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Reporting And Data

CHAMPVA

Latest Update: March 24, 2021
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Reporting Information

Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a VA Dependent Care benefits program. CHAMPVA covers the cost of health care for the spouse or child of a Veteran who has disabilities or is deceased.

Notes

Any other pertinent information

Claims

The VA encourage beneficiaries to have their provider(s) file claims directly with CHAMPVA.

Dependent Eligibility

Dependents may only be eligible for health care through CHAMPVA if they don’t qualify for TRICARE and at least one of the descriptions listed below is true.

  • The spouse or child of a Veteran who’s been rated permanently and totally disabled for a service-connected disability by a VA regional office, or
  • The surviving spouse or child of a Veteran who died from a VA-rated service-connected disability, or
  • The surviving spouse or child of a Veteran who was at the time of death rated permanently and totally disabled from a service-connected disability, or
  • The surviving spouse or child of a service member who died in the line of duty, not due to misconduct (in most of these cases, family members qualify for TRICARE, not CHAMPVA).

A service-connected disability is a disability that the VA concluded was caused—or made worse—by the Veteran’s active-duty service. A permanent disability is one that’s not expected to improve.

Note: A Veteran who is the qualifying CHAMPVA sponsor for their family may also qualify for the VA health care program based on their own Veteran status. If two spouses are both Veterans who qualify as CHAMPVA sponsors for their family, they both may now qualify for CHAMPVA benefits. Each time they need medical care, they may choose to get care through the VA health care program or using their CHAMPVA coverage.

Resource: https://www.va.gov/COMMUNITYCARE/programs/dependents/champva/index.asp

DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.