| LONG DESCRIPTION |
Enrolled Veterans who are granted Hardship eligibility. Hardship (General)
grandfathered in). If the VA provider and the Veteran agree that there is a
hardship determination, the Veteran would be eligible to receive community
care for one year.
. Potential reasons for general best medical interest (hardship)
include geographical challenges, environmental factors, a medical
condition that impacts the ability to travel, or if a Veteran needs
to travel to their nearest VA medical facility by air, boat, or
ferry.
Examples include the presence of a body of water (including moving
water and still water), a geologic formation that cannot be crossed
fall under the pathway of Best Medical Interest (BMI).
by road, roads that are not accessible to the general public (such as
a road through a military base or restricted area), traffic, or
hazardous weather.
. In the future, VA providers will select a consult duration of either
6 months or 1 year from the consult duration drop-down menu. In June
2019, all hardship consults will have a one-year duration.
. Primary Role: VA providers determine and manage General Best Medical
Interest (Hardship) eligibility unless otherwise noted.
. Secondary Roles: Chief of Staff, Facility community care office
. A hardship determination means that the Veteran is eligible to
Example General BMI (Hardship): A veteran was just diagnosed with a
receive community care, but a review for clinical appropriateness is
still required by the designated Delegation of Authority.
Source: OCC Transition Guidebook, Chapter 2, Section 2.9
malignancy. The treatment plan includes surgery, chemotherapy and radiation
therapy which makes the veteran ill and weak. The duration of this
treatment plan will possibly be 9-12 months. The Veteran lives near a major
university Medical Center that offers not only comprehensive oncologic care
but also general and specialty care. The veteran has no other community
care eligibilities identified (Drive time or fixed eligibilities like
|
