CCN Next Gen - Care Coordination Slides.pdf
PDF 454 KB Posted
- Attached to
- Q201--CCN-Next Gen Medical
- Solicitation number
- 36C10G26R0003
About this file
This is an informational presentation on care coordination from the Veterans Health Administration (VHA) Office of Integrated Veteran Care, dated February 13, 2026.
The presentation defines care coordination as the sharing of information and building of clear care plans for Veterans. It outlines three levels of care coordination services: Basic level providing navigation, information, and referrals with minimal contact; Moderate level offering frequent follow-up for disease management, prevention, and education; and Complex level delivering intensive, team-based support for Veterans with multiple or serious needs. Care coordination navigators create personalized care plans, prevent gaps in care, help manage medical and social needs, and reduce unnecessary appointments. The care coordination team provides support in four key areas: navigating care, scheduling, communication, and transition services. The presentation details specific processes for referrals (providing clear guidance to community providers on reasons and requested services), requests for service (official requests for additional clinical care), prescriptions (routine prescriptions sent to VA pharmacies; urgent prescriptions sent to in-network retail or VA pharmacies), and medical emergencies (Veterans should immediately seek care at the nearest facility without checking with VA first). The presentation also describes HealthShare Referral Manager (HSRM), which provides clinical summaries of Veterans' medical history, diagnoses, prior medical procedures, and medications. Online provider resources include External Provider Scheduling, Precertification Requirements, Veterans Health Information Exchange, and Clinical Determinations and Indications.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Care Coordination Overview
Friday, February 13, 2026
VHA Office of Integrated Veteran Care
Care Coordination
Care coordination is about sharing information and building clear care plans.
Care coordination levels:
Basic level:
Navigation, information, and referrals;
minimal contact.
Moderate level:
Frequent follow-up for disease management, prevention, and education.
Complex level:
Intensive, team-based support for Veterans with multiple or serious needs.
Care coordination navigator:
Creates a personalized care plan
Prevents gaps in care
Helps manage medical and social needs
Reduces unnecessary appointments
Care coordination team supports:
Navigating care
Scheduling
Communication
Transition
Referrals:
Provide clear guidance to community providers on the reason for referral and what services are being requested by VA
Requests for service:
An official request for additional clinical care services from a community care provider
Prescriptions:
Routine prescriptions:
Sent to the referring VA medical facility’s pharmacy.
Urgent prescriptions:
Sent to an in-network retail pharmacy or VA pharmacy.
Medical Emergencies:
During a medical emergency, Veterans should immediately seek care at the nearest medical facility.
Veterans do not need to check with VA before calling for an ambulance or going to an emergency department.
HealthShare Referral Manager (HSRM) provides:
Clinical summary of Veterans’ medical history
Diagnosis, prior medical procedures, and medications
Online provider resources
External Provider Scheduling
Precertification Requirements
Veterans Health Information Exchange
Clinical Determinations and Indications
Thank you
| Care Coordination Overview |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
| Care Coordination |
File details come from the government source that posted it. Updated .