Pappas Demands Resolution of VA Provider Payment Issues Hindering Care for Veterans

February 3, 2020
Press Release

The bipartisan letter to the VHA Executive is the latest action in months of work to address this issue including meeting with providers and patients and working individually with constituents to resolve late payments

Pappas will hold Oversight and Investigations Subcommittee hearing in February on the topic of provider payment problems

Manchester, NH- Congressman Chris Pappas (NH-01), who serves as the Chair of the Oversight and Investigations Subcommittee for the House Veterans’ Affairs Committee, led a bipartisan letter to the Department of Veterans Affairs (VA) demanding answers and a plan to resolve Mission Act implementation issues. 

The VA’s implementation of the MISSION Act expanded veterans’ access to local providers through the creation of Community Care Networks. Although Community Care Networks are intended to become a long-term option to provide our veterans with better care, the transition has left regional providers with millions of dollars in unpaid claims. Mounting unpaid claims have prompted providers to stop caring for veterans and our veterans are suffering as a result. Congressman Pappas’s letter does not only call attention to this issue, but demands answers and assurance from the VA they are working to resolve this issue. 

“Although the MISSION Act created networks that allow our veterans to access community care, we have received calls every week from our veterans and providers that have been left waiting for services and reimbursements. This is unacceptable, and we must continue to demand better from VA,”said Congressman Pappas. “I will continue to do everything in my power to bring attention to this critical matter while working with my colleagues and the VA to ensure our veterans get the best care possible.”

Congressman Pappas’s letter, which was co-signed by 18 of his colleagues, brings attention to this issue to Richard Stone, the Executive in Charge of the Veterans Health Administration. Specifically, the letter asks for information on: 

·         When outstanding claims will be paid, 

·         Why the VA lowered fee schedules, 

·         Why the VA imposed “lifetime maximum” for alternative care visits, 

·         And how were community providers notified about such changes. 

You can read a full copy of the letter HERE.

Congressman Pappas has called a Committee hearing on February 12th to ensure the VA is making progress on this issue. 

Congressman Pappas also met with a VA community care provider and patients in Laconia, Gate of Life Acupuncture and Wellness, to discuss payment issues they have experienced as VA community care providers alongside veterans who received their care.