New emergency care notification process - VA Portland Health Care System
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VA Portland Health Care System

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New emergency care notification process

New emergency care notification process; what Veterams need to know; VA Seal, red cross image

VA Portland adopted this new centralized emergency care notification process in June 2020 as an enhancement to the existing emergency care notification process.

By VAPORHCS
Wednesday, June 24, 2020

VA Portland VA Health Care System (VAPORHCS) has adopted the new Centralized Authorized Emergency Care (CAEC) notification process.

This new process was introduced across the Veterans Health Administration (VHA) in early June as an enhancement to the existing emergency care notification process described in 38 CFR § 17.4020 – Authorized non-VA Care. This new notification process will centralize and standardize notifications and review for emergency care for Veterans enrolled in one of VAPORHCS’s many facilities across Oregon and SW Washington.

Under 38 CFR § 17.4020, the VA can authorize emergency treatment for an eligible Veteran when the following criteria are met:

  1. When a VA Emergency Room (ER) is not feasibly available;
  2. When care or services received were for the treatment of a medical emergency of such nature that a prudent layperson would reasonably expect delay in seeking immediate medical attention would be hazardous to life or health;
  3. When seen by an in-network community hospital;
  4. When the VA is notified within 72 hours of the beginning of emergency treatment;

Veterans, community-based, non-VA hospitals, their family or friends must email VHAEmergencyNotification@va.gov, or call 1-844-72HRVHA (844-724-7842) within 72 hours from the start of a Veterans ER visit or emergent hospital stay.

In a situation where the VHA does not receive notification within 72 hours, an eligible Veteran may still receive coverage of their community ER or hospital stay under Title 38 U.S.C. §1725 or §1728.

Veterans with questions regarding this change or the VHA emergency care benefit may contact the VAPORHCS Office of Community Care at (360) 759-1674 or visit www.va.gov/communitycare.

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