Community Based Care Changes
Effective March 17th, Optum will manage provider networks for our region for Veterans receiving care through Community Based Care. Veterans participating in this program should have been directly contacted. Providers should have also been contacted but have to enroll in Optum as a care provider in their network.
Key Recommendations for Veterans using Community Based Care.
- Clinics that are participating now may not continue to participate. It is also possible some of them may lag in getting signed up in Optum. If you are using this program you should ask “do you accept Optum” prior to receiving care.
- Make sure care provided is authorized. Be sure to ask your provider if the care they are providing is covered by Optum.
- If billing concerns come up. Work with the provider and have them work it with Optum. Billing issues for care received prior to this transition should continue to be worked with TriWest.