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Understanding DVA’s Coordinated Veterans’ Care (CVC) Program

Dec 15, 2024

The Coordinated Veterans’ Care (CVC) Program is a proactive initiative aimed at improving the quality of life for veterans while reducing the risk of unplanned hospitalisations. This program fosters collaboration between the veteran, their general practitioner (GP), and a care coordinator to ensure seamless, person-centred care. Here’s everything you need to know about the CVC Program and how it supports veteran health.

How the CVC Program Works

Within a general practice setting, the program helps participants manage their health through a tailored care plan developed by the GP and care coordinator. The key objectives include:

  • Meeting the veteran’s health needs.
  • Managing ongoing care effectively.

The program also promotes:

  • Health literacy: Equipping veterans with the knowledge to make informed health decisions.
  • Self-management: Encouraging active participation in their health care.
  • Best practice care coordination: Ensuring a person-centred approach for optimal outcomes.

Who Can Participate?

The CVC Program is open to veterans who are at risk of unplanned hospitalisation and meet the following criteria:

  • Veteran Gold Card holders with a chronic health condition.
  • Veteran White Card holders with a chronic DVA-accepted mental health condition. (A DVA-accepted condition is one officially recognised as related to the veteran’s military service.)

Who is Not Eligible?

  • Veteran White Card holders without a DVA-accepted mental health condition. However, these individuals can still access mental health treatment through Non-Liability Health Care.
  • Veterans residing in aged care facilities.

 Tools for Providers: The CVC Toolbox

The CVC Toolbox is an invaluable resource for providers, offering:

  • Eligibility tools to confirm participant qualification.
  • Templates for creating comprehensive care plans for both Gold and White Card holders.
  • A claim calculator for easy payment management.
  • Guidance on when and how to claim.
  • Links to additional health services and an Information Hub with useful resources.

 Claiming Payments

To claim payments under the CVC Program:

  • The GP must be the participant’s usual GP, providing holistic, regular care.
  • The participant must be formally enrolled in the program by the GP.
  • Payments are submitted through Medicare and are checked against eligibility criteria before approval.

Claimable Amounts (Effective 1 July 2024):

GP TypeInitial Assessment & EnrolmentItem Number90-Day Care Plan ReviewItem NumberTotal Year 1Total Subsequent Years
GP with Practice Nurse$490.65UP01$512.05UP03$2538.85$2048.20
GP without Practice Nurse$306.70UP02$230.10UP04$1227.10$920.40

Understanding Dates of Service

The CVC care period spans 90 days. Payments for quarterly care reviews (UP03 or UP04) can only be submitted after this 90-day period. To streamline date calculations for claims, providers can use:

  • The CVC Toolbox website.
  • The Self-populating Ready Reckoner tool.

Why the CVC Program Matters

The CVC Program ensures veterans receive comprehensive, coordinated care tailored to their needs. By fostering proactive health management and reducing hospitalisation risks, it significantly enhances the well-being of veterans.

For more details, providers can explore the CVC Toolbox or consult additional resources to maximise the program’s benefits for their patients.

Disclaimer: KSC is not affiliated with the Department of Veterans Affairs or Australian Defence Force.

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