Veterans Community Care Program: VA should strengthen its ability to identify ineligible health care providers : report to congressional requesters

Veterans Community Care Program: VA should strengthen its ability to identify ineligible health care providers : report to congressional requesters

Collection:
Health Policy and Services Research
Alternate Title(s):
VA should strengthen its ability to identify ineligible health care providers: report to congressional requesters
Contributor(s):
United States. Government Accountability Office, issuing body.
United States. Congress, issuing body.
Publication:
Washington, DC : United States Government Accountability Office, March 11, 2022
Language(s):
English
Format:
Text
Subject(s):
Clinical Competence -- legislation & jurisprudence
Contract Services -- standards
Credentialing -- standards
Government Regulation
Quality of Health Care -- legislation & jurisprudence
Veterans Health Services -- standards
United States
United States. Department of Veterans Affairs
Genre(s):
Technical Report
Abstract:
Why GAO did this study. The VHA allows eligible veterans to receive care from community providers through VA’s VCCP when veterans face challenges accessing care at VA medical facilities. VHA is responsible for ensuring VCCP providers are qualified and competent to provide safe care to veterans based on the eligibility requirements and restrictions. GAO was asked to examine the extent to which vulnerabilities in VCCP provider eligibility controls contributed to potentially ineligible providers participating in the program. GAO reviewed VHA and contractor standard operating procedures, policies, and guidance. GAO also interviewed knowledgeable officials. To identify potentially ineligible providers, GAO compared data from VHA’s Office of Community Care to data sources related to actions that may exclude providers from participating in the VCCP. What GAO Recommends. GAO is making ten recommendations to VA, including that VA enhance existing controls, consistently implement controls as described in standard operating procedures, and assess the fraud risk of invalid provider address data. VA generally agreed with GAO’s ten recommendations.
Copyright:
The National Library of Medicine believes this item to be in the public domain. (More information)
Extent:
1 online resource (1 PDF file (ii, 59 pages))
Illustrations:
Illustrations
NLM Unique ID:
9918434584706676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918434584706676