessary to provide a smooth transition from DVA care setting. (h) When ADSMs are a direct admission, the treating DVA facility will notify TMA Military Medical Support Office (MMSO) immediately upon admission of an ADSM to a DVA facility under this MOA. XXX will assign a case manager to coordinate the full continuum of services for the ADSM. The DVA case manager will provide the TMA MMSO case manager periodic updates, no less than once a month, depending on the acuity or complexity of the case, until the medical determination or the medical board process is complete or the ADSM patient is discharged and returned to an MTF or other military control. This continued coordination is necessary to aid in communication to the DoD PCM, command, other program managers, and medical board personnel. (i) The treating DVA facility will coordinate the hospital discharge of an ADSM with the appropriate MTF and TMA and provide a discharge plan as outlined in Appendix A.A. MEMORANDUM OF AGREEMENT (MOA) BETWEEN DEPARTMENT OF VETERANS AFFAIRS (DVA) AND DEPARTMENT OF DEFENSE (DOD) FOR MEDICAL TREATMENT PROVIDED TO ACTIVE DUTY SERVICE MEMBERS (ADSMS) WITH SPINAL CORD INJURY (SCI), TRAUMATIC BRAIN INJURY (TBI), BLINDNESS, OR POLYTRAUMATIC INJURIES (j) DVA will provide sufficient medical information and documentation for the designated MTF to conduct a medical board for a disability determination. (k) The treating DVA facility will notify the responsible MTF of any ADSMs’ absences, while coordinating potential medical discharge, and/or change of location. (l) Prior to discharge. the treating DVA facility will notify the responsible MTF of the patient’s pending discharge so that the responsible MTF may assist the patient with TRICARE Prime portability enrollments in the region or his/her next or final destination, if desired.