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Veterans Health Administration Jeffrey S. Pearson Program Manager, Rural Health Initiative Veterans Health Administration Jeffrey S. Pearson Program Manager, Rural Health Initiative

Today’s Presentation • Components of the VA • Affordable Care Act and the VA Today’s Presentation • Components of the VA • Affordable Care Act and the VA • Veteran Health Care Eligibility • Hampton VAMC • Health Care Enrollment • Resources VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 2

Department of Veterans Affairs Mission “…to care for him who shall have borne the Department of Veterans Affairs Mission “…to care for him who shall have borne the battle and for his widow and orphan…” - Abraham Lincoln, 1865 Photo by Jeff Kubina VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 3

Roles of the three components of the VA • Veterans Benefits Administration – All Roles of the three components of the VA • Veterans Benefits Administration – All VA benefits - Compensation, Education, Home Loan Guaranty, etc. – Administered by VA Regional Offices • Veterans Health Administration – All VA health care services – Administered by VA Medical Centers, Ambulatory Care & Community Based Outpatient Clinics, etc. • National Cemetery Administration – National and State Veterans Cemeteries – Headstones & Markers – Presidential Memorial Certificates VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 4

Veterans Health Administration Mission Honor America’s Veterans Provide Exceptional Health Care Improve Health and Veterans Health Administration Mission Honor America’s Veterans Provide Exceptional Health Care Improve Health and Well-being VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 5

VHA is the Largest Integrated Health Care System in the United States 151 Hospitals VHA is the Largest Integrated Health Care System in the United States 151 Hospitals 995 Outpatient Clinics (Hospitals, Community, Independent and Mobile ) 135 Community Living Centers 300 Readjustment Counseling Centers Vet Centers 103 Domiciliary Resident Rehabilitation Treatment Programs VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 6

Affordable Care Act and VA • Since the Affordable Care Act’s (ACA) enactment, VA Affordable Care Act and VA • Since the Affordable Care Act’s (ACA) enactment, VA has been proactive in working to understand the law’s impact on Veterans, other beneficiaries, and VA’s health care system and in preparing for implementation of the law. • The most significant provisions of the ACA are the individual mandate requirement, which requires most individuals to have health insurance coverage and the Medicaid expansion provision, which expands Medicaid eligibility to up to 138% of the Federal Poverty Level. • The individual mandate is a provision that requires all individuals to have minimum essential insurance coverage or face a tax penalty. • Enrollment in VA health care, CHAMPVA or Spina Bifida programs meet the minimum essential coverage requirement. • Veterans or other beneficiaries currently enrolled in VA health care do not have to take any additional steps to comply with the health insurance requirement outlined in ACA. Veterans and other eligible beneficiaries not currently enrolled in VA health care can apply for enrollment at any time. • VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 7

Eligibility for VHA Healthcare • Eligibility for VHA health care services depends on a Eligibility for VHA Healthcare • Eligibility for VHA health care services depends on a number of qualifying factors, including: – The nature of a veteran’s discharge from military service • Located on DD-214 – Length of service • After 9/7/80: Veteran has 24 months of continuous service – VA adjudicated disabilities or “service-connected disabilities” – Special Program Eligibility – Income level • Based of geographical area. • Approximately $30 single or $36 k with Dependent – Available VA resources • Based on priority grouping (defined on next slide) http: //www. va. gov/healthbenefits/access/ VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 8

Hampton VA Medical Center Marty Chick-Ebey 100 Emancipation Drive Hampton VA 23667 757 -722 Hampton VA Medical Center Marty Chick-Ebey 100 Emancipation Drive Hampton VA 23667 757 -722 -9961 Albemarle Primary Outpatient Clinic 1845 West City Drive Elizabeth City NC 27909 757 -722 -9961 Ex 4801 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 9 Virginia Beach CBOC 244 Clearfield Ave Virginia Beach VA 23462 757 -722 -9961 Ex 1900

Veteran Crisis Line • • Connect with a qualified, caring VA responder Open 24 Veteran Crisis Line • • Connect with a qualified, caring VA responder Open 24 hours a day, 7 days a week, 365 days a year Connect by phone 1 -800 -237 -8255 press 1 Chat online Text 838255 Confidential support Can be used by Active Duty, Reserve, Guard, Veteran and family/friends/loved ones http: //www. veteranscrisisline. net/ VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 10

Homeless Veterans Marty Chick-Ebey Hampton VAMC Homeless Veteran Outreach Coordinator 757 -722 -9961 Ex Homeless Veterans Marty Chick-Ebey Hampton VAMC Homeless Veteran Outreach Coordinator 757 -722 -9961 Ex 1285 Va. gov/homeless VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 11

Myhealthevet and Blue Button Changing “Point-of-Care” VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH Myhealthevet and Blue Button Changing “Point-of-Care” VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 12

Myhealthevet and Blue Button SECURE MESSAGING My Healthe. Vet Coordinator Gregory G Smith Sr, Myhealthevet and Blue Button SECURE MESSAGING My Healthe. Vet Coordinator Gregory G Smith Sr, MHSA Hampton VA Medical Center (757)722 -9961 Ex 4968 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 13

Geriatrics and Extended Care • Home and Community Based Services Ø Adult Day Health Geriatrics and Extended Care • Home and Community Based Services Ø Adult Day Health Care Ø Hospice and Palliative Care Ø Skilled Home Health Care Ø Home Based Primary Care Ø Program of All Inclusive Care of the Elderly (PACE) Ø Telehealth Care Ø Homemaker and Home Health Aide Care Ø Respite Care Ø Veteran-Directed Care Administrative Officer Pamela Taylor Hampton VA Medical Center (757)722 -9961 Ex 3634 www. va. gov/geriatrics VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 14

Geriatrics and Extended Care • Nursing Home and Residential Settings Ø Adult Family Homes Geriatrics and Extended Care • Nursing Home and Residential Settings Ø Adult Family Homes Ø Assisted Living Ø Community Nursing Homes Ø Medical Foster Homes Ø State Veterans Homes Ø Community Living Centers Administrative Officer Pamela Taylor Hampton VA Medical Center (757)722 -9961 Ex 3634 www. va. gov/geriatrics VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 15

Caregiver Support • Who is a Caregiver. – Someone who provides personal care services Caregiver Support • Who is a Caregiver. – Someone who provides personal care services for a Veteran. Ø Adult Day Health Care Centers Ø Home Based Prime Care Ø Skilled Home Care Ø Homemaker and Home Health Aide Ø Home Tele-health Ø Respite Care Ø Home Hospice Caregiver Support Program Coordinator Sonja Poiter-Hickman, LCSW Hampton VA Medical Center (757)722 -9961 X 4985 or 3060 Support Line 1 -855 -260 -3274 www. caregiver. va. gov VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 16

Home Based Primary Care • Home Based Primary Care is health care services provided Home Based Primary Care • Home Based Primary Care is health care services provided to Veterans in their home. Ø Primary Care; Dr. , NP, or PA Ø Care Management; NP, PA or Ø Coordination of care; Social RN Worker Ø Therapy; Physical, Occupational or Speech Ø Mental Health Services Ø Nutrition Counseling; Dietitian Ø Manage Medication Home Based Primary Care Hampton VA Medical Center (757)722 -9961 Ex 3612 or 3644 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 17

How to Enroll in VA Health Care • Online – Complete VA Form 10 How to Enroll in VA Health Care • Online – Complete VA Form 10 -10 EZ, Application for Health Benefits online. – VA has produced an instructional video for the on-line VA Form 10 -10 EZ, Application for Health Benefits. The video is accessible via an official VA You. Tube channel www. youtube. com/user/Veterans. Health. Admin. • In Person – Complete the "Application for Health Benefits" at your local VA. – Find a VA at http: //www. va. gov Location tab • Telephone – 877 -222 -VETS (8387) • Mail – Complete and print 1010 EZ or 1010 EZR – Health Eligibility Center 2957 Clairmont Road, Suite 200 Atlanta, GA 30329 -1647 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 18

Help with Enrolling • You may use ANY of the following to request assistance: Help with Enrolling • You may use ANY of the following to request assistance: – Ask VA to help you fill out the form by calling us at 1 -877 -222 -VETS (8387). – Access VA's website at http: //www. va. gov and select "Contact the VA. " – Contact the Enrollment Coordinator at your local VA health care facility. 757 -722 -9961 – Contact a National or State Veterans Service Organization. • State Veteran office (VSO) – http: //www. va. gov/statedva. htm • Disabled America Veterans (DAV) • Veterans of Foreign Wars (VFW) • American Legion (AL) – http: //www. va. gov/vso/ VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 19

To those who served Thank you for your service. To those who served Thank you for your service.

Questions? Contact Information For additional information, please contact: Jeffrey Pearson Rural Health Integrator Jeffrey. Questions? Contact Information For additional information, please contact: Jeffrey Pearson Rural Health Integrator Jeffrey. pearson [email protected] gov (757) 722 -9961 ex 7741 (office) (757) 344 -9501 (Mobile) • Hampton VAMC • Mail Stop RHI 171 100 Emancipation Drive Hampton, VA 23667 VETERANS HEALTH ADMINISTRATION (VHA) OFFICE OF RURAL HEALTH (ORH) - 21