Community Providers COVID-19 Resource Page

As of April 1, 2020:

Additional VA Guidance for Community Providers

As of March 19, 2020:

VA Fact Sheet for Community Providers on COVID-19

COVID-19 Response from TriWest Healthcare Alliance

In the wake of the COVID-19 (Coronavirus) pandemic, TriWest Healthcare Alliance continues to monitor the situation in cooperation with the Department of Veterans Affairs (VA) and its effect on the Patient-Centered Community Care (PC3) program. TriWest will use this web page to update providers on the latest information regarding the pandemic.

TriWest and VA Delay CCN in Region 4

In response to COVID-19 (Coronavirus) and its impact on the health care system, the Department of Veterans Affairs (VA) and TriWest agreed to a 60-day delay for the start of health care delivery under the new Community Care Network (CCN) contract in Region 4. The new start date for rollout is delayed until June 8, 2020. TriWest and VA intend to fully deploy CCN throughout all of Region 4 by Aug. 31 2020.

Using Telehealth to Treat Veterans

TriWest has determined at this time that under PC3, providers who wish to utilize virtual or phone visits to treat patients and provide continued care while staying in compliance with the Centers for Disease Control and Prevention (CDC) guidelines may do so, as long as the provider has an authorization on file first. VA has provided a waiver for all specialties under PC3 where virtual visits for the initial and subsequent appointments are now allowed in light of the ongoing pandemic.

Please follow the Telehealth guidelines in Telehealth Quick Reference Guide.

COVID-19 Billing Guidelines

TriWest is using the following guidelines regarding billing for COVID-19 tests, as well as telehealth treatment, for Veterans:

Enroll in Electronic Claims for Faster Claims Payments

COVID-19 is impacting business processes across the world including TriWest and our claims processing partner WPS Military and Veteran Health (WPS MVH). While on-site resources have been reduced to limit the spread of COVID-19, our teams are dedicated to reducing the impact on processing claims for our community providers. Some of that impact that we are trying to mitigate includes potential processing and payment delays for non-electronic claim submissions.

If you have not already enrolled in the option to submit your claims electronically, you are encouraged to do so now by visiting WPS MVH. Filing electronically will help speed up your claims processing.

For more information regarding COVID-19 guidance for providers, review this new fact sheet from VA.