Providers: Check Your Contract Status to Continue to Care for Veterans
In August 2020, The Department of Veterans Affairs (VA) new Community Care Network (CCN) was fully implemented in Region 4. Health care delivery in Region 5 began April 1, 2021 with the entire state launching CCN on June 15, 2021.
Under CCN, VA requires all providers to be fully contracted, credentialed, and in-network with TriWest to continue receiving referrals to care for Veterans. We highly encourage you to check your contract status and ensure you’re ready to begin administering CCN.
Have you updated your Patient-Centered Community Care (PC3) contract with a CCN amendment or signed a new CCN contract? Contract status falls into one of three categories:
Existing Contracted Patient-Centered Community Care Providers (PC3)
These are providers who have an existing, in-network contract with TriWest under VA’s current Patient-Centered Community Care (PC3) program. To continue caring for Veterans under CCN, current PC3 providers will receive an amendment to their existing contract with TriWest.
Providers who do not decline within 30 days of receiving the amendment will be automatically contracted under CCN, unless their base PC3 contract requires signature for any amendment.
- Providers who receive an amendment not requiring a signature may begin receiving appointments for Veterans under CCN.
- Providers whose contract amendments do require a signature must sign and return their amended contracts to TriWest to continue receiving authorizations to care for eligible Veterans.
Existing Non-Contracted Certified Providers
These are providers who do not have an existing, in-network contract with TriWest. However, they have been allowed to accept referrals/authorizations under the terms of PC3 (and formerly Veterans Choice) and care for Veterans as part of the TriWest network.
To continue receiving referrals for Veterans under CCN, certified providers must sign a new CCN contract with TriWest, which outlines the expectations for Veteran care under the new network. Certified providers should return their signed CCN contracts to TriWest to continue care for eligible Veterans under CCN in Regions 4 and 5.
New Providers to TriWest
These are providers who are not currently part of the TriWest network at all—whether as PC3 contracted providers, or certified providers.
We thank you for stepping up and answering the call to support our nation's Veterans. Whether you previously contracted directly with VA to care for Veterans, or you have never worked with VA or TriWest before, we’re glad you’re here and taking an interest in caring for our nation’s heroes.
Join the TriWest Provider Network to serve Veterans under CCN by promptly signing a CCN contract already sent to you or submitting a CCN contract request. Visit ccn.triwest.com or call 866-286-4174 to get the process started.
Have Questions? We’re Here to Help
If you have questions on your contract status and want to ensure you’re ready to begin caring for Veterans under CCN as early as June 8, 2020, you can always contact us for help.
- For more information on CCN, visit ccn.triwest.com.
- To speak directly with a TriWest representative, call 866-286-4174.
*The CCN is part of the next generation of VA community care program contracts. TriWest has been selected as the third-party administrator for CCN Region 4. We are excited for this opportunity to continue partnering with VA to enhance Veteran access to health care when services are not available from VA providers.