{"aaData": [["UNAUTHORIZED CLAIM - OUTPATIENT", "", "", "
02
\n", "", ""], ["CLASS I DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
15
\n", "", ""], ["CLASS II DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
16
\n", "", ""], ["CLASS IIa DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
17
\n", "", ""], ["CLASS IIb DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
18
\n", "", ""], ["CLASS IIc DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
19
\n", "", ""], ["HOSPICE CARE (INPT.) CONTRACT/SHARING AGREEMENT", "", "
CIVIL HOSPITAL
\n", "
37
\n", "", ""], ["CLASS IIr DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
20
\n", "", ""], ["CLASS III DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
21
\n", "", ""], ["CLASS IV DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
22
\n", "", ""], ["CLASS V DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
23
\n", "", ""], ["CLASS VI DENTAL TREATMENT", "", "
OUTPATIENT
\n", "
24
\n", "", ""], ["NON-VA MEDICAL CARE, CAREGIVER OVERSIGHT VISITS", "", "
OUTPATIENT
\n", "
25
\n", "", ""], ["PROGRAM OF ALL-INCLUSIVE CARE OF THE ELDERLY (PACE)", "", "
OUTPATIENT
\n", "
26
\n", "", ""], ["VETERAN-DIRECTED HOME AND COMMUNITY BASED SERVICES (VD-HCBS)", "", "
OUTPATIENT
\n", "
27
\n", "", ""], ["AMBULANCE/TRAVEL - FOR INPATIENT OR OUTPATIENT SERVICES", "", "
OUTPATIENT
\n", "
28
\n", "", ""], ["NEWBORN CARE FOR THE FIRST 7 DAYS AFTER BIRTH.", "", "
CIVIL HOSPITAL
\n", "
29
\n", "", ""], ["HOSPICE CARE (INPT.) FEE BASIS AUTHORITY (CFR 17.50b)", "", "
CIVIL HOSPITAL
\n", "
38
\n", "", ""], ["NON-VA HOSP. CARE FOR WOMEN VETERANS (NO OTHER ELIGIBILITY). INCLUDES MATERNITY CARE", "", "
CIVIL HOSPITAL
\n", "
34
\n", "", ""], ["INPATIENT 38 U.S.C. 1725", "", "
CIVIL HOSPITAL
\n", "
39
\n", "", ""], ["HOSPICE & PALLIATIVE CARE (OPT) - CONTRACT/SHARING AGREEMENT", "", "
OUTPATIENT
\n", "
77
\n", "", "
ALL OTHER LTC SERVICES
\n"], ["CNH HOSPICE", "", "
CONTRACT NURSING HOME
\n", "
43
\n", "", "
LTC SERVICE IS EXEMPT FROM LTC-COPAY
\n"], ["CNH RESPITE CARE", "", "
CONTRACT NURSING HOME
\n", "
44
\n", "", "
LTC SERVICE IS A SUBJECT FOR LTC-COPAY
\n"], ["HOSPICE & PALLIATIVE CARE (OPT) - FEE BASIS AUTHORITY (CFR 17.50b)", "", "
OUTPATIENT
\n", "
78
\n", "", "
ALL OTHER LTC SERVICES
\n"], ["OUTPATIENT 38 U.S.C. 1725", "", "", "
52
\n", "", ""], ["MILITARY SEXUAL TRAUMA SERVICES", "", "
OUTPATIENT
\n", "
55
\n", "", ""], ["DIALYSIS", "", "
OUTPATIENT
\n", "
56
\n", "", ""], ["NEWBORN CARE FOR THE FIRST 7 DAYS AFTER BIRTH.", "", "
OUTPATIENT
\n", "
66
\n", "", ""], ["OUTPATIENT MATERNITY CARE SERVICES", "", "
OUTPATIENT
\n", "
67
\n", "", ""], ["BOWEL AND BLADDER CARE: AGENCY", "", "
OUTPATIENT
\n", "
68
\n", "", ""], ["BOWEL AND BLADDER CARE: FAMILY CAREGIVER", "", "
OUTPATIENT
\n", "
69
\n", "", ""], ["HOMEMAKER/HOME HEALTH AID SERVICES", "", "
OUTPATIENT
\n", "
71
\n", "", "
ALL OTHER LTC SERVICES
\n"], ["RESPITE CARE IN HOMEMAKER/HOME HEALTH AID SERVICES", "", "
OUTPATIENT
\n", "
72
\n", "", "
LTC SERVICE IS A SUBJECT FOR LTC-COPAY
\n"], ["RESPITE CARE IN ADHC", "", "
OUTPATIENT
\n", "
73
\n", "", "
LTC SERVICE IS A SUBJECT FOR LTC-COPAY
\n"], ["HOME HEALTH SERVICES (NON-NURSING PROFESSIONAL)", "", "
OUTPATIENT
\n", "
74
\n", "", "
ALL OTHER LTC SERVICES
\n"], ["CHIROPRACTIC CARE", "", "
OUTPATIENT
\n", "
75
\n", "", ""], ["ADHC", "", "
OUTPATIENT
\n", "
76
\n", "", "
LTC SERVICE IS A SUBJECT FOR LTC-COPAY
\n"], ["RESPITE CARE (OTHER)", "", "
OUTPATIENT
\n", "
79
\n", "", "
LTC SERVICE IS A SUBJECT FOR LTC-COPAY
\n"], ["STATE HOME ADHC", "", "
STATE HOME
\n", "
86
\n", "", ""], ["STATE HOME DOM", "", "
STATE HOME
\n", "
87
\n", "", ""], ["STATE HOME HOSPITAL", "", "
STATE HOME
\n", "
88
\n", "", ""], ["STATE HOME NH", "", "
STATE HOME
\n", "
89
\n", "", ""], ["OUTPATIENT IVF / ART CARE - NON-VETERAN COLLATERAL SPOUSE", "", "
OUTPATIENT
\n", "
92
\n", "", ""], ["OUTPATIENT IVF / ART CARE - SC VETERAN", "", "
OUTPATIENT
\n", "
93
\n", "", ""], ["OUTPATIENT IVF / ART CARE - VETERAN COLLATERAL SPOUSE; FOR WHEN SPOUSE IS ALSO A VETERAN BUT NOT SC", "", "
OUTPATIENT
\n", "
94
\n", "", ""], ["INPATIENT IVF / ART CARE - NON-VETERAN COLLATERAL SPOUSE", "", "
CIVIL HOSPITAL
\n", "
95
\n", "", ""], ["INPATIENT IVF / ART CARE - SC VETERAN", "", "
CIVIL HOSPITAL
\n", "
96
\n", "", ""], ["INPATIENT IVF / ART CARE - VETERAN COLLATERAL SPOUSE; FOR WHEN SPOUSE IS ALSO A VETERAN BUT NOT SC", "", "
CIVIL HOSPITAL
\n", "
97
\n", "", ""]]}